The Darker Side of Medicare Advantage Plans

Q. Last year, during the Medicare Open Enrollment Period, my wife and I saw a commercial on television for a Medicare Advantage (MA) plan that sounded almost too good to be true. The company seemed reputable, so we took the claims … [Read more...]

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Critter Corner – Navigating Open Enrollment: Kaiser Family Foundation (KFF) Offers Three Helpful Resources

Dear Kiwi and Mango,Medicare Open Enrollment is right around the corner. Are there some helpful, reliable resources I can use to help make decisions about coverage?Thanks for your help!Dee Tales --Dear … [Read more...]

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Part 2: When Artificial Intelligence and Health Don’t Mix 

This is part two of a two-part series.  In part one, “Is CMS’s Latest Effort Enough to Hold Medicare Advantage Companies Accountable?” I described how CMS plans to hold Medicare Advantage (MA) companies to higher standards for … [Read more...]

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Part 1: Is CMS’s Latest Effort Enough to Hold Medicare Advantage Companies Accountable?

This is part one of a two-part series. The first part describes the recent rule to “strengthen Medicare Advantage (MA) and hold health insurance companies to higher standards for America's seniors and people with disabilities by … [Read more...]

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What the New Enhanced Auditing of Medicare Advantage Means for You

Q. I remember reading in one of your articles this past fall that some of the largest Medicare Advantage insurers are submitting inflated bills and that it’s one of the reasons everything is so much more expensive for plan … [Read more...]

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Customers Are Being Misled by Marketers into Signing Up for Certain Private Medicare Advantage Plans

Medicare Advantage plans now enroll nearly half of all Medicare beneficiaries, but some consumers are being misled because of the aggressive marketing campaigns by certain Medicare Advantage plans, and because of the fact that the … [Read more...]

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Now This Is SCARY! Medicare Advantage Is Submitting Inflated Bills to Make More Money, Totaling in the BILLIONS!

Q. I heard recently that most of the largest Medicare Advantage insurers are submitting inflated bills. Is this why everything has gotten so expensive for seniors enrolling in these plans? Also, what is being done about this? … [Read more...]

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Critter Corner: How Does Medicare Advantage Compare to Traditional Medicare?

Dear Oakley,It is Medicare Open Enrollment season, and I’m deciding whether I need a Medicare Advantage plan or if I want to stick with Traditional Medicare. Do you have any research you can share on the subject to help me … [Read more...]

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Medicare Advantage Plans May Shorten Stays to Less Time than Original Medicare Covers

A common question among many of our readers is whether Medicare covers long-term care. Medicare does not cover any type of long-term care, whether in nursing homes, assisted living communities, or your own home. Medicare does, … [Read more...]

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Medicare Planning: Federal Report Finds Medicare Advantage Plans Often Deny Necessary Care

Q. Medicare Fall Open Enrollment starts next month. I heard something not long ago about Medicare Advantage plans denying necessary care. This is very worrisome. What do you know about this, and what is being done? Do you have any … [Read more...]

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