Democrats Introduce Medicare Expansion at Age 55

Discussion in 'Senior Insurance Forum' started by Northeast Agent, Aug 8, 2017.

  1. jdeasy
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    jdeasy Well-Known Member

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    That doesn't differentiate between original medicare and MA.

    If something exists from CMS saying that doctors can pick and chose between original medicare clients I would like to see it.


    On page 64 of the 2017 Medicare and You booklet the question about where to get health care is answered. That's speaking of original medicare. On page 66 they define "private contracts". But that's for providers whom have decided to "not provide services to anyone through Medicare".
     
    Last edited: Aug 9, 2017
  2. sman
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    sman Well-Known Member

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    Well I assure you, on numerous occasions I have had clients tell me a doctor is not taking NEW Medicare patients. This isn't something new, but has become more prevalent as the Medicare rolls have expanded.

    I'm just going to continue under the assumption that doctors are well within their rights to deny seeing NEW Medicare patients (whether original Medicare or MA plans). You can believe the opposite. But if you sell Med Supps and you tell a potential client that a doctor who accepts Medicare MUST see them, be prepared for some backlash.

    Also, I'm pretty sure the Kaiser Foundation knows the difference between original Medicare and MA plans. I'm confident they were speaking of original Medicare in that survey.
     
  3. jdeasy
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    jdeasy Well-Known Member

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    Never had that happen and I don't involve myself with scare tactics.

    If I ever have someone tell me that a doctor wouldn't see them then I would report that doctor to CMS.

    As for what clients say, I've heard many stories from clients about how Medicare works, or doesn't.

    Just overheard a conversation at breakfast this past sunday about the inner workings of Medicare and Medicaid and how they are the same thing.

    I suppose now I should be informing clients that they are the same things since I did hear tale of it?:laugh:
     
  4. sman
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    sman Well-Known Member

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    How in the hell is that a scare tactic?

    "Mrs. Client, one thing you'll want to do is make sure your physician both accepts Medicare and is taking on NEW Medicare patients."

    That's a statement of FACT. Not a scare tactic. How does that scare a potential client into making a particular decision for which plan they choose? It doesn't. Nice try though.

    I've had countless clients call me back and say something like,

    "They said because I'm a current patient that I can continue seeing them even though they aren't taking NEW Medicare patients"

    I've also had that unfortunate conversation that a client was referred to a doctor and that doctor is not taking NEW Medicare patients.

    I hope you come across a client who attempts to see a new doctor who is not accepting NEW Medicare patients. I'd love to see the outcome of you filing a report with CMS. It will go something like this:

    "Yeah, so? Doctors have a right to not accept NEW Medicare patients. Thanks for wasting our time though."

    You can believe whatever you want no matter how wrong you are. Best of luck to you.

    Is it slow over on the FE forum so you're over here trying to stir sh!t up?
     
  5. jdeasy
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    jdeasy Well-Known Member

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    Scare tactic might be the wrong words but so was your warning to me.

    As are your continued comments.

    Is it stirring sh!t up to ask for proof?

    Again, could you show me CMS language that's different from the Medicare and You booklet? I would love to see that if it exists. Other than anecdotally.
     
  6. sman
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    sman Well-Known Member

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    If you want proof, you seek it out. I know the answer. As do a few others who have posted on this thread and you have chosen to not accept their answers either. But just to use the reference you made to the Medicare & You book.

    The first box on page 64 states (again, you said page 64):

    Question - Can I get my health care from any doctor, other health care provider, or hospital?

    Answer - In most cases, yes. You can go to any doctor, other health care provider, hospital, or other facility that’s enrolled in Medicare and accepting Medicare patients. Visit Medicare.gov to search for and compare health care providers, hospitals, and facilities in your area.

    I have put in bold the key words. If the doctor is enrolled in Medicare, why would the Medicare & You book also put "and accepting Medicare patients"? Why would that comment be necessary if doctors who accept Medicare are required to see all patients on Medicare?

    That's odd. Maybe you should report Medicare & You to CMS.
     
  7. Higru
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    Higru Active Member

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    In my area in South Texas we have many physicians who are not taking any new Medicare patients, which has been stated in many post. This has been going on for at least the last 5 years. We are told this by many newcomers into the area when the beneficiaries are looking for a general physician. I have doctors who are customers that do not take new patients and what I've been told it's because of the reimbursement rates and the time it takes them to get paid. These are all original Medicare not MA providers.
     
  8. Todd King
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    Todd King Well-Known Member

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    Most doctor's offices only have the capability to service so many patients. There's no way the government can demand that they take any medicare patient that comes to them. Doctors only agree to take Medicare Assignment, they don't agree that they have to take patients. They are only agreeing to accept what Medicare pays them.

    JD, I think you may be getting this mixed up somehow in your head. I'm not trying to say that like it's a bad thing. I get mixed up with stuff too. Hell, nowadays I can be right about something and still question myself and have to verify it.
     
  9. kgmom219
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    kgmom219 Well-Known Member

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  10. somarco
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    somarco Well-Known Member

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    Page 64, Medicare and You 2017


    Can I get my health
    care from any doctor,
    other health care
    provider, or hospital?


    In most cases, yes. You can go to any doctor,
    other health care provider, hospital, or other
    facility that’s enrolled in Medicare and accepting
    Medicare patients
    . Visit Medicare.gov to search for
    and compare health care providers, hospitals, and
    facilities in your area.


    Seem to be some qualifiers in there.
     

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