I am on Medicare advantage for 5 years and was very happy with it. But last 2 years they cut $1000 off from out of pocket expenses for vision, hearing and medical expenses.
Cutting when in fact it should go the other way, and companies should be able to offer a variety of options to seniors and Medicare rules would only apply to a basic policy.
Dems must have a hard time trying to steal from it.
I’m turning 65 this year and have been looking at medicare. At first, I thought of getting a MA plan, but I’m hearing they have high out of pocket costs nowadays. That the plans have really degraded and there are not that many plans offered where I live. That’s because of Joe Biden, not Donald Trump. So, I guess I’ll go with traditional medicare and a supplemental plan and a PDP.
Bookmark bump
“Under the Inflation Reduction Act, which was intended to cap out-of-pocket drug costs for Medicare beneficiaries, insurers are poised to significantly hike monthly premiums, with average bids for Part D plans expected to triple by 2025.
“In response to potential voter backlash, the CMS rolled out a three-year “demonstration project” to subsidize these premiums, aiming to keep them artificially low.”
“She lived alone and was hospitalized five or six times within a year and a half. Basically, her Medicare Advantage insurance … refused to pay for her to go to a rehab facility after each hospitalization.”
“A survey of health systems by the Health Care Management Association revealed that 19% had stopped accepting one or more Medicare Advantage plans in 2023. And 61% reported that they were either considering or planning to stop accepting all Medicare Advantage patients within the next two years.
“The problem is nationwide, but more acute in some areas. In Minnesota, for example, nearly every major health system is refusing to do business with the three largest MA insurers, according to Kelli Jo Greiner, health care policy analyst and Medicare product manager with the Minnesota Department of Human Services.”
“By one estimate, taxpayers pay 22% more per Medicare Advantage enrollee than the cost of traditional Medicare.”
https://www.kiplinger.com/retirement/medicare/problems-with-medicare-advantage-plans-keep-mounting
“Prior authorization protocols create real health risks for seniors. Diagnostic tests and medical procedures are often delayed and occasionally denied. These dangers were underscored in a report issued in April 2022 by the Inspector General of the Department of Health and Human Services. This report showed that one in 10 treatments that had been denied and one in five denied payments would have been covered by traditional Medicare. In short, insurers were simply not following Medicare guidelines for care. The report also showed that fully 75% of all medical services that were denied via prior authorization were overturned upon appeal, resulting in unnecessary and dangerous delays in patients getting care.
“For all of this, Medicare Advantage plans haven’t saved the federal government any money. Although some 48% of eligible seniors are enrolled in Medicare Advantage plans, the insurance companies offering them are gobbling up 55% of total Medicare spending.”
https://www.statnews.com/2022/11/15/replace-medicare-advantage-failure-with-medicare-part-f/