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| One of Us |
Last Sunday week, my lens implant came loose + now I can't see out of my right eye.I called up the local eye surgeon + was told that I needed to go to my regular TSO Dr. 1st to get a referal so I did, that cost me $30.00 for him to tell me to go to where I wanted to go in the 1st place. So I have my son drive me (since I can't see) to the eye Dr. They said that I was right, the lens has come loose + is setting at the bottom of my eye + that I need to go to another eye Dr. at a retina center. Then charged me $160.00 for the privilege. I sowed them my Medicare + Humana cards bur since it was an HMO, they wouldn't accept it + wanted 100% from me. Then on to the retina guy who also didn't take my insurance, so here I am out $400.00 + no closer to a remedy.My Humana agent was not a whole lot of help. He said that with my plan, I needed my primary physician's referral in order to qualify. I don't get it. I have insurance, but it doesn't count. Now tomorrow I need to get on the phone to call Dr.s to see about getting my eyesight back + my primary Dr. to see if he can't say something to these other two + maybe get me back some of my money. GOOD LUCK! I really resent being taken for a ride, especially during what I consider an emergency. | ||
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| one of us |
A lot of corporate medicine is now focused on generating revenue. One of the best medical experience I had was when I controlled the purse strings. I told the provider after they informed me the they wouldn't take me unless I filled out a bunch of worthless forms. I told them I was paying with 100 dollar bills and if they wanted them. They would would come up with a treatment plan. Every time I went I paid with a 100 dollar bill. Some days the office gal complained about not having change. I told her you know when I am coming so make sure you have change. One of the biggest problems is we do not control the money flow. thus we have no power. | |||
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| Administrator |
How sad. This won’t work here. Medical insurance companies started playing this game a while back. The Health Department set up a website for complaints. You get 3 proven complaints and your license is suspended! Works like a charm now. We have medical facilities. Some insurance companies started delaying payments. We stopped accepting them. Bingo. Everything works like clockwork now. The good thing here is actions are immediate. Doesn’t take months. | |||
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One of Us |
This is why I have Medicare and a PPO supplement plan. No referral needed, no copay, no deductible and I never get a bill for anything.And it only costs me $245/month. Vote Trump- Putin’s best friend… To quote a former AND CURRENT Trumpiteer - DUMP TRUMP | |||
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| One of Us |
me too exactly. except that since we put everyone on my wifes insurance thru the years i had no dependants on my plan so now i pay zero. and no monthly $$. except the crappy dental plan makes me pay a co pay. | |||
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Dental plans are not too useful. Best to pay cash on the (lower) non-insured rate... TomP Our country, right or wrong. When right, to be kept right, when wrong to be put right. Carl Schurz (1829 - 1906) | |||
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| One of Us |
Well my plan, certainly not the best plan, is that I don't have time to go to the doctor. So I don't. My last doctor fired me because I didn't come for checkups. One day it will likely bite me in the ass, but I don't have a whole day or more to spend at the doctor's office. | |||
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| One of Us |
I talked with my Humana agent + I am changing over to a PPO for that very reason, plus there will be no copay + I should not be paying anything either after Medicare does their thing. | |||
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| One of Us |
Lavaca, I agree with you completely. Medicare/ Humana picked out my primary for me + all they want to do is run tests (that they get paid for). I just want a Dr. that I can go to immediately if I feel sick. | |||
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One of Us |
Those no longer exist. ~Ann   | |||
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One of Us |
I have had the Medicare + Humana PPO for several years. It has worked for us and I picked the PPO as they would honor medical problems if they take the take Humana insurance. Never a problem while on the road as Rv'ers. When I was 65 I had planned to take out extra insurance, but was waiting for my wife which had a few months behind me. I went in for a check up before planning to go to Rockport for the winter. This is when I was told that I had prostate cancer. I chose to go to RCOG in Georgia for treatment. I met with the Dr's over there and told them I had no extra insurance. They told me that they didn't care and would treat me. They were very well organized and you were a given the VIP plan. They finished up and I had a balance on the bill of about $2000. The billing office ask me how I would like to pay and I took the $100 a month to pay off bill. When you have cancer no one would talk to me after I go back to Texas about an extra insurance plan for 10 yrs. We had no major medical problems in the 10 yr waiting period. I saved several thousand dollars during this time. I now have the Humana PPO and I pay extra with a $15 co pay and $45 for the specialist co. We recently had a bill for ER and ICU for three days and the bill was on $22,OOO . My part was about $600 and they would give me a yr to pay the bill, $50 a month for a yr. It seems like a lot to pay out, but things are now money-money- and more money. | |||
