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Last post 10 years ago by wheelrite. 35 replies replies.
"You can keep your doctor", unless you are a Senior Citizen in NY
Abrignac Offline
#1 Posted:
Joined: 02-24-2012
Posts: 17,278
Elderly patients sick over losing doctors under ObamaCare

By Carl Campanile

October 25, 2013 | 4:18am

ObamaCare is making seniors sick.

Elderly New Yorkers are in a panic after getting notices that insurance companies are booting their doctors from the Medicare Advantage program as a result of the shifting medical landscape under ObamaCare.

That leaves patients with unenviable choices: keep the same insurance plan and find another doctor, pay out of pocket or look for another plan where their physician is a member.

New York State Medical Society President Sam Unterricht is demanding a congressional probe after learning that one health carrier alone, UnitedHealthcare, is terminating contracts with up to 2,100 doctors serving 8,000 Medicare Advantage patients in the New York metro region.

The are 2.6 million elderly New Yorkers who receive Medicare, the public heath-insurance program for the elderly.

But one in three patients — nearly 900,000 — are enrolled in Advantage, Medicare HMOs run by private insurers.

Dr. Jonathan Leibowitz, who serves 30 patients under Medicare Advantage at his Brooklyn practice, said he was blindsided by UnitedHealthcare’s decision to give him the boot.

“A patient can’t see his doctor? What are they doing!” he asked.

UnitedHealthcare told Leibowitz that because of “significant changes and pressures in the health-care environment,” he’d be getting the ax on Jan. 1.

Leibowitz’s patients are furious. Alfred Gargiulio, who has cerebral palsy with a seizure disorder, has been seeing Leibowitz since 1993. “Obama had said I could keep my doctor. Now they’re doing away with my doctor. They kicked him out! After 20 years, that’s not right. We love Dr. Leibowitz,” said Gargiulio.

Another patient, Wilma Streicher, 76, was equally baffled. “Of course I want to keep Dr. Leibowitz. I don’t see why they want to push him out,” she said.

Patients of other doctors faced the same dire situation. Lung-cancer patient Jeannette Campregon, 79, received a letter from EmblemHealth saying that her internist, George Ruggiero, was terminated from her VIP High Option Medicare Advantage network.

Emblem notified her she could stay in her current plan and choose another doctor, pick a different plan to keep her doctor or call a customer-service rep for help.

“I’m going absolutely nuts,” said Campregon, who got conflicting information from three different service reps. “I don’t want to change my doctor!”

Dr. Ruggiero said, “The people who lose out are the patients.”

Federal funding to Medicare Advantage is being pared back by billions of dollars in coming years under the national Affordable Care Act. Obama said spending on the program was higher than regular Medicare and unsustainable.

UnitedHealthcare, in a statement, defended the doctor-roster cuts.

“The changes we are making will encourage higher-quality health-care coverage and help keep that coverage affordable for [patients],” said UHC spokeswoman Maria Gordon-Shydlo.

A spokesman for Emblem said the less than 1 percent of its physicians were being cut from Medicare Advantage.

An Empire Blue Cross-Blue Shield rep also said it booted “only 1 percent of doctors.”

“Those physicians were in certain specialties, including cardiology, ophthalmology and podiatry. This was done to ensure a more balanced network that would better contain cost for members,” said Empire spokeswoman Sally Kweskin.

An official with the state chapter of AARP said it’s monitoring the “horrible situation.”

AARP Associate Director Shaun Flynn said Medicare Advantage is a popular program but cautioned it’s privately run, and insurers — not patients — decide which doctors participate.

‘It’s a case of buyer beware,” he said.


http://nypost.com/2013/10/25/elderly-patients-sick-over-losing-doctors-under-obamacare/
teedubbya Offline
#2 Posted:
Joined: 08-14-2003
Posts: 95,637
technically would that be sick or side effected?
Abrignac Offline
#3 Posted:
Joined: 02-24-2012
Posts: 17,278
teedubbya wrote:
technically would that be sick or side effected?


I'm thinking its more like an allergic reaction.
teedubbya Offline
#4 Posted:
Joined: 08-14-2003
Posts: 95,637
LOL
jackconrad Offline
#5 Posted:
Joined: 06-09-2003
Posts: 67,461
Advantage plans are a Bad gamble from the start

They always had the ability to change everything on an annual basis and frequently did

So you never knew what next year would bring

They also restrict your ability to get a decent drug plag in many cases

And once you are on an advantage plan if you get a Major illness you won't be able to get back on an regular Medicare Supplement and a superior stand alone Drug plan that covers the expensive drugs frequently needed when you are really ill..

