Denied by AI: How Medicare Advantage plans use algorithms to cut off care for seniors in need

[1WorldHope]

15. I had no idea that Advantage plans were privatized Meicare.

I worked in human services for 30 years. When I went with people to sign up at the department of insurance SHIIP, they always recommended an advantage plan. I didn't see the point of paying for a supplement plus part D for meds. My premium is $0 and the deductable is around $3,500. I was always self employed for many years I had no insurance. When the ACA was passed I got reasonable insurance. So, I just trusted the advantage plans. Then I suggested my 95 year old neighbor quit paying so much for a supplement. She switched plans, then fell down and had to go to the hospital. They sent her to skilled nursing and that there was the problem. They kicked her out before she was ready because the advantage plan is very limited. Her family struggled to care for her in her home, but, just couldn't do it. They sent her to a nursing home where she caught covid twice. She only lived about 6 months. When she died at the nursing home they found 5 fentanyl patches on her back. Which has nothing to do with the insurance plan but, losing skilled nursing turned out to be her demise. Sad. But, is too late for me now to switch back and I don't want to pay 1/3 of my SS check to have a traditional plan.