Aren't mammograms no-cost (meaning no copay) under Medicare? They are for me with Kaiser Medicare Advantage. I'd have to dig out my receipt from last year's annual mammogram to see what reimbursement amount they charge to Medicare.
Mammograms and other preventative care tests (bone scan has no copay either, for me). It seems a no-brainer to have no copay tests of this sort rather than waiting until someone develops breast cancer or breaks an osteoporotic bone.
Performing the mammogram is covered as preventative care (under the ACA - or what's left of it), however, the services of the radiologist who reads the mammogram are not. I routinely receive $300 bills for the read of my mammogram, even though the test itself is "covered" by my insurance, the radiologist is inevitably "out of network".
Hmmm.... There is no cost for any part of my mammograms. Clearly, it depends on your network. Kaiser has been great for me. Had a lumpectomy in 2009, copay was a bit over $200. A recent CT scan was $300. I haven't looked to see what Kaiser pays to Medicare for those procedures but I've no doubt they pay far more than I did.
When I transitioned to Kaiser as a private patient, it took two tries because I had had treatment for sciatica but I was encouraged to reapply 12 months after the treatment had occurred and was accepted. Too bad Kaiser Permanente isn't available throughout the U.S. - I'm in California, I know it's available in Northern VA, not sure about elsewhere.
Kaiser has been great for "whole package" coverage. And they were a leading company in embracing electronic medical records that were accessible by any provider within Kaiser (talk about improving provider-to-provider communication!) Their hamstring is that to get those benefits, you have to go to a Kaiser facility. If a Kaiser patient is on vacation, they will cover emergency services if the nearest facility is more than x miles away (I think it's around 300 miles), but it is kind of a nightmare for the treating hospital to sort it out and determine if they have to transfer a patient in order to have their care covered.
Still, I would love to have Kaiser, but we live in a rural area and the nearest Kaiser office/facility is over 150 miles away, which makes accessibility somewhat problematic.
True though several years ago when visiting a friend in coastal CT, I suddenly developed a very painful UTI. Friend referred me to a private doctor's office. The receptionist contacted Kaiser and the office visit was authorized by Kaiser, I didn't have to pay anything.
Like when he insurance company covers viagra but not mammograms
Aren't mammograms no-cost (meaning no copay) under Medicare? They are for me with Kaiser Medicare Advantage. I'd have to dig out my receipt from last year's annual mammogram to see what reimbursement amount they charge to Medicare.
Mammograms and other preventative care tests (bone scan has no copay either, for me). It seems a no-brainer to have no copay tests of this sort rather than waiting until someone develops breast cancer or breaks an osteoporotic bone.
Performing the mammogram is covered as preventative care (under the ACA - or what's left of it), however, the services of the radiologist who reads the mammogram are not. I routinely receive $300 bills for the read of my mammogram, even though the test itself is "covered" by my insurance, the radiologist is inevitably "out of network".
Hmmm.... There is no cost for any part of my mammograms. Clearly, it depends on your network. Kaiser has been great for me. Had a lumpectomy in 2009, copay was a bit over $200. A recent CT scan was $300. I haven't looked to see what Kaiser pays to Medicare for those procedures but I've no doubt they pay far more than I did.
When I transitioned to Kaiser as a private patient, it took two tries because I had had treatment for sciatica but I was encouraged to reapply 12 months after the treatment had occurred and was accepted. Too bad Kaiser Permanente isn't available throughout the U.S. - I'm in California, I know it's available in Northern VA, not sure about elsewhere.
Kaiser has been great for "whole package" coverage. And they were a leading company in embracing electronic medical records that were accessible by any provider within Kaiser (talk about improving provider-to-provider communication!) Their hamstring is that to get those benefits, you have to go to a Kaiser facility. If a Kaiser patient is on vacation, they will cover emergency services if the nearest facility is more than x miles away (I think it's around 300 miles), but it is kind of a nightmare for the treating hospital to sort it out and determine if they have to transfer a patient in order to have their care covered.
Still, I would love to have Kaiser, but we live in a rural area and the nearest Kaiser office/facility is over 150 miles away, which makes accessibility somewhat problematic.
True though several years ago when visiting a friend in coastal CT, I suddenly developed a very painful UTI. Friend referred me to a private doctor's office. The receptionist contacted Kaiser and the office visit was authorized by Kaiser, I didn't have to pay anything.
ThatтАЩs because you and I have Kaiser. Our co-pays are either nothing at all or $5-$10. My husband and I have had this coverage going on 47 years.
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