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Sunday Drive

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By: phyllis

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Author Topic: Money Matters  (Read 5774 times)

Offline Carol

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Re: Money Matters
« Reply #90 on: May 21, 2018, 09:32:36 AM »
Update on my post about losing my doctor. I had been told everything was alright with my different medical insurance - it would be honored.  I went in for a blood test prior to my actual check-up.  A very determined young woman (new) told me that it would not be honored.  So, I asked Don what should I do - and he told me to go back to the desk and ask to speak to my primary care doctor as she did promise to keep me on.  I did.  4 days later, the phone rang with the news I could still see my favorite doctor.  Cannot tell you how relieved I was with that news.  Sometimes, the right thing happens. 

I wish everyone would do their research and have their problems solved. 


Offline jane

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Re: Money Matters
« Reply #91 on: May 21, 2018, 01:07:32 PM »
Glad that worked out for you, Carol. 

We've never had to fight that insurance battle with a whole range of doctors and facilities, thank heavens. 

Offline RAMMEL

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Re: Money Matters
« Reply #92 on: May 21, 2018, 08:27:09 PM »
My son has problems with the group (local) he is a member of.  No one seems to know which doctors are members.  Some are members when you start but down the road they say he is not a member of the group.  Other times he's told a doc is a member but when you file they say he's not a member doc.  Often things get corrected but it'd a big hassle to get results.  He's run into a situation where only selected doctors of a group practice are covered.  I think the object is to get you to give up.

The group I belong to, which is selected by my old employer, sends out glossy flyers and booklets. Also "offers" an "in home" interview with a licensed practitioner to help me determine if I'm getting correct services from my medical provider.  If I didn't trust my doctor I wouldn't be going to him.  I think the money spent on these "extra services" would be better spent on medical services.

 :tickedoff:  :idiot2: --- kick my soapbox.
"What good fortune for governments that the people do not think."
BIG BOX
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Offline angelface555

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Re: Money Matters
« Reply #93 on: May 21, 2018, 10:02:43 PM »
These type of programs are illegal in Alaska. You do not have to pick a particular doctor or have a primary doctor or specialist for every little problem. Also, there is no hard and fast 15-minute rule for office visits. Insurance companies try to get around this by offering special offers if you use one of their preferred doctors but that is up to you. It is not obligatory.

On the minus side, Alaskan doctors and dentists are the highest paid in the country. And if you are on Medicare or heaven forbid, some type of low income, (Drs. capp the number of Medicare patients they take as they only receive 71 cents on the dollar); you are out of luck. And will spend thousands at the emergency rooms that legally cannot turn you away. I believe low income has vouchers? Also, Alaskan Natives, Indians, Eskimo, and Aleuts get free medical care through a government program.

I have Medicare, Denali Care, and AARP and while I do not have the waiting time that seems to go with primary doctors and other insurance BS, I still have high prices.
A THOUGHT FOR TODAY:
The nationalist not only does not disapprove of atrocities committed by his own side, he has a remarkable capacity for not even hearing about them. -George Orwell, writer (25 Jun 1903-1950)

Offline angelface555

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Re: Money Matters
« Reply #94 on: May 21, 2018, 10:08:13 PM »
If you are having repeated insurances issues, you might want to see a lawyer if you have either Etna or Allstate. These two companies have been routinely and repeatedly fined and censured by the federal government. They are especially bad for older seniors.

https://www.publicintegrity.org/2014/05/05/14710/keeping-eye-insurance-companies-refuse-pay-claims

A THOUGHT FOR TODAY:
The nationalist not only does not disapprove of atrocities committed by his own side, he has a remarkable capacity for not even hearing about them. -George Orwell, writer (25 Jun 1903-1950)

Offline Carol

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Re: Money Matters
« Reply #95 on: May 23, 2018, 03:49:03 PM »
Tomorrow is my annual physical with my doctor. She will only continue the annual physical so I must find another doctor in my insurance plan.  The office she works with has opted to change to a plan that does not insure anyone stepping over the state line.  She is keeping a handful of patients only - so happy that I have known and chatted with her over the years. 

Health care is very expensive - there are more than a few hospitals in this country which have been subsidized for decades.  One hospital on the Texas border has never broken even - because poorest of the poor women walk over the border to have good care and they have never even seen medical care in Mexico.  That is only one example - someone has to keep the hospital going.  I certainly do not blame the poorest of the poor. 

Offline Carol

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Re: Money Matters
« Reply #96 on: June 29, 2018, 10:32:07 AM »
Update:  I did have a free and final yearly exam with my favorite doctor.  She wants to meet for coffee -

After reading ratings of doctors on the new insurance plan, I found a nearby younger doctor who is tied into the University system (that is great news) and was told that there was one opening for one patient - me.  Such a load lifted.  She asked the right questions and I am impressed once again. Further, being in this system gives me a greater list of specialists.