Medicare Advantage
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The Cigna Group Made its Enrollees Appear Sicker to Get More Federal Money
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Did you know the government pays Medicare Advantage Organizations (MAOs) more money to cover sicker enrollees? Knowing this, Cigna deliberately falsified patient records to make them appear sicker and therefore receive more money from the federal government. Specifically, Cigna used in-home health risk assessments (HRAs) to report severe conditions, such as congestive heart failure, without…
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CHA Calls for Medigap Guaranteed Issue Rights when Providers Withdraw from Medicare Advantage Plans
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Bonnie Burns, Training and Policy Specialist with California Health Advocates, spearheaded a letter calling for a Medigap guaranteed issue right for beneficiaries when providers withdraw from Medicare Advantage (MA) plans. As a long-time consumer representative with National Association of Insurance Commissioners (NAIC), Burns and other consumer representatives sent this letter to NAIC’s Senior Issues Task…
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Your Protections to Access Care During COVID-19
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Living in a time of a public health emergency, the current COVID-19 pandemic, it’s important to know your extra Medicare protections to access health care when you need it. Medicare Advantage and prescription drug plans have certain guidelines they must follow to ensure your access to care. Below is a summary of the important points…
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Medicare’s Open Enrollment is Happening Now ~ Review Your Options for 2021
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Medicare’s Fall Open Enrollment, officially known as the Annual Enrollment Period (AEP) is happening now. It runs from October 15 – December 7, and is the time beneficiaries can change their Medicare health plan and Part D coverage and/or return to Original Medicare. Coverage changes become effective January 1, 2021. It’s an important time to…
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Congress Expresses Concerns on the New Medicare Plan Finder
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On December 10th, a bipartisan group of congressional leaders from the U.S. House of Representatives sent a letter to the Centers for Medicare and Medicaid Services (CMS) about their concerns with the erroneous information on the newly redesigned Medicare Plan Finder. The letter references the errors and inaccurate information that advocates, such as California Health…
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