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hopakca

Oct 26, 2007, 12:20 AM

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Hospitals Accepting Medicare

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Are there any?
Hopakca



Ron Pickering W3FJW


Oct 26, 2007, 3:00 AM

Post #2 of 50 (5543 views)

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Re: [hopakco] Hospitals Accepting Medicare

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To the best of my knowledge, no hospitals in any country outside of the US......
Getting older and still not down here.


hopakca

Oct 26, 2007, 6:35 AM

Post #3 of 50 (5530 views)

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Re: [Ron Pickering W3FJW] Hospitals Accepting Medicare

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I've heard of an experimental program in the Lake Chapala area.
Hopakca


Ron Pickering W3FJW


Oct 26, 2007, 1:59 PM

Post #4 of 50 (5488 views)

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Re: [hopakco] Hospitals Accepting Medicare

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Please post it if you find out about it. A lot of people here would likie to hear about it....
Getting older and still not down here.


hopakca

Oct 26, 2007, 2:35 PM

Post #5 of 50 (5483 views)

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Re: [Ron Pickering W3FJW] Hospitals Accepting Medicare

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I thought it was on MC?
Hopakca


Ron Pickering W3FJW


Oct 26, 2007, 2:52 PM

Post #6 of 50 (5480 views)

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Re: [hopakco] Hospitals Accepting Medicare

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Not to my knowledge. I check the foro twice a day and doubt wether I would have missed it. Everyone, (I think I can speak for everyone), is hoping the (US) would impliment a program for expats....
Haven't checked Rollys site as I'm sure he'd announce something on the foro if he knew about it.....
Getting older and still not down here.


Gringal

Oct 27, 2007, 2:04 PM

Post #7 of 50 (5412 views)

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Re: [hopakco] Hospitals Accepting Medicare

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It was all talk.

There is a Texas group studying the possibility of having Medicare coverage in Mexico. The operative words are "possiblity" and "discussion".

A few months ago, there was a big brouhaha in the Lake Chapala area about some doctors with their base in Orange County, CA coming up with a scheme in which people would buy a time share in Orange County and somehow, would be able to bill Medicare for care received in Mexico. Needless to say, that didn't go far.

As far as I know, there is no Medicare available for residents of Mexico.


Kimpatsu Hekigan


Oct 27, 2007, 3:57 PM

Post #8 of 50 (5401 views)

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Re: [hopakco] Hospitals Accepting Medicare

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In early October, Carol Schmidt (whose presence on this board is much lamented) posted to the Civil_SMA board (San Miguel) regarding this topic:


Quote
The Guadalajara Reporter totally debunks the widely-circulating email claiming that there will be a pilot Medicare program through a Guadalajara hospital...As usual, Bob Kelly does an excellent job in tracking down rumors and getting it straight. For Medicare to expand outside US borders would require an act of Congress.

Carol Schmidt

http://www.guadalajarareporter.com/index.cfm

> US officials deny Medicare expansion
>
> By BOB KELLY
>
> A report that Medicare will launch a pilot program early next year
> through a Guadalajara hospital has raised the hopes of retirees but
> could not be confirmed by staff members of key Congressional
> committees or the U.S. State Department.
> ...
> ... [snipped] ...
> ...
> Federal Benefits officers attached to the United States Consulate
> in Guadalajara told The Reporter that "there are no provisions made
> for Medicare payments for treatment outside of the United States,
> directly, or through any Healthcare Management Organization, no
> matter who does the billing. We are assured that there have been no
> changes to that policy and for Medicare to expand its services to
> beneficiaries receiving care in a foreign country would require an
> act of Congress."
>


FWIW,

-- K.H.


Before enlightenment: Chop wood, haul water.
After enlightenment: Chop wood, haul water.




Salimbene

Oct 31, 2007, 12:45 PM

Post #9 of 50 (5316 views)

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Re: [kimpatsu_hekigan] Hospitals Accepting Medicare

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I, too, read this in comradesinmexico. Here's the download:

MEDICARE IS COMING to Guadalajara in early 2008. It will begin as a
pilot program at one Guadalajara hospital (which shall remain
nameless for now), and will begin by first enrolling only California
expats and snowbirds, perhaps because this is the state with the
most expats living in Mexico. I do not know if Mexican citizens
over 65 who receive social security are also eligible.

At the present time, the plan will only reimburse for care by
physicians on the staff at this one hospital. They will be the only
ones eligible to provide inpatient and out patient services under
Medicare. Gradually the program will be extended to other hospitals
and staffs once they have been inspected, evaluated, and approved by
Medicare. These will probably be only the large hospitals, the ones
you are already familiar with. The program will not be extended to
physicians at Lakeside unless they are also on the staffs of one of
the major hospitals. It is the hospitals that will do the Medicare
paperwork and submissions. And not all hospitals are capable of
this, let alone individual doctors.

