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DENNIS
Platinum Nomad
Posts: 29510
Registered: 9-2-2006
Location: Punta Banda
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| Quote: | Originally posted by bajaguy
What the Sharp Hospital representative said to me was that if a veteran (or Kaiser insured) is brought to Sharp in an emergency status, or if Sharp
arranges for transportation of a veteran (or Kaiser insured) across the border, Sharp would call the VA (Kaiser) and inform them (VA or Kaiser) of the
incoming patient.....the VA (Kaiser) would either accept the patient, or if no beds were available at the VA (Kaiser), the VA (Kaiser) would authorize
Sharp to admit the patient. |
huh?????????
"YOU CAN'T LITTER ALUMINUM"
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DENNIS
Platinum Nomad
Posts: 29510
Registered: 9-2-2006
Location: Punta Banda
Member Is Offline
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| Quote: | Originally posted by bajaguy
or if Sharp arranges for transportation of a veteran (or Kaiser insured) across the border, |
Need some clarification on this point.
Does this mean from the border to the hospital?
My experience was to pay for an ambulance from Ensenada through the border, and be transferred there to a paramedic ambulance to Kaiser.
I paid for the Mex ambulance, $1600 dollars, as well as a nominal co-pay for the paramedics. They billed me later.
"YOU CAN'T LITTER ALUMINUM"
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bajaguy
Elite Nomad
Posts: 9247
Registered: 9-16-2003
Location: Carson City, NV/Ensenada - Baja Country Club
Member Is Offline
Mood: must be 5 O'clock somewhere in Baja
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| Quote: | Originally posted by DENNIS
| Quote: | Originally posted by bajaguy
What the Sharp Hospital representative said to me was that if a veteran (or Kaiser insured) is brought to Sharp in an emergency status, or if Sharp
arranges for transportation of a veteran (or Kaiser insured) across the border, Sharp would call the VA (Kaiser) and inform them (VA or Kaiser) of the
incoming patient.....the VA (Kaiser) would either accept the patient, or if no beds were available at the VA (Kaiser), the VA (Kaiser) would authorize
Sharp to admit the patient. |
huh????????? |
OK, I'll make it simple.
If Sharp takes in a veteran in an emergency, Sharp calls the VA for a transfer. If the VA does not have bed space, the VA will authorize Sharp to keep
and treat the veteran.
Same applies to Kaiser patients
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DENNIS
Platinum Nomad
Posts: 29510
Registered: 9-2-2006
Location: Punta Banda
Member Is Offline
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| Quote: | Originally posted by bajaguy
OK, I'll make it simple.
If Sharp takes in a veteran in an emergency, Sharp calls the VA for a transfer. If the VA does not have bed space, the VA will authorize Sharp to keep
and treat the veteran.
Same applies to Kaiser patients |
Thas betta. GrassyAss
"YOU CAN'T LITTER ALUMINUM"
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bajaguy
Elite Nomad
Posts: 9247
Registered: 9-16-2003
Location: Carson City, NV/Ensenada - Baja Country Club
Member Is Offline
Mood: must be 5 O'clock somewhere in Baja
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| Quote: | Originally posted by DENNIS
| Quote: | Originally posted by bajaguy
or if Sharp arranges for transportation of a veteran (or Kaiser insured) across the border, |
Need some clarification on this point.
Does this mean from the border to the hospital?
My experience was to pay for an ambulance from Ensenada through the border, and be transferred there to a paramedic ambulance to Kaiser.
I paid for the Mex ambulance, $1600 dollars, as well as a nominal co-pay for the paramedics. They billed me later. |
What you said..........
Sharp can and does assist in getting patients from Ensenada to the border (by using Dynamed I believe). You pay for the Mexican ambulance out of
pocket (which may be reimbursable from your insurance carrier in an "emergency").
Sharp will also have a US ambulance meet the Mexican Ambulance at the border and take the patient to whatever hospital is required (VA, Kaiser, Sharp
or whatever).
You should really attend the presentations by Sharp at the San Nicholas....they don't sell anything and you get breakfast out of the deal.
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DENNIS
Platinum Nomad
Posts: 29510
Registered: 9-2-2006
Location: Punta Banda
Member Is Offline
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| Quote: | Originally posted by bajaguy
You should really attend the presentations by Sharp at the San Nicholas....they don't sell anything and you get breakfast out of the deal.
