Guest guest Posted August 8, 2010 Report Share Posted August 8, 2010 No I believe anyone can buy health insurance. Yes and that is because the medical profession has chosen to set it up this way.In part if this were not the case every nut with a new untried treatment would be paid to deliver bad medicine. This is not what we want. We want to pay for things that work. And pay to test if suggested treatments are the same as, better or worse the old treatment or the next new treatment.Are you aware that1) A Medicare recipient has NO choice in insurance? It’s Medicare or nothing.2) If a Medicare recipient goes to a non-government-sanctioned physician, no part of that bill can be considered for reimbursement, no matter how catastrophic the bill may be? Speaking of “raking it in,” as I detailed in my earlier email, my costs are lower than when I mindlessly let my insurance pay the bills and paid 20% of what Blue Cross allowed. And speaking of “raking it in,” when I went looking for an IV set-up and nursing care, scads of places tried to serve me. Normally, these services are for Medicare-age people. There is BIG money to be made. Option Care initially turned in $9,800 for a month’s service + $400 for nursing services. Blue Cross knocked it down to $2,500 (a “reasonable” charge). By shopping, I’m getting it for $432.But why should sick people have to shop?See why we need some regulation here. How can there be that much difference in costs? When we were looking for home care for my MIL, every place in town was on the doorstep. There is big money to be made in home health care. Generally, people requiring HHC are on Medicare.So you want to set up death squads to decide who should not get any Medicare. What we need to do is to look at the costs and benefits of what you and I are paying for. How much is the external heart thing that Cheney has and how much are we paying for that? My guess is that he is not paying anything but he certainly could and then maybe others would get it as well.YOu can bet that the makers are lobbying strong to get one of these for every one with CHF which is about 4 million peopleMy guess is it is in the $100,000 to have it on all the time,let alone the cost of the device.BTY I have heard the Mayo is going to opt out of Medicare but may be a rumor.CE Grim MD It is no wonder Medicare is in the hole and wasting $60 billion a year. Val From: hyperaldosteronism [mailto:hyperaldosteronism ] On Behalf Of Clarence GrimYeah that is the reason many Drs are opting out of what Medicare pays. They can't rake it in. My guess is that that will not be an option long. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2010 Report Share Posted August 9, 2010 not sure of your point. what is it you wan tme to do? Subject: Raking it inTo: hyperaldosteronism Date: Sunday, August 8, 2010, 6:47 PMnotsureof your point, but Are you aware that 1) A Medicare recipient has NO choice in insurance? It’s Medicare or nothing. 2) If a Medicare recipient goes to a non-government- sanctioned physician, no part of that bill can be considered for reimbursement, no matter how catastrophic the bill may be? Speaking of “raking it in,†as I detailed in my earlier email, my costs are lower than when I mindlessly let my insurance pay the bills and paid 20% of what Blue Cross allowed. And speaking of “raking it in,†when I went looking for an IV set-up and nursing care, scads of places tried to serve me. Normally, these services are for Medicare-age people. There is BIG money to be made. Option Care initially turned in $9,800 for a month’s service + $400 for nursing services. Blue Cross knocked it down to $2,500 (a “reasonable†charge). By shopping, I’m getting it for $432. When we were looking for home care for my MIL, every place in town was on the doorstep. There is big money to be made in home health care. Generally, people requiring HHC are on Medicare. It is no wonder Medicare is in the hole and wasting $60 billion a year. Val From: hyperaldosteronism@ yahoogroups. com [mailto:hyperaldost eronism@yahoogro ups.com] On Behalf Of Clarence GrimYeah that is the reason many Drs are opting out of what Medicare pays. They can't rake it in. My guess is that that will not be an option long. