What to look for in a MAPD plan with cancer?

[jack3454]

I have a client on a MAPD now, who just got diagnosed with leukemia. What should I be looking for in a plan to best suit him for next year's coverage? Obviously the network and making sure the cancer docs are all in network is top priority. His current plan is good, but knowing he has cancer there are better options.

I was thinking of finding the lowest MOOP plan would help even if that means going to an HMO plan. He's not planning to go to Johns Hopkins or other top hospital, he will stay local. He's most likely going to have quite a large expense, so figuring a low MOOP would also be a priority.

Anything else? Not sure what to expect with this. Thanks!

 

[Fisher]

Doctors and MOOP. Chemo will max the MOOP in a flash. You're on the right track, Jack.

 

[Special Agent]

I have a client on a MAPD now, who just got diagnosed with leukemia. What should I be looking for in a plan to best suit him for next year's coverage? Obviously the network and making sure the cancer docs are all in network is top priority. His current plan is good, but knowing he has cancer there are better options.

I was thinking of finding the lowest MOOP plan would help even if that means going to an HMO plan. He's not planning to go to Johns Hopkins or other top hospital, he will stay local. He's most likely going to have quite a large expense, so figuring a low MOOP would also be a priority.

Anything else? Not sure what to expect with this. Thanks!

Biggest solid you can do for them is educate them on the fact that very often the 20% part B charges can be paid by foundations etc or written off by provider if they apply/ask for help.