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| One of Us |
my dr has his practice, and a walk in clinic with a PA across the street. and i like the PA better than him. so now i just get to the walk in clinic 10 minutes b4 they open and i'm always first in line. | |||
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| One of Us |
When my brother decided to make a career of the Navy he was told he would have FREE medical for himself and dependents for life. I was told the same when I decided to make a career of the Air Force. My brother developed a brain tumor and was told he was going to die,but was sent by military doctors to a gamma knife surgeon. That doctor told him he had a 99% cure rate. Tricare denied the treatment. Say what? An insurance company involved, that wasn't part of the promise. Say what premiums, that wasn't part of the promise--the promise was FREE. Say what? Same insurance company playing doctor. So I contacted a congressman who in turn contacted a congressman in my brothers area and it was ruled he could appeal. He did and won the appeal and back to the Gamma Knife surgeon. Was told when I first saw you,you were the perfect candidate but the tumor has spread and nothing I can do. My brother died a few months later. As a recruiter and first sgt I was responsible for promoting that lie of free medical. | |||
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| One of Us |
Norman, Best wishes and hope you get well soon. | |||
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| One of Us |
Thank you. I go in for surgery on the 10th, I will report how it goes as well as how well medicare + Humana pay. | |||
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| One of Us |
I recently asked my Dr why it takes ten days to get in to see her. She said, "because this is a rural clinic that doesn't make any money." Yep, all about money, not medicine. My reason for going was to see about my knee. I know it is finally ruined. It took three weeks to get the MRI appt. after that visit. Now four weeks wait to see an Ortho. If I decide to go the surgery route I will make an educated guess that it will be a three-month wait. Her second comment was to call the urgent care 'and get a number, they will tell you what time and when to come in'. The urgent care is over an hour's drive away. Sigh. ~Ann | |||
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| one of us |
There is an alternative to surgery. https://regenexx.com/ The problem is that it isn't covered by insurance. My wife is in the process of repairing an ankle. They say the stem cell regeneration approach works great for knees. It sounds like hocus-pocus to me. I've had no complaint with Medicare. (I will vote against anyone that plans to mess with it, or Social Security.) I have a cardiologist, urologist, neurologist, primary care doctor, oncologist, hematologist, dermatologist, gastroenterologist, and probably a few others I can't remember. The dermatologist has been difficult to get into once in a while, but for the most part, if I need medical attention, I get in. I wanted to retire in the middle of nowhere. My wife thought that was a bad idea in case we needed immediate medical attention. She was right. When I had my stroke, we were three minutes from the EMTs and ten minutes from a hospital. | |||
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| One of Us |
Kensco--What part of Texas? | |||
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| One of Us |
Ken, I agree with you wholeheartedly about Medicare + S.S. We worked for it all our lives. I had a talk with my son a few years back when he baulked at going to the VA for medical care. I told him that this is NOT charity, you earned it. + I feel the same way about my social security + medicare. | |||
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| One of Us |
Nurse finally called me today + said that with Humana + Medicare that the surgeon fee will be NO copay. Thank God! Will know Thursday how it works dollar wise with the surgery center + anesthesiologist. I would think that they will be set up with the medicare program. We will see on Thursday. | |||
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| One of Us |
Randy didn't you say you were a vet too? I've never been billed except the local hosp hit me up for 30 pain pills at $35 each. I flat refused. They are a buck each at Walgeen's. I pay a high price for supplemental ins, plus Medicare. have had around $3 million in surgeries and never a bill except those pills. Best wishes with the eyes. George "Gun Control is NOT about Guns' "It's about Control!!" Join the NRA today!" LM: NRA, DAV, George L. Dwight | |||
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| one of us |
Dallas area. | |||
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| One of Us |
I have had a retina split on the right eye. The Optl Dr checked me and called the only Retina Dr in Waco. He said come on down now!!! He had several people waiting for follow ups check, but took me into the back exam room and repaired the eye by freezing as soon as I got there. He said if this holds you will be OK, but if not he will operate as soon as I get check into the hospital. It held up and I am glad that is all the happened. In about 2 yrs later the left eye split. I went to the same Dr that requested the retina Dr. to look at my left eye. Went into the back room as soon as I got there again. He had several people waiting and told me to come back into the office at 12:45 and he would repair the split. This eye was lasered together and it has held for over 10 yrs now. I knew something had happened with my eye as it looked like I had shot a shotgun pattern on a large target. No reason could be explained why this happened. After cataract surgery on the right eye I had trouble getting over this and wouldn't let them go on with the left eye. They told me that they had trouble on the right eye. The 20 min. operate which most told me took 2 hrs as the clock on the wall. I woke up as they where putting the last 2 stic's in my eye. I hope you have good results on your operation on Nov. 10 | |||