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 9, 2010 Report Share Posted August 9, 2010 If you work less then ten years you can not get Medicare. As part of retirement plans some have other insurance then Medicare > > Are you aware that > 1) A Medicare recipient has NO choice in insurance? It's Medicare or > nothing. > 2) If a Medicare recipient goes to a non-government-sanctioned > physician, no part of that bill can be considered for reimbursement, no > matter how catastrophic the bill may be? > > Speaking of " raking it in, " as I detailed in my earlier email, my costs are > lower than when I mindlessly let my insurance pay the bills and paid 20% of > what Blue Cross allowed. > > And speaking of " raking it in, " when I went looking for an IV set-up and > nursing care, scads of places tried to serve me. Normally, these services > are for Medicare-age people. There is BIG money to be made. Option Care > initially turned in $9,800 for a month's service + $400 for nursing > services. Blue Cross knocked it down to $2,500 (a " reasonable " charge). By > shopping, I'm getting it for $432. > > When we were looking for home care for my MIL, every place in town was on > the doorstep. There is big money to be made in home health care. > Generally, people requiring HHC are on Medicare. > > It is no wonder Medicare is in the hole and wasting $60 billion a year. > > Val > > > From: hyperaldosteronism > [mailto:hyperaldosteronism ] On Behalf Of Clarence Grim > Yeah that is the reason many Drs are opting out of what Medicare pays. They > can't rake it in. My guess is that that will not be an option long. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2010 Report Share Posted August 10, 2010 I checked a bit more. Medicare part A is paid for as part of the SS tax. When you are 65 you have the choice if you want part A you don't have to pay for part A. To get part A you have to be eligible for SS. To get SS you have to have 10 years of work credits. If you have worked less then 10 years you cay buy part A. you have to part A to get part B. It is part B that every one has to pay for. > > > > > > Are you aware that > > > 1) A Medicare recipient has NO choice in insurance? It's Medicare or > > > nothing. > > > 2) If a Medicare recipient goes to a non-government-sanctioned > > > physician, no part of that bill can be considered for > > reimbursement, no > > > matter how catastrophic the bill may be? > > > > > > Speaking of " raking it in, " as I detailed in my earlier email, my > > costs are > > > lower than when I mindlessly let my insurance pay the bills and > > paid 20% of > > > what Blue Cross allowed. > > > > > > And speaking of " raking it in, " when I went looking for an IV set- > > up and > > > nursing care, scads of places tried to serve me. Normally, these > > services > > > are for Medicare-age people. There is BIG money to be made. Option > > Care > > > initially turned in $9,800 for a month's service + $400 for nursing > > > services. Blue Cross knocked it down to $2,500 (a " reasonable " > > charge). By > > > shopping, I'm getting it for $432. > > > > > > When we were looking for home care for my MIL, every place in town > > was on > > > the doorstep. There is big money to be made in home health care. > > > Generally, people requiring HHC are on Medicare. > > > > > > It is no wonder Medicare is in the hole and wasting $60 billion a > > year. > > > > > > Val > > > > > > > > > From: hyperaldosteronism > > > [mailto:hyperaldosteronism ] On Behalf Of Clarence > > Grim > > > Yeah that is the reason many Drs are opting out of what Medicare > > pays. They > > > can't rake it in. My guess is that that will not be an option long. > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2010 Report Share Posted August 10, 2010 My information on Medicare and homecare is a bit out of date. But I think it still works a bit like this. The home health agencys make out very well on what medicare pays them. HHA pays there help by the hour. Medicare pays a per visit fee to HHA. Ten years ago medicare was paying about $100 per visit for nurse to do home visit. HHA was paying nurse $15 to $20 per Hr. Many visits were less the 3/4 hour. Some less then 1/2 hr. Besides the pre visit fee medicarc paid HHA to do related paper work. > > > > > > > > Are you aware that > > > > 1) A Medicare recipient has NO choice in insurance? It's Medicare or > > > > nothing. > > > > 2) If a Medicare recipient goes to a non-government-sanctioned > > > > physician, no part of that bill can be considered for > > > reimbursement, no > > > > matter how catastrophic the bill may be? > > > > > > > > Speaking of " raking it in, " as I detailed in my earlier email, my > > > costs are > > > > lower than when I mindlessly let my insurance pay the bills and > > > paid 20% of > > > > what Blue Cross allowed. > > > > > > > > And speaking of " raking it in, " when I went looking for an IV set- > > > up and > > > > nursing care, scads of places tried to serve me. Normally, these > > > services > > > > are for Medicare-age people. There is BIG money to be made. Option > > > Care > > > > initially turned in $9,800 for a month's service + $400 for nursing > > > > services. Blue Cross knocked it down to $2,500 (a " reasonable " > > > charge). By > > > > shopping, I'm getting it for $432. > > > > > > > > When we were looking for home care for my MIL, every place in town > > > was on > > > > the doorstep. There is big money to be made in home health care. > > > > Generally, people requiring HHC are on Medicare. > > > > > > > > It is no wonder Medicare is in the hole