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26 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 5:32 pm

rosco 357


Veteran
meemoon wrote:I just looked in the phone book. There are 25 MDs listed (I did not count specialists) One should be careful about implying that I am not telling the truth.

lmao i just ment made a mistake on 2 posting to someone else, i thought u lived in charleston which should have lots of doctors, maybe u need to drive farther, 25 drs is pitiful . i have seen one office in the professional building i go to that has 10 in that one group, the dr i use has 4 doctors in the one office, but probably hundreds in the professional building,as there are 6 floors of doctors, and there are many hospitals here all with adjacent professional buildings. and the doctors that have private offices not attached to a hospital, ,around the city, i imagine here there are thousands county wide, i would advise enlarging ur radius on finding one, heck if one went on vacation u would be down to only one doctor to see, take care

27 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 5:41 pm

Guest


Guest
rosco 357 wrote:
meemoon wrote:I just looked in the phone book. There are 25 MDs listed (I did not count specialists) One should be careful about implying that I am not telling the truth.

lmao i just ment made a mistake on 2 posting to someone else, i thought u lived in charleston which should have lots of doctors, maybe u need to drive farther, 25 drs is pitiful . i have seen one office in the professional building i go to that has 10 in that one group, the dr i use has 4 doctors in the one office, but probably hundreds in the professional building,as there are 6 floors of doctors, and there are many hospitals here all with adjacent professional buildings. and the doctors that have private offices not attached to a hospital, ,around the city, i imagine here there are thousands county wide, i would advise enlarging ur radius on finding one, heck if one went on vacation u would be down to only one doctor to see, take care
As I keep saying, I am healthy and dont see doctors so I don't care how many there are. I lived in Charleston most of my adult life and avoid going there at all costs. It's a crowded tourist trap. BTW, MUSC is there and is where (I think) the first by-pass surgery was done.There are about 4 or 5 hospitals there in one neighborhood (MUSC, Roper, VA, and a catholic hosp) another good reason to avoid Chas.

28 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 5:53 pm

Guest


Guest
"heck if one went on vacation u would be down to only one doctor to see..." /// You still aren't clear on this. I don't have part B coverage. I have no duductible to worry about. If I want to see a doctor, I will see any doctor I want to and simply pay the bill. I just have to go into town. If I am hospitalized, my part A will cover me and the hospital doctors, I guess. I don't know but I am certain they would see and do see hospital patients whether they have part B or not.

29 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 6:01 pm

SSC


Admin
Having limited medical professionals is not unusual, my town has 1 Dr. 1 Vet. 1 Dentist..2 bars..and 17 churches and 2 stop lights..I can go 5 miles and find a few more Dr. only one takes Medicaid for adults, a few take Medicare but most prefer cash or private insurance (eliminating the wait for government reimbursement ) I refuse to go to New Orleans period (the arm pit of America )

30 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 6:09 pm

Guest


Guest
SSC wrote:Having limited medical professionals is not unusual, my town has 1 Dr. 1 Vet. 1 Dentist..2 bars..and 17 churches and 2 stop lights..I can go 5 miles and find a few more Dr. only one takes Medicaid for adults, a few take Medicare but most prefer cash or private insurance (eliminating the wait for government reimbursement ) I refuse to go to New Orleans period (the arm pit of America )
I am very familiar with both and agree. They're nice places to vist if you wanna get loaded and then get the hell out. Underneath all the "historical points" and honky tonk are bad streets,no parking,and rowdy drunks. Savannah has the same problem.

31 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 6:18 pm

SSC


Admin
The city of New Orleans is an economic wreck, since Katrina the only Fortune 500 company has left, most cruise ships have moved out, the Quarter is a drug infested shit hole tourist trap. The edge of the quarter (9th ward ) still looks as it did days after Katrina. The areas outside of Orleans parish are recovering, Metarie,RiverRidge,Harrahan (Jefferson parish) have all recovered nicely.

