Guest guest Posted March 26, 2001 Report Share Posted March 26, 2001 .. In my situation Blue Shield Pays first, then Medicare picks up whatever is left. Same with me, Pete. I think that the 2 of them (the Blue Cross and the Medicare) pay for almost the total bill after the "good faith" deductions are worked out. I have paid very little in the last few years. Although, there are some medical things that are not covered (like my eye medicines - my Celluvisc eye drops and my Refresh PM eye ointment () June Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 26, 2001 Report Share Posted March 26, 2001 My experience with Medicare has actually been pretty good in that they tend to pay for whatever you need. It's just how much they pay that can be the question <g> Depending on your situation, Medicare may NOT be the primary actually. In my situation Blue Shield Pays first, then Medicare picks up whatever is left. > Sorry to bring up a serious subject. REcently, after 2 years on disability > retirement, as of July I will be on Medicare. I retired with State BC/BS, > but as I understand it, Medicare takes over as the primary insurance. With > my BC/BS, I had no problems going to CA for surgery, but with Medicare; I > don't even know who to ask or where to ask if they would cover this? I have > a Major Medical, which is a royal [pain and getting $$ out of them is a > trip; So I was all confident because I had good insurance, but what is this > going to do? Anyone have any such experience? > marie > Marie Drew > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2001 Report Share Posted March 27, 2001 Wellwhat decides if Medicare is the primary? I am pretty sure the info I received with it said it would be the primary; if you wanted to go out of State for surgery, would they cover it? Marie Re: Insurance issue >My experience with Medicare has actually been pretty good in that they tend to pay for whatever you need. It's just how much they pay that can be the question <g> Depending on your situation, Medicare may NOT be the primary actually. In my situation Blue Shield Pays first, then Medicare picks up whatever is left. > > > > >> Sorry to bring up a serious subject. REcently, after 2 years on disability >> retirement, as of July I will be on Medicare. I retired with State BC/BS, >> but as I understand it, Medicare takes over as the primary insurance. With >> my BC/BS, I had no problems going to CA for surgery, but with Medicare; I >> don't even know who to ask or where to ask if they would cover this? I have >> a Major Medical, which is a royal [pain and getting $$ out of them is a >> trip; So I was all confident because I had good insurance, but what is this >> going to do? Anyone have any such experience? >> marie >> Marie Drew >> >> >> >> >> Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2001 Report Share Posted March 27, 2001 I am really interested as to why Medicare would be my primary and not yours; I am on Retirement Disability from the State. When you retire with disability you get paid Blue Cross/Blue Shield/ but after two years on disability, Medicare kicks in, and you have to take Part B and pay $50 a month. I am just concerned that if I have to go back to HEI, this new insurance will cover it/let me. Marie Re: Insurance issue .. In my situation Blue Shield Pays first, then Medicare picks up whatever is left. Same with me, Pete. I think that the 2 of them (the Blue Cross and the Medicare) pay for almost the total bill after the " good faith " deductions are worked out. I have paid very little in the last few years. Although, there are some medical things that are not covered (like my eye medicines - my Celluvisc eye drops and my Refresh PM eye ointment () June Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 27, 2001 Report Share Posted March 27, 2001 HI MARIE, MEDICARE IS MY PRIMARY THEN BLUE CROSS BLUE SHIELD THAT'S THE WAY IT WORKS WHEN YOU GO ON MEDICARE. NEVER ANY PROBLEMS WITH HEI SINCE ON MEDICARE. GAIL I KNOW IS ON MEDICARE TOO AND NO PROBLEMS. CATHERINE Re: Insurance issue .. In my situation Blue Shield Pays first, then Medicare picks up whatever is left. Same with me, Pete. I think that the 2 of them (the Blue Cross and the Medicare) pay for almost the total bill after the " good faith " deductions are worked out. I have paid very little in the last few years. Although, there are some medical things that are not covered (like my eye medicines - my Celluvisc eye drops and my Refresh PM eye ointment () June Quote Link to comment Share on other sites More sharing options...
Guest guest Posted March 28, 2001 Report Share Posted March 28, 2001 Oh , that is good to hear; since Medicare let you go to HEI! That is what I was worried about! I don't know if I have BC/BS accordingto the personnel lady, once Medicare kicks in, I lose BD/BS, but my PEBTF (Pa Employees Benefit Trust Fund)Major Medical kicks in.) Marie Re: Insurance issue .. In my situation Blue Shield Pays first, then Medicare picks up whatever is left. Same with me, Pete. I think that the 2 of them (the Blue Cross and the Medicare) pay for almost the total bill after the " good faith " deductions are worked out. I have paid very little in the last few years. Although, there are some medical things that are not covered (like my eye medicines - my Celluvisc eye drops and my Refresh PM eye ointment () June Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 6, 2001 Report Share Posted April 6, 2001 Anne here....My hubby, Jim, has recently experience this. We still get confused but, check w/ your drs. which of them accepts Medicare? Actually, Medicare has its own area of BC/BS (this is the way I understand it; please don't quote me :0/ ). It was called (still is) " Health Options " ..... and supposedly will be changing in May 1st. That's all I know for now. Faith, Hope, & Love, Anne Quote Link to comment Share on other sites More sharing options...
Guest guest Posted April 19, 2001 Report Share Posted April 19, 2001 In a message dated 3/27/01 6:08:18 PM Eastern Daylight Time, mcdrew@... writes: << (the Blue Cross and the Medicare) >> Anne here.... Jim B. has BC/BS the medicare HMO is BlueCare. Jim has a co-pay $10 each Drs. visit. It will be interesting to see the results of insurance compenssation when his current tx's for skin cancer are completed. :-/ In Florida ....thinking everytime I know what's going on.... it changes. That's life. Keeps us on our toes Faith, Hope, & Love, Anne Quote Link to comment Share on other sites More sharing options...
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