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Can you share the most common medicare horror stories?

2024-11-04 07:30
2024-11-04 07:57

Another common horror story is related to the lack of coordination among medicare providers. A patient might be seeing multiple specialists, but medicare doesn't always ensure smooth communication between them. So, one doctor may prescribe a treatment that conflicts with what another has planned, causing confusion and potential harm to the patient. This is especially problematic for patients with complex medical conditions.

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Sure. A common one is about claim denials. Medicare may deny a claim for reasons that seem unclear to the patient. For example, a patient had a routine medical procedure, but medicare denied the claim, saying it was not medically necessary, even though the doctor recommended it.

The issue of medicare not covering enough home - care services is also common. Many elderly or disabled patients need help at home, but medicare has strict limits on home - care coverage. A person who needed regular in - home physical therapy due to a stroke only got a few sessions covered, and the rest they had to pay for privately. This put a huge financial strain on them and their family.

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