Now i am a fairly Conservitive Republican but alot of what you are reporting latley is not comming from Knoewledgable unbiased sources ,,

Did you know the ACA was created by a Panel that included 50% REPUBLICANS >??
Brewha Offline
#6 Posted:
Joined: 01-25-2010
Posts: 12,182
OMG! Why can't Obama treat the common man as well as the insurance companies do???
wheelrite Offline
#7 Posted:
Joined: 11-01-2006
Posts: 50,119
Brewha wrote:
OMG! Why can't Obama treat the common man as well as the insurance companies do???


he hates Whitey,,,
Brewha Offline
#8 Posted:
Joined: 01-25-2010
Posts: 12,182
wheelrite wrote:
he hates Whitey,,,

No wonder I never got my Obama-iPhone 5s upgrade . . . . .
sd72 Offline
#9 Posted:
Joined: 03-09-2011
Posts: 9,600
Is this before or after the death panel.
Brewha Offline
#10 Posted:
Joined: 01-25-2010
Posts: 12,182
After. They told me I was to live in order to continue my servitude to the state.
But no iPhone for Brewha . . . .
wheelrite Offline
#11 Posted:
Joined: 11-01-2006
Posts: 50,119
Brewha wrote:
After. They told me I was to live in order to continue my servitude to the state.
But no iPhone for Brewha . . . .


Your commie tendencies seem to be withering.

What gives ?


wheel,
Abrignac Offline
#12 Posted:
Joined: 02-24-2012
Posts: 17,278
jackconrad wrote:
Advantage plans are a Bad gamble from the start

They always had the ability to change everything on an annual basis and frequently did

So you never knew what next year would bring

They also restrict your ability to get a decent drug plag in many cases

And once you are on an advantage plan if you get a Major illness you won't be able to get back on an regular Medicare Supplement and a superior stand alone Drug plan that covers the expensive drugs frequently needed when you are really ill..


This is relevant because if one strolls down memory lane they will notice that Obama promised many things when this piece of legislation was passed on a party line vote. This simply points out one more lie.

jackconrad wrote:

Now i am a fairly Conservitive Republican but alot of what you are reporting latley is not comming from Knoewledgable unbiased sources ,,


CBS, NBC, CNN, ABC, MSNBC are no less biased than any of the sources I have used. In fact some of them refer to reports from the same sources as the "main stream" media. As far as what influences me, I like to go to the source and interpret the "facts" myself. For example, when the SCOTUS struck down parts of the Voting Rights Act, I formed my opinion after reading the actual opinion, not after listening to the spin placed on it by the "main stream" media.

jackconrad wrote:

Did you know the ACA was created by a Panel that included 50% REPUBLICANS >??


Did you know that Republicans withdrew support when the individual mandate was added?

*************************************************************************************
FWIW, I think parts of the spirit of The Patient Protection and Affordable Care Act (PPACA), the proper name of the legislation, are actually very noble. I absolutely support the idea of exchanges. That support comes due to my experience as a licensed insurance agent many, many years ago who sold life, health, disability, long term care, fixed and variable annuities, etc...

One of the best parts of the legislation is the exchanges. Creating one statewide risk pool greatly reduces administrative costs which can be significant. Those exchanges should make it much easier and cheaper to create "baby groups" for small businesses. In addition, it should make it easier for self-employed persons with health history to obtain personal coverage.

Obamacare, which I do not support was passed based on lies, circumvention, subterfuge and sleigh of hand.

Obamacare is quite the opposite of what I support and I suspect what the Republicans were willing to support. For one it encourages employers to reduce workers hours and create a class of part-time workers to circumvent penalties. So instead of extending coverage to more workers, it will probably lead to more part time jobs with no coverage at all.

In addition, it raises taxes on some taxpayers with medical bills who itemize by increasing the threshold deduction from 7 1/2% to 10%. Though not a rate increase it nevertheless all things being equal it increases the amount of income tax due. For the 2005 tax year:
17.92 % of those with taxable income below $50,000,
58.31% of those with taxable income between $50,000 and $74,999 and
76.27% of those with taxable income between $75,000 and $99,000 itemized their deductions.
IIIRC, Obama promised not to raise taxes on earners below the $250,000 threshold. This was obviously a lie.

