Elizabeth Warren Urges Crackdown on Private Medicare Advantage Insurers

[Nutty Putty]

14. Way Overdue

Being heavily involved with eldercare, I've had first hand experience with their strategy, as well as the nightmare of hours spent trying to get reimbursement for services that were incorrectly denied. Fortunately the hours were well spent because after three appeals, United Healthcare (Medicare Advantage plan) responded to the Administrative Law Judge: Oh, we took another look at case and decided it should be covered (paraphrasing). We're talking more than $10K here that we had to pay out of pocket.

Clearly the strategy is to deny coverage until they're forced to pay. To make matters more infuriating, the nursing facility staff is well aware of the rip-offs being perpetrated by these frauds and are telling people to drop Medicare Advantage plans.

Edit to add: isn't this theivery what Rick Scott was all caught up in???