U.S. CitiesCity-Data Forum Index
Go Back   City-Data Forum > General Forums > Retirement
 [Register]
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
View detailed profile (Advanced) or search
site with Google Custom Search

Search Forums  (Advanced)
Reply Start New Thread
 
Old 09-20-2019, 12:57 PM
 
9,922 posts, read 6,548,580 times
Reputation: 18795

Advertisements

Quote:
Originally Posted by Littlelu View Post
I understand the MWV is not mandatory.
\


Wonderful!!!!!!!!!!!!!!!
Reply With Quote Quick reply to this message

 
Old 09-20-2019, 02:44 PM
 
Location: Wisconsin
21,670 posts, read 44,748,850 times
Reputation: 15418
Quote:
Originally Posted by fluffythewondercat View Post
It is true in AZ now.

Mayo isn't accepting new Medicare patients in AZ, despite what the website says. It hasn't been updated. I have spoken to multiple Mayo personnel. They all confirmed there is not a Mayo facility in Phoenix or Scottsdale that will accept me as a patient.

If I had known this was going to happen I would have become a patient before May 31 of this year, when I lost my private insurance.

I intend to check back periodically, since there will probably be openings at some point given the age cohort of the typical Medicare pt.
Wow, sorry to hear that. Guess it's not unexpected, given they say their patient rolls were 50% Medicare. Practices can't survive with that high of a Medicare patient load. You may remember Robyn55 (now deceased). She and hubby joined Mayo's Jacksonville Medallion Concierge program when their PCP left Mayo and Mayo would not keep them as regular Medicare patients. Of course, it is ridiculously expensive - $6,000/person; $10k couple. I'm guessing there will be a long wait for acceptance as a regular Medicare patient, as Mayo will want to get that percentage under 30%, I would imagine.

https://www.mayoclinic.org/departmen...w/ovc-20462968

https://www.mayoclinic.org/departmen...q/gnc-20462973

Robyn loved the accessibility. For people who monitor their health closely - and can afford it - concierge is a good solution. Around here (and elsewhere, I hear), concierge is about $1,800/year - which, imo, is a realistic figure and worth considering. ymmv
Reply With Quote Quick reply to this message
 
Old 09-20-2019, 09:10 PM
 
Location: San Francisco Bay Area
4,921 posts, read 2,677,182 times
Reputation: 9709
Quote:
Originally Posted by fluffythewondercat View Post
That's what I'll do, either CVS or Costco. I don't want to have to figure out whether or not Medicare covers a flu shot.
I just sent you a link (in a rep) for a PDF schedule for a free flu shot near you (Silicon Valley). Multiple dates and locations.

2019-20 FREE FLU VACCINE CLINICS
PROTECT YOURSELF AND THE COMMUNITY: GET A FLU VACCINE No appointment, ID, or health insurance needed. For more info: smchealth.org/flu or (650) 573-3927
Reply With Quote Quick reply to this message
 
Old 09-20-2019, 09:54 PM
 
Location: Verde Valley AZ
8,777 posts, read 9,876,687 times
Reputation: 11384
Quote:
Originally Posted by mathjak107 View Post
Medicare covers our physicals once a year ...we go every october

I guess my Advantage plan pays for mine. I know I don't. They also leave me a 'gift' and this year I got a travel bag...nice. They also send me a $50 gift card. They can come see me anytime!
Reply With Quote Quick reply to this message
 
Old 09-20-2019, 10:02 PM
 
Location: Verde Valley AZ
8,777 posts, read 9,876,687 times
Reputation: 11384
Quote:
Originally Posted by fluffythewondercat View Post
That's what I'll do, either CVS or Costco. I don't want to have to figure out whether or not Medicare covers a flu shot.

Two years ago I finally started getting flu and pneumonia shots. After being diagnosed with COPD I'm not taking any chances. Far as I know my Advantage plan pays for them as I never have. I never pay for blood workups at the clinic either. I DO have a $40 co pay if I see any kind of specialist but that's rare. I had some extensive pulmonary tests done at the hospital and didn't pay for those either.
Reply With Quote Quick reply to this message
 
Old 09-20-2019, 10:29 PM
 
Location: Somewhere in northern Alabama
18,259 posts, read 55,105,740 times
Reputation: 31439
Quote:
Originally Posted by katharsis View Post
This makes me just a little bit concerned. With so much "Big Brother" type of stuff now going on, I just wonder if going for a wellness visit might result in a visit from Social Services?

I have heard of cases where someone was basically okay, but Social Services got involved, and then the elderly person lost a lot of their freedom -- all against their will. I don't know if that is true or not, but I personally would not want to risk it!
Your concern is valid. The HMO-type advantage plan that my wife initially had kept pressuring her for a wellness visit at our home. Not only no, but H*** no. That plan also wanted to know if there were any guns in the house. Uhhh, country home, the sheriff deputy only fifteen minutes to half an hour away? Yes, but none of their business. She told them to take a hike and switched providers the next enrollment period. Wellness checkups are part fishing expeditions.

As a general rule, the medical community will have forms that ask for anything and everything, and because they are official looking 95% of people will dutifully try to fill in every blank. I fill in what is currently medically relevant and that is IT. You don't need my social security number - I don't even remember the new more complex one. They want that partly in case they want to sell the bills to a collection agency. You don't need my work number - I don't have one, and wouldn't let you call there anyway if I did. You don't need my cellphone number, and I live in an area where it doesn't get signal anyway. Again, all those are for use with another form you usually have to sign, agreeing that they can call you at any number as many times as they want to collect a bill. The best way to stop a lot of nonsense is to refuse to play the game in the first place. They don't like it, and the office staff in particular will balk, because they think the doctor is going to reprimand them. You just have to be firm and ask "WHY do you need this information? Is it medically needed?" If it isn't, leave it out.
Reply With Quote Quick reply to this message
 
Old 09-20-2019, 11:51 PM
 
240 posts, read 199,261 times
Reputation: 565
Quote:
Originally Posted by fluffythewondercat View Post
... 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."

