Medicare Advantage (MA) plans came about purportedly to save money on seniors’ health care. What has actually happened in the two decades since the current structure of MA was determined?

Suffice it to say that MA hasn’t solved our health care payment problems. In fact some providers of MA plans seem to be busy overcharging Medicare. Here’s today’s NPR story about fraud in MA plans.

Insurers that sell MA plans tout their additional benefits, low cost, and one-stop shopping. In fact, because of the payment structure, they are incentivized to deny care, and the beneficiary (that’s you) loses choice of provider and hospital. And if you change your mind and want to switch to Original Medicare, you may not be able to do so.

Open enrollment is done for this coming year, but everyone should examine their coverage every year in the fall to see if it still meets their needs. If you need help with this, contact the folks at JABA.