Once a patient enrolls in an advantage plan they lose the ability to see any physician they want. They also lose payment based on “medical necessity” which means if your doctor thinks you need the care medicare will pay for it. Advantage plans can and do deny care they don’t want to pay for and also deny care by artificially restricting the number of providers you can see . These plans look good but they are really bad news as care isn’t there anymore when you need it.
Once a patient enrolls in an advantage plan they lose the ability to see any physician they want. They also lose payment based on “medical necessity” which means if your doctor thinks you need the care medicare will pay for it. Advantage plans can and do deny care they don’t want to pay for and also deny care by artificially restricting the number of providers you can see . These plans look good but they are really bad news as care isn’t there anymore when you need it.