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justaprogressive

(2,189 posts)
Sat Oct 7, 2023, 07:53 AM Oct 2023

The Medicare Advantage ripoff every American should know about [View all]

President George W. Bush and Republicans (and a handful of on-the-take Democrats) in Congress created the Medicare Advantage scam in 2003 as a way of routing hundreds of billions of taxpayer dollars into the pockets of for-profit insurance companies.

Those companies, and their executives, then recycle some of that profit back into politicians’ pockets via the Citizens United legalized bribery loophole created by five corrupt Republicans on the Supreme Court.

Just the overcharges happening right now in that scam are costing Americans over $140 billion a year: more than the entire budget for the Medicare Part B or Part D programs. These ripoffs — that our federal government seems to have no interest in stopping — are draining the Medicare trust fund while ensnaring gullible seniors in private insurance programs where they’re often denied life-saving care.
Real Medicare pays bills when they’re presented. Medicare Advantage insurance companies, on the other hand, get a fixed dollar amount every year for each of the people enrolled in their programs, regardless of how much they spent on each customer.As a result, Medicare Advantage programs make the greatest profits for their CEOs and shareholders when they actively refuse to pay for care, something that happens frequently. It’s a safe bet that nearly 100 percent of the people who sign up for Advantage programs don’t know this and don’t have any idea how badly screwed they could be if they get seriously ill.


