U.S. CitiesCity-Data Forum Index
Covid-19 Information Page
Go Back   City-Data Forum > U.S. Forums > Florida > Jacksonville
 [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)
 
Old 10-29-2019, 01:53 PM
 
2,337 posts, read 4,921,645 times
Reputation: 1807

Advertisements

Just got off the phone with the Mayo Clinic in Jax, specifically the Primary Care clinic for new patients, and was told that Mayo is not taking any new Medicare patients. And Medicare patients can't even get on the wait list (which is capped at 200). The clerk indicated that she didn't know when/if that would change.

I was told that all of the new patient appointment slots are being taken up by private insurance patients, and the clerk said that Mayo is not "contracted" with Medicare, and has to prioritize the private insurance patients into available slots. That is actually incorrect information. Mayo is "contracted" with Medicare. Otherwise they couldn't accept any Medicare patients.

As of Jan 1, 2020, Mayo will be a "participating" facility with Medicare, and will not be able to charge the 15% excess fee over the Medicare charge. In 2019, they are "non-participating" and charge an excess 15% on all services.

Interesting, however, that Mayo would build a facility in an area with a high number of retirees like Jax, and then shut down access for Medicare patients.

And, in addition to the Primary Care clinics, some Specialty clinics aren't taking new Medicare patients.

From the Mayo Jax website:

"Please be aware that some specialty practices are closed to new patients with Medicare, even if those patients are currently established in another specialty practice."

Have any retirees in the Jax area have been turned away from Mayo due to having Medicare?
Reply With Quote Quick reply to this message

 
Old 10-29-2019, 04:38 PM
 
Location: NNJ --> NE FL 2015
1,267 posts, read 1,335,589 times
Reputation: 1115
Not a retiree but we've been in the Jax Mayo primary care "system" since 2015 (private insurance) and haven't been impressed. They have rotating residents so after 2-3 years, you're assigned a brand new resident. My most recent PCP completely misdiagnosed a severe and extremely contagious form of pink eye last year (EKC - Epidemic Keratoconjunctivitis) where I filed an official complaint with Mayo. I ultimately had to go out of the Mayo system to see an ophthalmologist who properly diagnosed and treated the condition.

Since then, we've switched out of Mayo to Baptist Health for PCP purposes and have been pleased with the care. I still go to Mayo for specialists but I'm done with PCP.

FWIW, there is a back door method to getting into Mayo which they even acknowledged at the time (may not be the case now). Back in 2015, there was a 6-8 month wait for private insurance patients to get into Mayo. However, I got into the "system" within few weeks of moving here because I had to go to the Mayo ER for an allergic reaction. I had to come back for a check up few weeks later and was immediately assigned a PCP. Unique situation but something to keep in mind.
Reply With Quote Quick reply to this message
 
Old 11-04-2019, 12:34 PM
 
Location: FL
297 posts, read 474,667 times
Reputation: 744
To be clear, Mayo (until January 2020) has NOT been contracted with Medicare. If you're on Medicare and go to Mayo, whether primary care or specialists, they will file the claim, but Medicare sends you a check for the portion they cover, and you pay Mayo directly. They also submit the claims to your supplemental insurance carrier, and whether they pay Mayo directly or send you a check depends on the insurance carrier.

What changes in January is that Mayo will be a "participating provider" with Medicare and they will receive reimbursement directly from them.

My husband has been a patient for both primary care and specialists since prior to being on Medicare. They won't accept me for primary care because I'm on Medicare, for the same reason the OP was given. The fact that I have a supplement that covers excess charges didn't make a difference, and I think that's wrong. I have a family member who is a doctor in a different state, and he said it's easier to deal with Medicare than private insurance. I haven't needed any specialists, so I don't know which ones aren't accepting Medicare.

