Failed Medicare Moment: From the official brochure—
Medicare Part B also covers mental health services that you generally get as an outpatient or outside of a hospital, including visits with the following:
A psychiatrist or other doctor
A clinical psychologist
A clinical social worker
Certain other health care professionals
Last week a clinical social worker told me that she will not accept Medicare for psychotherapy. Last year she did accept Medicare but it never paid her. She said she filed and re-filed the paper work half a dozen times.
You have lost a care provider because Medicare does not maintain a useful system for prompt payment.
Failed Medicaid Moment: My home health care nurse comes every thirty days (plus or minus five days) to change the catheter that was inserted in the hospital on July 29. She also has to come every sixty days (plus or minus five) from August 15, the day I was admitted to home care, to recertify my eligibility. With the
exception of having me sign papers, the routine things that she does for certification are things she also does when she comes to change the catheter. The two visits cannot be combined because of bureaucratic nonsense. A registered nurse’s average hourly wage is $32.56.
You are paying for bureaucratic nursing visits that are not medically necessary.