Quote:
Originally Posted by davephan
Medicare Advantage is really named incorrectly, it should be named Medicare Disadvantage. I’ve heard that 30% of all claims are routinely denied. If your doctor prescribes 12 treatments, they might only approve 8 treatments. You are also restricted to going to clinics that you probably wouldn’t have chosen on your own.
One of the worst things about Medicare Advantage is after one year of switching to Medicare Advantage, you have to medically qualify to switch back to Original Medicare. If you’re health declined, then you could be stuck with Medicare Advantage for life. The best option is to stay on Original Medicare with a good supplement.
|
Sounds about right, except just about
ALL insurances deny at least 15-20% of claims, as a minimum. We had 4 FT employees just dealing with denied claims. Then, on top of legitimate billing, this is Florida where Medicare fraud abounds. Also realize that most insurances limit fully or partially reimbursement for "out of network" providers. The part about switching back to traditional Medicare, however, is unfortunately true.