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@cec2
Thank you for your reply. I was told by a friend from high school who sells Medicare plans that she thought SCAN Alta Advantage plan here was much better than Kaiser last year when we both turned Medicare age. That is what she went with. She suggested I get it and choose a primary doc who refers to UCSD so I could see a MPN specialist which sounds like a good idea. I have not heard back from her if it still is a good if that would be a good option for 2026.
I am just blessed to feel absolutely fine. I was only given my MPN diagnosis from going to a new insurance plan (Medicare Advantage) after not being happy with the insurance and hand specialist choices I had through my husband’s employer last year when they determined I had high platelets from routine lab work. I take daily low dose aspirin now. I was going for a second opinion on my enlarged non painful right right finger proximal phalangeal joint but nothing has gotten done by them on that and I know won’t as I have seen two of their hand specialist who really do not know what it is. I know open enrollment started on October 15 so I need to keep researching better options.
Have a blessed weekend.

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@1pearl
Prayers for and best wishes to you and all the others having to make insurance decisions, and also for better health and healing. You have a blessed weekend, too.