LSUfan4444

[quote] I’m arguing about appropriate rehab care for people that qualify for it under all other reasonable insurances.[/quote] Yeah, I hear you. It’s frustrating to guide my family through the process sometimes and having to go through steps 1 and 2 to get to 3 (when we all know 3 is where we are...

[quote]"Mr. Peoples' Health employee".[/quote] Lol, I thought I wa a Humana medical director? You’ve proved your point time and time again. You don’t know the medicare advantage benefits and you don’t like that they make it harder to be reimbursed for skilled or acute care, procedures or admiss...

[quote] I do stand by my argument that these managed plans deny and delay transfer to appropriate rehab facilities when a patient is inpatient. [/quote] I’m certainly no MD and in no position to argue what is and isnt appropriate on a patient I know nothing about but its not like Humana and Peopl...

I have family in EBR who uses an out of network lab on a Peoples plan multiple times a year out of Convenience. My uncle would rather get it done in the same building as his pcp so he just pays the difference..even with the out of network costs it’s only like $15 or $20...

The more you try, the more you’re wrong. OLOL most definitely is in St Tammany (Covington and Slidell) For out of network lab policies in EBR, see link and pages 77/78 [link=(http://www.peopleshealth.com/wp-content/uploads/2017/09/2018_C65_EOC.pdf)]LINK[/link]...

[quote]Go back and do some more research![/quote] See link below for Peoples Health. [link=(http://www.peopleshealth.com/wp-content/uploads/2017/09/2018_C65Tam_EOC.pdf)]Pg 76, 77[/link]...

[quote]Not sure of the exact numbers but I do know people get hit with the full cost of medications when staying in obs. $20 acetaminophen adds up. [/quote] Id be willing to bet the patient responsibility is less with most advantage plans in Louisiana. ...

[quote] he does know what he's talking about. Peoples' health doesn't allow their clients to draw blood from any OLOL labs.[/quote] They most certainly do..and the patient pays an out of network lab cost. If OLOL refuses to draw the labs that’s not on Peoples. Their members have out of network be...

[quote]Those $0 outpatient copays are great until you get hit with the hospital bill for one of Humana’s 72 hour observation stays that would meet inpatient criteria for any other sane insurance company.[/quote] What’s lower, 20% of a 3 day in patient stay with original Medicare or 3 days in obs ...

[quote]They could only draw their blood at certain labs, [/quote] Not sure who told your dad that but that’s not true. I’m sure Peoples is contracted with certain labs but even if he went to a lab out of network he could have them drawn and just paid a higher cost..staying at those “certain labs”...

[quote]Says you or the patient?[/quote] Says medical practice guidelines ...

[quote]TAKE YOUR MEDICARE And Give You Their Shitty Insurance Instead. You Then Become Much More Restricted In The Benefits You Will Receive. Less Home Health, Less Days In Rehab Hospitals, Less Choices For Physicians, Less Choices For Tests And Imaging Studies That Will Be Performed (They Tell Your...

Humana and United don’t set the reimbursement fee schedule, medicare does. If they are in a contractual agreement with a provider or group that that both parties agree to be less than 100% of the Medicare reimbursement rate and the provider or group is unhappy with it, that’s kind of them for signin...

[quote]Spot on. I regret that I have but only one upvote to give. And if it earns the AARP endorsement, it must be good right? Riiiiiiight.[/quote] What’s spot on? What is the 75% more you get with Medicare that you don’t get with Medicare advantage plans?...

[quote]they will manage it by giving you approximately 25% of what you are entitled too! [/quote] What do you give up by joining a Medicare advantage plan? ...

Thanks...this was my first instinct. Ive got a friend in Paris who said he wold come meet me for lunch at CDG but I really wanted to avoid it...it makes me feel like im in prison :lol:...

Anyone have any opinion on the two...flight times are virtually the same. US to Amsterdam on KLM or US to Paris on Air France. Regardless of the route, the time is about the same and on each of them. ...

Ive never been to London (Heathrow)...do you think 7 hours in London is enough to to leave the airport then get back for the PM flight? What about in J-Burg....is 4 hours enough time to get out and do anything?...

[quote]What's your issue?[/quote] trying to decide if I want to do: New Orleans to Atlanta, then to J-Burg and a 12 hour layover beforethe short flight to Port Elizabeth or New Orleans to London overnight, 7 hour layover, then London to J-Burg (overnight), then another 4 hour layover ...

Looks like Im heading to Port Elizabeth in August/September and just now trying to figure out airfare...man, this is harder to wrap my head around than getting to the Philippines. I need to read the entire thread to catch up. ...