Why would anyone not always choose option 3 on the ABN?

secondcreek

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My wife is on a Plan F and received her first Advance Beneficiary Notice of Noncoverage (ABN). She is starting physical therapy this afternoon. What am I missing? Why wouldn't you always go with option 3?

When I searched Medicare.gov for physical therapy the only thing I found is that they removed the limit for 2019.

Option 1: I want the D. Financial Responsibility but bill Medicare for an official decision on payment

Option 2: I want D. Financial Responsibility but do not bill Medicare. I cannot appeal if Medicare is not billed.

Option 3: I don't want the D. Financial Responsibility. I understand with this choice I am not responsible for payment and I cannot appeal to see if Medicare would pay.
 
Checking option 3 means the beneficiary does not want the test, treatment, etc. If the provider performs the test, etc. the provider is acknowledging they MAY not be paid.

How many providers do you think will go ahead with the test or procedure knowing they may not be paid?
 
(Those who are REALLY concerned about whether or not the person has/or may get cancer? :D)
 
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