32 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 6:27 pm

SSC


Admin
gypsy wrote:All Doctors here take medicare patients,I don't understand the concept that doctors Don't take them??

Do you know that as a fact or assumption ? It doesn't work that way everywhere.

33 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 6:32 pm

gypsy


Moderator
well here that is fact.

34 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 6:40 pm

Guest


Guest
SSC wrote:
gypsy wrote:All Doctors here take medicare patients,I don't understand the concept that doctors Don't take them??

Do you know that as a fact or assumption ? It doesn't work that way everywhere.
When the first few offices told me that,I was astounded. I thought it was illegal to refuse Medicare patients. I now know that is not the case. My mother's doctor recently told her that if he were forced to reduce his Medicare patient load (he didn't say why) he would keep her because he had so many years invested in her well being. I went to the Goodwill Tues across the street from the "Community Health Center" and it looked VERY busy and crowded. No wonder. If the gov drastically reduces re-imbursements like they say they want to, I don't see how that is gonna help.

35 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 6:41 pm

SSC


Admin
Must have been quite time consuming to call EACH Dr. to inquire.

36 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 7:09 pm

gypsy


Moderator
most of the offices have it listed, an word of mouth .. I know lots of people since i was in the medical system working, at one time, yes it would be time consuming for you to say they don't accept medicare patients works both ways

37 17 year old info,but....... on Sat Aug 22, 2009 7:45 pm

Guest


Guest
PHYSICIANS REFUSE MEDICARE PATIENTS
By MILT FREUDENHEIM
Published: Sunday, April 12, 1992
Many doctors in Manhattan, Miami and other places where medical care is expensive say they are curtailing services for the elderly because of sharp reductions in the payments they receive from Medicare.

Medicare payments used to be based on the fees that doctors in an area customarily charged their patients. But starting March 1, Medicare adopted a national payment schedule that sharply narrows the gap between more expensive and less expensive places.

For example, Medicare now pays $54 in Manhattan for an office visit for which doctors typically charge a patient under private insurance $80 to $110. But doctors in Rochester, where the average charge is only $38 to $43, now get $41 from Medicare.

And the Government pays $2,068 for a hip replacement in Manhattan, compared with $5,881 charged private patients there. The Government pays $1,874 for the hip procedure in Rochester, compared with $2,978 paid for private patients by Rochester Blue Cross and Blue Shield. Fees for Some Cut 50%

All told, Manhattan physicians must be willing to accept payments for Medicare patients that are 50 percent to 60 percent less for some common types of office visits and surgical procedures, said Amy Schwartz, associate director of the New York County Medical Society.

As a result, a number of doctors in high-cost places said in interviews that they had decided to refuse new Medicare patients. They also said they would no longer provide advice by telephone to current patients, as they traditionally have without charge, asking the patients to come in for appointments instead.

Other doctors say they are changing jobs or retiring early. And some health-care experts say one danger is that doctors might begin to charge their privately insured patients more to offset the effects of the Medicare cuts.

"I can't afford to take care of any more Medicare patients," said Dr. Margaret Lewin, a Manhattan internist. She said her costs amounted to $329 an hour -- for salaries and benefits for five medical and office assistants, equipment maintenance and depreciation, supplies, insurance and rent for her upper East Side office.

"Unless I'm willing to see 10 patients an hour, I can't meet those expenses," she added."

38 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 7:58 pm

Guest


Guest
The above NY Times article makes my point VERY clearly. 17 years ago,doctors were turning away Medicare patients. In my town today, only 2 of 25 doctors will see Medicare patients. The admin says that they will save money by cutting Medicare re-imbursements by 1/2 trillion dollars over the next 10 years. THEIR WORDS, NOT MINE.What will be the result? Ask any of those seniors who raise so much hell at town meetings. "Mob" my ass. These folks are PISSED off and rightly so. Obama wants to cut their medical care so that he can provide care to people who don't qualify for insurance or Medicaid? Social Security funded Medicare they paid for with their payroll deductions? And the Dems have the gall to say this is fair?

