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LtTx

(43 posts)

53. No

Reply to pnwmom (Reply #48)

Fri Dec 26, 2025, 08:07 PM

15 hrs ago

People do not pay more for traditional Medicare. They do have a 20% copay if they don't have a supplemental policy.

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New Medicare Program: Full List of Services That Will Need Prior Approval [View all] BumRushDaShow 21 hrs ago OP

They really went after nerves. Is salvation through pain part of the plan? bucolic_frolic 21 hrs ago #1

Steroid injections have kept me ok on my feet redstatebluegirl 21 hrs ago #3

Me too. mgardener 21 hrs ago #4

This message was self-deleted by its author Trueblue Texan 20 hrs ago #11

I just got a shot in my shoulder LittleGirl 20 hrs ago #12

That should still be okay. Igel 19 hrs ago #17

Right? LittleGirl 18 hrs ago #41

Exactly. SergeStorms 18 hrs ago #42

Had that one too Bayard 12 hrs ago #59

Same here Bayard 12 hrs ago #58

That's what made Mother Theresa druidity33 19 hrs ago #21

How about a pilot program Henry203 21 hrs ago #2

Medicare Advantage is already set up to be able to deny claims for things that Medicare would automatically cover. thesquanderer 20 hrs ago #8

Advantage plans are private insurance, and they should be banned from using " Medicare" in their name. OMGWTF 19 hrs ago #18

I agree. Unless maybe they more honestly called it something like "Medicare Alternative" or "Medicare Private Option." thesquanderer 19 hrs ago #25

Alternative Medical Services. cstanleytech 13 hrs ago #57

They are literally Medicare plans, Authorized under the Medicare Part C statutes Ms. Toad 18 hrs ago #31

The person you're replying to said Advantage plans should not have been allowed as Medicare plans. pnwmom 7 hrs ago #63

No. They said they should be banned from using "Medicare" in their names. Ms. Toad 1 hr ago #69

Ban "Medicare" from their name ENTIRELY Seinan Sensei 18 hrs ago #34

huh? Skittles 15 hrs ago #54

I should have said upcoding Henry203 15 hrs ago #55

AI prior authorization approval is already a relatively common practice anciano 20 hrs ago #5

And it needs legislatively banned. benfranklin1776 19 hrs ago #27

Not just the Ai part of it, but the outside authorization mahina 18 hrs ago #32

Agreed! benfranklin1776 11 hrs ago #60

But one of the main reasons to choose standard Medicare over a Medicare Advantage plan is to minimize a third party Ms. Toad 18 hrs ago #38

"Healthcare" is an umbrella term that encompasses anciano 18 hrs ago #39

Healthcare is distinct from how that care is paid for. Ms. Toad 17 hrs ago #44

So? People pay MORE to join Traditional Medicare so that they can choose their own doctors pnwmom 16 hrs ago #48

No LtTx 15 hrs ago #53

Yes, they do, in order to get Parts A and B, which covers both hospitalization pnwmom 15 hrs ago #56

And yet the govt is clamping down on prior authorization in Advantage plans pnwmom 7 hrs ago #64

Brought to you by the same people who believe in ivermectin for covid Raven123 20 hrs ago #6

i've had the cellular. tissue application for foot wounds that would not heal rampartd 20 hrs ago #7

neck surgeries, knee surgeries, incontinence control, pain relief -- how very cruel, how very predictable 0rganism 20 hrs ago #9

So delay and deny are what's in store for our Buddyzbuddy 20 hrs ago #10

We have to move to Medicare for all and cover everything. ChicagoTeamster 20 hrs ago #13

Our doc told us pre-approval is needed for what was our usual blood test AverageOldGuy 20 hrs ago #14

If you are no standard medicare, your doctor is wrong. Ms. Toad 18 hrs ago #36

Under an Advantage plan with an HMO dickthegrouch 20 hrs ago #15

But this experiment is being done with Traditional Medicare patients, which doesn't require prior authorization. pnwmom 16 hrs ago #49

Companies running this make money with every denied claim groundloop 19 hrs ago #16

Death by spreadsheet OMGWTF 19 hrs ago #20

Private insurance companies don't run traditional Medicare. ShazzieB 19 hrs ago #22

AI "death panels"..... SergeStorms 17 hrs ago #43

But private companies WILL provide the AI services performing prior authorizations for Traditional Medicare. pnwmom 5 hrs ago #66

The whole reason Iʻm paying extra for supplemental ins is to keep the imperfect gem, traditional medicare, where mahina 19 hrs ago #19

"Just reading our DUers here and the impacts this would make to their lives is powerful." BumRushDaShow 19 hrs ago #24

This part caught my eye. ShazzieB 19 hrs ago #23

Amen 💪🏼 benfranklin1776 19 hrs ago #28

Don't You Mean OhioTim 17 hrs ago #46

I know what you mean, but I prefer not to think in those terms. ShazzieB 10 hrs ago #61

Doesn't sound reasonable or even rational Joinfortmill 19 hrs ago #26

Does one need advanced approval to die? milestogo 19 hrs ago #29

That's next... 2naSalit 16 hrs ago #50

So they're creating those death panels that Sarah Palin warned us about WestMichRad 19 hrs ago #30

Trump Qualifies For One OhioTim 18 hrs ago #33

two actually - do his diapers require prior approval? RainCaster 9 hrs ago #62

Deep brain stimulation for the treatment of essential tremor progressoid 18 hrs ago #35

At best, it will delay treatment. Treatment delayed is treatment denied. SunSeeker 18 hrs ago #37

It is not just AI needs to be destroyed - but the insertion of third party judgment (of any kind) Ms. Toad 18 hrs ago #40

I expect this is being pilot-tested to eventually become a permanent change (with more procedures needing prepproval) BumRushDaShow 17 hrs ago #45

I agree. Ms. Toad 16 hrs ago #47

I know for those of us feds who planned to maintain their FEHB insurance plans when Medicare-eligible BumRushDaShow 15 hrs ago #51

When I had a cancer diagnosis, I was in surgery 2 days after getting the diagnosis, pnwmom 7 hrs ago #65

That's the general basis for my personal concern with the skin and tissue substitutes Ms. Toad 1 hr ago #68

The U.S. is the only modern nation without a universal tax supported health care system for all their citizens. It makes ShazamIam 15 hrs ago #52

WHY?? travelingthrulife 2 hrs ago #67