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travelingthrulife

(5,179 posts)
118. My clinic and many others have stopped taking Medicare Advantage because
Fri Nov 1, 2024, 10:01 AM
Nov 2024

they do not reimburse costs well enough for the facility to survive. If I wanted to keep access to my excellent medical facility and my doctor I had to switch to regular Medicare, as did my husband.
Regular Medicare has been fine except they have nada for eyes, teeth and no prescription coverage (they, unfortunately, use private insurers for that part, and they pretty much suck).

Recommendations

2 members have recommended this reply (displayed in chronological order):

Medicare Advantage Plans can be wonderful. PoindexterOglethorpe Oct 2024 #1
This! Joinfortmill Oct 2024 #104
Thank you. PoindexterOglethorpe Oct 2024 #115
Just remember: av8rdave Nov 2024 #164
My own advice is to avoid a "Medicare Advantage" plan Otto_Harper Oct 2024 #2
and if you're healthy, check out the high deductible version of the G plan... Native Oct 2024 #37
AVOID "Part C" and Medicare Advantage if you can dwayneb Oct 2024 #78
Sorry for your loss. Americanme Nov 2024 #156
Medicare Advantage Plans will no longer be accepted at the hospitals in my county that belong Deuxcents Oct 2024 #3
+1. It is a nationwide problem dalton99a Oct 2024 #13
LOTS of hospitals/MDs no longer accept Advantage plans buzzycrumbhunger Oct 2024 #44
+1. Because of denials and refusals to pay dalton99a Oct 2024 #62
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
Stay with standard Medicare & buy the best gap plan they can afford SheltieLover Oct 2024 #4
And Medicare Advantage providers may deny coverage for things spooky3 Oct 2024 #8
Great point, Spooky! SheltieLover Oct 2024 #10
Gee. That's not what Medicare says dpibel Oct 2024 #59
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
You pay for Medicare part B even with Farmer-Rick Oct 2024 #82
Original Medicare doesn't ' have givebacks' now. But some Advantage plans return Part B Demsrule86 Nov 2024 #121
I don't understand this moose65 Nov 2024 #141
I have been denied, delayed care resulting in bad outcomes. delisen Oct 2024 #89
Exactly - it's buyer beware dwayneb Oct 2024 #93
You made the best choice, tradition w/supplement. nt delisen Oct 2024 #95
Get a different plan and check that ratings. Demsrule86 Nov 2024 #123
I am glad that your Medicare Advantage Plan worked well for you. PA Democrat Oct 2024 #90
In other words, it's a minefield dwayneb Oct 2024 #94
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
the entire goal of "Advantage" is to GET RID OF MEDICARE Skittles Nov 2024 #149
PPOs are much better than HMOs and affordable. Joinfortmill Oct 2024 #105
Medicare Denies RobinA Oct 2024 #74
Why pay more Farmer-Rick Oct 2024 #91
The vast majority of MA plans don't charge any premiums MichMan Oct 2024 #98
Not according to Medicare Farmer-Rick Nov 2024 #117
That doesn't at all change what I posted MichMan Nov 2024 #162
Exactly, we found a good MA plan for my parents, radius777 Nov 2024 #165
And advantage plan is Medicare...part C so why would you need both... Demsrule86 Nov 2024 #124
That is not true. Advantage must cover the same thing as Medicare...hospice care is Demsrule86 Nov 2024 #133
You still pay for regular Medicare part B Farmer-Rick Nov 2024 #147
Medicare advantage plans are designed by the insurance company to maximize profit or income. Jacson6 Oct 2024 #5
It's always "a friend" dpibel Oct 2024 #60
It's not a scam, it's simple predatory business dwayneb Oct 2024 #81
That doesn't address my question dpibel Oct 2024 #86
Ask my neighbor dwayneb Oct 2024 #106
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
Get a Medicare supplement plan Tweedy Oct 2024 #6
DO NOT GET MEDICARE ADVANTAGE! WVGIRL Oct 2024 #7
Supplemental plans from THE GOVERNMENT? dpibel Oct 2024 #22
Private insurance, BUT they automatically cover anything Medicare covered karynnj Oct 2024 #71
Advantage is required to cover everything Original Medicare covers. Demsrule86 Oct 2024 #75
However, they are also allowed to add requirements of preapproval karynnj Oct 2024 #92
That is untrue. Demsrule86 Nov 2024 #127
Supplemental plans are issued by private insurers, not the Federal government MichMan Oct 2024 #31
You are talking about med-gap which is insurance based. Demsrule86 Nov 2024 #126
Medicare Advantage looks great until you're sick. Biophilic Oct 2024 #9
Straight Medicare, no supplement? dpibel Oct 2024 #23
That's not an option for most people dwayneb Oct 2024 #96
That's why I asked dpibel Oct 2024 #102
I have been sick for two years( Heart)and everything has been covered. Demsrule86 Oct 2024 #77
I'm seriously glad for you. Biophilic Oct 2024 #80
I am very fortunate in that UH (Harrington Heart) is a very good hospital/ Demsrule86 Nov 2024 #132
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
False on every point. former9thward Oct 2024 #26
It started under Clinton and was updated under Bush. I'll give you that. It's called Gaugamela Oct 2024 #33
I have had no problem. former9thward Oct 2024 #36
This message was self-deleted by its author Gaugamela Oct 2024 #38
It remained pretty much same as enacted under Clinton. Name changed. Silent Type Oct 2024 #40
Regardless, it's ripping off Medicare, as designed: Gaugamela Oct 2024 #42
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
This was from Clinton and came about because people were choosing food or Demsrule86 Nov 2024 #136
It probably looked like a good temporary compromise at the time. Please see post #139 below. Gaugamela Nov 2024 #140