39 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 9:02 pm

SSC


Admin
gypsy wrote:most of the offices have it listed, an word of mouth .. I know lots of people since i was in the medical system working, at one time, yes it would be time consuming for you to say they don't accept medicare patients works both ways

What do you mean works both ways...lost something in your post ?????

40 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 9:16 pm

runawayhorses


Owner
meemoon wrote: Obama wants to cut their medical care so that he can provide care to people who don't qualify for insurance or Medicaid?
Don't qualify? You mean people in general, unlike you? Hummm. I never considered that ridiculous statement, I guess I'll just go with the flow and let my fate take me where it will. I always believed everyone that needs health care actually "qualified", that seems reasonable to me. But of course most people have to hire a lawyer to get their coverage. Nice. Yes what a great system. If I had everything I wanted I wouldn't want to rock the boat either, but that's not the case. So I'll rock it!

41 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 9:28 pm

gypsy


Moderator
SSC wrote:
gypsy wrote:most of the offices have it listed, an word of mouth .. I know lots of people since i was in the medical system working, at one time, yes it would be time consuming for you to say they don't accept medicare patients works both ways

What do you mean works both ways...lost something in your post ?????
Sigh

I meant if you say it doesn't work that way in some places, for you to know that it would also be time consuming for you to call every place,I meant/stated in this small area, not all over I don't know about other placed not accepting medicare patients,I have been to at least 12 specialists in the last two years an they accept me an i am on medicare but the system is faulty, I agree with Tyler we need reform..

42 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 9:38 pm

SSC


Admin
runawayhorses wrote:
meemoon wrote: Obama wants to cut their medical care so that he can provide care to people who don't qualify for insurance or Medicaid?
Don't qualify? You mean people in general, unlike you? Hummm. I never considered that ridiculous statement, I guess I'll just go with the flow and let my fate take me where it will. I always believed everyone that needs health care actually "qualified", that seems reasonable to me. But of course most people have to hire a lawyer to get their coverage. Nice. Yes what a great system. If I had everything I wanted I wouldn't want to rock the boat either, but that's not the case. So I'll rock it!


In a perfect world everyone should get health care but we are far from perfect here. Insurance companies have the option to either not accept you because of medical issues or price premiums so high you can't afford it.
Medicaid allows $3000.00 in the bank and one piece of property ( your home ) this also varies state by state since it is run by the state. Social Security disability is notorious for 2 denials get a lawyer then before your court date you get a letter of acceptence. This can be a lengthy experiance but it is retroactive.

43 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 9:42 pm

SSC


Admin
gypsy wrote:
SSC wrote:
gypsy wrote:most of the offices have it listed, an word of mouth .. I know lots of people since i was in the medical system working, at one time, yes it would be time consuming for you to say they don't accept medicare patients works both ways

What do you mean works both ways...lost something in your post ?????
Sigh

I meant if you say it doesn't work that way in some places, for you to know that it would also be time consuming for you to call every place,I meant/stated in this small area, not all over I don't know about other placed not accepting medicare patients,I have been to at least 12 specialists in the last two years an they accept me an i am on medicare but the system is faulty, I agree with Tyler we need reform..


I don't have to call everyone we have a medical directory you call it lists Drs. that do and don't ...very simple

44 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 9:49 pm

Guest


Guest
"Don't qualify? You mean people in general, unlike you? Hummm. I never considered that ridiculous statement" /// What's so "ridiculous"? Just because (I presume) you feel that every single person in the USA is "qualified" to get medical care,does not mean that is the standard. Do you write the rules? No you don't. The qualifications are written by Congress,are they not? I've never applied for Medicaid,so I don't know what the qualifications are. But I presume that they are in place and ask for more qualification than just a breathing body on the doorstep but something less than a blind, deaf, paralyzed person with terminal cancer. We both fall in there somewhere. I qualified for SSA benefits based on how long I worked amd how much I paid in. Now you may see that as unfair but I don't. You may even see the need for qualifications as ridiculous,but my statement was factually correct,not ridiculous. Henceforward,whenever you make a statement I disagree with,should I characterize your statement as ridiculous?

