Quote:
Originally Posted by downeaster
My point was the possibility of pitfalls. If you read the ad on page ten of today's Sun you will note they state there are situations where you may not be covered by either Medicare nor Medicare Advantage.
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Yes, I did read the ad that Preferred Care Partners has in today's Sun....I think what it is saying is that if I go out of network they will not pay unless I have a POS plan. Since PCP has a contract with Medicare, Medicare will not pay either. I DO know from experience that "urgent care" is covered out of network, since I had to avail myself of this service this summer when I was in New England. Also, should I need to go to a hospital when I am out of the area I will be covered. That out of network hospital will have to get authorization and I would have to return to a network hospital as soon as my condition had stabilized enough. So, I have confidence that I will receive proper medical care no matter where I am in the United States. Being happy in one of these advantage plans depends mostly on how willing one is to play by the rules. Avista is a good example of someone who has educated herself about all of these plans. She made a choice today based on her research and in talking directly to the PCP representative. She knows the ins and outs as to how an advantage plan works. I sense from her post that she is very happy tonight with her decision.