Search Results for: medicare advantage

United Healthcare and the Medicare Advantage scam; is this the tip of the iceberg?

United Healthcare and the Medicare Advantage scam; is this the tip of the iceberg? If you have United Healthcare or Oxford Health Plans (purchased by United Healthcare a few years ago), you may have heard about the latest news on how United Health Group’s  former finance director in Minneapolis, Benjamin Poehling,  contends that his company and other insurers have been systematically bilking Medicare Advantage for years according to the NY Times. When we look at healthcare costs, and how they have risen over the years, you must be asking yourself why, when other countries take care of their aging population at Read More »

Medicare Advantage part C plans vs. Medicare and a supplement; buyer beware.

Medicare Advantage part C plans vs. Medicare and a supplement; buyer beware. You have finally reached the age of 65 and are now enrolled in Medicare; is there a better option? Medicare was developed in 1965 and signed into law by Lyndon B Johnson as a way to help pay for the medical needs of those reaching retirement age as well as those with disabilities. Medicare Part A is free and is designed to cover hospital stays over 72 hours as well as some skilled nursing care. Medicare Part B is not free, but the monthly premium is subsidized and Read More »

Private insurers have exploited Medicare for millions while applying roadblocks to needed care.

Private insurers have exploited Medicare for millions while applying roadblocks to needed care. Over the years I have warned patients about private insurers and the push to have everyone use a Medicare Advantage (part C) plan.  These plans offer the same hassles and pitfalls that you had prior to joining Medicare, with delays, recertification requirements, smaller networks, and no out-of-network coverage but you get a free gym membership. While the deals sound enticing with the barrage of mail you receive, the truth is that Medicare parts A and B with a Medicare supplement are far superior coverage-wise than any Advantage Read More »

Why hospitals do not like the idea of Medicare for All.

Why hospitals do not like the idea of Medicare for All. The current situation with healthcare in the USA needs to improve, and simplifying the system is essential.  The problem is, hospital systems who are a huge part of the cost problem will fight anything that reduces their revenue. Due to the predatory activities of insurance companies who have harmed individual hospitals financially by lowballing reimbursements or creating tiered systems such as Horizon Omnia, many of the smaller hospitals have joined with large hospital systems to protect their reimbursements and their turf. The result is that we are all paying Read More »

Medicare for all; Isn’t it about time we did something for the average American?

Medicare for all; Isn’t it about time we did something for the average American? The problem. Bernie Sanders has many American’s in agreement that we need a change in how insurance works in the USA. Not everyone agrees with Bernie Sanders on how to make this happen. Our overly complicated system has been ruined by private interests which include insurers, hospitals, medical suppliers, and drug companies who often charge prices that nobody can relate to. The USA has the highest healthcare costs in the world, and one illness can wipe you out financially; something that is unique in our system. Read More »