Medicare problems and benefits are a mixed bag and depend alot on your location. In Florida, insurance companies are often offering just 80% of Medicare fee schedule and they are getting a lot of takers (I call them insurance sluts). Medicare patients are sicker - and need more of our services. A Medicare base gives you leeway when negotiating with insurance companies. I can tell the insurance company to go elsewhere if they don't want to give me 120% of Medicare fee schedule.