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Bayard

(28,392 posts)

58. Same here

Reply to redstatebluegirl (Reply #3)

Fri Dec 26, 2025, 11:19 PM

18 hrs ago

Have had them in numerous joints. Keep me keeping on.

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LittleGirl

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Highlight:

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

Steroid injections have kept me ok on my feet redstatebluegirl Yesterday #3

Me too. mgardener Yesterday #4

This message was self-deleted by its author Trueblue Texan Yesterday #11

I just got a shot in my shoulder LittleGirl Yesterday #12

That should still be okay. Igel Yesterday #17

Right? LittleGirl Yesterday #41

Exactly. SergeStorms Yesterday #42

Had that one too Bayard 18 hrs ago #59

I get steroid shots in my scaphoid joint for arthritis. The list specifies that steroid shots in joints are not included Martin68 5 hrs ago #70

Same here Bayard 18 hrs ago #58

That's what made Mother Theresa druidity33 Yesterday #21

How about a pilot program Henry203 Yesterday #2

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 Yesterday #18

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

Alternative Medical Services. cstanleytech 19 hrs ago #57

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

The person you're replying to said Advantage plans should not have been allowed as Medicare plans. pnwmom 14 hrs ago #63

No. They said they should be banned from using "Medicare" in their names. Ms. Toad 7 hrs ago #69

Ban "Medicare" from their name ENTIRELY Seinan Sensei Yesterday #34

Medicare Advantage plans are PPO/HMOs, just like regular private company insurance carriers. Medigap is fee-for-service. valleyrogue 1 hr ago #75

huh? Skittles 21 hrs ago #54

I should have said upcoding Henry203 21 hrs ago #55

AI prior authorization approval is already a relatively common practice anciano Yesterday #5

And it needs legislatively banned. benfranklin1776 Yesterday #27

Not just the Ai part of it, but the outside authorization mahina Yesterday #32

Agreed! benfranklin1776 18 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 Yesterday #38

"Healthcare" is an umbrella term that encompasses anciano Yesterday #39

Healthcare is distinct from how that care is paid for. Ms. Toad Yesterday #44

So? People pay MORE to join Traditional Medicare so that they can choose their own doctors pnwmom 22 hrs ago #48

No LtTx 21 hrs ago #53

Yes, they do, in order to get Parts A and B, which covers both hospitalization pnwmom 21 hrs ago #56

And yet the govt is clamping down on prior authorization in Advantage plans pnwmom 14 hrs ago #64

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

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

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

So delay and deny are what's in store for our Buddyzbuddy Yesterday #10

We have to move to Medicare for all and cover everything. ChicagoTeamster Yesterday #13

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

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

Under an Advantage plan with an HMO dickthegrouch Yesterday #15

But this experiment is being done with Traditional Medicare patients, which doesn't require prior authorization. pnwmom 22 hrs ago #49

Companies running this make money with every denied claim groundloop Yesterday #16

Death by spreadsheet OMGWTF Yesterday #20

Private insurance companies don't run traditional Medicare. ShazzieB Yesterday #22

AI "death panels"..... SergeStorms Yesterday #43

But private companies WILL provide the AI services performing prior authorizations for Traditional Medicare. pnwmom 12 hrs ago #66

Yes, I see that now. ShazzieB 1 hr ago #74

Yes! You found the key point. That, and the fact that some of the decision makers pnwmom 16 min ago #76

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

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

This part caught my eye. ShazzieB Yesterday #23

Amen 💪🏼 benfranklin1776 Yesterday #28

Don't You Mean OhioTim 23 hrs ago #46

I know what you mean, but I prefer not to think in those terms. ShazzieB 17 hrs ago #61

Doesn't sound reasonable or even rational Joinfortmill Yesterday #26

Does one need advanced approval to die? milestogo Yesterday #29

That's next... 2naSalit 22 hrs ago #50

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

Trump Qualifies For One OhioTim Yesterday #33

two actually - do his diapers require prior approval? RainCaster 15 hrs ago #62

Deep brain stimulation for the treatment of essential tremor progressoid Yesterday #35

It's fairly new TexasBushwhacker 5 hrs ago #71

I'm lucky (???) in that I'm already bald. :) progressoid 5 hrs ago #72

At best, it will delay treatment. Treatment delayed is treatment denied. SunSeeker Yesterday #37

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

I expect this is being pilot-tested to eventually become a permanent change (with more procedures needing prepproval) BumRushDaShow 23 hrs ago #45

I agree. Ms. Toad 23 hrs ago #47

I know for those of us feds who planned to maintain their FEHB insurance plans when Medicare-eligible BumRushDaShow 21 hrs ago #51

When I had a cancer diagnosis, I was in surgery 2 days after getting the diagnosis, pnwmom 14 hrs ago #65

That's the general basis for my personal concern with the skin and tissue substitutes Ms. Toad 8 hrs 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 21 hrs ago #52

WHY?? travelingthrulife 8 hrs ago #67

RFK, Jr. and Dr. Oz lonely bird 4 hrs ago #73