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Medicare Waiver Form: What Is It?

A Medicare waiver form informs a Medicare beneficiary that items related to their medical treatment, including medical devices and equipment such as a wheel chair, cane, or crutches, may not be covered in full by Medicare. Medicare waivers let the beneficiary know that they will be responsible for whatever portion of money that Medicare does not cover.

A Medicare waiver form is used to notify a Medicare recipient before treatment that certain inclusions in the treatment program may not be covered by Medicare. If any of the treatment options chosen aren't covered, the patient would be required to cover the cost. Sometimes, the items listed in the Medicare waiver are listed as certain types of medical equipment, devices, or services. Sometimes, Medicare waivers may allow for some of the expense of those items to be covered, but not the entire cost.

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Medicare Waiver Form Information

Alternate Names:

  • Advance Beneficiary Notice (ABN)

What is Medicare Waiver Form For?

A Medicare waiver form is provided by medical providers or medical device / equipment providers to inform patients that although they are recipients of Medicare, the full cost of their treatment may not be covered. Patients are informed that they will be required to pay for the remaining costs not covered by Medicare especially if they do not have other insurance coverage or Medicare gap coverage.

Why Use a Medicare Waiver Form?

You should use a Medicare waiver form if you provide healthcare services or equipment to patients. This may include healthcare treatments, physical therapy, oxygen, C-PAP machines, or other devices. Although Medicare covers some of the fee associated with these items, they don't always cover all of the cost or certain items. The Medicare waiver form informs patients that they may be required to pay part or all of the fee associated if it is not covered by Medicare.

Who Should Use a Medicare Waiver Form?

Healthcare providers including doctors, nurses, physical therapists, and other healthcare providers who provide services to Medicare patients should use a Medicare waiver. Companies that provide healthcare devices and equipments to Medicare patients should also use a Medicare waiver to explain the potential financial obligations the patient may face as a result of Medicare not covering the full cost.