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In reply to the discussion: New Medicare Program: Full List of Services That Will Need Prior Approval [View all]TexasBushwhacker
(21,089 posts)71. It's fairly new
I've had ET for over 10 years. When I first got it, it was really bad. I could hardly feed myself without throwing food across the room. Forget about eating peas - LOL. It's gotten better over the years and right now I don't even take medication for it. Other people notice my hands shaking more than I do.
I looked into the DBS and found out I would have to shave my head. Call me vain, but as a woman who lost her mother to breast cancer, I'm not shaving my head until I have to have chemo, which is hopefully never. My shakey hands just aren't that bad.
In any case, I think they are probably making sure that medications have been tried first. I think that's fair.
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New Medicare Program: Full List of Services That Will Need Prior Approval [View all]
BumRushDaShow
Yesterday
OP
They really went after nerves. Is salvation through pain part of the plan?
bucolic_frolic
Yesterday
#1
I get steroid shots in my scaphoid joint for arthritis. The list specifies that steroid shots in joints are not included
Martin68
3 hrs ago
#70
Medicare Advantage is already set up to be able to deny claims for things that Medicare would automatically cover.
thesquanderer
Yesterday
#8
Advantage plans are private insurance, and they should be banned from using " Medicare" in their name.
OMGWTF
23 hrs ago
#18
I agree. Unless maybe they more honestly called it something like "Medicare Alternative" or "Medicare Private Option."
thesquanderer
23 hrs ago
#25
They are literally Medicare plans, Authorized under the Medicare Part C statutes
Ms. Toad
22 hrs ago
#31
The person you're replying to said Advantage plans should not have been allowed as Medicare plans.
pnwmom
11 hrs ago
#63
But one of the main reasons to choose standard Medicare over a Medicare Advantage plan is to minimize a third party
Ms. Toad
22 hrs ago
#38
So? People pay MORE to join Traditional Medicare so that they can choose their own doctors
pnwmom
20 hrs ago
#48
Yes, they do, in order to get Parts A and B, which covers both hospitalization
pnwmom
18 hrs ago
#56
neck surgeries, knee surgeries, incontinence control, pain relief -- how very cruel, how very predictable
0rganism
Yesterday
#9
Our doc told us pre-approval is needed for what was our usual blood test
AverageOldGuy
23 hrs ago
#14
But this experiment is being done with Traditional Medicare patients, which doesn't require prior authorization.
pnwmom
20 hrs ago
#49
But private companies WILL provide the AI services performing prior authorizations for Traditional Medicare.
pnwmom
9 hrs ago
#66
The whole reason Iʻm paying extra for supplemental ins is to keep the imperfect gem, traditional medicare, where
mahina
23 hrs ago
#19
"Just reading our DUers here and the impacts this would make to their lives is powerful."
BumRushDaShow
23 hrs ago
#24
It is not just AI needs to be destroyed - but the insertion of third party judgment (of any kind)
Ms. Toad
21 hrs ago
#40
I expect this is being pilot-tested to eventually become a permanent change (with more procedures needing prepproval)
BumRushDaShow
21 hrs ago
#45
I know for those of us feds who planned to maintain their FEHB insurance plans when Medicare-eligible
BumRushDaShow
19 hrs ago
#51
When I had a cancer diagnosis, I was in surgery 2 days after getting the diagnosis,
pnwmom
11 hrs ago
#65
That's the general basis for my personal concern with the skin and tissue substitutes
Ms. Toad
5 hrs ago
#68