Senior Medicare Advantage Plans Deny Needed Coverage, Investigation Shows

Published on April 28, 2022

Every year, tens of thousands of seniors with private Medicare Advantage plans are denied coverage for necessary care that they are fully eligible for. A recent report from the inspector general’s office of the U.S. Department of Health and Human Services revealed this troubling trend. It’s like going to a candy store with money in your hand, ready to buy your favorite sweets, only to be told that you can’t have any. Imagine the disappointment and frustration! This report highlights the frustration experienced by seniors who are denied access to the care they need. The investigators found that necessary care is often denied due to various reasons, such as inappropriate denials or lack of documentation. This raises questions about the efficiency and fairness of the Medicare Advantage plans. To ensure that all eligible seniors receive the care they need, it is crucial for policymakers and insurance providers to address these issues. If you want to learn more about the findings of this investigation and explore potential solutions, check out the full report!

Coverage for eligible, necessary care is denied each year to tens of thousands of seniors with private Medicare Advantage plans, U.S. federal investigators say. In a report released Thursday, the team from the inspector general’s office of the U.S. Department of Health and…

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