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In reply to the discussion: Whats The Issue On Medicare Advantage Plans..... [View all]dalton99a
(94,241 posts)13. +1. It is a nationwide problem
https://nebraskaexaminer.com/2024/10/23/1-million-patients-lose-coverage-as-insurers-hospitals-drop-medicare-advantage/
1 million+ patients lose coverage as insurers, hospitals drop Medicare Advantage
By: Anna Claire Vollers - October 23, 2024 5:00 am
HUNTSVILLE, Ala. Libby and Andrew Potter usually ignore the avalanche of Medicare Advantage ads that land in the mailbox at their home in Huntsville, Alabama, each fall as Medicares open enrollment period begins.
Libby, a retired middle school librarian, has what she considers good health insurance through the state employee health plan. Andrew has insurance through his job as a university professor and plans to join Libbys insurance when he retires next year.
But this year, a few days before open enrollment began, a letter arrived from UnitedHealthcare, informing the Potters that the regions largest hospital system would no longer be considered in-network for Libbys Medicare Advantage plan.
The Potters spent the next couple of weeks worried and unsure what to do. It seemed incredible that 14 area hospitals, including the areas only Level 1 trauma center, could suddenly become much, much more expensive.
...
---------------------------------------
https://www.kfyrtv.com/2024/10/29/hospitals-no-longer-accept-humana-medicare-advantage-plans-2025/
Hospitals no longer accept Humana Medicare Advantage plans in 2025
By Elizabeth Shores
Published: Oct. 29, 2024 at 4:35 PM CDT
BISMARCK, N.D. (KFYR) - Hospitals in Bismarck are ending their contracts with Humana Medicare Advantage.
The North Dakota Insurance Department says its a growing trend across the U.S., and it encourages those affected to select new plans during the open enrollment period, which is happening now.
We reached out to both Sanford Health and CHI St. Alexius for confirmation.
Sanford confirmed that on Dec. 31, 2024, it will stop accepting this specific plan. Not all Medicare Advantage plans are going to be affected.
Check with your healthcare provider to see which plans are going to be covered in the new year.
---------------------------------------
https://www.houstonpublicmedia.org/articles/news/health-science/healthcare/2024/10/28/504274/md-anderson-to-stop-accepting-blue-cross-blue-shield-texas-medicare/
Blue Cross Blue Shield Texas terminates Medicare Advantage agreement with MD Anderson
MD Anderson said it was notified via a letter from BCBSTX earlier this year.
Kyle McClenagan | Posted on October 28, 2024, 3:24 PM (Last Updated: October 29, 2024, 9:54 AM)
Beginning Friday, MD Anderson Cancer Center physicians will no longer be in-network on Blue Cross Blue Shield of Texas (BCBSTX) Medicare Part C Advantage plan coverage or Managed Medicaid services, according to the care provider's website.
An MD Anderson representative said the health care center was notified by BCBSTX earlier this year that it would be ending its Letter of Agreement. Medicare is a federal health insurance program for people 65 and over. Medicaid is a state and federal program that assists in covering medical costs based on income eligibility. Medicare Advantage plans are offered by private insurance companies and offer additional coverage on top of Medicare.
The agreement will officially end on Nov. 1 but MD Anderson will continue to accept Medicare and Medicaid. The termination also does not apply to UT Care Medicare PRO or the Texas A&M 65 Plus Medicare Advantage Plan which is part of the retirement plans for the University of Texas and Texas A&M University systems.
Medicare Part A, which covers hospital stays, hospice care, skilled nursing facilities and some home health care, will still be accepted by MD Anderson. Medicare Part B, which covers doctor visits, preventive care, screenings and medical supplies will also still be accepted.
...
etc. etc.
1 million+ patients lose coverage as insurers, hospitals drop Medicare Advantage
By: Anna Claire Vollers - October 23, 2024 5:00 am
HUNTSVILLE, Ala. Libby and Andrew Potter usually ignore the avalanche of Medicare Advantage ads that land in the mailbox at their home in Huntsville, Alabama, each fall as Medicares open enrollment period begins.
Libby, a retired middle school librarian, has what she considers good health insurance through the state employee health plan. Andrew has insurance through his job as a university professor and plans to join Libbys insurance when he retires next year.
