Mayo Clinic Treat Medicare Advantage Plans as out-of-network

The Mayo Clinic sent letters this fall to all eligible Medicare beneficiaries who received care at its Arizona and Florida facilities in the last 3 years, warning them that it is out-of-network "with most Medicare Advantage plans."

The letter sent to Florida beneficiaries said that "marketing for Medicare Advantage Plans may indicate that you can be seen at any facility that accepts Medicare, however Mayo Clinic in Florida is out of network on these plans."

Asked about the reasoning behind the letters, Mayo communications manager Kevin Punsky replied that they are intended to serve as "a courtesy reminder" at the start of the annual Medicare re-enrollment window that began Oct. 15. They are intended to notify those eligible for Medicare that if they want coverage for non-emergency care at the Mayo Clinic in those two states, they should enroll in "Original Medicare (Parts A, B and D) as well as Medicare supplements."

"This notice allows the patient to make an informed selection of coverage if the patient would like to seek a plan that has Mayo Clinic in network. Out-of-network care is not in the best interest of patients and does not support Mayo's model of care."

The letter also advises recipients that the Mayo Clinic "will not schedule appointments for patients with out-of-network Medicare Advantage Plans."

Medicare Advantage plans have been under increasing scrutiny and investigation because so many of them have been accused by federal agencies of denying care, exaggerating the severity of illnesses to pull billions more from Medicare, and delaying care with lengthy prior authorization requirements.

所有跟帖： 

• 是不是好的醫療機構都是Medicare 的 out-of-network？ -6degrees- ♂ (176 bytes) () 10/24/2022 postreply 13:51:18

• 不是。 這裏說的是Medicare Advantage 的 out-of-network， 與Medicare 無關 -休閑時- ♂ (0 bytes) () 10/25/2022 postreply 07:50:55

• 所以，還是買Medigap plan G好。 -虎嗅薔薇- ♀ (0 bytes) () 10/24/2022 postreply 15:55:45

• Medigap 沒有類似限製嗎？Medigap 沒有dental吧？ -6degrees- ♂ (0 bytes) () 10/24/2022 postreply 21:14:41

• 沒有這種限製。全美的醫生都可以看。也沒有copay。Plan G隻需付200來塊的年deductible -虎嗅薔薇- ♀ (140 bytes) () 10/25/2022 postreply 04:27:24

• 沒想到你們也推崇陰謀論的醫療機構了. LOL -獨行仙人- ♂ (0 bytes) () 10/24/2022 postreply 16:25:53

• 不同醫療保險公司或機構，在不同州都有特定涵蓋麵。 -pickshell- ♀ (296 bytes) () 10/24/2022 postreply 17:15:16

• 有人說可能會有更多的醫院係統排斥Medicare Advantage Plans -dudaan- ♂ (0 bytes) () 10/24/2022 postreply 18:29:26

• Advantage Plan 就是HMO類的，不但有provider network的限製， -虎嗅薔薇- ♀ (96 bytes) () 10/24/2022 postreply 18:47:02

• 我現在用的是Medicare Advantage PPO -dudaan- ♂ (30 bytes) () 10/24/2022 postreply 18:58:58

• 哦哦，更準確的說法Advantage 是managed care醫保 -虎嗅薔薇- ♀ (0 bytes) () 10/25/2022 postreply 05:55:53