It was designed to lower costs of Medicare and give more coverage. Demsrule86 Nov 2024 #134
It was designed to attract participants by offering lower premiums, and thus transfer the whole program Gaugamela Nov 2024 #139
Original also uses insurance in Medi-Gap. Demsrule86 Nov 2024 #153
Yes, but Medigap plans are determined and regulated by legislation. Gaugamela Nov 2024 #155
It is NOT regular Medicare moose65 Oct 2024 #56
It is Medicare Part C former9thward Oct 2024 #116
Doesn't matter if I "like" it or not moose65 Nov 2024 #120
And so does Medigap...what is the difference? Advantage is more affordable...and you Demsrule86 Nov 2024 #138
Answer me this, then moose65 Nov 2024 #142
It is part C of Medicare. I suggest you google it. And frankly I post so folks realize they Demsrule86 Nov 2024 #129
Since medicare advantage is draining funds from Medicare questionseverything Nov 2024 #152
they literally make more profit the less care they give Skittles Nov 2024 #163
The "Advantage" becomes a disadvantage when you need serious medical care dalton99a Oct 2024 #12
Also pre existing conditions. Voltaire2 Oct 2024 #14
True - but your Medigap premiums will increase every year dwayneb Oct 2024 #100
Yes the entire system is fucked. Voltaire2 Oct 2024 #109
Medicare Advantage is Corporate owned and is not original Medicare. They hook some people Deuxcents Oct 2024 #15
Completely false. former9thward Oct 2024 #27
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
You're right, it's the supplement plans that will charge a penalty. Gaugamela Oct 2024 #50
Right but it's pretty much the same thing dwayneb Oct 2024 #101
The Centers for Medicare and Medicaid (CMS) administers Medicare, a federal health insurance program Deuxcents Oct 2024 #47
facts schmacts! splunge63 Oct 2024 #69
So much mis-information even the government is confused. former9thward Oct 2024 #114
The government disagrees with you. former9thward Oct 2024 #113
if you like health insurance (having bean counters making decisions), get Medicare "Advantage" splunge63 Oct 2024 #16
They should not be allowed to use the name "Medicare". blue neen Oct 2024 #18
+1 leftstreet Oct 2024 #21
It is part of the Medicare program former9thward Oct 2024 #28
That's never happened to a real American!! dpibel Oct 2024 #58
Medicare Has RobinA Oct 2024 #76
show me the numbers splunge63 Oct 2024 #97
will not argue with any of above except to say stopdiggin Oct 2024 #17
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
+1. Eye exams and dental cleanings are peanuts compared to hospital bills dalton99a Oct 2024 #20
I never had a free lunch. former9thward Oct 2024 #30
"eye and hearing benefits"? dpibel Oct 2024 #24
Financial issues usually trump Medi-gap benefits. Can't argue with that. Jmb 4 Harris-Walz Oct 2024 #45
Assuming, Of Course RobinA Oct 2024 #79
That's very true dwayneb Oct 2024 #83
IF you can afford it - and there's the rub dwayneb Oct 2024 #84
My best advice is to figure out what you already have coverage for milestogo Oct 2024 #25
What do I know? I spend $300.00/mo for an AARP/UHC Advantage policy. OAITW r.2.0 Oct 2024 #29
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
That is amazing. dpibel Oct 2024 #61
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
It was already passed and signed into law before GWB was president MichMan Oct 2024 #53
True Blue rwalt Oct 2024 #39
Well if one ends up needing rehab in a nursing home Figarosmom Oct 2024 #41
Original Medicare has limits on that too. And facilities will cut you off if they think Silent Type Oct 2024 #48
Traditional Medicare does not cover rehab beyond 100 days in a SNF dwayneb Oct 2024 #87
It takes some study eallen Oct 2024 #54
I find that the hard sell is for Medicare Advantage, not MediGap dwayneb Oct 2024 #99
Medicare A and B with Blue cross Wifes husband Oct 2024 #57
I am below the poverty level poor, retired, and an MA plan is hands down all I can afford. elocs Oct 2024 #63
Yes understood, sorry about your situation dwayneb Oct 2024 #85
The main reason that I am not screwed is that I have great health for someone 72. elocs Nov 2024 #166
Advantage plans are designed to do away with Medicare. Emile Oct 2024 #65
+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
Reverting back to Traditional Medicare dwayneb Oct 2024 #88
Changing from MA to supplement is impossible in most states dalton99a Oct 2024 #112
There's a lot of negativity about Advantage plans. MineralMan Oct 2024 #103
I love my Kaiser Advantage plan, but I live in a Kaiser rich environment. CrispyQ Oct 2024 #108
My advice is to stick with traditional Medicare LZ1234 Oct 2024 #110
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
Wife received an email this morning stating Emile Nov 2024 #130
This message was self-deleted by its author Emile Nov 2024 #130
Here's why I dislike Medicare Advantage. Lonestarblue Nov 2024 #137
well stated Skittles Nov 2024 #148
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
Thank you so much for taking the time to write all that. I appreciate it. mahina Nov 2024 #146
Advantage costs more that MediGap in Ohio??? dpibel Nov 2024 #151
$100/month for Medigap. Ms. Toad Nov 2024 #154
Ah dpibel Nov 2024 #157
I've edited it to clarify. Ms. Toad Nov 2024 #158
Never crossed my mind dpibel Nov 2024 #159
The only exception to going back to Orignal Medicare with a guarantee Medigap plan Desert grandma Nov 2024 #160
Unnecessarily confusing..... markie Nov 2024 #161
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