45 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 9:57 pm

gypsy


Moderator
SSC wrote:
gypsy wrote:
SSC wrote:
gypsy wrote:most of the offices have it listed, an word of mouth .. I know lots of people since i was in the medical system working, at one time, yes it would be time consuming for you to say they don't accept medicare patients works both ways

What do you mean works both ways...lost something in your post ?????
Sigh

I meant if you say it doesn't work that way in some places, for you to know that it would also be time consuming for you to call every place,I meant/stated in this small area, not all over I don't know about other placed not accepting medicare patients,I have been to at least 12 specialists in the last two years an they accept me an i am on medicare but the system is faulty, I agree with Tyler we need reform..


I don't have to call everyone we have a medical directory you call it lists Drs. that do and don't ...very simple
exactly so why did you say it would be time consuming for me to call every dr? we also have a directory I live in the boonies,not medieval times..

46 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 10:12 pm

SSC


Admin
What Is Medicare?
http://www.medicare.gov/MedicareEligibility/Home.asp?dest=NAV|Home|GeneralEnrollment#TabTop

Medicare is a Health Insurance Program for:

People age 65 or older.


People under age 65 with certain disabilities.


People of all ages with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant).
Medicare has Two Parts:

Part A (Hospital Insurance)
Most people don't have to pay for Part A.


Part B (Medical Insurance)
Most people pay monthly for Part B.

You can choose different ways to get the services covered by Medicare. Depending on where you live, you may have different choices. In most cases, when you first get Medicare, you are in Original Medicare. You may want to consider a Medicare Prescription Drug Plan to add drug coverage. Or, you may want to consider a Medicare Advantage Plan (like an HMO or PPO) that provides all your Part A, Part B, and often Part D coverage. You make a choice when you are first eligible for Medicare. Each year you can review your health and prescription needs and switch to a different plan in the fall.

As long as you have both Part A and Part B, items covered by Part A and Part B are covered whether you have Original Medicare, or you belong to a Medicare Advantage Plan (like an HMO or PPO). For more information see the Your Medicare Coverage database.

Part A (Hospital Insurance)
Helps Pay For:

Care in hospitals as an inpatient, critical access hospitals (small facilities that give limited outpatient and inpatient services to people in rural areas), skilled nursing facilities (not custodial or long-term care), hospice care, and some home health care. Information about your coverage under Medicare Part A can be found in the Your Medicare Coverage database.

If you aren’t sure if you have Part A, look on your red, white, and blue Medicare card. If you have Part A, “HOSPITAL (PART A)” is printed on your card.

Cost:

Most people get Part A automatically when they turn age 65. They don't have to pay a monthly payment called a premium for Part A because they or a spouse paid Medicare taxes while they were working.

If you don’t automatically get premium-free Part A, you may be able to buy it if

You (or your spouse) aren’t entitled to Social Security because you didn’t work or didn’t pay enough Medicare taxes while you worked and you are age 65 or older, or
You are disabled but no longer get premium-free Part A because you returned to work.
If you have limited income and resources, your state may help you pay for Part A and/or Part B. For more information, visit www.socialsecurity.gov on the web or call Social Security at 1-800-772-1213. TTY users should call 1-800-325-0778. If you get benefits from the Railroad Retirement Board, call your local RRB office or 1-877-772-5772.

