This forum post is hidden because you have chosen to ignore GailL1. Show Details
This forum post is hidden because you have submitted an abuse report against it. Show Details
In Response to Re: Study: Medicaid patients use emergency room more, not less:
My understanding is they used the "pre-existing condition" foil for MA as well as "Medigap", so its not so much "picking" as "de-selecting", and they also charged higher premiums for certain groups, like women, just like many other insurers before ACA. So if they covered "everybody" in a given geographic area (State?) it would be like Lloyds of London "covers everybody"...WHO CAN AFFORD THE PREMIUM.
Posted by Olderscout66
I don't think Medicare Advantage plans have ever been able to pick and choose, deny or rate higher anybody, not on age, sex nor on health conditions. The only thing you have even needed was your zip code and the specifc beneficiary determining if the plan met their specific health, financial and available provider needs; and now since so many of them also cover the PDP (Med D), checking the plan formulary against you medicine list.
Actually there are even some "special needs medicare advantage plans" and work with those even who are dual eligible.
This blend of government / private insurance is also going to play a big role in the expanded Medicaid in some states - it already plays a roll in some state's current medicaid programs - managed care by private insurers - keeps down cost of managing for the respective states.
Got to go . . . . back later.