I take care of a 99 year old every day and have for three years. My experience has been her procidures are stopped at a certain point and her drugs are controlled under medicare.
She was in a procedure and the nurse told the doctor he had reached the limit. I asked what limit and the doctor explained Medicare regulations.
My immediate response was “So I will pay for the rest of the procedure”.
He said he can’t.
Twice I tried to pick up meds and there was some sort of issue and I offered to just pay for it. I was told can’t, as there are Medicaid restrictions. They assured me the problem would be ironed out the next day and I could pick up the prescriptions.
The pharmacist explanation similar to the Doctor explanation.
You may have had different experiences but, that is my experience.
I am on Medicare/disability and have never heard of such a thing. I just went through a full yr of treatment for breast cancer and never had a problem. Some of my meds were not pd for since I was in the donut hole and my prescription INS didn’t cover them but I just pd for them with no problem.
I took care of my mother for 4 yes and she was medi/medi, best INS anyone can have they pay for everything. For 4 yes the only thing they didn’t pay for that there was no generic for was Advair. She was a breast cancer patient so lots of doctors and treatments. She was never denied a doctor, treatment, or type of medication except the Advair and we just pd for it.