Some Insurance Companies Move Beneficiaries to Medicare Advantage Plans Without Their Permission

Submitted on Sat, 10/29/2016 - 8:21 am
Modern Healthcare

Shocking news that some insurance companies, including some of the biggest healthcare insurance providers in the country, have been given permission to "seamlessly convert" beneficiaries who are eligible for Medicare into Medicare Advantage plans. These beneficiaries did not choose the plans, and may find that their doctors are not in the networks. Worse, if the beneficiary was in an employee plan and wanted to be in traditional Medicare after retirement, their placement in a Medicare Advantage plan may make it more difficult to get a Medigap plan after they retire. The CMS is halting approvals temporarily to assess the program, but 29 providers already have approval.