Reply #3: I don't believe that can happen with medicare. [View All]

According to the information my mother was given, the Feds have mandated that no medicare HMO can deny any treatment that is covered under traditional medicare. As for delay in care because of an HMO questioning medical necessity.... I will say when she had right mastectomy it took 4 full days of the doctor's assistant to fight with the HMO. But after there was no more rangeling and the bills were paid within 30 days. When her left side was done 4 years previous it was just done and then it took 9 months of fighting with medicare to get it paid.

In Mom's area there are bookoos of doctors that are dropping traditional medicare patients but keeping HMO medicare patients because of less administrative headaches.