If a patient chooses to proceed with a procedure after signing an ABN, what can they request?

When a patient signs a Notice of Exclusion from Medicare Benefits (ABN), it indicates that the provider believes Medicare may not cover the procedure. If the patient decides to go ahead with the procedure despite the potential for non-coverage, they have the right to request that the provider submits the charge to Medicare for consideration.

This option is significant because it allows the patient to have the procedure performed while also seeking a determination from Medicare regarding coverage. Should Medicare deny the claim, the patient is still responsible for the cost, but they have the opportunity to have their case reviewed for potential payment. This aligns with the purpose of the ABN, which is to inform the patient about the possibility of non-coverage and to give them the option of pursuing Medicare's review process.

The other options do not align with the intent and implications of signing an ABN. A full refund would not typically be applicable since the provider is indicating potential out-of-pocket costs. Requesting a second opinion or delaying the procedure are options that do not directly relate to the patient's rights after signing an ABN and would not affect the billing process with Medicare.