Does Sequestration Reduction Apply to Medicare Advantage Plans

June 20, 2022
Rick Gawenda

Due to COVID-19, the 2% sequestration reduction for traditional Medicare was placed on pause until April 1, 2022. Beginning with dates of service between April 1 – June 30, 2022, the sequestration reduction returned at 1% and then increases to 2% for dates of service on and after July 1, 2022.

What therapy providers want to know is does the sequestration reduction also automatically apply to Medicare Advantage plans? The answer is

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  1. If a practice is out of network with a specific MA plan, can they opt to not see the patient even if the plan has out-of-network benefits? Thank you!