Posted on 10/11/2023 4:17:43 PM PDT by coalminersson
Today went to one of my cardios. He asked if I received a letter from Scripps saying they would no longer take my insurance. Medicare, thru United Health Care for the last 265 years 18 with Scripps.
I am a serious patient mostly my life long habits to blame and a very stressful job.
Woman at Scripps said I should call HICAP for advise. They are online. Left a message.
Anyone going thru this and anyone have some advice about a company. I would like to stay with Scripps but word thru my wife is they don't want medicare anymore.
That could leave thousands in SD looking for medical care.
Lord what a can of worms. I’ll be reading replies because I have the same questions.
Scripps says they are taking Medicare but dropping some advantage programs,
Two Scripps Health groups are dropping Medicare Advantage plans in 2024
Scripps Health’s clinic and coastal medical groups will continue to accept original Medicare (Part A and Part B)
You’re going to have to get on cms.gov go to your Medicare account and find out what your options are in the area you Live in. Looks to me like you’re going to have to get a new Medicare supplement policy depending on where you live and you should have plenty of options. Look at all of them carefully and figure out which one’s gonna work for you.
Or check with Scripps and find out what providers are still taking their policy in your area although that’s not going to help you if you’re trying to see a specific doctor that means you’re going to have to change your Medicare supplement policy
Do you have an advantage program through Scripps?
If you are in an advantage program, that’s a whole different situation, you are not on traditional Medicare. If you wanna get back on traditional Medicare, you will have to be re-excepted back into the program which means a lot of paperwork.
You best talk with the Scripps billing people.
They will almost certainly try to help you.
Expect to have to change your Medicare Advantage plan.
It took me quite a bit of time & effort to sign up for standard Medicare.
“Scripps Clinic and Scripps Coastal medical groups will not be contracting with Medicare Advantage plans starting January 1, 2024.”
https://www.scanhealthplan.com/lpg/scan-health-plan-and-scripps-health?scan_state=CA&;
As someone mentioned, you can search on medicare.gov by zip code for all the Advantage plans in your zip code/county. If Scripps takes another UHC or Aetna or Humana Advantage plan you can enroll for Jan 1. Going back to original Gov Medicare will get you underwritten and possibly rated with a higher premium for your Supp/Gap 20%, and all the Stand Alone Drug plans are more expensive this year due to the cap Bribem put on drug costs starting in 2025. Drugs can now come with a $505 deductible to start the year. Find a MC Specialist in San Diego who knows the local market and stay away from the 800# boilerroom sales crowd! .... ymmv
I used to work at Utilization Review as an RN. United Healthcare is the one insurance company I tell my friends never to use for insurance coverage. They deny payments to providers all the time, in which providers have to spend time to fight the denials. They do that constantly. My department spent so much time fighting the denials. When my mother in law was in the ICU , United Healthcare denied the claim for the ICU , and it took about a year for the hospital to get paid. I am surprised that more hospitals have not dropped UHC, but maybe this is the start.
Open Enrollment is upcoming. Instead of dropping Scripps, I would look into a different insurance company.
In some ways it might be a bit more expensive than some plans but 98% of doctors and hospitals would come in handy if I developed a rare or dangerous medical problem.
worth reading as a whole:
https://www.medpagetoday.com/special-reports/exclusives/106483
Hospital systems are fed up with Medicare Advantage.
“Open Enrollment is upcoming. Instead of dropping Scripps, I would look into a different insurance company.”
A stated by Scripps, the two affected groups will only accept regular Medicare. No Advantage accepted from any company.
Call NYU medical radio show. Their Medicare LIVE show is every Thursday between 12pm-2pm. Very helpful and knowledgeable.
1-877-698-3627
“Hospital systems are fed up with Medicare Advantage.”
The article references doctor groups, not hospitals.
Several previous posts have already referenced this info.
thanx
thanx
“Signaling what may be an emerging national trend, two influential medical groups with San Diego-based Scripps Health are cancelling their Medicare Advantage contracts for 2024 because of low reimbursement and prior authorization hassles, leaving 30,000 enrolled seniors to look for new doctors, or different coverage.”
[link given previously]
https://www.medpagetoday.com/special-reports/exclusives/106483
One word answer on this - Supplemental.
Yeah it cost more... or does it?
lots of ideas and suggestions thanx everyone. Any remarks about Kaiser?
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