Medicare coverage  

redmustang91 58M  
8986 posts
4/9/2006 5:54 am

Last Read:
4/10/2006 10:22 am

Medicare coverage

A relative of a friend of a friend is being kicked out of a skilled nursing facility prematurely to save an insurance company some money. A long story but the problem is the HMO gets the same amount of money for treating a particular disease or injury whther you are in the hospital/SNF for ten days or 60 days. So they have an incentive to kick you out too soon! Dumb system and unfair. You have four levels of appeal before you can go to court, which then has two levels of appeal. No wonder 30% of the amount spent on medicine in the US goes for paperwork and administration...

bluegirl39 51F

4/9/2006 6:33 am

true that...wish we did like canada..medical for everyone..yep our taxes would go up..but when you don't have my would be worth it

imLadyBambi 59M/51F

4/9/2006 6:40 am

Mr. Bambi here...
Oh, it gets worse! Do you realize that the Medicare coverage for this FEDERAL program varies from county to county? Just to get good insurance, a friend of mine had to "rent" a room in another county and change his legal address just to get premium care. Don't get me started...

Red, its good to visit your blog again. This is your old blogging buddy formerly known as AtomicKisss.

Ana_6973 44F

4/9/2006 11:46 am

I have a friend who works for one of the companies that handles the appeal process for the patient. They fight pretty hard to help them. At least from what I see she does. Unfortunately, sometimes that is not enough.

I have another friend who was on medicaid after his kidney transplant. They only cover you for three years to the day from your surgery unless you can prove that your life if still in danger and you need more assistance. Of course, he has meds he has to take and pay for still that cost a fortune but that isn't something they feel should still be covered. So he has to hope whoever he is employed by has insurance that will be willing to take him and his pre-existing condition on so he can afford to purchase the medication he needs to help remain healthy. How ridiculous is that? And what is wrong with socializing healthcare? Gee, we'd have to pay for it through taxes. I'd rather pay for that then what we are getting the shaft for now.

Anyway, hello there stranger!

~~"I can scream as loud as your last one, but I can't claim innocence."~~

redmustang91 58M  
8935 posts
4/10/2006 10:12 am

I think tying insurance to work makes no sense as it penalizes the responsible companies that provide health insurance benefit and rewards companies that do not provide insurance. How dumb is that? rich old people over 65 get medicare, and poor young people who need help do not! Again dumb and unfair! We need universal health care and let richer people pay extra if they want better or private doctors and better hospital extras.

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