The U.S. Department of Health and Human Services (HHS) released a report on 4/28/22 that found every year Medicare Advantage Plans inappropriately deny medically necessary care to tens of thousands of people enrolled in these managed care plans. The New York Times piece explains.
List of Prior Authorization on the Advantage Plan
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As you have probably already seen, the standard monthly premium for Medicare PART B has risen from $148.50 to $170.10 for 2022 (others may pay more than the standard due to income adjusted surcharges). The PART B deductible will be $233. If you are on the Supplement plan, this once per year deductible must be met before Medicare and the Supplement begin to pay.
Several retired members have emailed or called the Association of Retired Teachers of CT (ARTC) to ask for help finding information about the new UHC plans. We are all learning about how these plans work and we encourage you to look on the Teachers’ Retirement Board (TRB) website and the UnitedHealthcare website for information that can be found there. Health Insurance information can be overwhelming and the language often confusing, so our insurance committee does its best to carefully read the information that is available to us, to gain an understanding of it. We believe being informed healthcare consumers is important for our members. That is why we post educational materials to help you stay health insurance smart. Please review these materials on our website to learn more. New ones will appear from time to time.
ARTC will be collecting stories of our members’ experiences with the new UHC Medical and Drug plans. Please consider submitting these stories to the ARTC so that we can have documentation to hold our plans accountable.
Please note: ARTC sets forth the information as an educational service to our members and as a starting point to better introduce the topic of healthcare coverage. Although we are not experts, we try our best to be accurate and encourage you to check with the sources that are listed on each of the documents, before reaching any final decisions. Nothing contained herein is offered or provided as legal advice and should not be taken as such.