I called Medicare. My coverage is Active, has never been INactive. ...

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....

The miscommunication may stem from them coding it as a Medicare "Annual Well Visit", rather than as the "Welcome to Medicare" visit which you DO take in the first year of coverage. Technically, you can't have the annual wellness visit if you haven't first had the Welcome visit.
Reply With Quote Quick reply to this message
 
Old 09-21-2019, 07:50 AM
 
1,260 posts, read 710,758 times
Reputation: 4454
Quote:
Originally Posted by harry chickpea View Post
Your concern is valid. The HMO-type advantage plan that my wife initially had kept pressuring her for a wellness visit at our home. Not only no, but H*** no. That plan also wanted to know if there were any guns in the house. Uhhh, country home, the sheriff deputy only fifteen minutes to half an hour away? Yes, but none of their business. She told them to take a hike and switched providers the next enrollment period. Wellness checkups are part fishing expeditions.

As a general rule, the medical community will have forms that ask for anything and everything, and because they are official looking 95% of people will dutifully try to fill in every blank. I fill in what is currently medically relevant and that is IT. You don't need my social security number - I don't even remember the new more complex one. They want that partly in case they want to sell the bills to a collection agency. You don't need my work number - I don't have one, and wouldn't let you call there anyway if I did. You don't need my cellphone number, and I live in an area where it doesn't get signal anyway. Again, all those are for use with another form you usually have to sign, agreeing that they can call you at any number as many times as they want to collect a bill. The best way to stop a lot of nonsense is to refuse to play the game in the first place. They don't like it, and the office staff in particular will balk, because they think the doctor is going to reprimand them. You just have to be firm and ask "WHY do you need this information? Is it medically needed?" If it isn't, leave it out.
The home visit is interesting as after age 65 my LTC insurance company came to the house for the “interview” and testing. They claim it is for convenience but I saw the nurse checking the environment and also asked some “casual” questions about living conditions. No problem for me but I did feel it was certainly somewhat a fishing expedition and I am not a particularly paranoid person.

I stopped giving my SS# at doctors’ offices a decade ago (before Medicare) but then, of course, the old Medicare cards had it as your ID number. Glad that has changed.

OP, hope you get this straightened out. I do not go to the Annual Wellness visit as I keep up with all those particulars myself (weight, BP, BMI, etc.) and my BP spikes in doctors’ offices anyway. I will order blood tests myself as I have no conditions that Medicare will pay for.
Reply With Quote Quick reply to this message
 
Old 09-21-2019, 07:10 PM
 
Location: SW Florida
10,000 posts, read 7,284,597 times
Reputation: 14895
Quote:
Originally Posted by mike1003 View Post
I was pressured into seeing my PCP for a WC last month (3 months after a routine visit and check up) I am a pharmacist, I know what I need to do. I already see my PCP twice a year because or Tramadol for my back which is already 1 visit too many. I see my cardiologist once a year because of by-pass surgery 25 years ago (also nuclear stress test every other year) I see an endocrinologist twice a year to keep lipids in check - on this week's bi-annual blood test my total cholesterol was 123 and HDL was 70



The "Wellness Check" is an incredible waste of time for me, the nurse and the doc. I felt it was just a way of making a few more dollars for the clinic



Is this a Medicare mandatory check up or not.


I don't want a repeat of this fiasco
No it's not mandatory. Medicare patients can refuse anything they want.

Interestingly, though, it may be that your PCP or other provider might be pressured by Medicare to encourage their patients to have the annual wellness visit, the screening tests or what have you. The providers are expected to provide ongoing documentation that they have done so, as well as documentation of followups for results and findings. Failure to do so at a high enough rate will result in Medicare decreasing the reimbursement amount for failure to "meet the standards of quality care as determined by the CMS bean counters. Providers can document the patient's refusal for any test, physical, screening or survey, but they have to ask or offer it to the patient.
Reply With Quote Quick reply to this message
 
Old 09-22-2019, 01:22 AM
 
Location: Scottsdale, AZ
8,522 posts, read 5,245,516 times
Reputation: 31415
Quote:
Originally Posted by SFBayBoomer View Post
I just sent you a link (in a rep) for a PDF schedule for a free flu shot near you (Silicon Valley). Multiple dates and locations.

2019-20 FREE FLU VACCINE CLINICS
PROTECT YOURSELF AND THE COMMUNITY: GET A FLU VACCINE No appointment, ID, or health insurance needed. For more info: smchealth.org/flu or (650) 573-3927

I saw the rep. Very helpful, thanks.
Reply With Quote Quick reply to this message
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.

Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.


Reply

Quick Reply
Message:


Over $104,000 in prizes was already given out to active posters on our forum and additional giveaways are planned!

Go Back   City-Data Forum > General Forums > Retirement
Similar Threads
Follow City-Data.com founder on our Forum or

All times are GMT -6.

© 2005-2019, Advameg, Inc. · Please obey Forum Rules · Terms of Use and Privacy Policy · Bug Bounty

City-Data.com - Archive 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31, 32, 33, 34, 35 - Top