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Doctor insights on: Medical Or Medicare

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Dr. John Gore
944 doctors shared insights

Medicare (Definition)

Medicare is a federal program that pays for certain health care expenses of individuals who are 65 years or older. It is divided into three parts, with Part A covering hospital bills, Part B covering doctor bills, and Part C providing the option to choose from a package of health care plans. Individuals who have Medicare ...Read more


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Can medicaid pay for medical massage therapy under any circumstances?

Can medicaid pay for medical massage therapy under any circumstances?

Unlikely/rare: It depends on your state medicaid regulations. The only condition likely to get paid for that is for lymphedema treatment because treatment effects are objectively measurable. ...Read more

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Medical insurance : how to cover cost of ER visits but don't have medical insurance?

Medical insurance : how to cover cost of ER visits but don't have medical insurance?

Must have insurance: E.R. Care and hospital care is so expensive in the U.S. That only the wealthy can afford it without insurance. Many people go bankrupt or nearly bankrupt if they have a significant illness with a prolonged (>2 weeks) hospital stay, because the hundreds of thousands of dollars is paid by themselves. When the money runs out, patients can get medicaid-type (medical in california) health "insurance". ...Read more

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Why do health insurance plans require a medical exam?

Why do health insurance plans require a medical exam?

Insurers are in the: Business of collecting premiums and paying as few claims as possible. Some ask a few questions, deferring an exam, many want not only historical data, an exam, but urine and blood work. If they do not see what they like, you wll not be offered a policy. ...Read more

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Is laser resurfacing covered with medical insurance or is it cash pay?

Is laser resurfacing covered with medical insurance or is it cash pay?

Cash : With rare exceptions, laser resurfacing is considered a cosmetic procedure, not covered by any insurance. However, if you have a health savings account (hsa), you might be able to use that money to pay for it. Laser resurfacing is a medical procedure. ...Read more

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Is an autistic child eligible to receive any type of state or county financial assistance?

Is an autistic child eligible to receive any type of state or county financial assistance?

Quite possibly: This varies state to state, but most states have programs specifically for autistic individuals that often is independent of family resources and can be especially valuable for very young children and adults with autism. In california, these services are rendered by regional centers. Look up autism or mental health services in the govenment pages of your phone book or online. ...Read more

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Does any state require insurance companies to pay for fertility treatments?

Does any state require insurance companies to pay for fertility treatments?

Yes: It is mandated in 11 states nationally including mass, new jersey, rhode island, illinois to name a few. Most don't require it and is only based on your company's insurance plan. ...Read more

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Does medical insurance cover podiatry?

Does medical insurance cover podiatry?

Yes: In the majority of cases, most podiatry services are covered. Keep in mind that certain individual services may not be covered, even though others provided by a podiatrist might normally be paid for by your insurance plan. ...Read more

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Do medical doctors/nurses/hospitals have legal accountability to me (consumer/customer) or the insurance company?

Do medical doctors/nurses/hospitals have legal accountability to me (consumer/customer) or the insurance company?

Lawyer : Talk to your lawyer if you want legal help, this site is addressing medical concerns. ...Read more

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Will insurance or government programs cover long-term care?

See below: State sponsored medicaid will cover the long term care if you apply with specific qualification. Medicare will not covered unless if you are on medicare part a subacute rehabilitation. Private insurance and long term care insurance are covered. Please ask admission coordinator to assist your financial needs. ...Read more

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Who pays for the medical costs?

Who pays for the medical costs?

Person getting care: The person getting medical care pays for his doctors, his tests, and his medicines . . . Because he is getting the services. However, as a community and a society, we want to have the healthiest, happiest population possible. So, there are insurance, governmental, and non-profit systems set up to help everybody afford good medical care without causing financial hardship (idealistically speaking!). ...Read more

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Do they include acupuncture and oriental medicine coverage under mandated health insurance?

Do they include acupuncture and oriental medicine coverage under mandated health insurance?

Not Sure: I'm not sure if non traditional medicine is covered under mandated health insurance, that has yet to be determined. ...Read more

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Advanced cardiac issues- how can a patient obtain treatment w/o health insurance or medicare coverage while waiting 2 yrs. For the ssi/cal program?

Advanced cardiac issues- how can a patient obtain treatment w/o health insurance or medicare coverage while waiting 2 yrs. For the ssi/cal program?

FQHC : Seek out a fqhc near you. Federally qualified health centers are the best places for uninsured or underinsured patients to recieve their care. ...Read more

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Does medical insurance cover for ivf?

Does medical insurance cover for ivf?

IVF =NOT covered: Unfortunately, medical insurance in not interested in 'fertility' issues, therefore in-vitro fertilization is usually 'out-of-pocket'. ...Read more

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Why can't my local doctor accepts medicaid and medicare instead of requiring other insurance?

Financial decision: If a doctor accepts medicare and medicaid there is a set fee that one needs to accept.Medicarepays 80 percent of what is considered acceptable payment. Unfortunately medicaid does not pay any additional amount of that 20 percent that medicare does not pay. If one has a secondary insurance they will generally pay the20 percent. In geriatric medicine most insurers don't pay nearly enough. ...Read more

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What diseases qualify for a medical marijuana card?

What diseases qualify for a medical marijuana card?

Depends on the state: This varies by each state which has a medical marijuana program. You can usually check on line easily for your state. ...Read more

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Does medical insurance cover any type of plastic surgey?

Does medical insurance cover any type of plastic surgey?

Of course: Insurance makes a distinction between cosmetic surgery and reconstruction. They will cover the latter but rarely cosmetic. For instance they will cover the reconstruction which is largely cosmetic, for women who lose a breast from cancer. They will cover injuries, and congenital anomalies which might require plastic surgical reconstruction. ...Read more

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Do health insurers often exclude maternity care from insurance plans?

Do health insurers often exclude maternity care from insurance plans?

Not often: This has generally been legislated out of most plans although it was common in the past. Many plans, however, have time limitations so no coverage for many conditions including pregnancy for a period of 4-8 months after signing up to prevent people with no insurance or competing insurance from jumping into a new plan while already having a condition. ...Read more