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Medicare Advantage Plans do not cover cataract surgery. That's why.
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Wow I don't know what horrible plans are offered there but I can't think of a plan that doesn't cover it in FLMedicare Advantage Plans do not cover cataract surgery. That's why.
Medicare Advantage Plans do not cover cataract surgery. That's why.
Medicare and of course MA as well cover cataract surgery.In fact i use this very common outpatient surgery quite often as an example of low the 20% co insurance amounts too when compared to commercial insurance medical rates at an outpatient center or at a doctors office.I have seen the bills many time and typically on a MA plan in North Florida it's between 150.00 - 200.00 per eye whereas on original medicare it's typically between 175.00 and 250.00.Funny thing is when a MA plan has a flat co pay of 250.00 instead of 20% co insurance the cataract surgery always end up costing 250.00 instead of the typical 175.00 when paying 20% co insurance. I still recommend a MA for a t65 client who is healthy and leaning towards MA over Med supp but is concerned because they plan to have cataract surgery as soon as they start medicare .I explain that they will still pay 200.00 in premium with the med supp/pdp combo whether they have the surgery or not and with the MA their share of cost will most likely be less than 200.00 for the surgery.
Medicare and of course MA as well cover cataract surgery.In fact i use this very common outpatient surgery quite often as an example of low the 20% co insurance amounts too when compared to commercial insurance medical rates at an outpatient center or at a doctors office.I have seen the bills many time and typically on a MA plan in North Florida it's between 150.00 - 200.00 per eye whereas on original medicare it's typically between 175.00 and 250.00.Funny thing is when a MA plan has a flat co pay of 250.00 instead of 20% co insurance the cataract surgery always end up costing 250.00 instead of the typical 175.00 when paying 20% co insurance.
I still recommend a MA for a t65 client who is healthy and leaning towards MA over Med supp but is concerned because they plan to have cataract surgery as soon as they start medicare .I explain that they will still pay 200.00 in premium with the med supp/pdp combo whether they have the surgery or not and with the MA their share of cost will most likely be less than 200.00 for the surgery.
Medicare Advantage Plans do not cover cataract surgery. That's why.
Wellcare here in Orlando is $15/ per eye
I wonder how many clients Bob told that MAPD won't cover their cataract surgery?
With my turning 65 clients who want to have cataract surgery immediately, they will often go on a med supp for a few months and also have any other procedures done that they have been putting off and then they often switch over to MAPD at the next AEP.
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WOW where on earth did you get this from? MA plans absolutely DO cover cataract surgery! Also, I disagree with your math on the earlier illustration. The cost of the med supp for the 5 years would not be $186 for that whole time. Most med supps start out much lower and then gradually increase. You can also shop around and get a lower rate if you do your home work.
Here in Iowa, the cost for a Plan F for the first 5 years is closer to $5000.
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Hope he has good E & O coverage....that's a whopping big mistake
stop picking on him.... you aint getting E&O claims for having the policy pay better than the agent said.... a policy paying better than so said aint getting him ion trouble... JS