There should be no bureaucratic delay. It should be like car insurance. I can phone my agent and state what I want covered about my car. It takes two minutes once I am talking to him.
There should be a plain language front sheet that outlines everything that you are covered for, in front of the rest of the policy, and that’s it. If you want to make adjustments, phone your agent and two minutes later he has also adjusted the price.
Now do deductables.
> In 2023 alone, Medicare Advantage (which covers about 32 million people) initially denied 3.2 million prior authorization requests. <
Ah, Medicare Advantage. Their plans offer lots of goodies. Free this, and free that. But when you really need them, they show their fangs.
I read somewhere that Medicare Advantage makes sense if you are on a tight budget AND are very healthy. Otherwise, stick with original Medicare and buy a supplement.
That’s what I did.
Your mileage may vary.
I’m glad RFK jr and Dr. Oz can work together. This was what I had hoped for. Righteous determination plus extensive medical and nutrition experience on a professional level.
Both men very much media savvy, so less minor mistakes getting started.
Winning!
Keep going, Sec. Kennedy, the changes you’re making can help generations of Americans in substantial ways.
I have not had any problem with pre-authorizations. Occasionally I’ve had to have my doctor talk to insurance and then it got approved, but generally it’s a simple and fast process.
AWESOME NEWS!!
Nope, not tired of winning yet
Co pays should be on all procedures. When the patient has no stake in the cost the cost escalates. There are people in this world who would be glad to spend their entire day, every day, in care or procedures.
They are why drug prices are so expensive.
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The other companies are :
“...and GuideWell, along with the industry trade group AHIP.”
Now get Medicare to cover the annual physical exam by the Dr that includes an EKG and standard blood work.
About eight months ago, I had scheduled a medical procedure for a Monday, I had to prepare for the procedure with five days of enoxaparin injections and to stop taking my blood thinners. Just as we were about to leave the house we got a call from the doctor’s office cancelling the procedure for lack of prior authorization. I had to complete the ten day series of enoxaparin injections. Ouch!
On the following Thursday I received a letter from the insurance company stating that the procedure was authorized. The letter was dated on the fore mentioned Monday. The procedure was rescheduled for a month later. I had to redo the enoxaparin injections which had a co-pay of $170.
I’m a pharmacy tech and a transplant recipient. I cannot tell you how many PA’s I deal with and how long it takes doctors AND insurance companies to respond. Patients get letters stating that their drugs are covered, but the company hasn’t updated their servers, and the drug is still denied for another week.
This is good news. Cost may go up, but at least people will get their meds.
I’m going through this right now.
Both my PCP AND an Orthopedic Surgeon have prescribed Physical Therapy for my knee.
The Insurance Company is giving me a hard time with “Prior Authorization”.
Thank you, RFKJr. for addressing this issue.