@Joseph
I don’t think you mean “accepting facilities from discounting the list rate for the uninsured”
It is those facilities who take ‘ASSIGNMENT’ who may not discount for the uninsured.
Taking assignment means the provider agrees to take whatever payment Medicare authorizes for a particular procedure as payment in full and not bill the patient for additional money. There are providers who take payments from Medicare, but not assignment and expect the patient to pay the difference.
Seniors who have opted for a replacement Medicare scheme (you see the booths set up in chain drug stores in the 4th quarter) are in for a rude awakening. They don’t have this protection.
MIL was sold a replacement Medicare plan by Anthem, told she’d have better prescription coverage and no increase over the Medicare premium she already pays.
Now, she is subject to a $400 twice per week co-pay for Chemo-theraphy. If she was still on straight Medicare, the hospital would have to accept the amount Medicare pays and she’d have no additional liability.
She cannot switch plans until December open enrollment period.