4 ms·
The issue isn’t Medicare Advantage, it’s Medigap regulations. If a person can demonstrate continuous coverage, there’s no reason that they shouldn’t qualify (I
by jmye 3y ago
The issue isn’t Medicare Advantage, it’s Medigap regulations. If a person can demonstrate continuous coverage, there’s no reason that they shouldn’t qualify (I mean, ideally, obviously they aren’t in reality).
I’d also note that MA plans are absolutely not incentivized to deny necessary care. If they refuse to grant a PA to treat your actual cancer, they will lose a ton of money when you go to the hospital. It’s part of the entire point of MA incentive structures. They are incentivized to deny unnecessary care (low back scans and a lot of other unnecessary radiology, for instance, that traditional fee-for-service incents providers to order needlessly).
This is a shockingly poor article from NPR.