But this year, a few days before open enrollment began, a letter arrived from UnitedHealthcare, informing the Potters that the regions largest hospital system would no longer be considered in-network for Libbys Medicare Advantage plan.
The Potters spent the next couple of weeks worried and unsure what to do. It seemed incredible that 14 area hospitals, including the areas only Level 1 trauma center, could suddenly become much, much more expensive.
...
---------------------------------------
https://www.kfyrtv.com/2024/10/29/hospitals-no-longer-accept-humana-medicare-advantage-plans-2025/
Hospitals no longer accept Humana Medicare Advantage plans in 2025
By Elizabeth Shores
Published: Oct. 29, 2024 at 4:35 PM CDT
BISMARCK, N.D. (KFYR) - Hospitals in Bismarck are ending their contracts with Humana Medicare Advantage.
The North Dakota Insurance Department says its a growing trend across the U.S., and it encourages those affected to select new plans during the open enrollment period, which is happening now.
We reached out to both Sanford Health and CHI St. Alexius for confirmation.
Sanford confirmed that on Dec. 31, 2024, it will stop accepting this specific plan. Not all Medicare Advantage plans are going to be affected.
Check with your healthcare provider to see which plans are going to be covered in the new year.
---------------------------------------
https://www.houstonpublicmedia.org/articles/news/health-science/healthcare/2024/10/28/504274/md-anderson-to-stop-accepting-blue-cross-blue-shield-texas-medicare/
Blue Cross Blue Shield Texas terminates Medicare Advantage agreement with MD Anderson
MD Anderson said it was notified via a letter from BCBSTX earlier this year.
Kyle McClenagan | Posted on October 28, 2024, 3:24 PM (Last Updated: October 29, 2024, 9:54 AM)
Beginning Friday, MD Anderson Cancer Center physicians will no longer be in-network on Blue Cross Blue Shield of Texas (BCBSTX) Medicare Part C Advantage plan coverage or Managed Medicaid services, according to the care provider's website.
An MD Anderson representative said the health care center was notified by BCBSTX earlier this year that it would be ending its Letter of Agreement. Medicare is a federal health insurance program for people 65 and over. Medicaid is a state and federal program that assists in covering medical costs based on income eligibility. Medicare Advantage plans are offered by private insurance companies and offer additional coverage on top of Medicare.
The agreement will officially end on Nov. 1 but MD Anderson will continue to accept Medicare and Medicaid. The termination also does not apply to UT Care Medicare PRO or the Texas A&M 65 Plus Medicare Advantage Plan which is part of the retirement plans for the University of Texas and Texas A&M University systems.
Medicare Part A, which covers hospital stays, hospice care, skilled nursing facilities and some home health care, will still be accepted by MD Anderson. Medicare Part B, which covers doctor visits, preventive care, screenings and medical supplies will also still be accepted.
...
etc. etc.
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Medicare Advantage Plans will no longer be accepted at the hospitals in my county that belong
Deuxcents
Oct 2024
#3
We need more and different small businesses making our own medical supplies in this country.
Jit423
Oct 2024
#64
Those same hospitals are going to end up denying original Medicare as well...
Demsrule86
Oct 2024
#72
That is how it is SUPPOSED to work, but unlike traditional Medicare, Medicare Advantage Plans rely heavily on
PA Democrat
Oct 2024
#67
It is how it has worked for me...and most of you advocating original Medicare are on
Demsrule86
Oct 2024
#73
Original Medicare doesn't ' have givebacks' now. But some Advantage plans return Part B
Demsrule86
Nov 2024
#121
Every year individual plans can change details such as premiums, copays and deductibles as well as the "perks"
PA Democrat
Oct 2024
#107
What ever you call the original Medicare plans that pay the 20% Medicare doesn't cover
Demsrule86
Nov 2024
#122
You are misinformed as to how Medicare supplement plans work. Part G Supplement Plans (the most common type plan)
PA Democrat
Nov 2024
#150
That is not true. Advantage must cover the same thing as Medicare...hospice care is
Demsrule86
Nov 2024
#133
Medicare advantage plans are designed by the insurance company to maximize profit or income.
