General Discussion
In reply to the discussion: Just got a call from my drug insurance provider for medicare part D. (Aetna) [View all]Silent Type
(12,299 posts)to add these things.
I really can't believe how many Democrats criticize people for making the MA choice. Personally, I still have original Medicare but I will be forced to change at some point and suspect I will save $400 or more a month if I go to MA. Glad to have the opportunity when I change.
Fortunately, I'm not one that is particular about doctors, etc. I don't have to have the latest drugs if older cheaper drugs work well enough. I don't go to doctors for every little problem, etc. I don't mind a plan that tries to stop fraud/abuse up front, rather than allowing it to go on for years like original Medicare does.
This is the kind of stuff that providers get away with under Original Medicare:
"The Justice Department announced the results of its 2025 National Health Care Fraud Takedown, which resulted in criminal charges against 324 defendants, including 96 doctors, nurse practitioners, pharmacists, and other licensed medical professionals, in 50 federal districts and 12 State Attorneys Generals Offices across the United States, for their alleged participation in various health care fraud schemes involving over $14.6 billion in intended loss. The Takedown involved federal and state law enforcement agencies across the country and represents an unprecedented effort to combat health care fraud schemes that exploit patients and taxpayers."
https://www.justice.gov/opa/pr/national-health-care-fraud-takedown-results-324-defendants-charged-connection-over-146
Sometimes, this chit goes on for years before Medicare gets around to doing anything. Private Insurers typically have 1 year to review claims for fraud/abuse, so that act quick to review records. Original Medicare can go back 6 years, and more in some cases. So they are slow to catch criminal providers.