Shown: posts 1 to 18 of 18. This is the beginning of the thread.
Posted by Phillipa on April 25, 2008, at 12:10:57
I'm completely serious now. Tried again to get old pdoc here where we live back with even saying would self pay and no is the answer as he is not taking medicaire anymore and is still seeing his old medicaire patients and is on some board for medicaire and not allowed to. And when calling around all all full or not taking mediciare as payments are so low. So to go to Greenville it costs us over $l00 in gas and a full day of driving. Get there and she says here's a sample try this. No trust there. I need a good pdoc in Charlotte, NC can anyone help. I am not a doc and can' prescribe for self and going downhill fast. Could the low O2 sats after surgery caused brain damage on full O2 only 86. Now getting more scared. Phillipa
Posted by med_empowered on April 25, 2008, at 14:23:51
In reply to This Isn't Funny No Pdoc Will Take Medicaire here., posted by Phillipa on April 25, 2008, at 12:10:57
Phillipa--can I email you? I lost your email addy a while ago. I think I know a good doc for you (bit of a haul, but probably worth it).
Posted by bulldog2 on April 25, 2008, at 14:56:55
In reply to This Isn't Funny No Pdoc Will Take Medicaire here., posted by Phillipa on April 25, 2008, at 12:10:57
> I'm completely serious now. Tried again to get old pdoc here where we live back with even saying would self pay and no is the answer as he is not taking medicaire anymore and is still seeing his old medicaire patients and is on some board for medicaire and not allowed to. And when calling around all all full or not taking mediciare as payments are so low. So to go to Greenville it costs us over $l00 in gas and a full day of driving. Get there and she says here's a sample try this. No trust there. I need a good pdoc in Charlotte, NC can anyone help. I am not a doc and can' prescribe for self and going downhill fast. Could the low O2 sats after surgery caused brain damage on full O2 only 86. Now getting more scared. Phillipa
oh my..it's all about money..Doctors should be ashamed of themselves..it's not like you're asking them to treat you for free. But no they won't treat you unless they can get their fees!
Posted by SteelyDan on April 25, 2008, at 15:34:55
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here., posted by bulldog2 on April 25, 2008, at 14:56:55
> > I'm completely serious now. Tried again to get old pdoc here where we live back with even saying would self pay and no is the answer as he is not taking medicaire anymore and is still seeing his old medicaire patients and is on some board for medicaire and not allowed to. And when calling around all all full or not taking mediciare as payments are so low. So to go to Greenville it costs us over $l00 in gas and a full day of driving. Get there and she says here's a sample try this. No trust there. I need a good pdoc in Charlotte, NC can anyone help. I am not a doc and can' prescribe for self and going downhill fast. Could the low O2 sats after surgery caused brain damage on full O2 only 86. Now getting more scared. Phillipa
>
> oh my..it's all about money..Doctors should be ashamed of themselves..it's not like you're asking them to treat you for free. But no they won't treat you unless they can get their fees!Yes, it is getting pretty scary! The root of all evil is THE LOVE OF MONEY!
-Dan
Posted by bleauberry on April 25, 2008, at 18:11:53
In reply to This Isn't Funny No Pdoc Will Take Medicaire here., posted by Phillipa on April 25, 2008, at 12:10:57
Phillipa, ya know, it is really frustrating when people here give you heartfelt sincere advice with your best interest in success in mind, and yet you just read it and toss it.
I am only one of many examples. How many times have I asked you to have yourself or your husband go down the phone book and call doctor offices, hospitals, medical schools? Ya know, there is a perfect doc within 30 miles of you somewhere. Charlotte isn't exactly a remote tiny town. You aint gonna find a doc by sitting back and worrying. You are going to find one by walking across the room, grabbing the phone book, opening it up to Physicians, and start calling one at a time in alphabetical order. 90% of them are going to go nowhere. You are looking for the 10% that will produce leads. You will probably even get a direct hit and score and not just a lead.
