Talk of The Villages Florida - View Single Post - Challenging Doctor Shortage
View Single Post
 
Old 10-25-2023, 09:19 AM
MSGirl MSGirl is offline
Senior Member
Join Date: Aug 2014
Location: Charlotte
Posts: 336
Thanks: 171
Thanked 65 Times in 47 Posts
Default

Quote:
Originally Posted by davephan View Post
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.
You HEARD incorrectly. Unless you know for sure because you experienced it, then why bring it up? Medicare Advantage plans follow traditional Medicare. If a procedure is denied with a Medicare Advantage plan, then it’s because it didn’t follow Medicare guidelines. So the same procedure would be denied with traditional Medicare. You actually have one year to decide if a Medicare advantage plan is right for you. At that time you can switch back without going through hoops.