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Are Medicare Advantage Beneficiaries Who Participate in the NOPR Liable for Deductible or Co-Payment?

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Are Medicare Advantage Beneficiaries Who Participate in the NOPR Liable for Deductible or Co-Payment?

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Beneficiaries enrolled in Medicare Advantage (MA) plans are not responsible for meeting either Part A or Part B deductibles, meaning that the deductible is waived. The beneficiaries in MA plans are liable for coinsurance amounts under MA plan rules. The PET provider should bill the MA enrollee for any cost-sharing. The enrollee should not be billed for any deductible.

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