Seniors may be lured by SilverSneakers dental and vision care but when their cancer treatment is unnecessarily delayed for prior authorizations and their bank accounts drained by co-pays, deductibles and coinsurance, it becomes extremely difficult to switch to traditional Medicare with a Medigap policy.
Medicare Advantage plans are extremely profitable. They game the “risk pools” but targeting healthier seniors , up-coding and inappropriate denials of care. The administrative overhead/profits for Medicare Advantage are in the 15-20% range. Traditional Medicare has a 2% overhead. The Senate Finance Committee majority staff issued a report on Nov. 3 . The report stated it “found evidence that beneficiaries are being inundated with aggressive marketing tactics as well as false and misleading information.”
She has a very good point.
Spot on!