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Mayo unit no longer to accept MedicareOne of the Mayo Clinic's two family-medicine practices in Arizona soon will stop accepting Medicare, leaving thousands of patients to pay out of pocket for routine doctor's visits or find a new physician.The changes, which go into effect Jan. 1, apply only to primary-care services offered at Mayo Clinic Family Medicine-Arrowhead. Mayo will accept Medicare for critical care and specialty services at its north Phoenix hospital. Lab services, physical therapy and X-rays at the Glendale family-practice office also will continue to be covered. Hospital officials called the new policy a "two-year pilot program" and said Thursday that the changes are necessary because of low Medicare reimbursement rates."This is just a primary-care problem," said Dr. R. Scott Gorman, vice chairman of the executive-operations team at Mayo Clinic of Arizona. "We're trying to look at ways to make it more sustainable."