Community Chat

[deb5555]

You could ask the office receceptionist to be put on a list if a patient cancells to call you for a sooner appointment, alot of office do this. 

[Iwantcoffee]

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@4kitties wrote:

Does Medicare cover a yearly gynecologist exam?  I may be mistaken but I think they only pay for one every two years.  Maybe that could have something to do with it?

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This info is from Medicare.gov

Medicare Part B (Medical Insurance) covers Pap tests and pelvic exams to check for cervical and vaginal cancers. As part of the pelvic exam, Medicare also covers a clinical breast exam to check for breast cancer. Medicare covers these screening tests once every 24 months. If you’re at high risk for cervical or vaginal cancer, or if you’re of child-bearing age and had an abnormal Pap test in the past 36 months, Medicare covers these screening tests once every 12 months.

Part B also covers Human Papillomavirus (HPV) tests (as part of a Pap test) once every 5 years if you’re age 30-65 without HPV symptoms.

[ahoymate]

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@Iwantcoffee wrote:

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@4kitties wrote:

Does Medicare cover a yearly gynecologist exam?  I may be mistaken but I think they only pay for one every two years.  Maybe that could have something to do with it?

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This info is from Medicare.gov

Medicare Part B (Medical Insurance) covers Pap tests and pelvic exams to check for cervical and vaginal cancers. As part of the pelvic exam, Medicare also covers a clinical breast exam to check for breast cancer. Medicare covers these screening tests once every 24 months. If you’re at high risk for cervical or vaginal cancer, or if you’re of child-bearing age and had an abnormal Pap test in the past 36 months, Medicare covers these screening tests once every 12 months.

Part B also covers Human Papillomavirus (HPV) tests (as part of a Pap test) once every 5 years if you’re age 30-65 without HPV symptoms.

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FYI.........Medicare covers a breast exam yearly.

[SeaMaiden]

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@noodleann wrote:

If they're taking patients preferentially whose insurance reimburses better or with less paperwork than those on other insurance--whether it's private or government--is that actually wrong or illegal? 

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No, more like doing BUSINESS

[geezerette]

If the practitioner is extremely popular and has more patients already than she can handle, she might not want to take Medicare insurance.  But I think some doctors don't come out and say this.  Some will pick and choose their Medicare patients, some limit the number.  Some don't take it at all.

I would call her office and just ask everything you have here.  If it's true that she doesn't take Medicare, or is reluctant, you may have to pay out of pocket if you want to continue seeing her.  But there may be another reason for not being able to get a future appointment.

[Venezia]

@Kalli - Just my two-cents-worth, but several people have suggested you talk to someone at the office about this, particularly the manager.

If it were me, I wouldn't rock the boat until after you've had your appointment.  You were asked not to "tell anyone" what this person did to schedule you.  So, if you start to question things beforehand, you may find your appointment gets cancelled for some reason.

By all means, address the issue immediately after your appointment and ask for a direct answer, as to why you ran into scheduling difficulties.  If they are choosing to prioritize private plans over Medicare, you at least deserve to know that.

[suziebee1]

I had this happen to me and the reason was that my doctor only wanted to deliver babies and deal with women who were in that age range.  Since I was in my 40's at the time and not interested in having a baby any longer, I got kicked to the curb.

[hckynut]

@Kalli 

Know nothing about scheduling other than what my nephew-in-law, a PCP, has told me about why he left his last practice. It was for "over scheduling patients", and "time per patient".

I have been on Medicare now since 2004, and my serious health issues started with PE in 2002. Nothing has changed with any of my many doctors over those years, other than 1 specialist that decided to work at our VA

My doctors, the ones that want to see me annually, call me to set up the appointments, for my annual visits. Even my monthly Hemotolohist's office calls to remind my wife and myself for our monthly visits.

My wife and I are leaving within the hour to see our PCP. Her for a flu shot, myself for my annual physical/flu shot, and whatever tests he thinks I need have done.

Those have been my experiences before and after going on Medicare.

If you are the @Kalli that rides horses and knows my sis!  Dang I didn't know you were such a youngster!  =^..^=

hckynut

[Mz iMac]

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@noodleann wrote:

If they're taking patients preferentially whose insurance reimburses better or with less paperwork than those on other insurance--whether it's private or government--is that actually wrong or illegal? 

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@noodleann @Kalli 

It's illegal & the medical practice should be reported to the State Medical Board.

[ahoymate]

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@Mz iMac wrote:

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@noodleann wrote:

If they're taking patients preferentially whose insurance reimburses better or with less paperwork than those on other insurance--whether it's private or government--is that actually wrong or illegal? 

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@noodleann @Kalli 

It's illegal & the medical practice should be reported to the State Medical Board.

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MD's have the right to not accept medicare patients. Today, most want cash. No insurance of any kind. It's legal.