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The Bopper

(315 posts)

121. One issue

Reply to Yo_Mama_Been_Loggin (Original post)

Wed Nov 8, 2023, 07:17 PM

Nov 2023

What has happened with mine is the inability of going to the closest hospital and the problem of being forced to change doctors for “in network ” coverage. The extras, such as dental and vision is very restricted to whom you can go to. Under a past coverage I was forced to go to an MRI provider that literally charged 500% more than a past clinic I had used. Oh yeah, when you hit the proverbial “donut hole” your $35 co-pay goes up to $235. They “give” you the cheaper and many times unneeded “extras” and jack you around on the others. After you’re on an Advantage plan for a couple of years, you’re not allowed to go back to regular Medicare it appears.

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Emile

129 replies

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Highlight:

Biden administration seeks to crack down on private Medicare health plans [View all] Yo_Mama_Been_Loggin Nov 2023 OP

I don't know how much of a problem this is. former9thward Nov 2023 #1

I see fraud articles re: MA a lot vapor2 Nov 2023 #26

The fraud problems have nothing to do with my coverage...... Jack from Charlotte Nov 2023 #68

Perhaps you should read this. He explains everything about Medicare Advantage's attempt to privatize Medicare. ancianita Nov 2023 #94

I find it incredibly confusing. LisaM Nov 2023 #98

That does sound confusing. former9thward Nov 2023 #100

The Medicare supplement plans are just as confusing or more so than the doc03 Nov 2023 #123

Joe will insult many people who MOMFUDSKI Nov 2023 #2

Yes. Half the seniors opt for advantage plans jimfields33 Nov 2023 #4

So Biden is wrong and they shouldn't investigate? Kingofalldems Nov 2023 #32

Is that your thoughts on it? jimfields33 Nov 2023 #33

No--the thread is about President Joe Biden cracking down Kingofalldems Nov 2023 #84

Lol. I'm not on anything. Not even near the age. jimfields33 Nov 2023 #85

I opt in! Riverman100 Nov 2023 #36

About Aetna Postal Grunt Nov 2023 #41

Exception True Blue American Nov 2023 #46

Insurance agents practicing medicine without a license...... lastlib Nov 2023 #63

That Ship RobinA Nov 2023 #76

And it's high time it was scuttled. n/t lastlib Nov 2023 #87

Couldn't Agree More RobinA Nov 2023 #90

Not happy kacekwl Nov 2023 #129

You seem to be a constant supporter of "Advantage". How about erronis Nov 2023 #12

I have had Advantage for 10 years and am MOMFUDSKI Nov 2023 #15

You'll find out when you need expensive treatments or a specialist "not in your network" SharonAnn Nov 2023 #20

I went to the best Ortho Group in the Tri-County area for back surgery. MOMFUDSKI Nov 2023 #23

Nope! Riverman100 Nov 2023 #37

I just had a very expensive"Cardiac Event" while out of town..... Jack from Charlotte Nov 2023 #67

That $2500 is your max out of pocket? Army Brat Nov 2023 #73

Isn't the 20% copay just for Part B (outpatient) care? sl8 Nov 2023 #74

Yep, on humana advantage, was turned down for Butterflylady Nov 2023 #89

I doubt it. I live in a city with 2 major medical centers, one of which is the Mayo Clinic. elocs Nov 2023 #125

Hope you never need the expertise of Mayo Clinic WyLoochka Nov 2023 #42

Odd because I have a Medicare Advantage plan and Mayo accepts it with no trouble at all. Care to reconsider? n/t elocs Nov 2023 #108

Same nt pazzyanne Nov 2023 #115

he following health systems are calling it quits with Medicare Advantage plans this year WyLoochka Nov 2023 #122

I've had an Advantage plan 8 1/2 years..... Jack from Charlotte Nov 2023 #64

Every one I know who is on an 'advantage' plan has to hussle every year to find care providers Attilatheblond Nov 2023 #22

And I would guess those people have HMO's. pazzyanne Nov 2023 #39

Glad to hear it works for you. Some people don't get the same milage n/t Attilatheblond Nov 2023 #113

The government calls them Medicare C on the official Medicare website MichMan Nov 2023 #27

And you can thank the GW Bush administration dflprincess Nov 2023 #78

Actually Part C - then called Medicare Choice - started under Clinton, and there were managed care plans decades earlier Silent Type Nov 2023 #82

You are spot on but there are some who are happy with their plan vapor2 Nov 2023 #28

My Medicare Advantage plan is a PPO. pazzyanne Nov 2023 #116

I'd rec this 10,000 times if I could. n/t CousinIT Nov 2023 #86

How does creating rules that regulate insurance companies insult subscribers? nilram Nov 2023 #44

A lot of people have subsumed the 'all gubmint bad' viewpoint. Voltaire2 Nov 2023 #65

Your Supplemental Medicare plan premiums Farmer-Rick Nov 2023 #48

Choosing a plan because it's what you can afford dflprincess Nov 2023 #77

I want telemarketers to stop calling me about Medicare plans. LiberalFighter Nov 2023 #3

Where are they getting the money for their aggressive marketing tactics? ariadne0614 Nov 2023 #5

Exactly, look in other thread about what my Emile Nov 2023 #6

I shall do that--thanks. n/t ariadne0614 Nov 2023 #7

https://www.commondreams.org/news/medicare-advantage-overcharging vapor2 Nov 2023 #29

Great article in Common Dreams erronis Nov 2023 #54

Why is people getting health care services because they are covered by insurance called "overbilling" MichMan Nov 2023 #60