[link:https://www.rawstory.com/medicare-advantage-2665824037/|
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My daughter is a home-care RN case manager Freddie Oct 2023 #1
I suspect many folks were duped into signing up. dalton99a Oct 2023 #69
Traditional Medicare has tight limits on physical therapy too. Silent Type Oct 2023 #82
The problem is the network limitation dalton99a Oct 2023 #85
And traditional Medicare is good if you have $250 to $400 a month for Silent Type Oct 2023 #101
Medicare Part C was actually created in 1997 MichMan Oct 2023 #2
Thanks for posting. Folks forget this was started under Clinton. Silent Type Oct 2023 #14
Yeah, I thought it was before W Farmer-Rick Oct 2023 #34
While it is true that they are required to offer at least the save coverage, Ms. Toad Oct 2023 #66
It seems "offer" and "provide" are different things in this case. CaptainTruth Oct 2023 #71
Yep. dalton99a Oct 2023 #73
I told all of you last month that Medicare Advantage plans will eventually deny care Stargazer99 Oct 2023 #3
We need National Health Care for all. MOMFUDSKI Oct 2023 #4
Why bother having insurance at all? lostnfound Oct 2023 #6
Not lucky. I made a choice. MOMFUDSKI Oct 2023 #7
Catch is Medicare Advantage is permanent IbogaProject Oct 2023 #26
In Michigan DownriverDem Oct 2023 #49
But I think you have to pay back supplemental premiums IbogaProject Oct 2023 #53
I pay $0 DownriverDem Oct 2023 #59
You'd have to pay back premiums to return to traditional medicare IbogaProject Oct 2023 #64
Maybe but DownriverDem Oct 2023 #68
You don't pay anything at all?? moose65 Oct 2023 #79
if it is zero for you, it means someone else is paying for it Skittles Oct 2023 #119
It can vary some by state, Ms. Toad Oct 2023 #76
Tell me about the hairdresser paying to... ret5hd Oct 2023 #8
They accept Medicare and probably some accept Advantage also. MOMFUDSKI Oct 2023 #10
I am not an expert on the subject... ret5hd Oct 2023 #16
Not free because of the MOMFUDSKI Oct 2023 #35
If you Rebl2 Oct 2023 #61
Part B comes out of one's monthly Social Security benefit Attilatheblond Oct 2023 #43
A is free Rebl2 Oct 2023 #47
I have a question for you moose65 Oct 2023 #28
I am not on the government Medicare Plan. MOMFUDSKI Oct 2023 #42
Are you sure it doesn't come out of your SS check? moose65 Oct 2023 #54
My understanding is the same, as far as the part B premium goes. ShazzieB Oct 2023 #107
I'd say, do yourself a favor and *don't* attend a dog-and-pony show at a local restaurant. Mister Ed Oct 2023 #74
People are not aware of the commissions involved dalton99a Oct 2023 #86
Thanks, that's excellent information. Do you know who gets the commission if... Mister Ed Oct 2023 #113
The insurance company saves money if you don't use an agent/broker/sales rep dalton99a Oct 2023 #115
Thank you! n/t Mister Ed Oct 2023 #116
You are. You just don't know it. Ms. Toad Oct 2023 #80
You don't pay the premium???? Farmer-Rick Oct 2023 #39
Medicare Advantage Plans are private insurance, period. gab13by13 Oct 2023 #5
I see all kinds of Specialists and pay $25 copay. MOMFUDSKI Oct 2023 #9
I am one of those traditional Medicare patients. Ms. Toad Oct 2023 #87
Precisely! justaprogressive Oct 2023 #114
Not exactly true. They can make a profit if the number sinkingfeeling Oct 2023 #11
Part of the Advantage thingy is MOMFUDSKI Oct 2023 #12
the government gets RIPPED OFF by "Advantage" Skittles Oct 2023 #103
So are Medicare Supplement plans dpibel Oct 2023 #84
Remember this about Medicare Advantage meow2u3 Oct 2023 #13
Yep. And those insurance companies bombard us with ads to herd people into plans without good info Attilatheblond Oct 2023 #48
OMG and they are relentless about robo calls, Farmer-Rick Oct 2023 #102
Kick dalton99a Oct 2023 #15
As of 2023, the majority of Medicare beneficiaries are in Medicare Advantage Plans. Most are there Silent Type Oct 2023 #17
Contracting back office work isn't the point being made in the original post. paleotn Oct 2023 #27
Traditional Medicare is administered by insurance companies since inception. That's a fact. Silent Type Oct 2023 #33
Back office. Management is through the federal government. paleotn Oct 2023 #46
Back office-- everything including coverage, claims, credentialing of doctors, notifications, etc. Silent Type Oct 2023 #50
Contracting for certain services is a different animal entirely compared to Advantage funding. paleotn Oct 2023 #60
I think they point of the OP was to bash Medicare Advantage and those that choose it. That's usually Silent Type Oct 2023 #65
And I think you're wrong. paleotn Oct 2023 #91
Glad you are so much smarter than the 51% who choose MA. Silent Type Oct 2023 #100
Does Medicare give you DownriverDem Oct 2023 #18
What in the world is an over the counter card? orthoclad Oct 2023 #36
It covers lots of stuff DownriverDem Oct 2023 #45
Bottom Line. SalamanderSleeps Oct 2023 #19
True moose65 Oct 2023 #37
Yet, it is chosen by 51% of beneficiaries. Good to know we are smarter than all those stupid people. Silent Type Oct 2023 #52
Thank you! Attilatheblond Oct 2023 #57
We need health care, not "insurance" orthoclad Oct 2023 #20
It needs to be fixed DownriverDem Oct 2023 #22
I don't see anyone attacking those who chose Advantage. Just the private entities running them. paleotn Oct 2023 #29
The comments are way too negative DownriverDem Oct 2023 #63
We need to completely replace the insurance model orthoclad Oct 2023 #32
Agreed. Insurance should not be a "for profit" system SouthernDem4ever Oct 2023 #38
We need to drop the "insurance" model altogether orthoclad Oct 2023 #56
I suspect this is more complicated than most of us realize... Joinfortmill Oct 2023 #21
I am glad yours was a success story. SouthernDem4ever Oct 2023 #40
What a minute. Weren't these private entities supposed to profit from efficiency alone? paleotn Oct 2023 #23
I love my Advantage plan Traildogbob Oct 2023 #24
Hahahaha!! moose65 Oct 2023 #41
Yea, I think Traildogbob Oct 2023 #72
+1. MA companies are very aggressive in their campaigns to lure and entrap retirees dalton99a Oct 2023 #75
We are the prey Traildogbob Oct 2023 #77
My husband doesn't have part B taken out of his SS because he uses the VA for physicians visits. 1WorldHope Oct 2023 #88
You are correct Traildogbob Oct 2023 #93
*SNORT* Skittles Oct 2023 #104
Most brokers would choose traditional Medicare for themselves dalton99a Oct 2023 #110
I have DownriverDem Oct 2023 #25
Have been vigorously trying tiredtoo Oct 2023 #30
Advantage Plans have a yearly $$$ limit MOMFUDSKI Oct 2023 #55
they also have limits on what they pay out and/or cover. tiredtoo Oct 2023 #67
or they will outiright deny care based on some weird algirithm Skittles Oct 2023 #105
Just like any other insurance, It depends on the plan. Ms. Toad Oct 2023 #89
Some red states, such as IN, that took the expanded medicaid option Cheezoholic Oct 2023 #31
What is "expanded medicare"?? moose65 Oct 2023 #44
It has to be Medicaid Farmer-Rick Oct 2023 #51
Yes, spellcheck dambit lol Cheezoholic Oct 2023 #58
States cannot remove your right to standard Medicare. N/T Ms. Toad Oct 2023 #90
What are the choices? bucolic_frolic Oct 2023 #62
Medical is not expensive. Ms. Toad Oct 2023 #92
Thanks for that!! Helps to plan ahead! bucolic_frolic Oct 2023 #117
It isn't really an option, if you can guarantee your health. Ms. Toad Oct 2023 #118
I have an Advantage Plan. PoindexterOglethorpe Oct 2023 #70
You're another in a long line of MA defenders moose65 Oct 2023 #78
Other people are getting it, that's why they choose MA. If majority of beneficiaries choose it , Silent Type Oct 2023 #81
Advertising is powerful persuader. Ms. Toad Oct 2023 #95
Saves Medicare beneficiaries money. That's a good thing. Silent Type Oct 2023 #98
But it doesn't Ms. Toad Oct 2023 #108
Not to patient/beneficiary. You've heard DUers right here with heart surgery, Silent Type Oct 2023 #109
n 1 is an anecdote. Ms. Toad Oct 2023 #111
Wish the MA is bad, bad, bad crowd would get on CMS to investigate and fine Silent Type Oct 2023 #112
Yeah, it's good until it isn't moose65 Oct 2023 #96
The big ones seldom leave. And even if they do, you can enroll in traditional Silent Type Oct 2023 #99
$233 if it was the first care for 2022, $226 for 2023. Ms. Toad Oct 2023 #94
My Medicare starts Dec XanaDUer2 Oct 2023 #83
The 140 billion dollar figure is way high. Progressive dog Oct 2023 #97
Based on all the comments on this thread tiredtoo Oct 2023 #106
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