Question
My mother (82) in otherwise good heath has just learned she has uterine cancer.My preference for her necessary surgery is Froedert Medical center rather than the general oncology surgeon(s) here in in Oshkosh. How much, where who etc. will her Medicare coverage pay for the doctor, anesthesiologist, hospital bills?
Answer
Hi Jean
Not enough information.
If she has original Medicare with a Medigap policy, there should be very little difference,If she has a Medicare Advantage plan like a HMO or a PPO, then: once again there should be little difference if the Advantage plan makes the referral and Froedert accepts the agreement.
However if Froedert is not a plan provider, and her plan will not make a referral, it amounts to a private contract, and she is responsible for the whole thing. especially if they have her sign an Advance Beneficiary Notice.
Hope everything is successful.
John
