I actually just heard this at the presentation at my job today about the plan we are switching too. The broker (or whatever he was, he was not the guy from the insurance company) also said: you know how Obamacare has made prices go up.

I was a little surprised to hear a pro just say that straight out like that.

Not that it isn’t true of course!

Like I said this is a new place for me, but that made me feel pretty comfortable there.

The coverage and the cost is very much ok, so I am very grateful for that. And the big boss actually went himself and got extra chairs for me and 2 other ladies who were standing, so that was also very nice.

I can’t believe some of the things I had said to me throughout the Obamacare debate. Life long friends I’ve known for years were not only disagreeing with me, but accusing me of racism, hatred, greed, wanting people to die, etc.

There are a bunch of people I’ll never talk to again.

Well it turns out I’M RIGHT - so they can all SUCK ON THAT.

I hope every one of the gets COMPLETELY MANHANDLED under Obamacare.

You get what you pay for and this is “free”.

Don’t EVER trust ANYONE who says they want to control your life.

I don’t understand how so many can be so completely stupid.

But they’re about to learn....

You are so correct about that.

In preparation for cataract surgery with my eye doctor had to go find a PCP for a physical. She ordered an EKG, visit to a Cardiologist, chest x-ray, extensive blood work and a stress test. Told her IMO that was overkill for cataract surgery.

Medicare denied all the blood work and so lab located in same office with PCP sent me a bill which was at 8 times the rate Medicare would have allowed. I paid them the Medicare allowance for three tests and told them they could write off all the rest, including the $20 charge they made for “Administration of Professional Guidelines on Chain of Custody Procedures Associated with Urine Specimens”. Also have received six other bills from places I never went for things I never agreed to. Just ridiculous.

Docs are so afraid of getting sued. Excessive testing should be justification for filing a lawsuit.

Your post certainly rings true with me.

When I had surgery for cancer, I had to go in a week before and let them spend 2 hrs proving I was healthy enough to operate on, LOL.

Doctors told the Journal that seniors have started canceling their annual wellness visits under their Medicare plans when they learn that if they mention a current health issue during the checkup they will likely be charged a co-pay.

How many seniors have no current health issues?

A whole bunch of really stupid people are about to find out there’s no such thing as free lunch.

Yes, these stupid people will. The question is: who will they blame?

So what's new? I am on Medicare, have a few ailments, and when I go for my annual, they check out the status of my ills, run blood tests, etc. I have ALWAYS had a copay.

Good grief! What good is a physical if you go in, play dumb, and discuss nothing--a waste of time.

vaudine

you need an I.D. card to have Obamacare, but you don’t need one to vote.........????

But he promised.

Extortion-Care is the Government LOBBY Work-Camp: Arbeitsziehungslager

krokr: “ACA” = traducer. Attempted body takover by the Dia-bolos Traducer. slavre: DRUDGERY, toil- Websters.

DRUDGERY is the Lobby-ist Workcamp.

“Resist the Diabolis, and he will flee from you.”

No, it wasn’t a mistake. My husband was telling me about it, and I can’t remember what he said. It’s some sort of change.

I had to go in a week before and let them spend 2 hrs proving I was healthy enough to operate on...”

I do hope that you are healthy and well now but your comment was just so funny.

When I went in for surgery on the second eye one nurse checked my chart notes from the first surgery and proceeded to have a fit because she said my potassium level was too high and they should never have done the first surgery until it was checked again.

I’ve not sure what she thought checking it again was going to prove. I did share with her that it should be obvious, even to her, I had survived the first eye surgery. Then she started quizzing me about when I had last eaten a banana and was not amused by my asking her, “Why, do I look like a monkey?”

It is all just so ridiculous. That’s why I don’t ever go to a doctor any more unless I simply cannot function and I absolutely refuse to take meds unless it is critical that I do so. God has given me a good and long life. I’ll leave it up to Him to decide when it’s over, not some nurse worrying about when did I last have a banana.

"Patients are scheduling physicals because physicals are free," Randy Wexler, a family physician in Columbus, Ohio, told the Journal. "But they come in and say, 'I've been having headaches. My back has been bothering me, and I'm depressed.' That's not part of a physical. That will trigger a copay."...uh - but an important part of any physical is a good medical history - sounds like the start of Death Panels to me - bureaucratic pencil-heads deciding what is and isn't included in effective medical care - every day is worse and worse.....

So true. It ain’t about healthcare.

a screening colonoscopy and a polypectomy are two completely different CPT codes...

Screening Procedure Information for Colonoscopy and Endoscopy

If your colonoscopy has been scheduled as a screening colonoscopy (meaning you have no symptoms with your bowels), and your doctor finds a polyp or tissue that has to be removed during the procedure, this procedure is no longer considered a screening procedure, it is considered a surgical procedure and your insurance benefits may change. Please check with your insurance carrier prior to starting the bowel preparation. Symptoms such as change in bowel habits, diarrhea, constipation, bleeding and anemia constitute bowel symptoms.

Screening CPT codes 45378, G0105, G0121
Colonoscopy with biopsy 45380
Colonoscopy with polypectomy 45385 usual diagnosis code 211.3 or 211.4

If your upper endoscopy has been scheduled as a screening procedure (meaning you have no symptoms with your stomach), and your doctor finds any polyps or tissue that needs to be biopsied, the procedure is no longer considered a screening procedure, it is considered a surgical procedure and your insurance benefits may change. Please check with your insurance carrier prior to the procedure for detailed information.

Screening CPT codes 43235
Upper endoscopy with biopsy 43239
Upper endoscopy with polypectomy 43251

like i said count you blessings...

by the way, who is your insurance carrier?

"But they come in and say, 'I've been having headaches. My back has been bothering me, and I'm depressed.' That's not part of a physical. That will trigger a copay."

That makes sense to me. Why shouldn't it be this way? A physical is an examination and oral or written health history. Simply responding to the interview questions will not trigger the copay. Volunteering something separate most certainly can (if the office chooses to bill for it). But if you made a separate appointment to complain about the new condition you'd have to pay anyway. So what's the problem? Why should the physical include for free evaluation and/or treatment that is not part of the physical?

Blue Shield of California PPO. I’ll ask my husband about why it was covered.

Here’s a link that says polyp removal is covered:

https://www.blueshieldca.com/bsca/documents/about-blue-shield/health-reform/A45296_2-13.pdf

interesting reading... the screening with polyp removal has a "2"notation that leads to a clause at the bottom of the page stating that it varies according to age and gender

so it will be coded one way but billed another, i am glad you both are covered because a LOT of people go for a screening and wind up getting billed for a removal they were not expecting

thank you for taking the time to find the link, i appreciate it