Rural Hospital in the Red Caused by Medicare Advantage

[rmhaire]

I make about $550 for a med Supp plus pdp. And then bigger med Supp renewals. So not really.

You're in FL. Most other states are $250 to $300 or so without pdp. Roughly half of a T65 MAPD.

 

[Midlevel]

You're in FL. Most other states are $250 to $300 or so without pdp. Roughly half of a T65 MAPD.

Don't forget the bonus they are all paying now. . I get emails weekly about new bonuses trying to get me to push their products. I present them to everyone but they all seem to like not paying a premium and getting their dental, vision, OTC, fitness reimbursement, hearing aids, gym membership and a far superior drug plan. Guess I can't blame em. They don't give a rats ass if the hospital has to wait a bit to get paid or the poor skilled nursing facility has to get the rehab approved rather then the free lunch ticket with OM.

 

[axeman462]

It appears some of you have a ravenous appetite for fiction and disdain for facts. When confronted with truth you resort to a red herring argument.

And what is your solution Bobby?

 

[GoPokes]

@GoPokes Hi OOP results in unpaid hospital bills.

Hospitals have the same problem with folks who have Obamacare plans and have no problem stiffing the hospital for their deductible and other OOP costs.

I spoke to a friend over the weekend, she owns a PT clinic in DFW. She said for some of their billing codes, OM pays $300, but UHC MAPD only pays them $65. UHC used to be closer to $200, but they just randomly cut it by two thirds.

She said they used to help the patients file their own claims with their MAPD plans. I think she may have been referring to PPO, when out of network, but the carriers told them they could not do that for the patient, bc it is a violation of a medicare statute.

 

[somarco]

. I think she may have been referring to PPO, when out of network, but the carriers told them they could not do that for the patient, bc it is a violation of a medicare statute.

That's news to me . . . also seems odd