Sonia Ashford is a licensed Independent Insurance Agent in the Texas Medicare field. Sonia has delivered hundreds of speeches to consumers in the Dallas / Fort Worth area about turning 65, Medicare Advantage and Medicare Supplement insurance. A respected agent within the Medicare insurance industry, she is the owner of Ashford Insurance Services, LLC and a Managing Member of Agents Legacy Group, LLC. To enroll on-line please visit RightFitPlans.com
Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.
If your doctor, provider, or supplier accepts assignment, your out-of-pocket costs may be less, they agree to charge you only the Medicare deductible and coinsurance amount and usually wait for Medicare to pay its share before asking you to pay your share, and they have to submit your claim directly to Medicare and cannot charge you for submitting the claim.
If your doctor, provider, or supplier does not accept assignment they are "Non-participating" providers and have not signed an agreement to accept assignment for all Medicare-covered services, but they can still choose to accept assignment for individual services.
If your doctor, provider, or supplier does not accept assignment, you may have to pay the entire charge at the time of service. They can also charge you more than the Medicare-approved amount, called "Excess Charges." Excess Charges have a limit called "the limiting charge." The provider can only charge you up to 15% over the amount that non-participating providers are paid. Non-participating providers are paid 95% of the fee schedule amount. The limiting charge applies only to certain Medicare-covered services and doesn't apply to some supplies and durable medical equipment.
Your doctor, provider, or supplier is supposed to submit a claim to Medicare for any Medicare-covered services they provide to you. They cannot charge you for submitting a claim. If they do not submit the Medicare claim once you ask them to, call 1 800 MEDICARE.
In some cases, you might have to submit your own claim to Medicare using Form CMS-1490S to get reimbursed.
3113 Willow Creek Way
Bedford, TX 76021
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Ashford Insurance Services offers insurance to help pay for some of your out‑of‑pocket costs not covered by Medicare.
Ashford Insurance Services, LLC in Bedford Texas is an Independent Insurance Agency specializing in Texas Medicare Insurance for Seniors Online.
Mon - Fri 8:30 - 7:00
* Not connected with or endorsed by the US Government or the Federal Medicare program. Call to receive complete information including benefits, costs, eligibility requirements, exclusions and limitations.
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