A dying agents warning ‼️

[InsuranceGuy29]

And all the while, as the appeal process moves on, so does the cancer growth.

Accelerated appeals happen with a day, nowadays. Some even within 12 hours.

 

[InsuranceGuy29]

It's a huge assumption that every senior can afford the copay and coinsurance that comes with an MA plan.

Many services don't have copays. And with the plan designs, the copays are extremely low. The only copay that even a person on an EXTREMELY limited budget would even remotely need to even be somewhat concerned with is the overnight hospital stay, and that can be covered with a $10/month indemnity add-on. A surgery that costs $50,000, $60,000.....$100,000 is literally $200...maybe $350 on the high end.

 

[straightnochaser]

It's a huge assumption that every senior can afford the increasing medigap premium and Part D Premium that comes with OG Medicare.

 

[Yagents]

Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds​

Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds

Post-acute care services targeted for coverage denials

www.medpagetoday.com

 

[InsuranceGuy29]

Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds​

Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds

Post-acute care services targeted for coverage denials

www.medpagetoday.com

Post-acute care is among the highest category of medicare fraud.

Healthcare fraud rampant, but OIG refines its focus on nursing homes

For 2024, healthcare fraud has already been rampant, according to the U.S. Department of Health and Human Services Office of Inspector General. But

www.mcknights.com

 

[Midlevel]

Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds​

Use of Prior Authorization Up in Medicare Advantage Plans, Senate Report Finds

Post-acute care services targeted for coverage denials

www.medpagetoday.com

Prior auth is OK for 64 years and 364 days but when someone turns the magical age of 65 no more Prior Authorization. Talk about ass backwards. No wonder Med Sups go up and up. Can’t tell me a Med Sup company wouldn’t love PA but OM says nah, no need to look at a claim and let’s just pay it.

 

[rmhaire]

Prior auth is OK for 64 years and 364 days but when someone turns the magical age of 65 no more Prior Authorization. Talk about ass backwards. No wonder Med Sups go up and up. Can’t tell me a Med Sup company wouldn’t love PA but OM says nah, no need to look at a claim and let’s just pay it.

Boy you nailed that one. I just got a rate increase on my plan G. That extra fifteen a month is going to hurt.

I'd much rather wait 10 days for my PA to go through on that band-aide my doctor ordered.