Medicaid, Head Start, health centers say they're locked out of federal funding website

KCfromNC · Jan 31, 2025

dogs4thewin said:
Yet people buy private insurance to cover what Medicare does not

Yet strangely enough rarely choose private insurance as a primary when Medicare is available.

KCfromNC · Jan 31, 2025

Lukaris said:
It is impossible to discuss matters with the liberal leftist mentality.

This thread proves the post's claim to be a falsehood. Not a great approach in media like this where the only way to judge credibility is through the written word.

Nice try with the personal attack, though. Maybe someone will take the bait.

dogs4thewin · Jan 31, 2025

comana said:
They are more likely to have that choice when they don’t have to deal with the nonsense of insurance networks.

with what choice?

dogs4thewin · Jan 31, 2025

KCfromNC said:
Yet strangely enough rarely choose private insurance as a primary when Medicare is available.

nope I have medicaid and medicare I have had private insurance in the past through my father's employer and when I had both that and medicaid I noticed that the private insurance had less red tape than the government medicaid did. As it relates to medicaid vs medicare I currently have both medicare being primary and a LOT more doctors take medicare than take medicaid because it does not make sense from a business point of view to take mediaid, but it does to take medicare particularly for specitists whose patients are more likely to be on medicare (particularly long terrm patients).

Lukaris · Jan 31, 2025

KCfromNC said:
This thread proves the post's claim to be a falsehood. Not a great approach in media like this where the only way to judge credibility is through the written word.

Nice try with the personal attack, though. Maybe someone will take the bait.

No personal attacks will try to navigate between thick or thin skin & cynicism and sarcasm. Have a nice day.

comana · Jan 31, 2025

dogs4thewin said:
with what choice?

Private insurance controls what hospitals you can use via networks. Medicare does not. People on Medicare have more choices for hospitals in that regard.

dogs4thewin · Jan 31, 2025

comana said:
Private insurance controls what hospitals you can use via networks. Medicare does not. People on Medicare have more choices for hospitals in that regard.

so wait does that mean that all hospitals take medicare as payment? As really in network or not unless someone is out cold or needs care a particular hospital cannot provide the medics (if they take you will asks you which hospital you want to go to ( when there is more than one in town. Likewise, if someone drives or is driven by a private party to a hospital they can go to whichever one they wish to Also even private insurance will pay if a person is TAKEN to a different hospital when they did not make the call such as being out cold.

DaisyDay · Jan 31, 2025

dogs4thewin said:
KCfromNC said:

Yet strangely enough rarely choose private insurance as a primary when Medicare is available.

Click to expand...

nope I have medicaid and medicare I have had private insurance in the past through my father's employer and when I had both that and medicaid I noticed that the private insurance had less red tape than the government medicaid did.

It's possible that your father had extraordinarily good insurance, but did you all use as primary or supplemental? Private insurance is far, far more expensive went it is primary rather than secondary. Are you sure that Medicaid was not primary for you? I remember at one point, you had thought that the $5 copay covered the entire, actual cost of the appointment.

I have had private insurance through my workplace - each plan had different levels of red tape and benefits. The absolute worst was the HMO plan which paid doctors to prevent patients from using their insurance. The wait times (four months for gyno, then a two hour waiting room wait plus travel time meant that the appointment took most the day) were discouraging at best.

Currently, I have Medicare primary, private secondary. The private mostly picks up co-pays and other out of pocket costs, but Medicare has to be primary. I don't have as much worry now about out of network surprise costs.

dogs4thewin said:
As it relates to medicaid vs medicare I currently have both medicare being primary and a LOT more doctors take medicare than take medicaid because it does not make sense from a business point of view to take mediaid, but it does to take medicare particularly for specitists whose patients are more likely to be on medicare (particularly long terrm patients).

One of the terrible things about our health roulette system - will United Health Care cover it or is it time for GoFundMe - is the uncertainty and stress in an already stressful time. This is not a good system and tying it to employment makes it even more inequitable.

comana · Jan 31, 2025

dogs4thewin said:
so wait does that mean that all hospitals take medicare as payment? As really in network or not unless someone is out cold or needs care a particular hospital cannot provide the medics (if they take you will asks you which hospital you want to go to ( when there is more than one in town. Likewise, if someone drives or is driven by a private party to a hospital they can go to whichever one they wish to Also even private insurance will pay if a person is TAKEN to a different hospital when they did not make the call such as being out cold.

Medicare is almost universally accepted In hospitals in every state. A hospital would be stupid to not accept it. Commercial Insurance will pay for an out of network hospital in an emergency but you may have to fight them to make that happen. Then the doctors who treat you may also be out of network, even in an in network hospital, because doctors have separate contracts with insurance from the hospitals. It is a complicated mess and only gets worse and less cost effective.

DaisyDay · Jan 31, 2025

dogs4thewin said:
so wait does that mean that all hospitals take medicare as payment?

No, and that is not what she said which was that Medicare generally has more choices - no network requirement and less prior authorization. Better yet, if the treatment is considered standard care for your condition, then it won't be arbitrarily denied as a cost cutting tactic. All public hospitals take Medicare.

dogs4thewin said:
As really in network or not unless someone is out cold or needs care a particular hospital cannot provide the medics (if they take you will asks you which hospital you want to go to ( when there is more than one in town.

