Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News Editorials & Other Articles General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

Ms. Toad

(38,109 posts)
69. No. They said they should be banned from using "Medicare" in their names.
Sat Dec 27, 2025, 10:04 AM
3 hrs ago
Advantage plans are private insurance, and they should be banned from using " Medicare" in their name.


That was the basis of my reaction. They use "Medicare" in their names because they are part of Medicare.

I agree Medicare should not have authorized such plans, but that ship has sailed. Because they are part of the statutory Medicare scheme, the use of the name is proper.

As for being non-profit, the supplement portion of original Medicare is also run by for-profit insurance companies. It's not as obvious because they aren't advertised much because they don't make much profit for the companies offering them (since the insurance companies don't have a lot of control over what is covered.)

Recommendations

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

They really went after nerves. Is salvation through pain part of the plan? bucolic_frolic 23 hrs ago #1
Steroid injections have kept me ok on my feet redstatebluegirl 22 hrs ago #3
Me too. mgardener 22 hrs ago #4
This message was self-deleted by its author Trueblue Texan 22 hrs ago #11
I just got a shot in my shoulder LittleGirl 22 hrs ago #12
That should still be okay. Igel 21 hrs ago #17
Right? LittleGirl 20 hrs ago #41
Exactly. SergeStorms 19 hrs ago #42
Had that one too Bayard 14 hrs ago #59
I get steroid shots in my scaphoid joint for arthritis. The list specifies that steroid shots in joints are not included Martin68 1 hr ago #70
Same here Bayard 14 hrs ago #58
That's what made Mother Theresa druidity33 21 hrs ago #21
How about a pilot program Henry203 23 hrs ago #2
Medicare Advantage is already set up to be able to deny claims for things that Medicare would automatically cover. thesquanderer 22 hrs ago #8
Advantage plans are private insurance, and they should be banned from using " Medicare" in their name. OMGWTF 21 hrs ago #18
I agree. Unless maybe they more honestly called it something like "Medicare Alternative" or "Medicare Private Option." thesquanderer 21 hrs ago #25
Alternative Medical Services. cstanleytech 15 hrs ago #57
They are literally Medicare plans, Authorized under the Medicare Part C statutes Ms. Toad 20 hrs ago #31
The person you're replying to said Advantage plans should not have been allowed as Medicare plans. pnwmom 9 hrs ago #63
No. They said they should be banned from using "Medicare" in their names. Ms. Toad 3 hrs ago #69
Ban "Medicare" from their name ENTIRELY Seinan Sensei 20 hrs ago #34
huh? Skittles 17 hrs ago #54
I should have said upcoding Henry203 17 hrs ago #55
AI prior authorization approval is already a relatively common practice anciano 22 hrs ago #5
And it needs legislatively banned. benfranklin1776 21 hrs ago #27
Not just the Ai part of it, but the outside authorization mahina 20 hrs ago #32
Agreed! benfranklin1776 13 hrs ago #60
But one of the main reasons to choose standard Medicare over a Medicare Advantage plan is to minimize a third party Ms. Toad 20 hrs ago #38
"Healthcare" is an umbrella term that encompasses anciano 20 hrs ago #39
Healthcare is distinct from how that care is paid for. Ms. Toad 19 hrs ago #44
So? People pay MORE to join Traditional Medicare so that they can choose their own doctors pnwmom 18 hrs ago #48
No LtTx 17 hrs ago #53
Yes, they do, in order to get Parts A and B, which covers both hospitalization pnwmom 16 hrs ago #56
And yet the govt is clamping down on prior authorization in Advantage plans pnwmom 9 hrs ago #64
Brought to you by the same people who believe in ivermectin for covid Raven123 22 hrs ago #6
i've had the cellular. tissue application for foot wounds that would not heal rampartd 22 hrs ago #7
neck surgeries, knee surgeries, incontinence control, pain relief -- how very cruel, how very predictable 0rganism 22 hrs ago #9
So delay and deny are what's in store for our Buddyzbuddy 22 hrs ago #10
We have to move to Medicare for all and cover everything. ChicagoTeamster 21 hrs ago #13
Our doc told us pre-approval is needed for what was our usual blood test AverageOldGuy 21 hrs ago #14
If you are no standard medicare, your doctor is wrong. Ms. Toad 20 hrs ago #36
Under an Advantage plan with an HMO dickthegrouch 21 hrs ago #15
But this experiment is being done with Traditional Medicare patients, which doesn't require prior authorization. pnwmom 18 hrs ago #49
Companies running this make money with every denied claim groundloop 21 hrs ago #16
Death by spreadsheet OMGWTF 21 hrs ago #20
Private insurance companies don't run traditional Medicare. ShazzieB 21 hrs ago #22
AI "death panels"..... SergeStorms 19 hrs ago #43
But private companies WILL provide the AI services performing prior authorizations for Traditional Medicare. pnwmom 7 hrs ago #66
The whole reason Iʻm paying extra for supplemental ins is to keep the imperfect gem, traditional medicare, where mahina 21 hrs ago #19
"Just reading our DUers here and the impacts this would make to their lives is powerful." BumRushDaShow 21 hrs ago #24
This part caught my eye. ShazzieB 21 hrs ago #23
Amen 💪🏼 benfranklin1776 21 hrs ago #28
Don't You Mean OhioTim 19 hrs ago #46
I know what you mean, but I prefer not to think in those terms. ShazzieB 12 hrs ago #61
Doesn't sound reasonable or even rational Joinfortmill 21 hrs ago #26
Does one need advanced approval to die? milestogo 21 hrs ago #29
That's next... 2naSalit 18 hrs ago #50
So they're creating those death panels that Sarah Palin warned us about WestMichRad 21 hrs ago #30
Trump Qualifies For One OhioTim 20 hrs ago #33
two actually - do his diapers require prior approval? RainCaster 11 hrs ago #62
Deep brain stimulation for the treatment of essential tremor progressoid 20 hrs ago #35
It's fairly new TexasBushwhacker 1 hr ago #71
I'm lucky (???) in that I'm already bald. :) progressoid 48 min ago #72
At best, it will delay treatment. Treatment delayed is treatment denied. SunSeeker 20 hrs ago #37
It is not just AI needs to be destroyed - but the insertion of third party judgment (of any kind) Ms. Toad 20 hrs ago #40
I expect this is being pilot-tested to eventually become a permanent change (with more procedures needing prepproval) BumRushDaShow 19 hrs ago #45
I agree. Ms. Toad 18 hrs ago #47
I know for those of us feds who planned to maintain their FEHB insurance plans when Medicare-eligible BumRushDaShow 17 hrs ago #51
When I had a cancer diagnosis, I was in surgery 2 days after getting the diagnosis, pnwmom 9 hrs ago #65
That's the general basis for my personal concern with the skin and tissue substitutes Ms. Toad 3 hrs ago #68
The U.S. is the only modern nation without a universal tax supported health care system for all their citizens. It makes ShazamIam 17 hrs ago #52
WHY?? travelingthrulife 4 hrs ago #67
RFK, Jr. and Dr. Oz lonely bird 21 min ago #73
Latest Discussions»Latest Breaking News»New Medicare Program: Ful...»Reply #69