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@g0989 Ай бұрын
"Putting our patients first", by not providing treatment at all to those with Medicare Advantage plans, including PPO plans. Got it.
@RifatHossien-n2q 2 ай бұрын
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@RifatHossien-n2q 2 ай бұрын
Nice
@g0989 3 ай бұрын
Maximum allowable annual out-of-pocket copays for 2024 for Advantage plans is $8850 in-network, and $13,300 combined in and out-of-network. Many plans set lower limits than that. So I don't see how someone has to pay $15,000 in out-of-pocket copays, unless we are talking about over a period of multiple years. Plans that have the grocery allowance benefit are only available in limited areas.
@ScobeeD 3 ай бұрын
It wasn't to good to be true. It is a scam/crime and if a private company had done this it would be face legal charges. They took money and kept it without any reimbursement.
@g0989 3 ай бұрын
Original Medicare does not cover prescription drugs at all. You have to get a separate Part D drug plan from a private company to cover prescriptions. Many Advantage plans include a Part D drug plan, but some are available without it. So with those Advantage plans, the enrollee could choose a standalone Part D drug plan that would have a more robust formulary than what is bundled with the typical Advantage plan.
@g0989 3 ай бұрын
So here's the question: If Great Plains will no longer "Contract" with any Medicare Advantage plan, will those with PPO plans be accepted as out-of-network patients? If not, that could pose a major problem for those currently enrolled in an Advantage plan, but cannot medically qualify for a Supplement if they were to switch to original Medicare. One can always switch to a different Advantage plan without medical underwriting, but for Medicare Supplements, they must be able to medically qualify, in many situations. You don't want original Medicare alone, because it exposes the enrollee to unlimited out-of-pocket copays.
@greatplainshealth7566 2 ай бұрын
Thank you for your comment. Effective January 1, 2025, the Great Plains Health Innovation Network (GPHIN), the clinically-integrated network that includes Great Plains Health and many independent practices in the area, will no longer be in-network for any Medicare Advantage plan. Great Plains Health is unable to schedule visits, fill medications or offer treatment in 2025 to any Medicare Advantage patient, including those who were previously scheduled out of network. Please note that Great Plains Health Emergency Services will always accept patients, regardless of insurance status or ability to pay. Patients can continue care with Great Plains Health providers in 2025 by signing up for Traditional Medicare, also known as Original Medicare, during the open enrollment period, which is happening October 15 through December 7. We encourage you to contact your local insurance broker to review what Medicare options are best for your specific circumstances. You can also contact the State Health Insurance Program (1.877.839.2675) or call 1.800.MEDICARE. A complete list of FAQs and resources can be found here: www.gphealth.org/yourlocalcare/
@g0989 2 ай бұрын
@@greatplainshealth7566 The problem with traditional Medicare is that it has no cap on out-of-pocket copays, so the patient has no ""Stop Loss", should they develop a serious chronic condition, or otherwise have a serious medical need. They also may not be able to medically qualify for a Medicare Supplement, at that point. So if Great Plains will not schedule appointment for those with Medicare Advantage, including those with PPO plans, then I would hardly consider that to be "Putting the patient first, to make sure they get the care they need". Rather I see it as putting the bottom line of Great Plains first. Hopefully, those who could not qualify for or afford the premiums for original Medicare with a Supplement, will have alternatives to Great Plains available to them, who will be able to provide the care they need, and be willing to work with their PPO Advantage plans.
@healthcaresolutions2745 7 ай бұрын
Great Plains Health exemplifies excellence through genuine care, passion, integrity, attentive listening, and strong teamwork.
@loulou-tk4rd 9 ай бұрын
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@consalvewigert6336 Жыл бұрын
*Promo sm* ❤️
@stacymiley9299 2 жыл бұрын
My favorite doctor
@jeremybuckbendler6258 2 жыл бұрын
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@dailybookreading 2 жыл бұрын
3:24 Christopher Alfonzo, MD Psychiatrist
@dwaynedachumpjohnson 2 жыл бұрын
Elk City will you ever give Dr Micheal Shadids accomplishments the recognition they deserve?
@Spiritual-awakening68 2 жыл бұрын
Today is the grave buried love. I ask permission to lie down first to pay my respects.
@Skibbles0.1 3 жыл бұрын
I recognize that hospital. I was sent there because I broke my toe and it got infected. I was put on the 1st floor in room 3B or something in the ER part of it. Anyways, I was told that I had to wait like 7 or 8 hours before I could go into surgery because I had Mac Donalds in Valentine on the way there. The staff was really nice and I think my doctor's name was Dr. Correll. On the inside, it looks amazing!
@tripacer8259 3 жыл бұрын
I will stop by anytime and see my ALL TIME FAVORITE NURSE!! Jen Hagan is the BEST EVER! She really knows how to handle patients and the situation they are in. I am very happy with her performance and everyone else's at the ER.
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