Part B (Medical Insurance)
Helps Pay For:

Doctors' services, outpatient hospital care, and some other medical services that Part A doesn't cover, such as the services of physical and occupational therapists, and some home health care. Part B helps pay for these covered services and supplies when they are medically necessary. Information about your coverage under Medicare Part B can be found in the Your Medicare Coverage database.

Cost:

Most people pay the Medicare Part B premium of $96.40* per month in 2009. This amount may change January 1, 2010. In some cases this amount may be higher if you didn’t choose Part B when you first became eligible at age 65. The cost of Part B may go up 10% for each 12-month period that you could have had Part B but did not sign up for it, except in special cases. You will have to pay this extra 10% as long as you have Medicare Part B.
*Your Part B premium may be higher if your income is above a certain level. For more information, see our FAQ: Medicare Part B Monthly Premiums in 2009.

Enrolling in Part B is your choice. You can sign up for Part B anytime during a 7-month period that begins 3 months before you turn 65. Please call Social Security at 1-800-772-1213 or visit or call your local Social Security office to sign up. If you choose to have Part B, the premium is usually taken out of your monthly Social Security, Railroad Retirement, or Civil Service Retirement payment. If you don’t get any of the above payments, Medicare sends you a bill for your Part B premium every 3 months. You should get your Medicare premium bill by the 10th of the month. If you don’t get your bill by the 10th, call Social Security at 1-800-772-1213, or your local Social Security office. If you get benefits from the Railroad Retirement Board, call your local RRB office or 1-877-772-5772.

For More Information About Medicare Part B Coverage:

Visit the Your Medicare Coverage database.

Who is Eligible for Medicare?


Generally, you are eligible for Medicare if you or your spouse worked for at least 10 years in Medicare-covered employment and you are 65 years or older and a citizen or permanent resident of the United States. If you aren’t yet 65, you might also qualify for coverage if you have a disability or with End-Stage Renal disease (permanent kidney failure requiring dialysis or transplant).

Here are some simple guidelines. You can get Part A at age 65 without having to pay premiums if:

You already get retirement benefits from Social Security or the Railroad Retirement Board.


You are eligible to get Social Security or Railroad benefits but haven't yet filed for them.


You or your spouse had Medicare-covered government employment.
If you are under 65, you can get Part A without having to pay premiums if you have:

Received Social Security or Railroad Retirement Board disability benefits for 24 months.


End-Stage Renal Disease and meet certain requirements.
While you don’t have to pay a premium for Part A if you meet one of those conditions, you must pay for Part B if you want it. The Part B monthly premium in 2009 is $96.40. (Note: The Part B premium may be higher if your income is above a certain amount. For more information, see our FAQ: Medicare Part B Monthly Premiums in 2009. It is deducted from your Social Security, Railroad Retirement, or Civil Service Retirement check. If you don’t get any of the above payments, Medicare sends you a bill for your Part B premium every 3 months.

Note: You will be eligible for Medicare when you turn 65 even if you are not eligible for Social Security retirement benefits. For more information, please visit our retirement age FAQ.

If you have questions about your eligibility for Medicare Part A or Part B, or if you want to apply for Medicare, please call Social Security at 1-800-772-1213 or visit or call your local Social Security office. TTY users should call 1-800-325-0778. You can also get information about buying Part A as well as Part B if you don’t qualify for premium-free Part A.

Enrolling in Medicare

Medicare has two parts:
Medicare Part A (Hospital Insurance), which helps pay for care in a hospital and skilled nursing facility, home health care, and hospice care; and


Medicare Part B (Medical Insurance), which helps pay for doctors, outpatient hospital care, and other medical services.
Most people don't have to pay for Medicare Part A. Most people pay for Medicare Part B.

To find out how you enroll in Medicare Part A & B, please go to My Medicare Enrollment General Enrollment Period


If you didn’t sign up for Medicare Part B when you first became eligible, you may be able to sign up during the General Enrollment Period. This period runs from January 1 through March 31 of each year. During this time, you can sign up for Medicare Part B at your local Social Security office. If you get benefits from the Railroad Retirement Board (RRB), call your local RRB office or 1-877-772-5772. Your Medicare Part B coverage will start on July 1 of the year you sign up.

