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Old 08-05-2014, 08:56 AM
 
18,804 posts, read 8,462,725 times
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Quote:
Originally Posted by Skydive Outlaw View Post
Only if they took out Federal student loans to get their degree and run 'their' business.


I wonder how many of those doctors just loved the Federal government when they needed money to go to school.

Funny how it all works.
Most docs in training are somewhat dependent on central funding. Most universities and med schools receive central moneys. And most residency slots are supported by Medicare.
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Old 08-05-2014, 08:57 AM
 
Location: Great State of Texas
86,052 posts, read 84,442,711 times
Reputation: 27720
Quote:
Originally Posted by Casper in Dallas View Post
Doctors in Florida not taking Medicare Patients, now there is quick way to go out of business in the State of Florida. Ever consider they are not taking any new patients because they are already booked to the gills? Oh by the way a 2008 report is before Obamacare was ever inacted, soooooooooo
Actually they turned to concierge medicine and are doing just fine.

That's right..before Obamacare but this is medicare. I was showing what low reimbursement rates will end up doing.
Obamacare is fashioned after that.
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Old 08-05-2014, 08:58 AM
 
11,768 posts, read 10,257,576 times
Reputation: 3444
Quote:
Originally Posted by HappyTexan View Post
Both Aetna and UnitedHealthcare pulled out of exchanges in many states because of low reimbursements.
Yet they still offer insurance outside of the exchange so it's not the same.
They pulled out of the individual market in some states, CA comes to mind. United pulled out of almost every state. Aetna is still offering plans in the individual market and if it's offered in the individual market it's also going to be on the exchange and why wouldn't it be. It's all the same to the insurance company. All they do is price the plan and offer it for sale. The gov then lets you buy it off the healthcare website or you can go through a private broker, or ehealthinsurance, or directly to the insurer.
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Old 08-05-2014, 08:59 AM
 
Location: Great State of Texas
86,052 posts, read 84,442,711 times
Reputation: 27720
Quote:
Originally Posted by lycos679 View Post
They pulled out of the individual market in some states, CA comes to mind. United pulled out of almost every state. Aetna is still offering plans in the individual market and if it's offered in the individual market it's also going to be on the exchange and why wouldn't it be. It's all the same to the insurance company. All they do is price the plan and offer it for sale. The gov then lets you buy it off the healthcare website or you can go through a private broker, or ehealthinsurance, or directly to the insurer.
Rather than assuming and voicing opinion go read up on Aetna and UnitedHealthcare.
And remember that health insurance falls under state regulations as the Fed hasn't totally taken it over yet.

Obamacare plans offer narrow choice and lower reimbursement rates. The goal was to get the volume of subscribers high enough to offset the lower reimbursement.

Last edited by HappyTexan; 08-05-2014 at 09:08 AM..
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Old 08-05-2014, 09:06 AM
 
11,768 posts, read 10,257,576 times
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Quote:
Originally Posted by HappyTexan View Post
Rather than assuming and voicing opinion go read up on Aetna and UnitedHealthcare.
And remember that health insurance falls under state regulations as the Fed hasn't totally taken it over yet.
Read up on what? United is only offering group health and Aetna's plans are available on or off the exchange. You can even buy the plan directly from Aetna, they don't care as long as they get your money.
'

Quote:
The only way to get those lower premiums was to offer narrow choices and lower reimbursement rates. This was HHS requirements to the insurers that went with HHS. The big insurers pulled out because the numbers didn't work for them.

And this was known and written about last summer.
http://www.modernhealthcare.com/arti...ZINE/308179921
This isn't exclusive to exchange based plans. A narrow network is still going to be a narrow network.
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Old 08-05-2014, 09:07 AM
 
18,804 posts, read 8,462,725 times
Reputation: 4130
Quote:
Originally Posted by HappyTexan View Post
Actually they turned to concierge medicine and are doing just fine.

That's right..before Obamacare but this is medicare. I was showing what low reimbursement rates will end up doing.
Obamacare is fashioned after that.
Even in larger metro areas very few docs do concierge in any market. Thousands of smaller markets like my own of 50K can't support even a one.
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Old 08-05-2014, 09:14 AM
 
11,768 posts, read 10,257,576 times
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Quote:
Originally Posted by Hoonose View Post
Even in larger metro areas very few docs do concierge in any market. Thousands of smaller markets like my own of 50K can't support even a one.
I saw one in Chicago offering everything from a visit to hospital coverage for $200-$300/month. I'm pretty sure there was a catch though, like no specialist coverage or something.
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Old 08-05-2014, 09:14 AM
 
Location: Great State of Texas
86,052 posts, read 84,442,711 times
Reputation: 27720
Quote:
Originally Posted by Hoonose View Post
Even in larger metro areas very few docs do concierge in any market. Thousands of smaller markets like my own of 50K can't support even a one.
But the numbers are growing and the cost to implement are coming down.
Concierge medicine is not only for the rich anymore.
You pay the doctor for care and have a catastrophic plan for hospital costs.



More doctors offer concierge care | Marketplace.org

Here's what Dr. Chris Ewin of Fort Worth charges:

Ages 6-20: $90 a month.
Ages 21-39: $130 a month.
Ages 40-59: $195 a month.
60 and over: $295 a month.

Concierge care is not a replacement for insurance. According to Michael Tetreault of Concierge Medicine Today, many patients combine a high deductible catastrophic health care plan with concierge care. This keeps them covered in case of a serious illness or accident, and they can go to their concierge doctor for the common cold, checkups and preventative care.
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Old 08-05-2014, 09:16 AM
 
Location: Fredericktown,Ohio
7,168 posts, read 5,363,549 times
Reputation: 2922
Quote:
Originally Posted by lycos679 View Post
https://www.healthcare.gov/find-premium-estimates/
www.ehealthinsurance.com

Zip, State: 60614, Illinois



Depends, do they normally answer their phones or are they usually busy? Realistically, I think the questions would need to be directed to Anthem. Only Anthem can say if Anthem policy A is really the same and has the same reimbursement rates as Anthem policy A that was bought from the exchange.
I do not have time to dig through those links for the info you posted I wanted the exact link which is easy to provide.

But anyways I know what I am experiencing and that is my county hospital takes Anthem but does not take Anthem bought on the exchange. The only insurance on the exchange they except is medical mutual of Ohio. I can link you to a list of insurers that are accepted by my hospital and Anthem and medical mutual are both on it. And what they do in your state does not mean they do it in all 50.
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Old 08-05-2014, 09:24 AM
 
Location: Great State of Texas
86,052 posts, read 84,442,711 times
Reputation: 27720
Quote:
Originally Posted by lycos679 View Post
I saw one in Chicago offering everything from a visit to hospital coverage for $200-$300/month. I'm pretty sure there was a catch though, like no specialist coverage or something.
You still need insurance though even with concierge medicine.
Catastrophic plans cover hospitals and such.
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