325 East Sonterra Blvd.

Clinic: Suite 120

Administrative Office: Suite 220

San Antonio, TX 78258

Phone: (210) 614-5100 / Fax (210) 614-5103

San Antonio Orthopaedic Specialists

Open Letter to Medicare Patients

March 2015

To our present and potential patients:

First and foremost, both Drs. Harris and Marshall see and care for patients whose insurance is Medicare every day. They are every bit as much a “part of our family” as every other patient. Why then, this letter at all?

The law that brought Medicare into existence in 1965 specifically prohibits the government from engaging in the practice of medicine. Unfortunately, each year, the government becomes more involved in the day to day care of individual patients. Guidelines and reporting requirements proliferate; often to the detriment of the patient. The individual patient becomes lost in the morass of paperwork. In order to continue to provide each patient with state of the art, and personalized care, Drs. Harris and Marshall have both opted out of the Medicare program. Participation in Medicare is voluntary; both of us have opted to focus on the patient, not the paperwork.

What does this mean for you as a patient?

An opted out physician does not accept Medicare as insurance. You get many benefits when your care is provided by an opted out physician. Your treatment is customized to fit you, and not a government defined population. Physicians who accept Medicare as insurance need to spend time collecting information that has no relevance to your orthopaedic issues. Then, they must spend additional time completing forms and sending this information to the government. The opted out physician can instead spend this time with you, the patient. We also respect your privacy. You can always see your own medical records, but nobody outside of this office will see your records without a subpoena. The Medicare provider must transmit your personal information to the government.

Next, care directed by an opted out physician to a Medicare provider is covered by Medicare. So, for those who require special tests, or who have opted for surgery, the imaging centers, hospitals, physical therapists, anaethesiologists etc. are all covered by Medicare in the usual fashion. Only the opted out physician is not covered.  Our services are provided on a fee for service basis under a Medicare Private Contract. If you’ve not already signed one, please do so now.

In closing, we promise to do everything in our power to provide personalized, excellent service at an affordable price. We believe that there is value in that. We hope that you agree.

Thank you for your time and attention. (Visit our web site for more details.)



Adam I. Harris, M.D. and Amanda Marshall, M.D.