← Return to Anyone else have Medicare Advantage

Discussion

Anyone else have Medicare Advantage

Prostate Cancer | Last Active: Mar 6 9:03am | Replies (28)

Comment receiving replies
@russ777

I apologize to the original poster who was asking about those who have MA plans. I also do not. Timing is everything. I was diagnosed 2 months before the deadline for me to enroll in medicare and ended up having surgery 6 weeks or so after I enrolled in Medicare parts A/B/D and G (supplemental plan). Once diagnosed with high risk disease I could not take on the risk of an advantage plan where I might not be able to seek out the doctors I preferred and where copays could add up to significant amounts. With the possible exception of the Part D drug plans, my combination of A/B and G has worked beautifully for me. I believe Part C plans are legally required to cover everything Part B covers, but most complaints I hear are that the insurors can drag their feet in approving tests/procedures that result in delays. No issues with those companies making money with the enterprise - they take on risk so are justified IMO in making reasonable profit.

Jump to this post


Replies to "I apologize to the original poster who was asking about those who have MA plans. I..."

Macro view: Medicare, is a nonprofit type of system and not suitable for the "for profit" world.
Centers of Excellence and research have higher costs and the MA plans are trying to reduce the compensation paid to these primarily nonprofit facilities, which is causing some of them to refuse to contract due to inadequate reimbursement.
And the MA plans are competing with each other on premiums, and trying to minimize their plan premiums (remember that you still pay your Medicare Part B premium), and then squeeze the provider world to maximize profits.
I support making a profit in a profit driven world, but this isn't it.
And the MA plans have been VERY profitable, so the raptors are hunting hard.