Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
Let's start with Medicare and Medicare Advantage are not the same thing.
THEN we can proceed to:
They're cutting federal reimbursements to a private insurance provider. They are not cutting benefits of either Medicare or Medicare Advantage. What part of that is difficult to understand?
What is allegedly bad about lowering the repayments to Medicare Advantage by 1.X%, exactly?
Doctors will start dropping MA patients. Nothing new under the sun as they already do that with medicare patients.
Yes, I am bumping this thread. It is too important to ignore! It is crucial to point out that the Biden Administrations is cutting Medicare!
There have been several people who have demonstrated to you that you are misinformed about what is going on here.
So let's explain it again. Medicare Advantage is private insurance taking your Medicare dollars and managing them. The government likes it because the insurance company handles your care. The government saves on administrative costs because all they have to do is shell out the money.
However, the insurance companies need to make money off of what is shelled out. They hook you in by giving you lousy dental and vision plans and absorbing all the nickel and dime up front costs of regular Medicare making it a better deal on the front end. But if you dare get really sick or hurt they deny, deny, deny...just like they do with their regular insurance plans. They do this so they don't lose money.
You are much better off with Medicare and a supplement and buying your own dental and vision if you are going to have serious issues as an elderly person.
If you are going to be relatively healthy and plan on just keeling over some day...Medicare Advantage is probably just fine.
When you are 23 or 24 you don't really appreciate stuff like this.
... for Medicare as a senior citizen, but we need to purchase an additional, supplemental insurance plan if we want something slightly above mediocre care.
Buying a medigap supplemental insurance plan does NOT impact the care. It simply covers some or all of the 20% of costs which traditional medicare doesn't pay for. Traditional Medicare pays 80% costs and people that choose to get a supplemental medigap plan do so to get the other 20% paid for.
A Medicare Advantage plan is all-in-one and is private insurance and isn't considered "supplemental" but it doesnt have the 80%/20% split. It can be harder to get pre-approvals for some services when on a Medicare Advantage plan vs traditional Medicare . Medicare Advantage plans also have a higher rate of denying claims that should be paid whereas traditional medicare (with or without supplemental) doesnt have such denial or pre-approval issues.
https://www.nytimes.com/2022/04/28/h...ns-report.html Medicare Advantage Plans Often Deny Needed Care
Advantage plans also refused to pay legitimate claims, according to the report. About 18 percent of payments were denied despite meeting Medicare coverage rules, an estimated 1.5 million payments for all of 2019. In some cases, plans ignored prior authorizations or other documentation necessary to support the payment.
These denials may delay or even prevent a Medicare Advantage beneficiary from getting needed care
Medicare Advantage is the HMO version of medicare people.
You can go back and forth at sign up time.
Please register to post and access all features of our very popular forum. It is free and quick. Over $68,000 in prizes has already been given out to active posters on our forum. Additional giveaways are planned.
Detailed information about all U.S. cities, counties, and zip codes on our site: City-data.com.
Please register to participate in our discussions with 2 million other members - it's free and quick! Some forums can only be seen by registered members. After you create your account, you'll be able to customize options and access all our 15,000 new posts/day with fewer ads.