Important: The cost of Medicare Part B will go up 10% for each full 12-month period that you could have had Medicare Part B but didn’t take it, except in special cases. You will have to pay this penalty as long as you have Medicare Part B.

If you already have Medicare Part A and need Part B you can sign up for Part B at your local Social Security office or by calling 1-800-772-1213 (TTY users should call 1-800-325-0778).

For more information on how delaying enrollment in Medicare Part B could result in paying higher Part B premiums, see our FAQ: What if I'm over 65 and didn't enroll in Part B during my Initial Enrollment Period?

For more information on delaying enrollment in Medicare Part B if you or your spouse is still working, see our FAQ: Can I delay my Medicare Part B enrollment without paying higher premiums? If you can delay your enrollment because you or your spouse are still working, the General Enrollment Period will not affect you until after you (or your spouse) stop working.

If you are a military retiree or the spouse or dependent child of either a military retiree or an active duty sponsor, see our FAQ: How does the Medicare Prescription Drug Improvement and Modernization Act impact enrollment in Medicare Part B for military retirees or the spouse or dependent child of either a military retiree or an active duty sponsor?

If your income is above a certain amount, then you may have to pay a higher Part B premium. For more information, see our FAQ: Medicare Part B Monthly Premiums in 2009.

47 Re: Stop distorting Canada’s system on Sat Aug 22, 2009 11:28 pm

rosco 357


Veteran
good informative article,just some thought, ones i really dont like to remember, because like tylers dad , my dad was the best man i ever knew,i lost him in 1988 my sister even at times ask me if i cuss or have a bad attitude,say what would daddy think of u doing that. but his last 8 months that he knew he was going to die. his company he worked for was so good to him, he was a teamster, and delivered uniforms, and it paid well. he had insurance through them, where he worked kept paying his health insurance to the teamsters, , all the while,and salary, and the teamsters told them they were not suppose to do the insurance payments,, but they kept on, the owner,even told my mom if she needed to go anywhere to call them and they would send someone to take her to wherever she needed to go, even his doctor asked my mom how much does ur insurance cover, she told him 80 percent, the dr then told her well u will not be billed the 20 percent they dont pay, he would just eat it, and just accept the 80 percent. there are good ppl in this world still. take care

48 Re: Stop distorting Canada’s system on Sun Aug 23, 2009 9:44 am

runawayhorses


Owner
rosco 357 wrote:good informative article,just some thought, ones i really dont like to remember, because like tylers dad , my dad was the best man i ever knew,i lost him in 1988 my sister even at times ask me if i cuss or have a bad attitude,say what would daddy think of u doing that. but his last 8 months that he knew he was going to die. his company he worked for was so good to him, he was a teamster, and delivered uniforms, and it paid well. he had insurance through them, where he worked kept paying his health insurance to the teamsters, , all the while,and salary, and the teamsters told them they were not suppose to do the insurance payments,, but they kept on, the owner,even told my mom if she needed to go anywhere to call them and they would send someone to take her to wherever she needed to go, even his doctor asked my mom how much does ur insurance cover, she told him 80 percent, the dr then told her well u will not be billed the 20 percent they dont pay, he would just eat it, and just accept the 80 percent. there are good ppl in this world still. take care
Nice post rosco, and thanks for mentioning my Dad.

49 Re: Stop distorting Canada’s system on Sun Aug 23, 2009 9:51 am

runawayhorses


Owner
meemoon wrote:Henceforward,whenever you make a statement I disagree with,should I characterize your statement as ridiculous?
If you think it is, go for it, it won't hurt my feelings.

50 Re: Stop distorting Canada’s system on Sun Aug 23, 2009 10:05 am

runawayhorses


Owner

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