Post by Bill ShatzerPost by tyre biterEver try to actually SEE the doctor you PREFER on Medicare?
I never had a problem.
Anecdotal, many, many others have:
http://www.nextavenue.org/what-do-if-your-doctor-wont-take-medicare/
What to Do if Your Doctor Won’t Take Medicare
More physicians are refusing, so ask yours before you hit 65 and then
follow these strategies if you'll be turned away
The Medicare Complaint That’s Growing
But we’re learning that Medicare’s not so easy after all. There are
still monthly premium payments, copays and deductibles — and not all
claims are processed smoothly.
Even more distressing is the complaint I’ve been hearing over and over:
Some doctors are now refusing to take Medicare patients. They’re balking
at the federal health program’s mandatory, low reimbursement rates and
high paperwork burdens.
For example, while nearly 80 percent of the Texas Medical Association’s
doctors were taking new Medicare patients in 2000, last year fewer than
60 percent were, according to a recent PBS NewsHour report.
http://www.nytimes.com/2009/04/02/business/retirementspecial/02health.html
Doctors Are Opting Out of Medicare
Many people, just as they become eligible for Medicare, discover that
the insurance rug has been pulled out from under them. Some doctors —
often internists but also gastroenterologists, gynecologists,
psychiatrists and other specialists — are no longer accepting Medicare,
either because they have opted out of the insurance system or they are
not accepting new patients with Medicare coverage. The doctors’ reasons:
reimbursement rates are too low and paperwork too much of a hassle.
Post by Bill ShatzerAnd even if you want to see a physician who is not enrolled with
Medicare, you can pay out of your own pocket and Medicare will reimburse
you for the visit/procedure according to its payment schedule.
Bullshit lie!
https://www.carepathways.com/articles/will-medicare-pay-for-in-home-care.cfm
Will Medicare Pay for In-Home Care?
Families are quite distressed when they discover that Medicare will not
pay for a home caregiver.
Medicare will not reimburse in-home caregivers to assist aging loved
ones with basic activities of daily living (ADLs) such as personal care,
meal preparation, transportation, medication reminders and housekeeping.
In-homecare often referred to as custodial care is not covered by
Medicare in spite of the dire need of these services by countless
seniors. Furthermore it is exactly these non-medical homecare services
that enable seniors to remain safely in their homes and age with
dignity. Home care that is considered non-medical in nature is sadly not
an allowable expense covered by our national Medicare program. Whether
it is part-time, fulltime, or even live-in homecare the answer is still
a resounding NO when it comes to Medicare reimbursement. Numerous
families understandably are quite distressed when they unexpectedly
discover that Medicare will not pay for in-home care to support their
aging parents.
Post by Bill ShatzerThe amount you end up being responsible for is roughly equal to the
co-pay/deductible which would be charged under most any private
insurance policy.
-snips-
LIAR!
http://www.seniorcorps.org/medicare/when-will-a-medicare-supplement-not-pay-for-something/
A Medicare Supplement Plan Can Be Denied When Medicare Is denied
A Medicare supplement plan pays coinsurance’s, deductibles and treatment
costs left over. However in circumstances, when Medicare does not
reimburse a claim, the secondary plan is unable to help the patient.
Common causes include exhausted benefits and elective procedures.
Medicare limits the amount of coverage a person gets, depending on how
much they pay and the guidelines present. Medicare also does not
reimburse patients for treatments that can be considered unnecessary.
Unnecessary treatments include plastic surgery and unrelated medications.
Post by Bill ShatzerPost by tyre biterMore primary care physicians turning away Medicaid patients
One-fourth currently don't see any Medicare or Medicaid members
Simply incorrect.
No, 100% true, you lying old shitbag!
https://www.advisory.com/Daily-Briefing/2013/07/29/WSJ-Doctors-turn-away-Medicare-patients
July 29, 2013
New data show that nearly three times more physicians opted out of
Medicare in 2012 than in 2009, and doctors who stayed in the program are
limiting their patient load, the Wall Street Journal reports.
According to CMS, 9,539 physicians who previously had accepted Medicare
opted out of the program in 2012, compared with 3,700 who opted out in
2009. Further, a similar study by the American Academy of Family
Physicians (AAFP) found that 81% of family physicians accepted new
Medicare patients in 2012, compared with 83% who did so in 2010.