One talking point that supporters of Obamcare love to tout is its was based on Mitt Rommney's (sic) healthcare plan for Massachusetts. But, this is akin to saying the Lincoln Town Car was based on the Model T. Correct me if I'm wrong, but I don't think the Massachusetts plan has an IRS component.

I could gone on ad nauseam but, I would rather watch college football.
jackconrad Offline
#13 Posted:
Joined: 06-09-2003
Posts: 67,461
I do NOT LIKE OBAMA !



I think we cannot afford subsiedies but here is why they are in place

But we cannot also afford the high cost of Medical care driven in part by people who don't get insurance because they know they cannot be refused in an E R . This simply raises the operating cost of medical institutions and is passed on to consumers and we are supplying them with fraudulent Welfare. That is one of the main reasons for mandating care to stop fraud and actually lower cost to the point where insurance will be affordable without subsidies. ..But making insurance available to people who never could get insurance because of an accident or a disease they were born with is a GOOD thing.
You can think what you want but the plans are actually decent and not all that expensive .. The Computer driven system totally sucks though.

Believe me when i tell you i know alot about the ACA and none of the press is speaking from knowledge , it is alot of hype whether for or against. Personally i think we had problems that had to be addressed and i would have done with some regulatory changes as opposed to this however it is not the harmful vehicle it is reported as , you are still buying insurance from insurance companies not the Govt. But anyone with a brain knows bussiness could have done it better..


teedubbya Offline
#14 Posted:
Joined: 08-14-2003
Posts: 95,637
Jack folks in here don't want to hear it. They have made up their minds based an very few facts (just like pelosi) and cherry picked snippets out of context.

It's not worth it in here however. Not only are their minds closed on the issue, they are rooting for it to fail.

Meh. I don't waste my time in it and have no idea where the dust will settle. It's amazing folks with way less credible information are so certain.

teedubbya Offline
#15 Posted:
Joined: 08-14-2003
Posts: 95,637
Have you been through the navigator training?
jackconrad Offline
#16 Posted:
Joined: 06-09-2003
Posts: 67,461
No but i did do the MLN for Producers twice,,
teedubbya Offline
#17 Posted:
Joined: 08-14-2003
Posts: 95,637
Cool. I've been through the navigator training (had to).
ZRX1200 Offline
#18 Posted:
Joined: 07-08-2007
Posts: 60,614
Health plan benefits for transgender individuals

If you or a loved one are transgender, please read the update below about coverage for transgender-related care.

You may have heard about a new regulatory directive issued to California health plans by the California Department of Managed Health Care (DMHC) on April 9, 2013. The directive requires health plans with benefits that are regulated by the DMHC to provide transgender individuals with the same benefits that are available to non-transgender individuals.*

We want you to know that Kaiser Permanente’s health plans regulated by the DMHC now include coverage for medically necessary health care services for transgender individuals including, for example, behavioral health services, hormone therapy, and transgender surgery. General exclusions and limitations that apply to all services also apply to transgender services.

Some of our health plans were previously permitted to exclude coverage for transgender surgery. We are no longer applying that exclusion in our DMHC-regulated health plans. If you’re enrolled in one of those health plans, this means that you now have transgender surgery benefits even if your current Evidence of Coverage document lists transgender surgery as an exclusion. Also, for our DMHC-regulated health plans that previously covered transgender surgery and included a lifetime dollar limit on the surgery benefits, as of April 9, 2013, we are no longer applying those dollar limits.

For more information about these benefits, please contact our Member Service Contact Center at 1-800-464-4000 (toll free). Learn more about transgender issues in our health encyclopedia.

*Our Medi-Cal plans, KPIC insurance plans, and Kaiser Permanente employee benefit plans also include coverage for these services. Medicare and Federal Employees Health Benefits (FEHB) plans, and most employer self-funded plans administered by Kaiser Permanente, do not include coverage for transgender surgery. Beginning January 1, 2014, FEHB plans will provide coverage for transgender surgery.







Yeah Jack. This is gonna be great and sustainable.
Brewha Offline
#19 Posted:
Joined: 01-25-2010
Posts: 12,182
wheelrite wrote:
Your commie tendencies seem to be withering.

What gives ?


wheel,

Too much airport food.
Brewha Offline
#20 Posted:
Joined: 01-25-2010
Posts: 12,182
teedubbya wrote:
Jack folks in here don't want to hear it. They have made up their minds based an very few facts (just like pelosi) and cherry picked snippets out of context.

