Reply to DOGE's new scam - "Medicaid/Medicare Fraud"

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[quote=Anonymous][quote=Anonymous]The solution is to rethink our healthcare system.  Obamacare expanded insurance coverage with the premise that if there was more coverage, there would be more preventive care and less emergency room usage (a huge part of the high cost).

[b]Not sure that’s happened.  [/b]

It’s been 10 years and I certainly think it’s time reevaluate.

Problem is I don’t think Trump/Musk have enough empathy for humans to make good decisions.

[/quote]

It did not happen. As someone who has had healthcare coverage through the ACA for many of the past 10 years, I can tell you that it did not work. Is having the ACA better than before without it? Yes, but specifically only in the fact that pre-existing conditions no longer preclude you from coverage.

You can get coverage, sure. But does that coverage you pay for cover anything? Eh.

The number of doctors and facilities that accept many of the ACA health plans dwindle each year. I've not had a consistent doctor for the past 10 years because of this. I'll find one, go to them for a year or maybe 2, and then get a notice that they will not be participating with my insurance for the next year. Also, many facilities incorrectly have the ACA plans grouped in with Medicaid plans, I'm assuming because the same companies provide the coverage, and so, so, SO many doctors in this area won't accept Medicaid plans.

I ran into this when I needed to switch endocrinologists after mine notified me in November that they were no longer going to accept Anthem HealthKeepers in 2025. I found a new doc using my insurance portal, made the appointment with a lady on the phone who said they accepted my insurance, but when I showed up, their system said my insurance was Medicaid (it is not) and not accepted. "I spoke with a Donna when I made the appointment who checked for me. This place is also listed on my insurance app as covered." "Yeah, see, if I type it in here it says we accept it, but the system won't accept it because it's a type of Medicaid." "I don't have Medicaid. This is through the ACA. Medicaid is Anthem HealthKeepers Plus. This is Anthem HealthKeepers Silver." "Our system says it's a Medicaid plan which we don't accept. There's nothing I can do." Awesome. PTO wasted for nothing. [/quote]

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