Posted on 11/24/2023 10:47:42 AM PST by buckalfa
I’m going through this right now with a family member, trying to get her into rehab after a severe stroke.
She has the top Humana Plan, and it’s still no go. Per the case manager at the hospital working with me, the plans are just refusing to pay after a week or so, stating that there is not sufficient improvement. The admissions directors at the facilities tell me that United is the worst.
Sorry to be the bearer of bad news.
I’m really frustrated. Her plan is supposed to have coverage for 100 days with only a $200 per day copay for days 21 to 41. That would cap at $4,200 per year in copay. Apparently the MA plans are just refusing to pay.
Hard to believe it, but Medicaid is looking better than the insurance plans.
When I was working I had a Plan F plan from Anthem. I continued that over into retirement. It was more expensive but better overall. When I reached Medicare age I was tempted with MA but something in my mind told me to stick with the now-grandfathered Plan F (modified) I have. I am soooooo glad I did. I’ve never been denied a claim with it and have never been told by any doctor or hospital they wouldn’t take assignment on it.
wow, surgery, cardio, and stroke rehab should be automatic.
I’ve been told that when a broker sells a Medicare supplement plan, they only get commissions for 6 years.
But when they sell a Medicare Advantage plan, they get some sort of commission for the life of the patient.
The only reason I can see that the Advantage plans are pushed SO HARD is that somehow the patient is getting short changed!!!
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