[tired&retired]

Thank you in advance for any helpful advice.

🙏🙏🙏

[Robert DeLong]

That’s a question you need to ask them, and based on their answer, perhaps a lawyer, if feasible.

[metmom]

How can they change the plan during continuous admission?

It's possible it's in the fine print.

[metmom]

If she were an illegal immigrant, all this would be paid by the government. Any advice is welcome as my blood is boiling, I'm that angry at the Medicare Advantage rip-off plans.

You can't expect integrity from the government.

[chaosagent]

Just one of the many reasons my wife and I stick with traditional Medicare.

[HandyDandy]

.

[Gaffer]

There are more than one insurance companies out there that ROUTINELY deny claims, procedures, efficacy, etc. They do it because most times they can get away with it.

What you should do is start keeping track of and itemizing the denials and time line and then call your state insurance commissioners office and talk (really) talk to one of his aides if you can. Lay it all out and then follow up with the evidence. A state insurance commissioner is about the only thing a health insurer (or other, for that matter) cares about because he has to power to decredit them.

[Harmless Teddy Bear]

The company outsources it's claims processing.

The claims processor gets paid per claim processed. Every claim has to be entered into the system. If the claim is denied and then paid they get paid twice as much for the same amount of work.

You get what you pay for.

[Jim Noble]

Mixed public-private partnerships can go wrong in a lot of ways.

This is one of the ways.

Forget Humana. Involve your 2 Senators and your congressman. Medicare “Advantage” is probably generating huge bribes to prevent regulation, Medicare at the end of the day is a Federal health care program, legislators will be terrified of ending the gravy train, and a shove from them in the right place will fix your immediate problem.

[Nailbiter]

medicare