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In reply to the discussion: The Medicare Advantage ripoff every American should know about [View all]Cheezoholic
(3,938 posts)force you to take a Medicare Advantage model, with most requiring income adjusted payments and/or work requirements depending usually on age. Folks between 55 and 65 here don't have those requirements. However you still have an insurance company (can pick from 3) running the show. After a heart attack, I was denied Entresto and Jardiance as one of the meds my cardiologist wanted me on and had to go with Farxiga which is the cheapest. There are 2 other drugs I pay cash for they won't cover (100 a month). There have been several things they refuse to cover and its frustrating for many of my physicians. It also gets people used to the Medicare Advantage model and they usually just slide into that at 65. A lot of the increase in Advantage plan holders happen this way.
But it's the same reason I had issues with employer provided insurance, the damn insurance company has the final say on treatment. To me no matter what kind of insurance you have they need to get out of the way between you and your Dr. Health treatments driven by profits instead of care are just wrong.