“A lot of (MA plans) are trying to lure (beneficiaries) from traditional Medicare to their MA plan,” said Fedor, director of reimbursement and education for U.S. Rehab, during a Nov. 12 webcast.
“They often state there are additional benefits that they give the patients, and we all wonder, how can they provide all these benefits at these lower costs? They sometimes say no out-of-pocket-costs at all. You start thinking, it seems too good to be true.”
How do they get you to a zero dollar premium plus a gym membership?
MA plans don’t provide the same services or reimbursement the same way.
It’s often more difficult for your doctor to get paid– since there are extra hurdles.
Medicare Advantage Plans are not not required to follow the traditional Medicare’s fee schedules or rules.
For example, an MA Plan doesn’t have a purchase option on complex rehab power wheelchairs, just a rental option.
If you like your MA plan, great. But if you don’t–
The third thing providers need to know about MA plans: Beneficiaries aren’t necessarily locked “… you can switch back (to traditional Medicare) until Feb. 14 for any reason.”
Excerpted from–
Is Medicare Advantage too good to be true? – HME News https://bit.ly/2L7C3I9