Jacson6
Oct 2024
#5
MA sales people receive $626 for first year (sign-up commission) and $313 every year after that (automatic renewals)
dalton99a
Oct 2024
#111
wowie. That helps me figure out who among the navigators or whatever they are called now, to choose from.
mahina
Nov 2024
#144
you know out of network doctors which is why I have a plan that covers that...if I amw
Demsrule86
Nov 2024
#125
I have been sick since July of 22. My care has cost millions. I spent 46 days in the
Demsrule86
Nov 2024
#128
Cherry picking and lemon dropping. Medicare Advantage isn't Medicare, it's private insurance
Gaugamela
Oct 2024
#11
It started under Clinton and was updated under Bush. I'll give you that. It's called
Gaugamela
Oct 2024
#33
I'm not for taking something away from over half Medicare beneficiaries because some don't
Silent Type
Oct 2024
#51
I agree that we can't pull the rug out from half of recipients. The problem is that
Gaugamela
Oct 2024
#52
Me too. Now, here's the question-- If we could get a few GOPers to support MFA that is based
Silent Type
Oct 2024
#55
We're in agreement on this. Of course, MFA won't pass under current conditions,
Gaugamela
Nov 2024
#135
It probably looked like a good temporary compromise at the time. Please see post #139 below.
Gaugamela
Nov 2024
#140
It was designed to attract participants by offering lower premiums, and thus transfer the whole program
Gaugamela
Nov 2024
#139
And so does Medigap...what is the difference? Advantage is more affordable...and you
Demsrule86
Nov 2024
#138
It is part C of Medicare. I suggest you google it. And frankly I post so folks realize they
Demsrule86
Nov 2024
#129
Medicare Advantage is Corporate owned and is not original Medicare. They hook some people
Deuxcents
Oct 2024
#15
You can get back into Medicare, but you will pay a monthly penalty, and pre-existing conditions
Gaugamela
Oct 2024
#35
That doesn't sound right... you should have no trouble getting back into Original Medicare WITHOUT penalties
Jmb 4 Harris-Walz
Oct 2024
#43
The Centers for Medicare and Medicaid (CMS) administers Medicare, a federal health insurance program
Deuxcents
Oct 2024
#47
if you like health insurance (having bean counters making decisions), get Medicare "Advantage"
splunge63
Oct 2024
#16
Standard Medicare with a Medi-Gap Plan (supplemental plan) and Part D (drugs) is the best decision overall.
Jmb 4 Harris-Walz
Oct 2024
#19
Financial issues usually trump Medi-gap benefits. Can't argue with that.
Jmb 4 Harris-Walz
Oct 2024
#45
Wow, if you spend that kind of money a month for an advantage plan why didn't you stick with Original Medicare with a
Jmb 4 Harris-Walz
Oct 2024
#46
I have Medicare A and B. I pay out of pocket for my scripts...about $90.00/qtr.
OAITW r.2.0
Oct 2024
#49
I have Kaiser, which is a closed system - they are the provider and the insurer.
Sibelius Fan
Oct 2024
#32
Medicare "Advantage" is another gift from the GWB years. It's an attempt to privatize Medicare.
OMGWTF
Oct 2024
#34
Original Medicare has limits on that too. And facilities will cut you off if they think
Silent Type
Oct 2024
#48
I am below the poverty level poor, retired, and an MA plan is hands down all I can afford.
elocs
Oct 2024
#63
The main reason that I am not screwed is that I have great health for someone 72.
elocs
Nov 2024
#166
+1. Project 2025 would make Medicare Advantage the default option for enrollees
dalton99a
Oct 2024
#66
I just signed up for Medicare, but am not retired, so I still have employer insurance.
haele
Oct 2024
#68
Once on an advantage plan, it can be impossible in some states to revert to medicare. Also, they're not paying all claim
lindysalsagal
Oct 2024
#70
My clinic and many others have stopped taking Medicare Advantage because
travelingthrulife
Nov 2024
#118
I have an elderly neighbor who wishes she hadn't signed up for Medicare Advantage
dalton99a
Nov 2024
#119
You can choose Medicare Advantage at any time; in most states, you only have ONE chance to choose Medicare
Ms. Toad
Nov 2024
#143
+1. Medicare Advantage plans will get between $500 and $600 billion from the government next year
dalton99a
Nov 2024
#145
The only exception to going back to Orignal Medicare with a guarantee Medigap plan
Desert grandma
Nov 2024
#160