Dr. Bryn Dungan has opted out from Medicare under sections 1128, 1156 or 1892 of the Social Security Act. If you are a Medicare client, Dr. Dungan will ask you to sign a contract acknowledging the below before she provides services. Opting out of Medicare means the following:

• You are responsible for payment of charges for all services furnished by Dr. Bryn Dungan.
• Medicare limits do not apply to what Dr. Bryn Dungan may charge for items or services furnished.
• You cannot submit claim to Medicare or to ask Dr. Bryn Dungan to submit a claim to Medicare.
• Medicare payments will not be made for any items or services furnished by Dr. Bryn Dungan that would have otherwise been covered by Medicare if there was no private contract and a proper Medicare claim had been submitted.
• Medigap plans do not, and that other supplemental plans may elect not to, make payments for items and services not paid for by Medicare.

The client should also know the following:

• You have the right to obtain Medicare-covered items and services from a physician and/or practitioner who has not opted-out of Medicare, and you are not compelled to enter into private contracts that apply to other Medicare-covered services furnished by other physicians or practitioners who have not opted-out.
• A contract with Dr. Dungan cannot be entered into during a time when you require emergency care services or urgent care services. (However, a physician/practitioner may furnish emergency or urgent care services to a Medicare beneficiary in accordance with 3044.28 of the Medicare Carriers Manual).