New Medicare rules

[SusanMB 0]

My Dr. office just call late this afternoon, New Medicare rules

Now I must take another 500 question psychological test at a different Dr. office before my paper work is submitted to medicare. Has anyone else run into this ?

[JoannMarie 0]

My Dr. office just call late this afternoon, New Medicare rules

Now I must take another 500 question psychological test at a different Dr. office before my paper work is submitted to medicare. Has anyone else run into this ?

I did have to take this test. I don't know if it is a new rule or an old one, but it was required as part of my psychologist evaluation. It took about an hour. :redface:

[Camel_Cracker 3]

My insurance wouldn't cover ANYTHING, so I was self-pay. I would take that test a hundred times over if it meant saving the huge monthly payment that I shell out. :redface: I hope everything goes well with your test.

[Justmeuknow 0]

I didn't have to take the test and I was just aproved but I would have if needed to do the surgery complaining the whole time.

Carol

[It's_Christine 0]

It's probably the MMPI which is just a test to make sure you don't have any serious psych issues. It sounds horrible but the questions are very easy and I did it on a computer so it went real fast. Just bang it out so you can get approved!

[watermelon seeds 0]

I had to take the test and it was a long long test but, I did not have to take it twice. I will say this remember that they ask you some of the same questions over again and in different ways so be consistant.

Good Luck!

[martucci 0]

Hi Nina, I was told at seminar that Medicare isn't paying the fills, is that right? I would appreciate your input, thanks a bunch.

Karen

[watermelon seeds 0]

Hi Nina, I was told at seminar that Medicare isn't paying the fills, is that right? I would appreciate your input, thanks a bunch.

Karen

Hey I am not medicare, I have Cigna POS Insurance from my job. I am not sure of what Medicare charges. I just have to pay for my co-payments. Sorry I can't help you with that.

[ssflbelle 829]

I heard they would pay for only one fill. But get this I have a Medicare advantage plan with UHC and they denied the lapband surgery and all the testing I had. I am going to appeal it but I have this strange feeling I am going to have to pay thousands of dollars for all the tests I had and I am disability and don't have that kind of money. What a shame they would rather me stay morbidly obese with all my complications than pay and help to get me well and back into society working.

Hi Nina, I was told at seminar that Medicare isn't paying the fills, is that right? I would appreciate your input, thanks a bunch.

Karen

[JoannMarie 0]

I heard they would pay for only one fill. But get this I have a Medicare advantage plan with UHC and they denied the lapband surgery and all the testing I had. I am going to appeal it but I have this strange feeling I am going to have to pay thousands of dollars for all the tests I had and I am disability and don't have that kind of money. What a shame they would rather me stay morbidly obese with all my complications than pay and help to get me well and back into society working.

I am so sorry to hear this. On the Medicare website it very clearly states they cover bariatric surgery with the qualifying BMI. I don't understand why a Medicare advantage plan would not pay. I have the regular Medicare with a supplemental plan for the amounts of a covered expense that Medicare does not pay. The surgeon's office assures me MC will pay the hospital charges and the surgeon (though I know MC does not pay as well as most insurances). Supplementals have to cover whatever MC covers. Please appeal this decision! If they were not going to pay, you and the surgeon should have been told this before you were very far in the process. Sounds fishy. Don't pay anything until your appeal(s) has been resolved. Is there a legal aid group nearby that you could go to for advice?

[martucci 0]

Oh wow! I talked to the coordinator at my medicare advantage plan, Quality Health. They are going to pursue Dr. Cywes for a contract but she couldn't tell me if they cover fills. She said that she wasn't familiar with that side of it . I am really going to be upset if they don't cover fills , only one. I won't be able to get it done as I am disabled also.

Karen

[ssflbelle 829]

Yes the one fill is a major concern of mine too after all this other crap with the denial of surgery and testing is taking care of I will be looking into how much the fills are and see if I can afford them. I have the WLS coordinator looking into everything as well as well as an insurance guru

(that is what she calls herself). SO hopefully if nothing else I will not have to pay for all the testing. The WLS office called my insurance before hand and told everything was fine and then when they got all the testing results and submitted the info to the insurance to get approval everything fell apart. Even the Coordinator agrees this insurance is under Medicare and if Medicare pays they should pay.

I really can't write much more about this as every time I do I get aggravated again and I can't do that as it affects my health. So this is the last I am writing until I hear good results. I will pray for you and hope all will pray for me that we get all these situations taken care of and quickly.