I can't believe you wanted to go back to your old pdoc? Why? I'm sorry, please forgive my opinionated comment, but that is just absurd. Geez, turn around and go backwards why don't you. How bout moving forward? Yeah it takes some effort and yeah it's kind of scary. It seems to me you are stuck in a comfort zone, though a hellish one, but a comfort zone nevertheless. Aint nothin good gonna happen that way.
You know where I found the one and only real good pdoc I had? The phone book. I called everyone, explained my situation, and asked for their ideas. Most responses I got fell into categories like this..."We're pretty booked up"; "The doctor would have to see you before we could recommend anything"; "We are not aware of anyone who prescribes Nardil"; "Don't call us, we'll call you"' blah blah blah. But then one office I called asked me, "Have you heard of Dr Katz? He's been around a long time and many other psychiatrists refer patients to him. He is very good." ....this referral was from another psychiatrist who himself was supposedly pretty good.
Well, how come no one else gave me that name? Didn't matter. They were all probably stuck in their own worlds and never heard of Dr Katz either. But I had a lead! Upon calling him, he was a whiz with meds, great bedside manners, open to try anything, and since he was an old timer near retirement his was around when Nardil and Parnate were the only antidepressants available.
He was great with me. I have had half dozen other psychiatrists, and I've heard countless stories of other psychiatrists. Dr Katz was so far over their heads it wasn't funny. And I found him by asking questions cold calling doctors offices in the friggin phone book! Then he retired. Damn. But the bottom line is, you get out of it what you put into it. Put some effort into searching and you will find someone who has both the quality match and the financial match you are seeking.
Posted by Phillipa on April 25, 2008, at 19:50:06
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here., posted by bleauberry on April 25, 2008, at 18:11:53
Believe it or not google Charlotte and psychiatrists and you will find most are in large groups and the one all the docs refer to is the one I first went to and neither my husband or I liked him at all an eating disorders one. And the practice does not allow switching pdocs. Been turned down by about a dozen private ones. That is as my therapist said a fact that Charlotte has always had a lack of pdocs and now with medicaire paying so little the docs are not accepting new patients and the influx of Northerners and Floridians and Califorians have flooded the medical field lack of GP's , internists, and pediatricians also. They want the good insurances and if a doc has medicaire patients they are not allowed to take private pay as they still have medicaire ones. Phillipa
Posted by Phillipa on April 25, 2008, at 19:51:22
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here., posted by med_empowered on April 25, 2008, at 14:23:51
Med of course babbleme and I'll give it to you again I still do have yours if its the same???? Love Phillipa we are not that far away.
Posted by ncrainbow on April 25, 2008, at 21:41:21
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here. » bleauberry, posted by Phillipa on April 25, 2008, at 19:50:06
Hey there.....contact disability rights NC. If you don't get the result you need ask to speak to Christine or Janice and tell them Jamie sent you. They will get you the help you need ASAP. I am a lawyer and used to work there.
here is their contact info
CONTACT US
Toll-Free: (877) 235-4210
Phone: (919) 856-2195
Fax: (919) 856-2244
Email: info@disabilityrightsnc.org
Postal: 2626 Glenwood Avenue
Suite 550, Raleigh, NC 27608
Posted by Phillipa on April 25, 2008, at 22:25:10
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here., posted by ncrainbow on April 25, 2008, at 21:41:21
Thanks ever so much Jamie. Husband is printing it off now. Love ya Phillipa
Posted by twinch42085 on April 26, 2008, at 1:06:16
In reply to This Isn't Funny No Pdoc Will Take Medicaire here., posted by Phillipa on April 25, 2008, at 12:10:57
Phillipa,
I am not familiar with pdocs in the Charlotte area. I live in Western North Carolina and I goto a psychiatrist that accepts medicaid/medicare if I am not mistaken. Have you heard of Meridian Health Care Services? They do a free assessment for you and then let you choose between 3 different pdocs. It is all free since most of the patients have low to no income at all.GoodLuck,
Twinch : )
Posted by nfc on April 26, 2008, at 5:27:05
In reply to This Isn't Funny No Pdoc Will Take Medicaire here., posted by Phillipa on April 25, 2008, at 12:10:57
Hi
click on this link, it might b of help.
