What purpose does an Advance Beneficiary Notice serve?

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An Advance Beneficiary Notice (ABN) serves the crucial function of notifying beneficiaries about potential out-of-pocket expenses they may incur for services or items that are not guaranteed to be covered by Medicare. This notice is provided when a healthcare provider believes that a specific service may not meet Medicare's coverage criteria, and it allows beneficiaries to make informed choices about their care.

By issuing an ABN, the provider ensures that beneficiaries are aware they might have to pay for the service themselves if it turns out that Medicare does not cover it. This option empowers patients to consider their financial responsibilities before receiving the service, thus enabling better planning for their healthcare costs.

Other options do touch on important aspects of Medicare and beneficiaries' rights, but they do not accurately represent the specific purpose of an Advance Beneficiary Notice in the context of potential costs associated with healthcare services.

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