@roger,
roger wrote:
Can you elaborate on that last, gb? I am on Medicare and have a copay for almost every medical event. Surely, the hospital and at least three doctors can't all be wrong?
Serious question.
Maybe it depends which State you live in. I didn't sign up for dental or eye care. Those are not my weak points, so I pay full freight for eye exams, glasses, and dental care. Prior to Medicare, I had only Blue Cross Blue Shield Federal. (I shouldn't say only, because it was pretty good). I pay the same price for BCBS as my gap insurance as i did before i was eligible for Medicare, and also the quarterly billing for Medicare. So I pay about 35% more yearly to keep myself insured. I consider myself lucky, every health crisis I've had has been addressed and handled. I also didn't sign up for prescription plan because BCBS Fed takes care of that. I live in Maryland, you might need to write to your Senator for an explanation about your docs who charge co-pay on their Medicare patients.
The downside of Medicare here in Maryland has been that many specialists would refuse Medicare patients. That's changed for the most part, there are still a few holdouts. But there are or were dangers with even Fed BCBS. When I was pregnant with whoever was my last child, I miscarried and the OBGYN who cared for me had dropped BCBS and I had to pay out of pocket an amount that exceeded what an entire pregnancy and delivery would have cost. The money wasn't an insult, but the note I received from my insurance company was. The medical term for miscarriage is spontaneous abortion, an idiot processing my claim informed me that my insurance didn't cover abortions. I sat down and cried, the loss of this baby was a terrible hurt, and not a bunch of cells I was trying to destroy.
Well Roger, I'm sorry I gave you a personal sob story instead of answering your question, but it seems that since each State uses Federal block grants differently I would need an entire research team to figure out why it differs State by State. There is a vast criminal network that sets up shops, then bills Medicare for imaginary treatment for non-existent patients. Unfortunately, criminals manage to catapult costs for everything, much higher for those of us with a sense of fairness.