Medicare & You: Medicare Advantage Plan appeals

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CMSHHSgov

CMSHHSgov

Күн бұрын

An overview of how to file an appeal if you have a Medicare Advantage Plan.
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Пікірлер: 19
@Rosedala
@Rosedala 2 жыл бұрын
Im in a senior home for physical therapy since 2-2-22, when my health ins. stopped coverage as reports on my progress were good...this Home made me call the Appeal and I won to remain longer in the Home. BUT I feel very healthy and strong
@benniemcdonald2048
@benniemcdonald2048 Жыл бұрын
My husband and I both have Advantage plans and have no problems with their co-pays, pre-Auths, networks, etc. After all, these items were on all the insurance plans we had through our employment all our lives. However, I have heard that if you're on an Advantage plan, have a major health issue, i.e. stroke, heart attack, etc., and try to enroll later in a Medigap policy, you will be denied, and forced to an Advantage plan for life. Anyone have this experience?
@mildredechols388
@mildredechols388 3 жыл бұрын
If you had original medicare for 16 years and thought you were signing up for a new supplemental because your previous supplemental raised their fees very high and instead you mistakenly signed up for a PPO, how can you go back to original medicare with a supplemental without waiting until October 2021?
@dianawatson188
@dianawatson188 2 жыл бұрын
Thank you a lot for this video. This is very interesting and informative. Keep posting like those amazing videos, this is awesome.
@seattlejewel
@seattlejewel 5 жыл бұрын
Could you please add the specific web page form address, postal mailing address, and/or fax number (if any) for filing any of this? The instructions do not include how to file even at the first step. All I need is the correct contact information, please.
@danoleary6649
@danoleary6649 Жыл бұрын
Why would you not have this information in writing on the website?
@munecalips
@munecalips 2 жыл бұрын
Wow insurances really get away with everything and the government don't do nothing to these insurance company.
@Rosedala
@Rosedala 2 жыл бұрын
Continuing; ...I'm healthy and strong all o need is physycal therapy. Why should I stay longer in the place just for PT if I can get this at home?. I feel tricked to.get more money from me. CAN I CHANGE THIS WRONG APPEAL FOR A HOME PHYSICAL THERAPY? Thank you a lot for your help.
@bevville
@bevville Жыл бұрын
I have done the appeal, Optimum said they'd pay and have not, where do I go from here?
@yasminzaman9444
@yasminzaman9444 9 жыл бұрын
Do you care what happens if medication is denied ? Doctors are made to work more to prove that they have prescribed as per my illness?
@joycebolton546
@joycebolton546 8 жыл бұрын
Why is a 50 yr old generic drug like amitriptyline 10 mg now a tier 4 dug with a $95 to 100 copay?
@harryhightower
@harryhightower 6 жыл бұрын
Greed
@MilciadesAndrion
@MilciadesAndrion 5 жыл бұрын
I agree that the costs of medicines is outrageous. I think it depends of the Plan and carrier. Probably is Tier 4 in one plan and company but different in another company. It is worth to make a research.
@phyllisballard8156
@phyllisballard8156 8 жыл бұрын
I was urged to sign up for a plan that doesn't pay for 2 out of 4 prescriptions. Also was told there aren't any gynacologists on this plan in the entire city. I'm 80 years old and having problems. Can not drive 100 miles to find a doctor.
@harryhightower
@harryhightower 6 жыл бұрын
Been there done that an won.
@danoleary6649
@danoleary6649 Жыл бұрын
Completely incomprehensible and unhelpful. Why is there not just a link to a farm you can fill out and file? I'm talking to the wall.
@seattlejewel
@seattlejewel 5 жыл бұрын
Could you please add the specific web page form address, postal mailing address, and/or fax number (if any) for filing any of this? The instructions do not include how to file even at the first step. All I need is the correct contact information, please.
@seattlejewel
@seattlejewel 5 жыл бұрын
Could you please add the specific web page form address, postal mailing address, and/or fax number (if any) for filing any of this? The instructions do not include how to file even at the first step. All I need is the correct contact information, please.
@seattlejewel
@seattlejewel 5 жыл бұрын
Could you please add the specific web page form address, postal mailing address, and/or fax number (if any) for filing any of this? The instructions do not include how to file even at the first step. All I need is the correct contact information, please.
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