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General Discussion

Ms. Toad

(35,643 posts)

19. I don't know that it is their own fault.

Reply to Silent Type (Reply #18)

Sat Dec 28, 2024, 01:09 PM

22 hrs ago

It may be, but there are other possibilities - automatic mailed payments from the bank which the post office delayed, for example. All I know is that the doctor said he was told Part B was not in effect when the treatment was scheduled to start.

My spouse's doctor had been pestering her for years to explore the surgery because when he asked her to follow the pencil to test her peripheral vision/tracking ability, she couldn't see the pencil unless it was right in front of her.

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22 replies

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Highlight:

Denial of Care [View all] Southern_gent Friday OP

Sorry about doc's illness. But it's about time folks realize Medicare denies claims too. In fact, most insurers Silent Type Friday #1

Following... Sedona Friday #2

He should call his US Senator's office if they aren't rapublicons SheltieLover Friday #3

Maryland's senators are Democrats Wicked Blue Friday #6

It depends on the policy of Medicare. Jacson6 Friday #4

That's crazy. Mosby Friday #7

They only cover pap smears every other year. LeftInTX Friday #13

The GFM says "Medicare part B termination" LeftInTX Friday #5

I'll have to read more carefully. Ms. Toad Friday #9

there is a maximum radiation allowed rampartd Friday #11

It's not a hard limit. Ms. Toad Friday #14

Something is fishy here. Ms. Toad Friday #8

My son knows this physician and the person Southern_gent Friday #10

Unless the care has non-covered uses, or is experimental, Ms. Toad Friday #12

Doctors know experimental and non-covered treatments will get denied, or they learn quickly. Silent Type Friday #16

Which is why, as a general rule, Medicare does not deny claims. Ms. Toad Yesterday #17

So, in other words, the OP example is just another case of a patient griping about denials when it's their own fault. Silent Type 23 hrs ago #18

I don't know that it is their own fault. Ms. Toad 22 hrs ago #19

But once you start paying premiums, you are covered. It covers prexisting conditions and should cover ongoing treatment LeftInTX 7 hrs ago #20

I don't know. Ms. Toad 1 hr ago #21

From Dr. Zollicoffer, himself: Ms. Toad Friday #15

Patients generally don't see the Medicare denials forthemiddle 43 min ago #22

Latest Discussions»General Discussion»Denial of Care»Reply #19