Leigh G on Spoutible

There are not good for patients. Medigap would serve people better. The "additional benefits" offered really aren't very good anyway. Not giving up my doctors for some ppo bullshit so the insurance company can hand out stock dividends.

Sylvan Swanson @ATXmetalgod

The United States: A nation where people who have paid a lifetime of taxes to federal and state governments are denied both basic and necessary healthcare.

By repeatedly denying claims, Medicare Advantage plans threaten rural hospitals and patients, say CEOs

Some 31 million Americans have Medicare Advantage plans. But because they routinely deny coverage for necessary care, they threaten rural hospitals, say some CEOS.

12:35 PM - Oct 31, 2023

12:38 PM - Oct 31, 2023

Leigh G

@yogaleigh

Couldn't afford Medigap coverage for my mother or, when I became eligible, for myself. Mom's Advantage plan covered 10s of 1000s of dollars on hospital stays with surgeries and free skilled nursing plus free home care pt after. 1)

In response to Heidi Hafeken.

01:07 PM - Oct 31, 2023

Heidi Hafeken

@HeidiHafeken

In response to Leigh G.

You're the 1st time i haven't heard how duped someone was by advantage plans. Consider yourself very, very lucky.

01:17 PM - Oct 31, 2023

Margo Green

@kiotewoman

In response to Heidi Hafeken.

I'm lucky. I have an advantage plan through my state retirement system. I don't pay for anything except the co-pay on medications. But that's not true for many of the plans on the market and the insurance companies are making huge profits off people .

01:27 PM - Oct 31, 2023

Eljay Sixty

@Eljay60

In response to Heidi Hafeken.

Until May I worked in the revenue cycle of a rural hospital, and the denials that were trickles at first are routine now. I agree @yogaleigh was lucky.

01:37 PM - Oct 31, 2023

Leigh G

@yogaleigh

In response to Leigh G.

I have never paid out enough to meet deductible on the less expensive gap plans so on top of monthly premiums I can't afford, wld be paying on that too.
So far my plan has covered everything submitted. And I use the extras more than the rest. 2)

01:11 PM - Oct 31, 2023 (Edited)

Leigh G

@yogaleigh

In response to Leigh G.

For those of us who can't afford a gap plan, we'd just have no gap coverage at all and would have to turn down many procedures, tests, etc. ourselves. Not sure I see how that is better. 3)

01:13 PM - Oct 31, 2023

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By repeatedly denying claims, Medicare Advantage plans threaten rural hospitals and patients, say CEOs