Medicare, The Broken System

How Medicare Really Works

Horror Story

Have you ever wanted your Medical Insurance and it hasn't been there for you? Without computation out how the principles work it hits you smack between the eyes whenever you precise attempt to transfer throughout the coverage system.

This is my current story. When I grew to become Medicare worthy eight years in the past I picked my Medicare Insurance (HMO) Health Maintenance Organization plan and (PCP) Primary Care Physician. I made a decision to alter my PCP lately with out thought to the implications. This is what occurred. I didn't change my HMO Plan it stayed the identical, still my new PCP was in a special Medical Group. The coverage, on the entire, will run the identical manner approximately I assumed.

I lately had eye surgical proces and my eye had cleared up and was once more to regular. I forgot about my eye and the particular care it had required. After I had seen my new (PCP) I all suddenly had eye ache, swelling and redness inside the eye I had surgical proces in. Since it was late at evening I went to the Emergency Room and came upon it was a Cornea Abrasion. The ER Doctor flushed my eye and gave me antibiotic drops and drops of the ache. I accustomed be advised to make an appointment with my eye operating surgeon ASAP.

The resultant morning I referred to as my eye operating surgeon and placed this out. He was not on the Medical Group I accustomed be now on. He was still on the HMO Plan still not the Medical Group and didn't plan to turn into a provider for this Medical Group. If I wished to see the attention specialist I must invite out my attend because it didn't have something to do with my current eye surgical proces though it was the identical eye.

I accustomed be advised to name my new (PCP). I did I instantly referred to as my new Primary Care Doctor and since I had lately been in to see him I accustomed be advised, Susan, would begin engaged on a referral for me to see a brand new eye specialist it could take at to the last degree every week.

Note: Even if I power have paid for the attend to the attention specialist who had carried out my eye surgical proces he couldn't have given me a ethical drug or carried out any kind of process. I accustomed be out of luck since I accustomed be not on the medical group that he was registered with.

This women and gents is how our Medical System Works. Would you name this a damaged system?

Let me hear from you. Let me hear your repulsion tales.