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Zeb

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Posts posted by Zeb

  1. 3 hours ago, RickS said:

    Lakeside, can you tell us WHAT Medicare Advantage company your wife has that you just also joined por favor.  And if you will, what 'location' this particular policy was written for.... like maybe Tarrant County Texas or Larimer County Colorado.  And if not a 60-day limit, is there any time limit for "out of area" coverage on this plan? 

    Michael Sapp your description of the differences between Original Medicare with a Supplement and a Medicare Advantage policy are indeed accurate. That, however, does not suggest that a Medicare Advantage policy will cover one in Mexico... or anywhere outside your 'home' area....for anything other than an Urgent or Emergency situation and 'with most policies' that coverage is within the first 60 days of a vacation somewhere and is on a reimbursement-to-the-policy-holder arrangement only, meaning you pay the hospital, surgeon etc up front and when/if you recover and are back home you will file for reimbursement of those big dollars... and then pray!

    I presume that you were "told today" (the above) by someone in Mexico... maybe the above mentioned hospital. I STRONGLY suggest that you ask not them but your insurance company 'back home'. Then get it in writing from them.

    Absolutely agree.   I have been told many things by "authorities" which turned out to be false.

    • Like 1
  2. The large sign in front of San Antonio Hospital states "we accept USA insurances". 

    As a US citizen, when a business states they accept our health insurance, to us, this means we don't pay for the medical service upfront.  The medical expenses are billed directly to the insurance provider. 

    Here is the information that two people obtained from Lakeside Medical (located within San Antonio hospital )regarding their claiming acceptance of US Insurance.

    From several communications with them, this is what became obvious.

    The service they actually provide is to file a claim for the patient based on the person's policy, providing it is a policy on their list.  The fee schedule shown in their office has various names, however, they are all actually a filing service fee.

    Medicare and any US supplemental policy are not accepted and cannot be used in Mexico.

    In some cases, your policy may state that you can be reimbursed for emergency services provided within the first 60 days of entering a foreign country.  What Lakeside Medical actually does is file those receipts for you and as mentioned above.

    Their very large sign in front of the hospital is totally misleading based on what I clarified above as to what this actually means to a US citizen.

     I don't have a problem with a service offering to file forms on behalf of patients, but this method of marketing is a bait and switch, and in no way reflects what they actually do.

    I am posting this as a public service so people will know what the real story is.

    Also, when providing feed back to the facility regarding the method and implication of that big sign, they were totally disinterested.

    • Thanks 7
  3. 8 hours ago, Referdude said:

    The climate and socializing is probably the best thing about lakeside.  Anyone want to share your thoughts on when you think this

    virus will be behind us.  When the Ajijic Plaza will look like it did last January?

     

    You have opened up a real can of worms here on this web board.  The whole Covid thing is really getting old and so many are really tired of it.  No one really knows when this will all end.  I think there will be some who want to socialize no matter what.  How many?  It's a best guess.  I hope you don't get attacked too much for this question.

  4. 3 hours ago, Upfront said:

    sorry. fixed that to make it easier to recognize. on your side in this one. fair price is the same as community standards for pornography. how can you find out if you dont ask. everyone here has an opinion. when they suggest you should not even be allowed to ask on a bored that promotes asking well that is just wasting our time

    let me help. i have a friend who pays 300p for one hour for three people because he cant find anyone else. i think that is ludicrus. they trim mow and weed. the maid gets paid substantially less at 50p per hour and could do the same job because it is not a skillset to trim mow and weed. but she is a cleaning lady and nota garden person. my own gardener gets 50 an hour and spends 4 hours and that is a good wage for here

    Yes.  That is my understanding as well.  There is a whole range of gardening service and range of pay.

  5. 3 minutes ago, Zeb said:

    I do not understand what this sentence actually says or if this comment is addressed to me or someone else's post.

    In any event, I have searched this board and that is how I got the maintenance service I now have that is not working out.  The rates vary from 70 pesos and up and it changes as to whether or not they have their own equipment and what service they provide.  I have my own equipment,but I an flexible.  This is my second yard person.  The first one would not show up half the time.  This one is paid way more and not working out and I don't want to have to go into the details.

    I don't think I need to state how much I want to pay.  I think that decision will be made depending on the service I am being offered and provided.  Each person has different skills (landscaping, versus just cutting and edging, etc.).  It is equally my understand that the rate varies depending on the location of the house and that is why I provided that information....so I am back to my original request.  If you do not have a referral, no need to post.

  6. 11 minutes ago, Upfront said:

    then you have not been paying attention. this bored has dozens perhaps hundreds of discussions of gardener and maid prices. every gringo i have ever met here has a gardener and we all have discussed their prices. it is not an unfair question. and if i suggest a rate and the op likes it or not is up to them

    I do not understand what this sentence actually says or if this comment is addressed to me or someone else's post.

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