I am a Medicare beneficiary. What does this mean for coverage and why do I have to sign the Medicare Agreement?

Parsley Health medical providers have opted out of Medicare. The Medicare Agreement is required by all Parsley members and acknowledges that you agree not to submit a claim, or to ask your provider to submit a claim for services to Medicare for reimbursement.

Though our providers have opted out, they do have order and refer privileges, which means they are still able to place lab orders and recommend referrals using your insurance plan. 

Please know that your medical team can support you in navigating testing and cost. 

• Membership Reimbursement: Because our providers have opted out of Medicare, your membership fee is an out-of-pocket cost and can't be submitted to insurance for reimbursement.
• Testing: Even though our providers have opted out of Medicare, they can still order labs for Medicare members. That means you can get lab orders placed through Parsley and may receive partial insurance coverage on testing.
• Additional Testing Alternatives:
  • We're happy to coordinate with your PCP. One thing to know: your Parsley provider may recommend some markers that your PCP isn't comfortable ordering. If that happens, we can adjust the order to fit what your PCP will sign off on and run the remaining tests separately.
  • We also work with an out-of-network lab called Vibrant America that doesn't accept insurance but offers upfront pricing. Most lab testing runs between $250 and $400. Once your provider has made their recommendations, your care team can walk you through the expected costs before you commit to anything.

Please note that if you don’t sign our Medicare Agreement, Parsley Health is unable to provide you with services.