One visit could become two. See Medicare’s proposed change and speak up by September 14.

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Proposed 2027 Medicare Change

medicare's new plan
will delay your care.

“We can take care of that today” becomes
“you’ll need to come back.”

Where Medicare goes, all other insurance follows. Expect BCBS, United, Cigna, Aetna, and all other carriers to adopt these changes.

takes about a minute · anonymous is fine · closes September 14
Medicare proposed this same cut in 2019. Patients and doctors pushed back, and it was dropped. That is why your comment matters.

tell Medicare what a second trip would cost you

Today, your doctor can find a problem and treat it in one visit. Under this plan, you come back and wait.

what exactly is Medicare proposing? ↓
  1. 1 Check up to 3 that hit home
  2. 2 Review your comment, edit anything
  3. 3 Paste it on the official form and submit

public comments closed September 14, 2026

Thank you to every patient who spoke up. Medicare is reviewing comments before issuing the final rule. We will update this page when the final policy is released.

Comments in your own words carry more weight than form letters.

your comment

You've edited your comment, so checkbox changes won't overwrite it.
Open the Medicare comment form Copied. On the Medicare form: paste into the box marked Comment, choose Individual or Anonymous, then submit. You can skip the category dropdown.
Comments are public, so leave out personal medical details and contact info. Your comment goes straight to Medicare (proposed rule CMS-1848-P); Revelus never sees or stores it. Commenting is completely voluntary and will never affect the care you receive.

common questions

what exactly is Medicare proposing?

Under proposed rule CMS-1848-P, when your doctor examines you and performs a needed procedure on the same day, Medicare would pay full price for only the more expensive service. Payment for the other would be cut by 50%. Practices cannot absorb that cut, so the likely result is care getting split into two separate appointments. This is not just a dermatology problem. It hits nearly every doctor who treats patients on the spot: dermatology, orthopedics, ophthalmology, ENT, podiatry, and more, including pain management and family medicine. If your doctor can find a problem and fix it in the same visit, this rule affects you.

I'm not on Medicare. Why should I care?

Because where Medicare goes, all other insurance follows. Expect BCBS, United, Cigna, Aetna, and all other carriers to adopt these changes. Commercial insurers routinely copy Medicare's payment rules, and some have already tried cutting payment for these same-day visits, backing off only after public pushback. If this becomes federal policy, they get cover to follow. Also: if Medicare tax comes out of your paycheck, you're already paying into the program. And yes, anyone can comment, anonymously if you like.

does my comment actually matter?

Yes. Medicare is legally required to review public comments and respond to significant issues before finalizing the rule. A nearly identical proposal in 2019 was dropped after public pushback. Comments are how that happens.

what will the Medicare form ask me?

Paste your comment into the box marked Comment, then choose Individual or Anonymous. Email is optional and is only used to send you a confirmation. The comment category dropdown can be left blank. Complete the reCAPTCHA and submit.

who decides this?

CMS, the federal agency that runs Medicare, writes and finalizes this rule. Congress does not vote on it. If you also want to share your view with your elected officials as a separate, optional step: Texas's U.S. Senators are John Cornyn and Ted Cruz. Central Texas is split across six U.S. House districts, so your representative depends on your address: Michael McCaul (TX-10), Pete Sessions (TX-17), Chip Roy (TX-21), John Carter (TX-31), Greg Casar (TX-35), or Lloyd Doggett (TX-37). Not sure which is yours? Find your U.S. Representative by ZIP code.

is this final?

No. CMS-1848-P is a proposed rule. Medicare reviews public comments before issuing the final rule, which is exactly why commenting now matters.

does this change my Medicare coverage?

No. The proposal changes how Medicare pays physicians for certain same-day services. It does not change your benefits or coverage.

Federal proposed rule CMS-1848-P · CY 2027 Medicare Physician Fee Schedule · Federal Register 91 FR 43842 · Comments due September 14, 2026
Sources: CMS proposed rule · CMS fact sheet · Federal Register · Regulations.gov docket
CMS-1848-P is a proposed rule, not a final policy. Last updated August 2026.
Revelus Dermatology is a private medical practice. This page is not affiliated with, endorsed by, or an official communication of Medicare, CMS, or any government agency.