If you're not out cold then, take a taxi/Uber. Many private plans will not reimburse ambulances and then only in-network ones.

dogs4thewin said:
Likewise, if someone drives or is driven by a private party to a hospital they can go to whichever one they wish to

Okay.

dogs4thewin said:
Also even private insurance will pay if a person is TAKEN to a different hospital when they did not make the call such as being out cold.

Will they?

dogs4thewin · Jan 31, 2025

DaisyDay said:
It's possible that your father had extraordinarily good insurance, but did you all use as primary or supplemental? Private insurance is far, far more expensive went it is primary rather than secondary. Are you sure that Medicaid was not primary for you? I remember at one point, you had thought that the $5 copay covered the entire, actual cost of the appointment.

I have had private insurance through my workplace - each plan had different levels of red tape and benefits. The absolute worst was the HMO plan which paid doctors to prevent patients from using their insurance. The wait times (four months for gyno, then a two hour waiting room wait plus travel time meant that the appointment took most the day) were discouraging at best.

Currently, I have Medicare primary, private secondary. The private mostly picks up co-pays and other out of pocket costs, but Medicare has to be primary. I don't have as much worry now about out of network surprise costs.

One of the terrible things about our health roulette system - will United Health Care cover it or is it time for GoFundMe - is the uncertainty and stress in an already stressful time. This is not a good system and tying it to employment makes it even more inequitable.

Medicare ( due to being on my late father's social securty is primary),. Medicaid due to my personal limited resources is secondary and covers the remaiing 20% but the program is so annoying that I asked my mother if we should let it lapse and try to reapply as maintaining it year over year is ANNOYING as my situation will not change.

dogs4thewin · Jan 31, 2025

DaisyDay said:
No, and that is not what she said which was that Medicare generally has more choices - no network requirement and less prior authorization. Better yet, if the treatment is considered standard care for your condition, then it won't be arbitrarily denied as a cost cutting tactic. All public hospitals take Medicare.

If you're not out cold then, take a taxi/Uber. Many private plans will not reimburse ambulances and then only in-network ones.

Okay.

Will they?

If you are out cold yes they will now they may not cover after that.

DaisyDay · Jan 31, 2025

dogs4thewin said:
If you are out cold yes they will now they may not cover after that.

I think you're right! The No Surprises Billing Act, passed 2022, taking effect 2024 federalized payment for emergency transport.

No Surprises Act

Stay informed on the No Surprises Act. Understand billing protections for emergency and non-emergency services.

www.dol.gov

Job 33:6 · Jan 31, 2025

DJT may just destroy America simply by causing panic and confusion. Nothing sows chaos like paranoia.

rjs330 · Feb 17, 2025

Job 33:6 said:
DJT may just destroy America simply by causing panic and confusion. Nothing sows chaos like paranoia.

Paranoia spread by the Democrats and their media d their chicken little mentality. Right now that seems to be who is tryingnto spread any panic and paranoia.

essentialsaltes · Feb 17, 2025

rjs330 said:
Paranoia spread by the Democrats and their media d their chicken little mentality. Right now that seems to be who is tryingnto spread any panic and paranoia.

essentialsaltes said:
Moderate Republicans Threaten to Sink Trump Budget Plan Over Musk’s Cuts to Medicaid
Reps. David Valadao (R-Calif.) and Nicole Malliotakis (R-N.Y.), who represent areas with many Medicaid recipients, are withholding their support. They want more information on how these cuts would affect their constituents.

Rep. Rob Bresnahan (R-Pa.) warned that he would not vote for the budget if it hurts people in his district. He said, “If a bill is put in front of me that guts the benefits my neighbors rely on, I will not vote for it.”

This uncertainty could cause trouble for Speaker Mike Johnson (R-La.) and the leadership team, including Budget Committee Chair Jodey Arrington (R-Texas), who are hoping to pass the resolution by the week of Feb. 24. With little room to spare, Republicans can only lose one vote and still need full support from their members, as Democrats are expected to oppose it.

The budget resolution includes major spending cuts, aiming for $1.5 trillion with a target of $2 trillion. It also imposes a $4.5 trillion limit on the deficit and calls for $300 billion in extra spending for border security and defense. The most significant cuts are aimed at Medicaid, with the Energy and Commerce Committee expected to take the biggest hit — up to $880 billion.

rambot · Feb 17, 2025

Surgical, precise cuts= intelligent

Broad careless cuts= Stupid and dangerous.

essentialsaltes · Feb 17, 2025

rambot said:
Surgical, precise cuts= intelligent

Broad careless cuts= Stupid and dangerous.

But what if the Administration has a great idea for a scam that targets old people?

Aryeh Jay · Feb 17, 2025

rambot said:
View attachment 361168

Surgical, precise cuts= intelligent

Broad careless cuts= Stupid and dangerous.

Not to worry, as the venue has already been paid for, we will now hold investment seminars featuring Trump Coin, Trump Cards, and Trump Watches.

Medicaid, Head Start, health centers say they're locked out of federal funding website

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Moderate Republicans Threaten to Sink Trump Budget Plan Over Musk’s Cuts to Medicaid​

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Moderate Republicans Threaten to Sink Trump Budget Plan Over Musk’s Cuts to Medicaid