Recent content by gooch

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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    One possibility is to find a surgeon who is in the network to do the followup. I don't how the two surgeons would feel about that kind of an arrangement
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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    Well I am back. This time my wife goes to the ER and ER determines she needs surgery. A surgeon is called and the surgery is performed. She stays in the hospital overnight and released the next day. The insurance used at the hospital is United Healthcare Medicare Solutions PPO. In the discharge...
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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    This part of my retirement package so no change is possible. I have been able to convince at least one Practice Manager that what they were doing is not right and they agreed so I have one fixed.
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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    The doctors who make me pay upfront get the following: (1) the same amount of money (the insurance payment including the 20% charge for being out of network plus my payment) and (2) they don't have to submit a statement to me after they have received the payment from UHC, So it saves them...
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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    Just to tie up some loose ends: In my latest experience with a doctor, the receptionist told me that because the doctor was not in the UHC network, they would no longer accept UHC and that I would have to send the statement to UHC for reimbursement. When I checked with the Practice Manager, she...
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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    These doctors are happy to see me and charge me the Medicare Approved Rate for the service they provide because they list on Medicare.gov that they "Accept Medicare Assignment". I pay the Medicare Assignment Rate for the service and the doctor gives me a statement showing what the service was...
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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    The doctors I refer to all accept Medicare Assignment according to their Provider listing on Medicare.gov. The doctors have all told me that if I switched to Regular Medicare, they would process my claim to Medicare. However as long as I was on the UNC PPO plan, they would not process my claim...
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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    I believe you are correct for a regular Medicare Advantage but that is not true for a Medicare Advantage PPO which is what I have. The PPO will pay the same rate as Medicare pays whether the doctor is In Network or Out of Network. The doctors I am discussing are Out of Network and I know they...
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    Why Some Doctors Accept Medicare But Won't Accept UHC Medicare Advantage PPO

    I have a Medicare Advantage PPO plan from United Health Care which is paid for by my employer as part of my retirement pension plan. My understanding from the literature provided by UHC is that their PPO plan pays the same as the regular Medicare Approved rate. I then pay a 20% co-payment, the...

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