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| One of Us |
i have been paying into SS EVERY year since i was 16. at 71, i feel like i am owed a little something back. and i am. $950 a month before taxes. i think i'll have to live to 150 to get back what i put into it, before interest. i never agreed to fund the goddam libs social programs! and when i hear some little twat GEN Z, Y, X whatever say its charity i wanna blow up. i also think ALL legit medical should be 100% free to the qualifying vets. NOT the tranny vets. | |||
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| One of Us |
Thanks, Les. I had a detached retina in 2010 + the doctor told me the same, "Get in here immediately, + we will get set up for surgery." I don't think this one is as severe, but makes me a bit nervous just the same, even though necessary. | |||
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| One of Us |
John, I wholeheartedly agree. It's just like social security sex; helps a bit, but not enough to live on. | |||
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| One of Us |
Went in for surgery yesterday; 2 hours + had to be put under. Went to post op today + everything seems to look OK, but can't bend over or pick up anything that weights slightly less than a milk carton. Bleeding out the eye slightly, but he said that's normal considering everything that was done, but should be better in a few days + normal in the next few weeks. Just glad to get it done. | |||
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| One of Us |
Oh + BTW, With Medicare + Humana, my costs were; Surgeon was paid 100%, only $30.00 co-pay for the post op visit, Hospital + anesthesiologists combined coat $210.00. I can live with that! | |||
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| One of Us |
That looks like a livable bill. Hope you heal up fast, Randy! ~Ann | |||
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| One of Us |
Thanks, Ann. The boys have been coming by + bringing easy fix groceries + taking the trash to the dumpster, etc. Hard to think of what you take for granted, when you can't bend over or pick anything up. Not used to feeling helpless, but I think just taking it easy, I will heal faster. | |||
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| One of Us |
Just don't push it. Let everyone help. ~Ann | |||
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| One of Us |
That's what I'm doing, although it feels so foreign; I have always been so, work it out, suck it up, + just do it! Not now, sometimes we get smarter as we age. I intend to sit on my ass until this is over; I damned sure don't want any recurrences. The boys are a great help + Linda does well at the eye drops but as cooking goes; NO! We have been together 13 years +she has made 1 attempt at frying 2 eggs that was a disaster, but I am a good cook + so I have always just done it; however I am reminded of the old Shel Silverstein poem about drying the dishes. If you have to dry the dishes, What an awful boring chore, If you have to dry the dishes, 'stead of going to the store, If you have to dry the dishes, + you drop one on the floor, Maybe you won't have to dry the dishes anymore. | |||
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| One of Us |
Several of my friends have husbands that are good cooks while they are not. I have never understood how some cannot cook. My mother made sure all of us knew how to cook well and we do. I have three brothers so I don't look at cooking as a gender specific job as some do. It is a part of life so why not be good at it?  We were not raised to consider some tasks were to be done based on gender. Guess that's why I can run a chain saw and use other tools, etc. ~Ann | |||
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| One of Us |
sounds like ur getting there! "blind in one eye and kaint see out the other" ain't good. | |||
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| One of Us |
 ~Ann | |||
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| One of Us |
When I raised my 3 sons, the primary was to teach them how to cook, clean house, do laundry, etc. I told them to not get into the mindset of marrying a girl to be your mother. YOU need to know how to do these things; By any other word, it is called Responsibility! | |||
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| One of Us |
All parents should do this! Not sure why they wouldn't? ~Ann | |||
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| One of Us |
Very true, Ann; but the fact remains that a lot of parents don't; + the results are there for all to see. My boys have grown up to be successful in business, relationships, + life in general. And they are passing along those ideals to the next generation. What more could you want? I am reminded of the Richard Pryor routine where he is talking to a mother in the projects about her wayward son, saying, "I just don't know what to do with that boy." + He says, "Damn, bitch, it's your fault!" | |||
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