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Old Yesterday, 10:25 PM
Location: Backwoods of Maine
7,188 posts, read 8,318,205 times
Reputation: 19155


Concierge is clearly the way to go, with no question of what exams and tests are allowed. If you have any conditions that require monitoring, you'll get first class, attentive service.

It may be a bit pricey for some, costing $1500-2000 a year for one person, on average. If the cost bothers you, there is another alternative to consider.

Direct Primary Care is much less expensive, running an average $50-70 per month, per person. For this, you get almost 24/7 access to the doctor, who usually will also do a home visit. You can phone, text or email the office with any question. The doc can spend more time with you. Meds are often free from their own in-house pharmacy. They know the best places for tests and bloodwork, and usually work with specialists who are also Direct Primary.

Best part is, there are no waiting lists, no worries about Medicare, no coding, no errors, etc. Your private medical info will never appear on a digital health record. Appointments are free, often with no waiting. Nobody will ever ask you to draw a clock, want your SSN, ask about your guns, or call Senior Services in town to annoy you. It's PRIVATE. It's not for everybody. But it might be a good fit for somebody here, who may not yet have the info.
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Old Yesterday, 10:33 PM
851 posts, read 213,298 times
Reputation: 1935
Originally Posted by fluffythewondercat View Post
I imagine in people our age they're testing for UTIs and kidney disease as well as diabetes.
This is the reason, especially if a person has kidney stones, UTIs are always a concern.
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Old Today, 05:48 AM
2,617 posts, read 959,237 times
Reputation: 6852
Originally Posted by MonicaGri View Post
Your comprehensive “Welcome to Medicare” physical exam includes:
A review of your medical and social history including risk factors you can change
A physical exam that includes measuring your height, weight, blood pressure, visual acuity screen, and body mass index
Education, counseling, and referrals based on the results of your physical exam.A brief written plan, such as a checklist, for getting appropriate screening and/or other Medicare Part B preventive services
A review of your potential risk factors for depression.
Thanks for this detail. I don't need any of it. I know my height, my scale gives me BMI (around 19) as well as weight, the blood bank measures my BP when I donate (low end of normal). I don't smoke, I eat very little animal protein and I go to the gym every day. And I'm guessing that most of the people whose docs tell them to get active, lose weight and stop eating Doritos make no changes at all.

What's useful to me is a Lipids Panel, my a1C (fasting glucose a little high) and the usual blood components (white cells, red cells, pateletets..) to make sure nothing is out of whack. That's not included. I also get more specific testing for BC due to family history.

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Old Today, 09:24 AM
Location: Scottsdale, AZ
8,522 posts, read 5,245,516 times
Reputation: 31415
Originally Posted by Ariadne22 View Post
Cryin' out loud! Lots of people with the $$ for concierge, clearly. Of course, AZ is a retirement haven with many wealthy people.
And lots more coming from California.

Did you put yourself on the list?[/quote]

Mayo isn't accepting any more people for the waitlist until January. Maybe they'll open it up then. Maybe they won't.

As an ardent capitalist, my initial reaction was, "Hey, there's all this money in the region, so why don't you hire more doctors?"

It turns out they hired two new primary care physicians for the Medallion program last year and they want to see how it's working out with their patient load. They have a total of seven dedicated to 24/7 access by their pts.

It's kind of shocking to me to realize how spoiled I have been when it comes to health care. I could go to Stanford Medical Center any time I wanted and see a top-notch specialist. Of course, I had employer-provided insurance then.
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