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Old 09-20-2019, 06:59 AM
 
Location: SoCal
6,106 posts, read 9,678,697 times
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Quote:
Originally Posted by organic_donna View Post
You said Medicare doesn’t cover a physical?
That's also what we were told. So our GPs tipped us off to request "follow-up" appointments (for our ongoing stuff like hypertension, arthritis, etc.) They're aware enough to get whatever general check-up labs and tests they would need to make up for lack of physicals.
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Old 09-20-2019, 07:02 AM
 
73,728 posts, read 73,563,215 times
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Quote:
Originally Posted by oddstray View Post
That's also what we were told. So our GPs tipped us off to request "follow-up" appointments (for our ongoing stuff like hypertension, arthritis, etc.) They're aware enough to get whatever general check-up labs and tests they would need to make up for lack of physicals.
Medicare covers our physicals once a year ...we go every october
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Old 09-20-2019, 07:11 AM
 
Location: Central Florida
2,124 posts, read 2,744,029 times
Reputation: 8343
Quote:
Originally Posted by fluffythewondercat View Post
Posting this for informational purposes. No burning question.

I tried to schedule a colonoscopy with my multispecialty clinic back in California. They informed me I would need to have a physical first. OK, fine. I scheduled it. Only they coded it as a Medicare Annual Well Visit, which is NOT a physical. I did not know that then.

When I arrived this am for the appt, I was told, "Your Medicare is Inactive." And they blew me off. I traveled 750 miles for this?

I called Medicare. My coverage is Active, has never been INactive. I've paid about $4,000 in premiums and envy taxes (aka IRMAA) since enrollment late last year. I have yet to get any actual health care due to bureaucratic screw-ups.

However, the Medicare rep said that I didn't qualify for an Annual Well Visit, since that can't happen until a year after my Part B coverage became effective. So not until 2/2020. And again, it isn't even a physical. But the clinic coded the visit as an AWV anyway. You can guess why: A sure and certain reimbursement from Medicare without having to chase down payment from me. (Medicare doesn't cover physicals.)

But my coverage is Active. The clinic still says it isn't. I have two more appts with them, both of which I will have to cancel. And I was supposed to get a referral for a cardiologist, which won't happen now.

If anyone has a reliable health care provider in the PHX metro that knows their posterior from a hole in the ground when it comes to Medicare, please let me know. I'm leaning towards HonorHealth Scottsdale Shea because it's close to my home but I'm willing to drive further. Thanks.
Sounds like the clinic is the screw-up, not Medicare.

It's my understanding that if you have traditional Medicare plus a supplement, you don't need a referral to a specialist. You can just call a cardiologist who accepts Medicare and make an appointment yourself.
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Old 09-20-2019, 07:16 AM
 
677 posts, read 908,706 times
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I also skip the wellness exam because it is so BASIC. I think the doctor's offices love them because it is easy and fast and a good money maker. I used to be required to have a full physical every year for my job and that included bloodwork and all the tests associated so I was used to finding out how I was REALLY doing but the wellness exam is more like an eyeball look at you -- yeah you look reasonably well and most likely won't die in the next week. Waste of time.
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Old 09-20-2019, 07:41 AM
 
2,615 posts, read 959,237 times
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Quote:
Originally Posted by FrannyBear View Post
I also skip the wellness exam because it is so BASIC. I think the doctor's offices love them because it is easy and fast and a good money maker. I used to be required to have a full physical every year for my job and that included bloodwork and all the tests associated so I was used to finding out how I was REALLY doing but the wellness exam is more like an eyeball look at you -- yeah you look reasonably well and most likely won't die in the next week. Waste of time.
I agree. After having $800 worth of bloodwork kicked back from my first annual physical after I joined Medicare because it was "not medically necessary" I realized Medicare wasn't going to be the walk in the park that I expected. Fortunately, they'd forgotten to have me sign some form so I was off the hook. The "not medically necessary" tests included an a1c even though I have fasting glucose around 110 and a Lipids panel even though my total cholesterol runs around 225-250.

So now I get the bloodwork done through requestatest.com for something under $100 depending on what analyses I want, and have the results sent to the doc. Test are done at your choice of LabCorp or Quest labs.
Easy-peasy, and you know up front exactly what it will cost. I can even make tweaks in my diet between annual exams and see if they had the desired effect. It's out-of-pocket but worth it.
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Old 09-20-2019, 07:46 AM
 
73,728 posts, read 73,563,215 times
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same here.. i am slighly diabetic and take 1mg of glimpride a day reducing me to prediabetic levels as well as 10mg of statin so i go every 3 months for blood work .

my wife is on 40mg of statin so she goes every 6 months ffor blood work
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Old 09-20-2019, 07:52 AM
 
Location: SoCal
14,270 posts, read 6,870,254 times
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I usually go well after I have my annual bloodwork, I don’t have Medicare. My insurance pays for bloodwork.
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Old 09-20-2019, 08:44 AM
 
3,951 posts, read 3,275,045 times
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Quote:
Originally Posted by FrannyBear View Post
I also skip the wellness exam because it is so BASIC. I think the doctor's offices love them because it is easy and fast and a good money maker. I used to be required to have a full physical every year for my job and that included bloodwork and all the tests associated so I was used to finding out how I was REALLY doing but the wellness exam is more like an eyeball look at you -- yeah you look reasonably well and most likely won't die in the next week. Waste of time.
This is it. Just another way for them to milk the system for every available dollar. If the doctor is doing his job properly at the annual physical, these extra checkups are unnecessary and just profiteering.
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Old 09-20-2019, 08:47 AM
 
73,728 posts, read 73,563,215 times
Reputation: 51270
Quote:
Originally Posted by 1insider View Post
This is it. Just another way for them to milk the system for every available dollar. If the doctor is doing his job properly at the annual physical, these extra checkups are unnecessary and just profiteering.
depends what meds you are on .... in my case my a1c has to be watched and meds adjusted if need be ....
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Old 09-20-2019, 09:02 AM
 
Location: Haiku
5,095 posts, read 2,850,864 times
Reputation: 7412
Quote:
Originally Posted by 1insider View Post
This is it. Just another way for them to milk the system for every available dollar. If the doctor is doing his job properly at the annual physical, these extra checkups are unnecessary and just profiteering.
Truth be told you can probably skip the physical too. Just get the complete blood panel + CBC once a year, take your own blood pressure at home and pay attention to your body. If you want a flu shot just go to the pharmacy. I haven't had a physical in over 10 years.
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