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Plus...they have a casino. What could be more fun.
"Save your assss while you lose your assss."
"YOU CAN'T LITTER ALUMINUM"
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bajaguy
Elite Nomad
Posts: 9247
Registered: 9-16-2003
Location: Carson City, NV/Ensenada - Baja Country Club
Member Is Offline
Mood: must be 5 O'clock somewhere in Baja
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| Quote: | Originally posted by DENNIS
| Quote: | Originally posted by bajaguy
You should really attend the presentations by Sharp at the San Nicholas....they don't sell anything and you get breakfast out of the deal.
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Plus...they have a casino. What could be more fun.
"Save your assss while you lose your assss." |
Actually, the breakfast was quite good and the presentations are educational
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EnsenadaDr
Banned
Posts: 5027
Registered: 9-12-2011
Location: Baja California
Member Is Offline
Mood: Move on. It is just a chapter in the past, but don't close the book- just turn the page
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You know what BajaGuy I went to a presentation about Medicare in Mexico at Bella Vista across from Real del Mar this past Friday. They had a guy
there from Washington DC who is an attorney who is being lobbied by some Mexican officials to get Medicare accepted in a wider plan in Mexico. From
what I was told by him at the meeting, Medicare part A does NOT reimburse hospital emergency visits or stays in Mexico, only Medigap insurance does.
There is no way you will get reimbursed for an ambulance ride from Medicare. I was also pleasantly surprised to meet Esteban Calabasas in person at
the Sharp Breakfast!! | Quote: | Originally posted by bajaguy
| Quote: | Originally posted by DENNIS
| Quote: | Originally posted by bajaguy
or if Sharp arranges for transportation of a veteran (or Kaiser insured) across the border, |
Need some clarification on this point.
Does this mean from the border to the hospital?
My experience was to pay for an ambulance from Ensenada through the border, and be transferred there to a paramedic ambulance to Kaiser.
I paid for the Mex ambulance, $1600 dollars, as well as a nominal co-pay for the paramedics. They billed me later. |
What you said..........
Sharp can and does assist in getting patients from Ensenada to the border (by using Dynamed I believe). You pay for the Mexican ambulance out of
pocket (which may be reimbursable from your insurance carrier in an "emergency").
Sharp will also have a US ambulance meet the Mexican Ambulance at the border and take the patient to whatever hospital is required (VA, Kaiser, Sharp
or whatever).
You should really attend the presentations by Sharp at the San Nicholas....they don't sell anything and you get breakfast out of the deal.
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[Edited on 10-21-2013 by EnsenadaDr]
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EnsenadaDr
Banned
Posts: 5027
Registered: 9-12-2011
Location: Baja California
Member Is Offline
Mood: Move on. It is just a chapter in the past, but don't close the book- just turn the page
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When I worked for Kaiser, and we needed a bed for a VA patient, it was almost impossible to get one. They almost always subcontract out for a bed
from the hosting hospital. | Quote: | Originally posted by DENNIS
| Quote: | Originally posted by EnsenadaDr
The VA never has a bed available even for bonified Veterans...as per a representative of Sharp Healthcare I spoke with last week.[quote
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Absolute, scandalous nonsense. |
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bajaguy
Elite Nomad
Posts: 9247
Registered: 9-16-2003
Location: Carson City, NV/Ensenada - Baja Country Club
Member Is Offline
Mood: must be 5 O'clock somewhere in Baja
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Various medigap supplement policies will cover emergencies outside of the US on a reimbursement basis, specifically Plan "F" and I believe plan "N".
There are also some private insurance plans that will cover emergencies out of the US..........and that is why I have evacuation insurance through
Med-Ex and SPOT.
I also believe Dynamed ambulance said that they would now bill US insurance carriers and accept payment assignments for emergency
transportation......although by then I was on my fourth cup of coffee 
| Quote: | Originally posted by EnsenadaDr
You know what BajaGuy I went to a presentation about Medicare in Mexico at Bella Vista across from Real del Mar this past Friday. They had a guy
there from Washington DC who is an attorney who is being lobbied by some Mexican officials to get Medicare accepted in a wider plan in Mexico. From
what I was told by him at the meeting, Medicare part A does NOT reimburse hospital emergency visits or stays in Mexico, only Medigap insurance does.
