Not sure my current doctor will accept my insurance

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So just go a notice about what plans my current Family Practice will accept and my plan isn't listed and a phone call to the billing department goes to voicemail and is not taking messages, please call again.

I have the old Medicare Plan J Supplemental but the list sent out shows only Medicare Advantage plans.
To be vintage it must be older than me!
The next gun I buy will be the next to last gun I ever buy. PROMISE!
jim

Re: Not sure my current doctor will accept my insurance

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highdesert wrote: Mon Nov 20, 2023 6:29 pm If the practice has a website, check and see if they list the medical insurance plans that they accept. Yours is Medicare with a supplement, everyone seems to accept Medicare. I have a PPO and some medical practices only accept HMOs.
The issue is the only plans they list are Medicare Advantage plans so I need to talk to a human to make sure they will still accept Medicare Supplement plans. And of course the phone system doesn't seem to have a talk to a human option.
To be vintage it must be older than me!
The next gun I buy will be the next to last gun I ever buy. PROMISE!
jim

Re: Not sure my current doctor will accept my insurance

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papajim2jordan wrote: Mon Nov 20, 2023 8:58 pm What's the difference between Supplement, and Advantage? I'll be Medicare in a couple of months, and get a boat load of junk in the mail. When I turned 60, I started on TriCare, which took the place of private insurance that I had since Shepp was a pup. Do I need more stuff? I have all my fingers, and am on no meds.
As a nurse that has worked with the different supplements and advantage plans. Stay with Tricare and Medicare. My dad was retired military had Tricare and Medicare. Paid all between the two of them don’t get involved with the Medicare disadvantage plans. Overall they promise the moon but maybe delivers an asteroid.

Tricare becomes a supplement to Medicare. Also you need to sign up for part A and B of Medicare A supplement pays what Medicare doesn’t pay. Advantage plans are a replacement for Medicare and are run by private companies that can limit who you see and what care you get.
Last edited by TrueTexan on Mon Nov 20, 2023 10:27 pm, edited 1 time in total.
Facts do not cease to exist because they are ignored.-Huxley
"We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can't have both." ~ Louis Brandeis,

Re: Not sure my current doctor will accept my insurance

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I got a similar message from WelMed (owned by UH) last year they were no longer going to accept my BCBS plan - turned out to be incorrect. If they take Medicare they must take the MediGap is my understanding.
"Being Republican is more than a difference of opinion - it's a character flaw." "COVID can fix STUPID!"
The greatest, most aggrieved mistake EVER made in USA was electing DJT as POTUS.

Re: Not sure my current doctor will accept my insurance

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TrueTexan wrote: Mon Nov 20, 2023 10:21 pm
papajim2jordan wrote: Mon Nov 20, 2023 8:58 pm What's the difference between Supplement, and Advantage? I'll be Medicare in a couple of months, and get a boat load of junk in the mail. When I turned 60, I started on TriCare, which took the place of private insurance that I had since Shepp was a pup. Do I need more stuff? I have all my fingers, and am on no meds.
As a nurse that has worked with the different supplements and advantage plans. Stay with Tricare and Medicare. My dad was retired military had Tricare and Medicare. Paid all between the two of them don’t get involved with the Medicare disadvantage plans. Overall they promise the moon but maybe delivers an asteroid.

Tricare becomes a supplement to Medicare. Also you need to sign up for part A and B of Medicare A supplement pays what Medicare doesn’t pay. Advantage plans are a replacement for Medicare and are run by private companies that can limit who you see and what care you get.
Thanks. Wife said I didn't have to do anything also. But she also said I have to re-floor the cat house. Mixed messages. That second opinion thing is a good one.

Re: Not sure my current doctor will accept my insurance

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I came across this site giving good advice on the Medicare Advantage plans.
7 Questions to Ask to Protect Yourself From Medicare Advantage Scams
To ensure you have good coverage for both current and unforeseeable health needs this open enrollment period, you should choose traditional Medicare.
Worth the read.

https://www.commondreams.org/opinion/pr ... -advantage
Facts do not cease to exist because they are ignored.-Huxley
"We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can't have both." ~ Louis Brandeis,

Re: Not sure my current doctor will accept my insurance

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papajim2jordan wrote: Tue Nov 21, 2023 6:32 am
TrueTexan wrote: Mon Nov 20, 2023 10:21 pm
papajim2jordan wrote: Mon Nov 20, 2023 8:58 pm What's the difference between Supplement, and Advantage? I'll be Medicare in a couple of months, and get a boat load of junk in the mail. When I turned 60, I started on TriCare, which took the place of private insurance that I had since Shepp was a pup. Do I need more stuff? I have all my fingers, and am on no meds.
As a nurse that has worked with the different supplements and advantage plans. Stay with Tricare and Medicare. My dad was retired military had Tricare and Medicare. Paid all between the two of them don’t get involved with the Medicare disadvantage plans. Overall they promise the moon but maybe delivers an asteroid.

Tricare becomes a supplement to Medicare. Also you need to sign up for part A and B of Medicare A supplement pays what Medicare doesn’t pay. Advantage plans are a replacement for Medicare and are run by private companies that can limit who you see and what care you get.
Thanks. Wife said I didn't have to do anything also. But she also said I have to re-floor the cat house. Mixed messages. That second opinion thing is a good one.