I caught that too stopdiggin Nov 2023 #128

Don't sign up with Humana ArkansasDemocrat1 Nov 2023 #43

I so agree Rebl2 Nov 2023 #70

Correct me if I'm wrong but the insurance company never treated your relative..... Jack from Charlotte Nov 2023 #75

The doctors Rebl2 Nov 2023 #97

At least one of the larger clinic/hospital systems in my area dflprincess Nov 2023 #80

I turned off the landline ringer during "open enrollment"; then I pulled cable bundle w/landline phone in favor of Backseat Driver Nov 2023 #18

I had two calls today from Advantage plans. Emile Nov 2023 #105

Oddly I Rebl2 Nov 2023 #69

fat chance THAT is ever going to happen Skittles Nov 2023 #8

Exactly. Advantage plans were sold as a way to save money. They now cost the government Lonestarblue Nov 2023 #9

Maybe our government should revamp MOMFUDSKI Nov 2023 #10

What they offer is denied coverage, no thanks. Emile Nov 2023 #11

My agent told me that one would want MOMFUDSKI Nov 2023 #49

Medicare Advantage is KILLING my brother, Emile Nov 2023 #53

Wow! You are a pretty constant fan of these Advantage plans. erronis Nov 2023 #13

No ties. Just having a good experience MOMFUDSKI Nov 2023 #17

Same! nt pazzyanne Nov 2023 #40

HELLO Skittles Nov 2023 #34

But they are not MOMFUDSKI Nov 2023 #50

If you only care about yourself and in the short term delisen Nov 2023 #79

That's pretty selfish of you. Elessar Zappa Nov 2023 #93

CORRECT Skittles Nov 2023 #99

No... pazzyanne Nov 2023 #117

You bring up an interesting point. area51 Nov 2023 #38

I had a therapist thru my old insurance Farmer-Rick Nov 2023 #52

Then the Guv must figure a way. MOMFUDSKI Nov 2023 #16

If these private health plans destroy Medicare nevergiveup Nov 2023 #14

Looks like it's headed that way soon. Republicans Emile Nov 2023 #45

Medicare Pays RobinA Nov 2023 #81

At least you're starting to question it. Emile Nov 2023 #83

Huh? RobinA Nov 2023 #91

Huh? Emile Nov 2023 #103

Does your brother have a HMO or a PPO plan? pazzyanne Nov 2023 #118

All I know is, he has a goddamn Advantage plan. Emile Nov 2023 #120

My MA Plan DownriverDem Nov 2023 #19

That's great until you need something major. That's where they often fall short. SharonAnn Nov 2023 #21

costs "0" because they are stiffing the taxpayers bigtime Skittles Nov 2023 #101

Advantage plans are fine so long as you don't have a serious injury or medical issue. TomSlick Nov 2023 #24

9 years on my UHC MA plan I've never been denied coverage for anything I needed. elocs Nov 2023 #109

+ 1 nt pazzyanne Nov 2023 #119

I'm sure it depends on the carrier. TomSlick Nov 2023 #124

I don't have a Medicare advantage horror story Demobrat Nov 2023 #25

I'm on traditional Medicare. I won't do Medicare Advantage. RipVanWinkle Nov 2023 #30

I've been on Medicare Advantage for 9 years now with no problem and I can't begin to afford traditional Medicare. n/t elocs Nov 2023 #110

Good. nt SunSeeker Nov 2023 #35

For those of you who say you couldn't be more pleased with your Advantage plan... llmart Nov 2023 #47

I get tired of people saying I PAY ZERO! Skittles Nov 2023 #102

I'm completely happy with my MA plan & never had a problem or been turned down for treatment. elocs Nov 2023 #111

Let's think about MA logically, OK? Scottie Mom Nov 2023 #51

Because MA was created by the Federal government in 1997 ? MichMan Nov 2023 #61

And that excuses private insurance masquerading as a government program? Scottie Mom Nov 2023 #104

Medicare Part C is a SCAM! justaprogressive Nov 2023 #55

That's nice, but Susan Calvin Nov 2023 #56

The Federal government calls them Medicare on the official government website MichMan Nov 2023 #62

Exactly what I want to go away. nt Susan Calvin Nov 2023 #95

I've been on Medicare for just a few months. QED Nov 2023 #57

Medicare for all Americans. Now. n/t PatrickforB Nov 2023 #58

Medicare C should be re-labeled "Not Medicare" JenniferJuniper Nov 2023 #59

All these commercials are ridiculous! mymomwasright Nov 2023 #66

Hubby turns 65 in Jan 2024 moreland01 Nov 2023 #71

Like it or not there are some hard truths about the advantage plans. When Medicare funds are gone do to PortTack Nov 2023 #72

Thank you for posting RainWalker Nov 2023 #88

Please wryter2000 Nov 2023 #92

It was literally written into the law passed by Republicans in 2003. ancianita Nov 2023 #107

1997 MichMan Nov 2023 #126

Biden is doing the right thing. He knows how the so-called 'advantage' private systems work. ancianita Nov 2023 #96

It was first passed in 1997, not 2003 MichMan Nov 2023 #127

when did these come about . im out of the loop here . another attempt to privatize? AllaN01Bear Nov 2023 #106

I am on actual Medicare. I have been getting 40 to 50 sales calls a week from Advantage plan Robocalls. mackdaddy Nov 2023 #112

100th Rec. Joe Biden Rocks. Hekate Nov 2023 #114

One issue The Bopper Nov 2023 #121