Physicians have noted several reasons for opting out of Medicare, including:
Low reimbursement rates;
Displeasure with the government's increasing involvement in medicine; or
Concerns about patient privacy.
Cash-only practices? More doctors turn down insurance coverage
Some physicians have said that Medicare's reimbursement rates—which can
be as low as $58 for a 15-minute office visit—mean that they have to see
as many as 30 or more patients per day. AAFP President Jeffrey Cain
said, "Family physicians have been fed up for a long time and it's
getting worse."
At the same time, fewer doctors are choosing not to accept new Medicaid
beneficiaries, the Journal reports. A study in the journal Health
Affairs this month found that 33% of primary care physicians did not
accept new Medicaid patients in 2010 and 2011.
Post by Bill ShatzerPost by tyre biterhttp://www.kff.org/medicare/issue-brief/primary-care-physicians-accepting-medicare-a-snapshot/
http://www.cbsnews.com/videos/more-mds-turning-down-medicare-medicaid-patients/
More MDs turning down Medicare, Medicaid patients
JULY 11, 2011, 3:36 AM| If implemented, a new government proposal would
cut reimbursement rates for doctors who accept Medicare and Medicaid,
harming patients who rely on the programs. Susan Koeppen reports.
Your reference doesn't say anything about the percentage of primary care
physicians declining medicare/medicaid patients.
Oh?
At the same time, fewer doctors are choosing not to accept new Medicaid
beneficiaries, the Journal reports. A study in the journal Health
Affairs this month found that 33% of primary care physicians did not
accept new Medicaid patients in 2010 and 2011.
Suck on THAT, ya fucking lying old fart!
You LIED.
You got CAUGHT LYING.
DROP DAMNED DEAD!!!!
https://www.fool.com/retirement/2016/11/06/200000-doctors-turning-away-new-medicare-patients.aspx
200,000 Doctors Turning Away New Medicare Patients? Here's How It
Impacts You
Many physicians are saying they'll quit taking new Medicare patients or
leave the program altogether. Why -- and what could it mean for many
Americans?
We're not going to take it anymore.
That's what around 200,000 physicians across the U.S. could be saying
about Medicare. Two surveys confirm that many doctors are looking to
either exit the federal healthcare program or quit taking new patients.
http://www.medscape.com/viewarticle/781996
Cancer clinics across the United States have begun turning away Medicare
patients, according to a report published April 3 in the Washington Post.
Oncologists are blaming the federal cuts and say that they cannot treat
patients with expensive drugs and stay financially solvent.
In fact, one practice has made the decision to eliminate one third of
their 16,000 Medicare patients, according to the report. "If we treated
the patients receiving the most expensive drugs, we'd be out of business
in 6 months to a year," said Jeffrey Vacirca, MD, chief executive of
North Shore Hematology Oncology Associates in New York. "The drugs we're
going to lose money on we're not going to administer right now," he
explained.
The automatic across-the-board budget cuts, known as sequestration, have
slashed Medicare payments to physicians by 2%. The reduction does not
apply to the Medicare allowed charge for a given service, but it does
apply to the 80% share that the government pays to a physician, as
previously reported by Medscape Medical News.
http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/content/more-primary-care-physicians-turning-away-medicaid-patients
More primary care physicians turning away Medicaid patients
One-fourth currently don't see any Medicare or Medicaid members
NATIONAL REPORTS — Medicaid populations might soon be facing additional
problems in accessing care, industry experts say, as more physicians
turn down new patients.
According to a recent survey released by Jackson Healthcare, a staffing
company based in Atlanta, an increasing number of physicians say they
cannot afford to see Medicare and Medicaid patients. Survey results
showed that 26% of physicians currently don't see Medicare and Medicaid
patients, and 36% say they are no longer accepting new patients.
Among those who are the least likely to see new patients, 45% are family
practitioners—an increase over previous surveys. It's particularly
concerning for Medicaid populations, which are positioned to rise in
number quickly.
"Let's just let the big elephant out of the room—people lose money on
Medicaid," says Rick Jackson, chairman and CEO of Jackson Healthcare.
"It's the reality. Physicians don't take Medicaid patients because
they're giving away free care. And if 20% of their business is already
Medicaid, the reason they're not going to accept any more is because
they can't give away any more."
Some large provider organizations stopped accepting certain
government-program patients years ago, including the Mayo Clinic,
Jackson says. Likewise, many states have cut reimbursement to Medicaid
as a means to control costs.