http://www.google.com/search?hl=en&q=Charlotte%2C+NC+mental+health
nfc
Posted by Bob on April 26, 2008, at 15:08:27
In reply to This Isn't Funny No Pdoc Will Take Medicaire here., posted by Phillipa on April 25, 2008, at 12:10:57
My pdoc stopped taking insurance a number of years back, and then a couple of years ago stopped taking all Medicare/Medicaid also. His patients now have to sign a contract acknowledging that he does not participate in the gov't programs and that seeking any type of reimbursement from Medicare is forbidden.
I recently went on a search for a new therapist since my old one retired. I called six different therapists and only one took Medicare. Some didn't take any insurance.
The day is coming when there is a special set of docs for people who can pay everything out of their pocket, and then there is the set of docs for those who have insurance. Why should a doctor put up with managed care payment guidelines if they're good enough to operate a practice without insurance?
Posted by Quintal on April 26, 2008, at 15:31:08
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here. » Phillipa, posted by Bob on April 26, 2008, at 15:08:27
>Why should a doctor put up with managed care payment guidelines if they're good enough to operate a practice without insurance?
I suppose it depends on what motivated them to become doctors in the first place.
Q
Posted by Phillipa on April 26, 2008, at 18:44:29
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here. » Phillipa, posted by twinch42085 on April 26, 2008, at 1:06:16
Twinch what is considered Western NC? Will google Meridian like the idea of a choice of three. Thanks Phillipa
Posted by Phillipa on April 26, 2008, at 18:48:49
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here. » Phillipa, posted by nfc on April 26, 2008, at 5:27:05
Nfc anything to do with Eastover is that pdoc I saw and they are the ones that service the carolinas health care sytem. One is one have been trying to get ahold of and for some reason no answers so far. Goggled that site too. Eastover had a Lurie who I'd love to have he went private and no insurance $250 a visit supposed to be excellent and what makes me mad is I could have had him when moved here as he was with the Eastover group. They used to have a website. Thanks so much Phillipa
Posted by Phillipa on April 26, 2008, at 18:51:29
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here. » Phillipa, posted by Bob on April 26, 2008, at 15:08:27
Bob that day is here as the good ones have limited practices for the wealthy only unless you want to take out a loan. Phillipa ps my therapist said that medicaire just doesn't pay hence she only sees me once every two weeks and no homework, assignments etc. Phillipa
Posted by Phillipa on April 26, 2008, at 18:53:49
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire h, posted by Quintal on April 26, 2008, at 15:31:08
Q there are many docs here now that are not happy as malpractice is sky high. Hence they are very careful in picking patients. The ones that do take medicaire Gp's etc only have to take a certain number of them. Phillipa
Posted by seldomseen on April 27, 2008, at 10:29:29
In reply to Re: This Isn't Funny No Pdoc Will Take Medicaire here. » Phillipa, posted by Bob on April 26, 2008, at 15:08:27
"Why should a doctor put up with managed care payment guidelines if they're good enough to operate a practice without insurance?"
I have to agree with this statement. If I were a doctor in private practice I would not take medicare patients or insurance. As far as medicaire is concerned, the regulations required for reimbursement appear to be simply oppressive, patient confidentiality can be easily compromised and I think basically the gov't can tell you HOW to treat a patient. Most of the time, I'm not convinced that these treatment recommendations are evidence-based.
If you deviate from those recommendations, you don't get reimbursed. If you don't fill out the paperwork correctly, you can be fined or go to jail.Add that to the fact that reimbursement payments for physicians have actually decreased over the years and it's a wonder physicians anywhere still take medicare patients at all.
I think most of the same things can be said of managed care conglomerates - even my insurance company dictates the number and duration of the session that I can have in a year and I have an outrageous deductible.
I realized early on that in order to get the best treatment I was going to have to lay out the big bucks. It's a sacrifice I chose to make and was lucky enough to be able to make.
Seldom.
This is the end of the thread.
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