It would be nice if they would give a reason for refusing Medicare patients. I can understand their not taking patients who have Medicare but no supplemental insurance, because Medicare pays so little. But it doesn't make sense to refuse Medicare patients who also pay for supplemental insurance, especially now that they've decided to become a participating provider.
Reply With Quote Quick reply to this message
 
Old 11-05-2019, 05:08 PM
 
21 posts, read 22,710 times
Reputation: 13
Whole heartedly agree with Ivan. When I relocated to Jax, I went to Mayo for primary care. It was fine, but really expensive (even with health insurance). About six month later when I had the flu (or worse) and two days in bed, I finally showered (had to lay back down because I was exhausted), then dragged myself to Mayo Primary Care. I walked in and wasn't asked my name, if I was a client and/or if I was ill nor given the option of going to the main hospital. A young receptionist said we aren't seeing additional patients today (it was 9 AM) and went back to chatting with her friends and texting. I ended up going to urgent care. After that crass treatment, I, too, decided to go with Baptist Health. Mayo may be good at some things, but primary care is definitely not one of them. Don't be sucked in by the hype.
Reply With Quote Quick reply to this message
 
Old 11-06-2019, 11:53 AM
Status: "Loving Florida" (set 23 days ago)
 
Location: PVB
3,645 posts, read 1,963,787 times
Reputation: 4058
My wife uses Mayo Primary and we are satisfied with it. The doctors and PA's are extremely nice and accommodating. You need to make an appointment and if you have an emergency this is not the best route to go. They also get you into the Mayo Specialists much quicker.
Reply With Quote Quick reply to this message
 
Old 11-06-2019, 12:19 PM
 
Location: FL
297 posts, read 474,667 times
Reputation: 744
My husband has been very happy with Mayo primary, but his doctor has been with the practice for 19 years. He's been able to get an appointment on short notice but sees the nurse (or perhaps she's a nurse practitioner) on those occasions. His only complaint has been with administrative issues, like coordinating blood work ordered by his primary care doc with his annual specialist visit so he only has to go to the main campus once. Mayo has a habit of just scheduling visits/tests without regard to your schedule.


And I agree with Thundarr457. If you need same-day care, go to an urgent care center!

Last edited by KayT15; 11-06-2019 at 12:22 PM.. Reason: addition
Reply With Quote Quick reply to this message
 
Old 11-06-2019, 12:55 PM
 
2,337 posts, read 4,921,645 times
Reputation: 1807
Quote:
Originally Posted by KayT15 View Post
To be clear, Mayo (until January 2020) has NOT been contracted with Medicare. If you're on Medicare and go to Mayo, whether primary care or specialists, they will file the claim, but Medicare sends you a check for the portion they cover, and you pay Mayo directly. They also submit the claims to your supplemental insurance carrier, and whether they pay Mayo directly or send you a check depends on the insurance carrier.

What changes in January is that Mayo will be a "participating provider" with Medicare and they will receive reimbursement directly from them.

My husband has been a patient for both primary care and specialists since prior to being on Medicare. They won't accept me for primary care because I'm on Medicare, for the same reason the OP was given. The fact that I have a supplement that covers excess charges didn't make a difference, and I think that's wrong. I have a family member who is a doctor in a different state, and he said it's easier to deal with Medicare than private insurance. I haven't needed any specialists, so I don't know which ones aren't accepting Medicare.

It would be nice if they would give a reason for refusing Medicare patients. I can understand their not taking patients who have Medicare but no supplemental insurance, because Medicare pays so little. But it doesn't make sense to refuse Medicare patients who also pay for supplemental insurance, especially now that they've decided to become a participating provider.
Great post. Agree with it. The CEO of Mayo announced in 2017 that Mayo was prioritizing private ins patients over Medicare patients because of low reimbursement rates from Medi. It's all about the $$.

https://www.axios.com/mayo-clinic-to...c6673fd46.html

The clerk at Jax Mayo gave me some bogus explanation that the private insurers have "contracts" with Mayo and they have to set aside slots per the contracts. This is bogus. Mayo also has a contract with Medicare, or doctors and facilities couldn't get paid. Private insurers don't insist on a number of "slots" for their members. Contracts are about $$, whether doctors and hospitals accept the reimbursement rates of a particular insurer.
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
Please update this thread with any new information or opinions. This open thread is still read by thousands of people, so we encourage all additional points of view.

Quick Reply
Message:


Options
X
Data:
Loading data...
Based on 2000-2020 data
Loading data...

123
Hide US histogram

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 > U.S. Forums > Florida > Jacksonville
View detailed profiles of:
Follow City-Data.com founder on our Forum or

All times are GMT -6.

© 2005-2020, 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