All eligible Medicare recipients will have to enroll in the program
through the pilot hospital, bringing their US Medicare card and one
piece of ID. In the presence of a member of the hospital staff
(probably at LCS) they will be asked questions over the phone by
someone at Medicare. Enrollment will begin late this year. The
exact timetable has not yet been determined.

I do know there will be a public meeting in Ajijic at LCS
tentatively set for November 17 for those eligible for Tricare.
Please note that Champ, Champ VA and the other military related
insurance programs will also be covered, according to the
Guadalajara Reporter. Not having any military connection, I know
nothing about these programs. The Medicare meeting will come later—
December or January probably.

The hospitals that will be eligible for Medicare reimbursement will
have no information about subsequent reimbursement from any current
insurer you have in the US. Eventually, you will need to contact
that insurer, when the time comes. Do not do it now. In the US,
Medicare sends the paperwork on to that insurer once Medicare has
paid its share. If you have Mexican health insurance, you will need
to contact it about what to do once you have have a choice on
coverage. You might be able to go either way. And you will
eventually need to contact your US insurance company about what to
do it you see a doctor not enrolled under Medicare.

I am sure you have many questions, most of which cannot be answered
at this moment. If you will email them directly to me
(franmrphy@yahoo.com) under the subject heading ¨Medicare Question¨,
I will compile the questions and pass them on to those can get the
answers from Medicare, and then give you the answers at one or more
public meetings in Ajijic later this year or early next year. I do
not know any more about this program than what I have written here,
so I will not be able to answer your individual questions. I am
only acting as a facilitator between you and the hospital. Hospitals
do not have any staff at this time to handle your queries. They are
at such an early stage in the process that they also have no
answers. I will try to update you as I get new information. But
please be patient. It is coming.

Please feel free to post this on other web sites oar forward them to
whoever might have an interest in the subject.


bournemouth

Oct 31, 2007, 1:12 PM

Post #10 of 50 (5312 views)

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Re: [Salimbene] Hospitals Accepting Medicare

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The only source for this information seems to be Doctors at San Javier Hospital in Guadalajara. One might wonder if they have a private agenda.


Jerry@Ajijic

Oct 31, 2007, 10:14 PM

Post #11 of 50 (5282 views)

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Re: [bournemouth] Hospitals Accepting Medicare

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It is amazing how many times this nonsense keeps getting posted.


Gringal

Nov 1, 2007, 9:30 AM

Post #12 of 50 (5249 views)

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Re: [Jerry@Ajijic] Hospitals Accepting Medicare

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Hope springs eternal. Etc.

This is easy. Contact Medicare. Ask the question. The answer so far has been "NO".


Jerry@Ajijic

Nov 1, 2007, 7:32 PM

Post #13 of 50 (5206 views)

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Re: [Gringal] Hospitals Accepting Medicare

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I agree that a body can always hope. We certainly hope we can use Medicare here someday. My problem with this repeated posting, of what does not seem to have any basis of facts, is that it could mislead someone. I would hate to think that someone was counting on Medicare in Mexico instead of making more realistic plans.


Gringal

Nov 1, 2007, 8:20 PM

Post #14 of 50 (5197 views)

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Re: [Jerry@Ajijic] Hospitals Accepting Medicare

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Let us hope that people have more common sense than to rely on unfounded information. If they don't, then there are larger pitfalls than lack of Medicare awaiting them in Mexico.


garrycouch

Nov 3, 2007, 8:51 AM

Post #15 of 50 (5132 views)

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Re: [hopakco] Hospitals Accepting Medicare

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There is an outstanding hospital in Leon, Guanajuato (Hospital Angeles) staffed by superb, but often rather expensive, physicians.
Two of those doctors and an administrator have independently told us that they are waiting Medicare approval. They urge U.S. expats
to write/phone their congressmen to expedite the approval. Our new mayor, himself a doctor, said he has heard similar rumors.


(This post was edited by garrycouch on Nov 3, 2007, 8:52 AM)


Gringal

Nov 3, 2007, 1:03 PM

Post #16 of 50 (5110 views)

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Re: [garrycouch] Hospitals Accepting Medicare

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"they are waiting Medicare approval."
_____________________________________

I do hope they aren't holding their collective breath. I am "waiting" lottery winnings, too.

There is a San Javier hospital in Guadalajara doing the same thing. This is a pricey one, catering to norteamericanos.

Writing our congressmen can't hurt, but at this point, our congress is cutting Medicare payments to doctors, not expanding services.

As someone else has already pointed out, bringing Medicare to Mexico might not have a desirable effect overall.


