Advantage plans deny coverage that Medicare covers.
I just went thru the nightmare.
My mom had a stroke. She was up and walking the day after and the next day. After day 1, they applied for PT and OT. Her plan delayed delayed delayed. She developed a bedsore and blood clots due to the hospital not having the resources. But it would have never happened had approval been guaranteed like Medicare. They would have moved her after day 1 to PT and OT. But with advantage plans you must get approval. Medicare never dies these things.
She never walked again after day 2 of her stroke. She died a month and a half later.
Her advantage plan tried to deny any additional resources after day 21 that weren’t send her to my home with me being the full time care giver.
I email bombed the advantage plan board of directors asking wtf they would do in my situation.
The hospital would not release her into my care because I had nowhere for her. And her advantage plan denied paying for a skilled nursing facility saying she wasn’t ill enough.
After my emails, I managed to get them to approve skilled nursing.
It was a nightmare. Fuck all Medicare advantage plans. They fuck people over and make family members deal with BS when they should just be worried about their loved ones.
I just went thru the nightmare.
My mom had a stroke. She was up and walking the day after and the next day. After day 1, they applied for PT and OT. Her plan delayed delayed delayed. She developed a bedsore and blood clots due to the hospital not having the resources. But it would have never happened had approval been guaranteed like Medicare. They would have moved her after day 1 to PT and OT. But with advantage plans you must get approval. Medicare never dies these things.
She never walked again after day 2 of her stroke. She died a month and a half later.
Her advantage plan tried to deny any additional resources after day 21 that weren’t send her to my home with me being the full time care giver.
I email bombed the advantage plan board of directors asking wtf they would do in my situation.
The hospital would not release her into my care because I had nowhere for her. And her advantage plan denied paying for a skilled nursing facility saying she wasn’t ill enough.
After my emails, I managed to get them to approve skilled nursing.
It was a nightmare. Fuck all Medicare advantage plans. They fuck people over and make family members deal with BS when they should just be worried about their loved ones.