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In reply to the discussion: Whats The Issue On Medicare Advantage Plans..... [View all]
buzzycrumbhunger
(1,931 posts)44. LOTS of hospitals/MDs no longer accept Advantage plans
The probability that things won’t be paid for is too high to bother with them. They’re private insurance replacing proper Medicare plans and although they suck you in with promises of things like no copays, a grocery allowance (huh?), and other perks, the fact is that they leave you holding the bag for uncovered bills. Nightmare for our pharmacy. Many don’t even cover vaccines and tell you to bill through Part B.
I consider them worse than the way the ACA plans were farmed out to private insurors instead of just giving us Medicare for All. Why pay 5% of your income to have everything covered when you can pay 20% more to an insurance company? *eyeroll*
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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