Even if they don't accept Medicaid/Medicare you can still get treatment in the DR and get reimbursed. I paid the clinic I was in like 100,000 pesos and got most of it back from my insurance in the US (Aetna).
Which Aetna plan do you have?
Even if they don't accept Medicaid/Medicare you can still get treatment in the DR and get reimbursed. I paid the clinic I was in like 100,000 pesos and got most of it back from my insurance in the US (Aetna).
Here a translation for the article in English by me:
........
This agreement is ONLY on a trial basis for NOW, as in a PILOT plan. They want to be able to conduct the trials within the DOMINICAN/AMERICAN population first. As it stands, Dominicans who hold MEDICARE insurance are deemed first as DOMINICAN patients and liable to the DR only. Once the PILOT meets the expectations, they DO plan to extend the coverage to all insured under MEDICARE, DOMINICAN or NOT.
Thanks for the translation PICHARDO. It looks promising for a future expat resident like myself. Hopefully in 8 years, when I am eligible, there will be other facilities, and a wide range of services. This is a win/win for Medicare, as it enables them to allow their recipients to get services where they live, and at substantially less cost than in an American facility.
Thanks for the translation PICHARDO. It looks promising for a future expat resident like myself. Hopefully in 8 years, when I am eligible, there will be other facilities, and a wide range of services. This is a win/win for Medicare, as it enables them to allow their recipients to get services where they live, and at substantially less cost than in an American facility.
You would be surprised at what Medicare really pays. Not what was billed but what was actually paid. According to most of my friends and family in the medical field this is somewhere around 20%,or less, this is one reason that you are starting to find so many doctors that will not take either Medicare or Medicaid, not enough reimbursement, and too much bureaucracy, not worth the hassle. Why do you think you have to have GAP insurance for Medicare.
Not so bienamor, I was my mother's caregiver for 6 years and handled all her medical bills, until she recently passed away. Medicare pays a flat fee schedule for all medical items/procedures/tests, minus 20%. Meaning they pay 80% of the allowed amount - the patient is liable for the other 20%, which is what the supplemental insurance pays. There is also an annual deductible for Medicare, which the supplemental insurance also pays. Once you pay your monthly supplemental insurance, ALL medical is paid in full. We never ever had anyone reject Medicare, and believe me she saw a lot of doctors.
Medicaid is a whole different story, very few doctors accept it. That's why the Emergency Rooms are always full of people with colds and fevers - they can't find a doctor so they use the ER for everything.
yes Medicare has a flat fee for each procedure, and they pay 80% of that fee the Gap insurance picks up the other 20%, but the dr. and hospitals are billing true charges and getting paid the schedule amount, thats when they get paid, and don't have to write it off because it's either been denied due to miscoded, or over the time limit which was caused by the first coding. If you had the same procedure done on your regular ins(nothing to do with Medicare/aid) then you would see the true cost of the billing. Annual fee for part B think around $90 a month this year. Part A is free, also a charge for Part D.
Your mother was great where was she at, as there are entire counties in fl. THAT WILL TAKE NEITHER.
I am wondering why AARO, AARP, have or seem to have no knowledge of this, the only thing that mentions overseas medical care is tricare which is military.
AARO - Association of Americans Resident Overseas - Medicare
Ask Ms. Medicare: I?m an American citizen living overseas ... what should I do about Medicare?
TRICARE for Life - Military Benefits - Military.com
What they could be talking about is offering the services at 20% of what the costs of the standard Medicare billing costs are. Would that be even possible. That is the only thing that I could think of.
Doubt it, from talking to my family in the field, they are telling me that the cost of the procedure to the hospital is sometimes more than Medicare pays. or you have an anesthesiologist, making 6 bucks an hour. its costing some of them more to keep up with the paperwork than they can bill for. which is why they are starting to not take it,
I have always thought it strange that US citizens who paid Medicare taxes all their lives, but then chose to retire overseas, should be excluded from coverage. The justification seems to have been that Medicare did not want to pay for substandard services. It appears this is being addressed by this certification process.
I don't see what is so hard to understand about the fact that medical care is less expensive in places like the DR than it is in the US; therefore Medicare will save money if American retirees living overseas are able to receive services where they are rather than returning to the US.
BTW all the local policies end at age 72 so there really is no medical insurance for the elderly here at all.
where did you get that idea...if you have medical insurance here before you are 72,then it is good until you die...you cannot purchase insurance after 72,unless you pay very high premiums..bob
So while it is in fact, true that MANY insurance companies will not insure the ELDERLY
SEGUROS UNIVERSAL will!