Medicare Advantage and Prior Authorizations — The FACTS!

Over the past couple of years there’s been a lot of complaints and news about how Prior Authorizations are negatively impacting members of Medicare Advantage plans.

If you’ve been doing any research into Medicare Advantage plans and watching any videos here on YouTube, then you’ve likely seen some reports and some agents trying to strike fear into you about the perils of Medicare Advantage plans use of prior authorizations. Basically warning to you to NEVER choose a Medicare Advantage Plan.

So in this video were are going to look at the FACTS and actual numbers when it comes to likelihood of dealing with a prior authorization on a Medicare Advantage plan.

© Medicare Advantage Prior Authorization Facts | 2024 | The Medicare Analyst™ | All Rights Reserved


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Sources:

Table of Contents:

00:00 - Prior Authorization Intro
01:52 - Happy Birthday
02:08 - KFF Report
05:17 - Medicare Prior Authorizations
06:00 - Prior Authorization Issues
07:36 - Prior Authorization Benefits
08:12 - Conclusions
09:11 - Work With Me
09:55 - Testimonies and Disclaimers
10:32 - Medicare Marketing Disclaimer

This video is for information and educational purposes.

I/The Medicare Analyst is a “non-government entity.” Medicare/CMS has neither reviewed nor endorsed this information. I am not connected with, employed by or endorsed by Medicare/CMS and/or the United States government. When you contact me, you will be contacting a licensed insurance agent in the states of Virginia (License Number 784528), California, Florida, Georgia, Illinois, Maryland, Michigan, New York, North Carolina, Ohio, Pennsylvania, South Carolina, Tennessee and Texas.
 
“I/We may not or do not offer every plan available in your area.

Any information about finances and fitness is for informational purposes only. When making financial decisions, you may want to consult a CPA and/or a financial advisor. For fitness, you may want to consult your doctor before starting a new exercise routine or diet. But, if your doctor is out of shape…I would be careful about taking his/her advice.

#priorauthorization #medicareadvantage #claimdenied

[FloridaNative]

3 years ago I had to have oral surgery and the surgeon said he needed me to have oxygen therapy because of Cancer complications that would make the healing process more lengthy and difficult. It took the better part of a month to finally get the approval of the Advantage plan. It was a real nightmare on top of other nightmares I had to deal with. He forewarned me, I will not repeat what he had to say about Advantage plans. I am healed up and alive today because of his skill and willingness to fight for me.

[fredost]

Do people know Supplemental plans premiums are growing in excess of actual rate of inflation not Govt measured inflation? I cant afford it in 10 years, for sure.

[TheMedicareAnalyst]

Have you had an issue with prior authorization on a Medicare Advantage plan?

[ChrisSadowski-ppnp]

My main issue with disadvantage plans are the networks. Doctors coming and going at any time. If you'd like to go to Florida during the winter, your coverage doesn't travel with you. If HDG didn't exist and a person lived in New York It would be a no-brainer to go on an advantage plan because those plans can cost you $250 to $300 a month for G or N at age 65.