Dr. Sosa has ‘opted-out’, or removed himself, as a Medicare insurance-accepting provider. Opting out of Medicare has no effect on your Medicare coverage for all other providers who accept Medicare reimbursement. It is necessary for Dr. Sosa to opt-out of Medicare so that he can have a private, monthly fee-based arrangement with you, per government regulations. In fact, Medicare is the ideal complement to a direct patient care practice because you are covered for everything else outside of our services. We can order labs, X-rays, home health services, DME, etc. for all Medicare patients, we just don’t bill Medicare directly.