Your best source is Tricare and how it will work with Medicare.
https://www.tricare.mil/LifeEvents/Medi ... 20TRICARE.

The Texas members here are big promoters of Medigap plans, nationally about 20% of Medicare recipients have a Medigap/Medicare Supplement and 44% have Medicare Advantage. There are different Medigap plans and different Medicare Advantage plans and they are sold by insurance brokers so beware. Your state SHIP counselors are the best source of objective information and aren't trying to sell you anything.
https://www.shiphelp.org

For some of us our health insurance is tied to our pension and former employer and is subsidized, so we don't always have a lot of choices.
"Everyone is entitled to their own opinion, but not their own facts." - Daniel Patrick Moynihan

Re: Not sure my current doctor will accept my insurance

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highdesert wrote: Sun Nov 26, 2023 10:40 am For some of us our health insurance is tied to our pension and former employer and is subsidized, so we don't always have a lot of choices.
That is what my wife has due to her retirement from the College where she worked the State of Texas eduction system has BC/BS advantage plan for all retires. But it still functions just like theBC/BS she had when she was working. None of the BS that most advantage plans have.
Facts do not cease to exist because they are ignored.-Huxley
"We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can't have both." ~ Louis Brandeis,

Re: Not sure my current doctor will accept my insurance

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TrueTexan wrote: Sun Nov 26, 2023 10:49 am
highdesert wrote: Sun Nov 26, 2023 10:40 am For some of us our health insurance is tied to our pension and former employer and is subsidized, so we don't always have a lot of choices.
That is what my wife has due to her retirement from the College where she worked the State of Texas education system has BC/BS advantage plan for all retires. But it still functions just like the BC/BS she had when she was working. None of the BS that most advantage plans have.
Mine is also from a public entity that doesn't offer Medigap plans, it's only PPO and HMO plans. In my rural location it's only PPO plans available. They are substantial plans, probably like your wife's with standardized benefits across all five insurers. In CA BC is Anthem BC and BS is a separate insurance company. Anthem is available in my rural area, but they have few in-network physicians compared to UHC.
"Everyone is entitled to their own opinion, but not their own facts." - Daniel Patrick Moynihan

Re: Not sure my current doctor will accept my insurance

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Most practices WILL submit you treatment to your insurance company even if they don't take your insurance. What this means is the insurance company will pay what it will pay you you'll be balanced-billed for the rest. Those that do take your insurance agree to a rate structure for procedures.

Anesthesiologist groups and ambulance companies are notorious for this and then balance billing outrageous amounts. 5 years ago an ambulance ride of 1 mile with an EMT simply checking my ECG, hit me with a bill of $4100 of which the insurance would only cover a few hundred. If I wasn't having a cardiac event (false alarm) I just about got one from the bill!
"Even if the bee could explain to the fly why pollen is better than shit, the fly could never understand."

Re: Not sure my current doctor will accept my insurance

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Trump Says He’ll Push for Repeal of Obamacare (Again) If He’s Elected President
Former President Donald Trump suggested in a social media post over the weekend that, if he were to win the 2024 presidential election, he would continue pursuing avenues to repeal the Affordable Care Act (ACA).

The ACA, commonly referred to as Obamacare because it was passed during the first term of former President Barack Obama, is directly responsible for providing health coverage to tens of millions more Americans over the past decade. In addition to making health coverage more widely available, the law ensures that insurance companies cannot deny a person health care on the basis of pre-existing medical conditions, and requires most insurers to cover birth control costs.

The law is also popular. Polling on the ACA has shown a net-positive view of the law for several years now, with a survey conducted in May of this year showing that nearly 6 in 10 Americans (59 percent) view the ACA favorably, with only 40 percent viewing it unfavorably.

Trump’s recent comments on his fledgling Truth Social site, however, indicate that he’d seek to repeal the law once more if elected to the White House in the upcoming 2024 election.
https://truthout.org/articles/trump-say ... president/

Just how many of TOS minions would lose their healthcare benefits if the ACA was repealed under the orange blob? They are supporting TOS as the saying goes, "Cutting off their nose to spite their face."

I still say after spending decades working as a professional in healthcare we just need a single payer system, such as Medicare For All.
Facts do not cease to exist because they are ignored.-Huxley
"We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can't have both." ~ Louis Brandeis,

Re: Not sure my current doctor will accept my insurance

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highdesert wrote: Tue Nov 28, 2023 10:42 am Trump never succeeded from 2017 to 2021 when he was in office. On one occasion that was due to the late Sen John McCain. With more and more Republicans representing low income and working class Americans, I think it's a toss up if they would have the votes to repeal it.
But as long as those Repugs are bought and paid for by big money conservatives, they don't care about the low income and working class Americans. Also unfortunately many of those Americans that would be affected by these cuts would still be supporting their Congress Critters even when it is against their best interest. They are still supporting TOS, come hell or high water.
Facts do not cease to exist because they are ignored.-Huxley
"We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can't have both." ~ Louis Brandeis,

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