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To: nascarnation
Basic Medicare (which pays roughly 80% of expenses)...

FWIW, not sure that is entirely correct. It appears to me Medicare requires the medical provider to apply an "insurance discount" of approx 70% or more, and then pays slightly more than half of the balance with the remainder the patient's obligation. (Not sure how Medicare calculates its obligation in the event of hospitalization.)

That is a substantial hit, and I believe is the reason why many providers apparently exclude Medicare patients from their practice.

19 posted on 03/22/2015 3:38:15 PM PDT by frog in a pot
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To: frog in a pot

Medicare pays 80% of adjusted expenses. The provider puts a dollar figure on the expense. Medicare reduces the amount, then Medicare pays 80% of that reduced amount.


21 posted on 03/22/2015 3:48:52 PM PDT by fatnotlazy
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To: frog in a pot
many providers apparently exclude Medicare patients from their practice.

I'm not sure what your locale is.

Here in the midwest (where there are a lot of old people) this doesn't seem to be the case, thankfully.

For better or worse, I've had a lot of personal experience with medical providers since I retired.

Nationally the percentage is about 91% of doctors take medicare patients.

24 posted on 03/22/2015 4:15:00 PM PDT by nascarnation (Impeach, convict, deport)
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To: frog in a pot

-——he reason why many providers apparently exclude Medicare patients ——

however, although they don’t accept medicare, they accept Medicare advantage

medicare is an administrative headache. medicare advantage is not


26 posted on 03/22/2015 4:18:13 PM PDT by bert ((K.E.; N.P.; GOPc.;+12, 73, ..... Obama is public enemy #1)
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