(This post was edited by Gringal on Nov 3, 2007, 1:09 PM)


bournemouth

Nov 3, 2007, 1:08 PM

Post #17 of 50 (5103 views)

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Re: [Gringal] Hospitals Accepting Medicare

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And there, I think, is the key. Pricey hospitals wanting to get on the bandwagon of NOB pricing for health care.


Marlene


Nov 4, 2007, 12:15 PM

Post #18 of 50 (5034 views)

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Re: [bournemouth] Hospitals Accepting Medicare

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Quote
JerryAjijic wrote: It is amazing how many times this nonsense keeps getting posted.


Never say never. I have good reason to believe there is something to this, but I don't believe it was intended for details to be leaked prior to it actually being all set to launch.


(This post was edited by Marlene on Nov 4, 2007, 12:17 PM)


Gringal

Nov 4, 2007, 1:11 PM

Post #19 of 50 (5023 views)

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Re: [Marlene] Hospitals Accepting Medicare

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Marlene, how 'bout telling a bit more about the "good reason to believe"? That was a real teaser.


bournemouth

Nov 4, 2007, 3:26 PM

Post #20 of 50 (5000 views)

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Re: [Gringal] Hospitals Accepting Medicare

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Marlene - here in the Guadalajara area it is doctors at the one hospital that says it will have the ability to accept Medicare, who are the sources of the information. They are actively encouraging the spread of the story.


Jerry@Ajijic

Nov 4, 2007, 9:02 PM

Post #21 of 50 (4962 views)

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Re: [bournemouth] Hospitals Accepting Medicare

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You can POSSIBLY use Medicare if you say you live in California and have your bills run through a GDL hospital's California affiliate. Of course that might seem to be a little illegal and could possibly cause a body to lose their Medicare coverage and have to pay back some monies.


Georgia


Nov 5, 2007, 7:55 AM

Post #22 of 50 (4932 views)

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Re: [bournemouth] Effect of insurance on medical costs

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I really believe it was the expansion of medical coverage in US policies between the early 70s to the present that has caused a great part of the increase in medical costs. Consider this: when I go to a doctor in the US he has to have a billing staff to process the insurance claims. If it is a super large insurer, such as a state government insurance provider, then the reimbursement is low, and the processing costs are high. Result: it costs the doctor more money to provide the same service he used to provide at a fifth of the price. Insurance actually increases medical costs, especially when it comes to insurance that covers doctors' office visits. It also limits medical care. The insurance company decides what prescriptions, how long the hospital stay will be, what procedures are necessary for what conditions, etc. etc. So, not only does it increase cost, it diminishes care.

Be careful what you wish for.


Gringal

Nov 5, 2007, 7:57 AM

Post #23 of 50 (4934 views)

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Re: [Jerry@Ajijic] Hospitals Accepting Medicare

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It's called FRAUD and is punishable by some pretty severe penalites. I would definitely advise against it.

Hey, we decided, in sound mind, to move to Mexico and that meant giving up some of the goodies that come with being NOB. The first law of life is "you can't have it both ways". Some people do try, though, don't they?


windknot

Nov 6, 2007, 2:02 PM

Post #24 of 50 (4859 views)

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Re: [Georgia] Effect of insurance on medical costs

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Georgia, if what you're saying is that Medicare wouldn't be such a good thing in Mexico, then I'M WITH YOU!!!!! I've never paid more than 250 pesos ($23.27) for a doctor's visit, and I wonder when the last time was that it was that cheap NOB?????? If you people can't afford that from time to time, well, then I think you have a problem.

Point is, that all the standards and paperwork that Medicare will require, will only drive up the cost of healthcare here in Mexico! I think y'all are shooting yourselves in the foot......and I'm glad I live somewhere that will probably be among the last places in Mexico to be subjected to such idiocy....Not to mention that the poor Mexicans will have a harder time affording hospitalization...IF they can even get it.

Sorry to rant.....It's just that if you don't like the way things are here in Mexico, then STAY NOB!!!

--Rick (the new Bubba)


lmaxine

Nov 6, 2007, 2:15 PM

Post #25 of 50 (4857 views)

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Re: [windknot] Effect of insurance on medical costs

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I agree that having Medicare here would create a nightmare. We all knew coming down that there is no Medicare here, and in my mind, that is an advantage. There is no way doctors and hospitals would be able to afford current services and policies for the same price they are now. Do you want clerks to decide which procedures and meds will be approved? Do you want all the people, locals and ex-pats who don't have Medicare to become disenfranchised, unable to afford to go to their local doctors and buy their meds at Mexican, not US-imposed prices? When I first thought about Medicare being here, I thought great, why wouldn't the US jump at the lower price of medical care here, but that was naive-there's not much chance that the Mexican medical system would keep their affordable prices and not jump on the bandwagon of US prices.
"He upon whose heart the dust of Mexico has lain will find no peace in any other land." Malcolm Lowry
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