and wasting $60 billion a > > > year. > > > > > > > > Val > > > > > > > > > > > > From: hyperaldosteronism > > > > [mailto:hyperaldosteronism ] On Behalf Of Clarence > > > Grim > > > > Yeah that is the reason many Drs are opting out of what Medicare > > > pays. They > > > > can't rake it in. My guess is that that will not be an option long. > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2010 Report Share Posted August 10, 2010 It is only free if you have 10 year work credit. Haven't see cost if you have to pay for it. This information is on SSA web site. > > > > > > > > > > Are you aware that > > > > > 1) A Medicare recipient has NO choice in insurance? It's Medicare or > > > > > nothing. > > > > > 2) If a Medicare recipient goes to a non-government-sanctioned > > > > > physician, no part of that bill can be considered for > > > > reimbursement, no > > > > > matter how catastrophic the bill may be? > > > > > > > > > > Speaking of " raking it in, " as I detailed in my earlier email, my > > > > costs are > > > > > lower than when I mindlessly let my insurance pay the bills and > > > > paid 20% of > > > > > what Blue Cross allowed. > > > > > > > > > > And speaking of " raking it in, " when I went looking for an IV set- > > > > up and > > > > > nursing care, scads of places tried to serve me. Normally, these > > > > services > > > > > are for Medicare-age people. There is BIG money to be made. Option > > > > Care > > > > > initially turned in $9,800 for a month's service + $400 for nursing > > > > > services. Blue Cross knocked it down to $2,500 (a " reasonable " > > > > charge). By > > > > > shopping, I'm getting it for $432. > > > > > > > > > > When we were looking for home care for my MIL, every place in town > > > > was on > > > > > the doorstep. There is big money to be made in home health care. > > > > > Generally, people requiring HHC are on Medicare. > > > > > > > > > > It is no wonder Medicare is in the hole and wasting $60 billion a > > > > year. > > > > > > > > > > Val > > > > > > > > > > > > > > > From: hyperaldosteronism > <mailto:hyperaldosteronism%40yahoogroups.com> > > > > > [mailto:hyperaldosteronism > <mailto:hyperaldosteronism%40yahoogroups.com> ] On Behalf Of Clarence > > > > Grim > > > > > Yeah that is the reason many Drs are opting out of what Medicare > > > > pays. They > > > > > can't rake it in. My guess is that that will not be an option long. > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted August 10, 2010 Report Share Posted August 10, 2010 One thing to watch out for. Medical Centers contract with the big name insurance Co. The charge a set price to the insurance co. Many smaller Co. charge a smaller premium and will pay the same fixed price to medical center. But since they don't have a contract you get charged full price for service. you have to pay this amount out of your own pocket. > > > > > > > > > > > > Are you aware that > > > > > > 1) A Medicare recipient has NO choice in insurance? It's Medicare or > > > > > > nothing. > > > > > > 2) If a Medicare recipient goes to a non-government-sanctioned > > > > > > physician, no part of that bill can be considered for > > > > > reimbursement, no > > > > > > matter how catastrophic the bill may be? > > > > > > > > > > > > Speaking of " raking it in, " as I detailed in my earlier email, my > > > > > costs are > > > > > > lower than when I mindlessly let my insurance pay the bills and > > > > > paid 20% of > > > > > > what Blue Cross allowed. > > > > > > > > > > > > And speaking of " raking it in, " when I went looking for an IV set- > > > > > up and > > > > > > nursing care, scads of places tried to serve me. Normally, these > > > > > services > > > > > > are for Medicare-age people. There is BIG money to be made. Option > > > > > Care > > > > > > initially turned in $9,800 for a month's service + $400 for nursing > > > > > > services. Blue Cross knocked it down to $2,500 (a " reasonable " > > > > > charge). By > > > > > > shopping, I'm getting it for $432. > > > > > > > > > > > > When we were looking for home care for my MIL, every place in town > > > > > was on > > > > > > the doorstep. There is big money to be made in home health care. > > > > > > Generally, people requiring HHC are on Medicare. > > > > > > > > > > > > It is no wonder Medicare is in the hole and wasting $60 billion a > > > > > year. > > > > > > > > > > > > Val > > > > > > > > > > > > > > > > > > From: hyperaldosteronism > > <mailto:hyperaldosteronism%40yahoogroups.com> > > > > > > [mailto:hyperaldosteronism > > <mailto:hyperaldosteronism%40yahoogroups.com> ] On Behalf Of Clarence > > > > > Grim > > > > > > Yeah that is the reason many Drs are opting out of what Medicare > > > > > pays. They > > > > > > can't rake it in. My guess is that that will not be an option long. > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
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