It's not worth it in here however. Not only are their minds closed on the issue, they are rooting for it to fail.

Meh. I don't waste my time in it and have no idea where the dust will settle. It's amazing folks with way less credible information are so certain.


More truth about Obamacare;

Soon, very soon, it will make all the paint peel off your walls
It'll make your keyboard all sticky
Give your poodle a hickey
And invest your cash in stock in Euro Disney
Then, it will tie up your phone, making crank long-distance calls
It'll set your clocks back an hour and start clogging the shower
So just trash it now, or else it will Decide to give you a permanent wedgie,
Legally change your name to Reggie,
Even mess up the pH balance in your pool
teedubbya Offline
#21 Posted:
Joined: 08-14-2003
Posts: 95,637
This transgender thing could cost billions!
teedubbya Offline
#22 Posted:
Joined: 08-14-2003
Posts: 95,637
I hate to say I told you so but I just heard the rates for transgendered seniors in New Jersey will be rising.
Abrignac Offline
#23 Posted:
Joined: 02-24-2012
Posts: 17,278
teedubbya wrote:
Jack folks in here don't want to hear it. They have made up their minds based an very few facts (just like pelosi) and cherry picked snippets out of context.

It's not worth it in here however. Not only are their minds closed on the issue, they are rooting for it to fail.

Meh. I don't waste my time in it and have no idea where the dust will settle. It's amazing folks with way less credible information are so certain.



My main concern is how much will taxes will be raised to pay for this. Someone has to pay for the subsidies. In addition, I yet to see an efficiently run government program.
HockeyDad Offline
#24 Posted:
Joined: 09-20-2000
Posts: 46,134
teedubbya wrote:
Jack folks in here don't want to hear it. They have made up their minds based an very few facts (just like pelosi) and cherry picked snippets out of context.

It's not worth it in here however. Not only are their minds closed on the issue, they are rooting for it to fail.

Meh. I don't waste my time in it and have no idea where the dust will settle. It's amazing folks with way less credible information are so certain.




So what you're saying is Obamacare is wonderful and now everyone's healthcare costs will be less. I'm glad the healthcare crisis is fixed.
teedubbya Offline
#25 Posted:
Joined: 08-14-2003
Posts: 95,637
Yes that is exactly what I said
ZRX1200 Offline
#26 Posted:
Joined: 07-08-2007
Posts: 60,614
Teedubya, big centralized gov't types love incremental creep just like you. This will be death by a thousand paper cuts until the public sheep demand single payer as designed.
teedubbya Offline
#27 Posted:
Joined: 08-14-2003
Posts: 95,637
I'm neither a big centralized govt type nor love creeps of any type so I'm not sure what you are trying to say.
teedubbya Offline
#28 Posted:
Joined: 08-14-2003
Posts: 95,637
I suppose if you declare someone is something it makes it easier to make your point. If you can frame the argument to your own reality it's easier to be "right"
wheelrite Offline
#29 Posted:
Joined: 11-01-2006
Posts: 50,119
teedubbya wrote:
I'm a big ole Queer I'm not sure what you are trying to say.



really ?

oh my....

d'oh!

wheel,
teedubbya Offline
#30 Posted:
Joined: 08-14-2003
Posts: 95,637
Yes
wheelrite Offline
#31 Posted:
Joined: 11-01-2006
Posts: 50,119
teedubbya wrote:
Yes


regardless ,,,

we all like ya ,even though you spoon with men,,,



wheel,
teedubbya Offline
#32 Posted:
Joined: 08-14-2003
Posts: 95,637
Thanks
HockeyDad Offline
#33 Posted:
Joined: 09-20-2000
Posts: 46,134
I just wish the big government types would have a little empathy towards all those being screwed by Obamacare.
wheelrite Offline
#34 Posted:
Joined: 11-01-2006
Posts: 50,119
HockeyDad wrote:
I just wish the big government types would have a little empathy towards all those being screwed by Obamacare.


Well,
If I worked for the Gov't in some form or fashion I'd be all too...
wheelrite Offline
#35 Posted:
Joined: 11-01-2006
Posts: 50,119
HockeyDad wrote:
I just wish the big government types would have a little empathy towards all those being screwed by Obamacare.


Well,
If I worked for the Gov't in some form or fashion I'd be all too...
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