Billing an Aetna Medicare Advantage Patient for Noncovered Services

An Aetna Medicare Advantage (MA) patient is coming for outpatient therapy services. You want to provide a service that the MA plan does not cover. You inform the patient of their financial responsibility. The patient agrees to pay you this fee for the noncovered service(s). You think you have done this process correctly. But wait, maybe you have not done it correctly.

Contracted providers can’t bill Aetna MA patients for a service not covered under their plan
unless the provider or the patient obtain