Patients with Medicare or Medicare Advantage
Advance Care Planning is a covered service for Medicare patients. The patient will not have any charge if ACP is furnished with the Medicare Annual Wellness Visit. The usual part B deductible and coinsurance apply in scenarios outside of the Medicare Annual Wellness Visit.
Patients with Commercial Insurance or Medicaid
To understand advance care planning reimbursement outside of Medicare and Medicaid, and the implications for patient financial responsibility, individuals and organizations should consult with each payer and health plan as needed.