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Old 09-23-2017, 02:39 PM
 
19,844 posts, read 12,102,488 times
Reputation: 17575

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Quote:
Originally Posted by 2sleepy View Post
Maybe I misunderstood what you said. What do you mean by "tow the medical line"? How would that be determined? Some people go to the doctor all the time for very little reason we know that, but by what objective criteria would you be able to prove that they over utilized medical resources? That sounds like an impossible task!

My husband has called his doctor three times in the past three years asking for a same day appointment for an acute medical issue, all three times he was told they were too busy and told him to go to the ER. The last time this happened he was diagnosed with pneumonia, that could have and should have been handled by either his PCP or the PA, there was no need for him to go to the ER. So to someone doing a review of his records they might very well accuse him of not 'towing the medical line'? That's kind of a scary thought.
You don't have walk in clinics in California? That's odd, they are everywhere here.
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Old 09-23-2017, 02:46 PM
 
19,844 posts, read 12,102,488 times
Reputation: 17575
Quote:
Originally Posted by G1.. View Post
Nope, not mine.$400 a month for a family and a $5 per prescription plan
Quote:
Originally Posted by shadowne View Post
How much are your subsidies?
Quote:
Originally Posted by G1.. View Post
Not mine,why is that?

Still waiting for your answer.
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Old 09-23-2017, 02:47 PM
 
Location: Living rent free in your head
42,850 posts, read 26,275,432 times
Reputation: 34059
Quote:
Originally Posted by shadowne View Post
You don't have walk in clinics in California? That's odd, they are everywhere here.
My husband has a medicare advantage HMO plan. There is one urgent care facility in the entire county in his network. Each time he was referred (by his doctor, not himself) he was told to call urgent care and if their wait time is over 3 hours go to the ER, which he did. Any other questions?
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Old 09-23-2017, 02:51 PM
 
19,844 posts, read 12,102,488 times
Reputation: 17575
Quote:
Originally Posted by 2sleepy View Post
My husband has a medicare advantage HMO plan. There is one urgent care facility in the entire county in his network. Each time he was referred (by his doctor, not himself) he was told to call urgent care and if their wait time is over 3 hours go to the ER, which he did. Any other questions?
No, it sounds like your area needs to get with the current times. They would benefit from multiple urgent care facilities rather than having people use the ER due to their PCP not being able to see them same day.
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Old 09-23-2017, 02:52 PM
 
Location: Living rent free in your head
42,850 posts, read 26,275,432 times
Reputation: 34059
Quote:
Originally Posted by shadowne View Post
No, it sounds like your area needs to get with the current times. They would benefit from multiple urgent care facilities rather than having people use the ER due to their PCP not being able to see them same day.
Thanks for the advice I will be sure that my husband passes that on to his Doctor
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Old 09-23-2017, 02:54 PM
 
5,722 posts, read 5,800,250 times
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Don't worry the super wealthy are still doing fine, seriously now..let's concentrate on what's really important.

It's pretty obvious to anyone with a brain it's still super expensive for middle class families.

You can get coverage for like 45 bucks a month if you only make 20k a year just go online when the new enrollment period starts up and play around with it.
It's amazing how the middle class are getting screwed so hard.
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Old 09-23-2017, 02:56 PM
 
Location: City Data Land
17,155 posts, read 12,962,522 times
Reputation: 33185
Quote:
Originally Posted by 2sleepy View Post
My husband has a medicare advantage HMO plan. There is one urgent care facility in the entire county in his network. Each time he was referred (by his doctor, not himself) he was told to call urgent care and if their wait time is over 3 hours go to the ER, which he did. Any other questions?
And that's why he shouldn't be on an Advantage HMO. The small savings does not justify the hassle. I was on a Medicare Advantage HMO for one year. It only took that one time mistake for me to learn my lesson; HMOs are a pain in the you know where, and they're especially difficult to deal with if you have a primary care doctor who is slow to give referrals. It's well worth the $45/month premium to have the freedom to go to any doctor.
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Old 09-23-2017, 02:57 PM
 
Location: Long Island
57,291 posts, read 26,206,502 times
Reputation: 15645
The new GOP healthcare will fix this don't worry.
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Old 09-23-2017, 02:58 PM
 
5,722 posts, read 5,800,250 times
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Quote:
Originally Posted by Goodnight View Post
The new GOP healthcare will fix this don't worry.
hahahahahah.

I love sarcasm.
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Old 09-23-2017, 03:06 PM
 
19,844 posts, read 12,102,488 times
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Quote:
Originally Posted by 2sleepy View Post
Thanks for the advice I will be sure that my husband passes that on to his Doctor
Or next time don't cheap out with a limited HMO plan.
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