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Part of the controversy and confusion is that Mayo does not accept Medical Advantage plans, at all. They will take participating Supplement plans, but not all Supplement plans are in the Mayo network either. Mayo in MN especially has people from all over the world doctoring there and with the research and contributions to health care they have made over the past 100+ years, why should they take $43 for a procedure when they can get $258 for the same procedure. The Mayo Foundation is also extremely generous. Not only am I a patient at Mayo, I volunteer for research studies there as much as I can so I can give back in my own way.
The long of it is that Mayo is so unique in the medical world that they can really make their own rules. Is it just for the "wealthy" not really, but it is a place for paying patients either cash or via insurance. They also do not accept any HMO plans so thus the non-acceptance of MA plans and other traditional HMO plans.
Hmmm, I wonder if Mayo would accept an Advantage PPO plan.
Not likely. The issue with the MA plans is how they pay the provider. They do not allow the extra 15% that the Sup plans do. There are some group MA plans (retiree plans) that do allow the 15% so in that case, it's likely they would take it, but you would have to check on each specific plan.
Part of the controversy and confusion is that Mayo does not accept Medical Advantage plans, at all. They will take participating Supplement plans, but not all Supplement plans are in the Mayo network either. Mayo in MN especially has people from all over the world doctoring there and with the research and contributions to health care they have made over the past 100+ years, why should they take $43 for a procedure when they can get $258 for the same procedure. The Mayo Foundation is also extremely generous. Not only am I a patient at Mayo, I volunteer for research studies there as much as I can so I can give back in my own way.
The long of it is that Mayo is so unique in the medical world that they can really make their own rules. Is it just for the "wealthy" not really, but it is a place for paying patients either cash or via insurance. They also do not accept any HMO plans so thus the non-acceptance of MA plans and other traditional HMO plans.
This is not limited to Mayo. Many places will not take the so called "advantage plans." Moreover, these plans are more likely to deny necessary care. I don't recommend them to anyone.
They will take participating Supplement plans, but not all Supplement plans are in the Mayo network either.a
What are 'participating' Medicare Supplement plans or a 'Mayo network' [for Medicare Supplement plans]?
Medicare Supplement plans are not part of any network. That's why they're so great - they will pay either the patient OR provider - no matter which Medicare provider the patient sees.
Mayo rarely gets payment directly from a Medicare Supplement (and never from Medicare).
The Medicare patient bears FULL personal responsibility for payment of Mayo's fees because, generally, Medicare and the Supplement pay the PATIENT. The patient then pays Mayo.
Directly from the Mayo website:
Quote:
Your Medicare coverage and claims
Medicare (and most supplemental insurers) will make payments directly to you, and you are responsible for paying Mayo.
Patients may be asked to sign an Advance Beneficiary Notice (ABN) which informs them that one or more scheduled items or services may not be covered.
The Monthly Statement of Account is your bill. This statement is a listing of the payments and adjustments made on each account since your previous monthly statement.
Mayo Clinic requests payment in full when patients receive the Mayo statement.
Please remember that Medicare payments and reimbursements from most supplemental insurers are sent directly to patients.
Mayo clinic are suppose to be the best in the US however it seem they only serve the rich. They don't take Medicare as full payment which means that you could be paying thousands of dollars for a check up. So am I missing something?
Mayo Clinic is in my opinion more hype than substance. In the past they may have been the go to place, but they did absolutely nothing in diagnosing my wife's health problems. Lots of unnecessary tests and costs and NO definite results.
Mayo Clinic is in my opinion more hype than substance. In the past they may have been the go to place, but they did absolutely nothing in diagnosing my wife's health problems. Lots of unnecessary tests and costs and NO definite results.
It may depend on the facility. I've read Rochester MN is still the "go-to" place. FL facility is quite new. Which facility did your wife use? Was she finally able to get a diagnosis from another provider?
Mayo Clinic is in my opinion more hype than substance. In the past they may have been the go to place, but they did absolutely nothing in diagnosing my wife's health problems. Lots of unnecessary tests and costs and NO definite results.
My mother had two surgeries in AZ. It was first class. Local doctors had screwed up and it was a relief to have competent health care to fix what they messed up. They were on medicare but had excellent BCBS medigap .
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