Boomer |
10-12-2023 08:38 AM |
Quote:
Originally Posted by tophcfa
(Post 2264537)
I thought I understood Medicare, but now I am confused. My understanding is that any provider that accepts original medicare (part a and b) is required by federal law to accept all Medigap (supplemental) plans regardless of the insurance company and that there is no network within the 50 states. My understanding is also that providers who accept original medicare have the option to choose which Medicare advantage planes the are willing to accept, effectively creating networks like with traditional private insurance.
This begs the obvious question, how can the Village’s Health accept original medicare but legally refuse to accept a Medigap (supplemental) plan? Are they somehow not participating in original Medicare while still accepting a specific Medicare advantage plan? If that’s the case, beware, that is a very unusual and shady practice?
Inquiring minds want to know?
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I never understood it either. I remember when it was first offered, I kept thinking I was reading wrong because it looked to me like they would accept only their own advantage plan, and that was it. No Medicare primary or supplements.
It sounded like a “company store” routine to me.
We never had to use The Villages Health, but we never planned to be full time at our house in TV, so I never looked any further beyond my initial cringing at what I thought was going on. We have no intention of giving up our Medicare and supplement — unless “they” make us, as in………
Medicare recipients, now and future, need to keep in mind that some of those loud “promises” we hear about “protecting Medicare” — including even a very special signing of said “promise” a few years ago right in TV — with great fanfare and flourish — mean that the goal is to turn allllllll the money over to insurance companies and take away your choice of having Medicare as primary and a supplement chosen by you. Advantage Plans all-around……
Your old self is up for sale to insurance companies.
Don’t kid yourself. Insurance company lobbyists matter.
Soooo, looks like it all depends on what “protect” means.
Read between the lines.
If you’re OK with insurance companies making even more profit on you, well then, so be it. But I am not OK with that and want to continue to be able to choose Medicare as my primary. It works.
Cassandra Boomer
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