There is no way you will get reimbursed for an ambulance ride from Medicare. I was also pleasantly surprised to meet Esteban Calabasas in person at
the Sharp Breakfast!! | Quote: | Originally posted by bajaguy
| Quote: | Originally posted by DENNIS
| Quote: | Originally posted by bajaguy
or if Sharp arranges for transportation of a veteran (or Kaiser insured) across the border, |
Need some clarification on this point.
Does this mean from the border to the hospital?
My experience was to pay for an ambulance from Ensenada through the border, and be transferred there to a paramedic ambulance to Kaiser.
I paid for the Mex ambulance, $1600 dollars, as well as a nominal co-pay for the paramedics. They billed me later. |
What you said..........
Sharp can and does assist in getting patients from Ensenada to the border (by using Dynamed I believe). You pay for the Mexican ambulance out of
pocket (which may be reimbursable from your insurance carrier in an "emergency").
Sharp will also have a US ambulance meet the Mexican Ambulance at the border and take the patient to whatever hospital is required (VA, Kaiser, Sharp
or whatever).
You should really attend the presentations by Sharp at the San Nicholas....they don't sell anything and you get breakfast out of the deal.
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[Edited on 10-21-2013 by EnsenadaDr] |
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Martyman
Super Nomad
Posts: 1904
Registered: 9-10-2004
Member Is Offline
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C'mon guys...this is about Bob not your f-ing hospital politics. Jeez... have a little respect!
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Doug/Vamonos
Nomad
Posts: 416
Registered: 6-19-2006
Location: Bahia de los Angeles
Member Is Offline
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I second Martyman. This is about Bob not about your politics. I'll share a nice story. A few years ago I was in a bad car accident leaving the Bay. I
had my two dogs with me. One was nearly killed. I made it back to Gecko and Bob was the only other person there. I was messed up and my dog Moby was
nearly dead. Bob came to my rescue. He loaned me 1,000 pesos for traveling money and drove me to the highway the next day to catch a bus home. Then
for the next three days...in the middle of August...in my camper without a/c...Bob fed my dog chicken broth through a syringe to keep him alive till I
could return. When I made it back to camp Bob looked me in the eyes and said he hadn't had a drink in three days and I believed him. Moby lived two
more years and several more trips to the bay. Think about that...for three days Bob bent down in my trailer to squirt broth in my dog's mouth.
Amazing! My wife and I will love him forever for that. A great guy.
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DENNIS
Platinum Nomad
Posts: 29510
Registered: 9-2-2006
Location: Punta Banda
Member Is Offline
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Thanks, Doug. Nice, touching story.
"YOU CAN'T LITTER ALUMINUM"
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David K
Honored Nomad
Posts: 64755
Registered: 8-30-2002
Location: San Diego County
Member Is Offline
Mood: Have Baja Fever
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Indeed! Thanks!!
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Santiago
Ultra Nomad
Posts: 3507
Registered: 8-27-2003
Member Is Offline
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On my Facebook page I got this message: "Today is Beach Bob's Birthday"
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55steve
Senior Nomad
Posts: 857
Registered: 4-24-2006
Location: Warner Springs, CA
Member Is Offline
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| Quote: | Originally posted by Santiago
On my Facebook page I got this message: "Today is Beach Bob's Birthday" |
Yep, me too...
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Baja Bernie
`Normal` Nomad Correspondent
Posts: 2962
Registered: 8-31-2003
Location: Sunset Beach
Member Is Offline
Mood: Just dancing through life
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Jaime here
lets hope he gets out of the VA fast...and gets into his favorite VFW building!
speedy recovery
My smidgen of a claim to fame is that I have had so many really good friends. By Bernie Swaim December 2007
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DENNIS
Platinum Nomad
Posts: 29510
Registered: 9-2-2006
Location: Punta Banda
Member Is Offline
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| Quote: | Originally posted by Baja Bernie
Jaime here
lets hope he gets out of the VA fast...and gets into his favorite VFW building!
speedy recovery |
He'll appreciate the sentiment. 
"YOU CAN'T LITTER ALUMINUM"
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