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To: Kirk © who wrote (115181)8/19/2021 2:55:35 PM
From: John Koligman1 Recommendation

Recommended By
Kirk ©

  Read Replies (1) | Respond to of 116595
 
The other thing I noticed is that some groups are 'transitioning' their primary care physicians to patients with Advantage plans only. They claim the care will take more time and be more 'comprehensive', hence the change. My cynical side says maybe it is also due to money/reimbursement advantages, but thought I'd mention it. Here is part of a letter our group sent my wife, as her primary care physician is included in the move.


"Our New, Com­pre­hen­sive Pri­ma­ry Care Ini­tia­tive for Medicare Advan­tage PatientsAt DuPage Med­ical Group our physi­cians and asso­ciates are com­mit­ted to pro­vid­ing our patients with the high­est qual­i­ty health care. We con­tin­u­ous­ly seek new ways in which we can enhance patient care and their over­all patient expe­ri­ence. DuPage Med­ical Group is excit­ed to announce our new – Com­pre­hen­sive Pri­ma­ry Care Ini­tia­tive for Medicare Advan­tage patients.

This Ini­tia­tive will allow a select num­ber of DMG Pri­ma­ry Care Physi­cians (list­ed below) to tran­si­tion their Medicare (Age 65+) prac­tices to the more com­pre­hen­sive patient and well­ness focused care mod­els pro­mot­ed by cer­tain Medicare Advan­tage plans. Effec­tive Jan­u­ary 1, 2021, and due to the addi­tion­al demands on their time that this Ini­tia­tive will require, those select Physi­cians will only con­tin­ue to serve as a pri­ma­ry care physi­cian to those Medicare-eli­gi­ble patients which are enrolled in the Medicare Advan­tage plans they par­tic­i­pate in. They will no longer con­tin­ue see­ing pri­ma­ry care patients with tra­di­tion­al Medicare insurance.

Medicare Advan­tage plans typ­i­cal­ly pro­vide addi­tion­al ben­e­fits not avail­able under tra­di­tion­al Medicare. These plans may also pro­vide ben­e­fits that address patients’ social and envi­ron­men­tal needs as well. Patients impact­ed by this change should have received a let­ter from their pri­ma­ry care physi­cian advis­ing of this change and spec­i­fy­ing the Medicare Advan­tage plans they par­tic­i­pate in. More infor­ma­tion as to par­tic­u­lar plan ben­e­fits may be obtained by con­tact­ing a licensed and inde­pen­dent insur­ance agent, if you do not have an agent we have part­nered with agents who can help. They can be reached at 855-429-1086 for a no oblig­a­tion Medicare ben­e­fit plan review. Their goal is to help our patients find the best plan that fits their indi­vid­ual health­care needs.

All physi­cians will con­tin­ue to accept patients with Com­mer­cial insur­ance plans that are cur­rent­ly accept­ed by DMG. Please refer to the Insur­ance infor­ma­tion page in the Resources sec­tion of our site for a list of DMG accept­ed Insur­ance Plans."



To: Kirk © who wrote (115181)8/20/2021 4:31:16 PM
From: Rarebird  Respond to of 116595
 
The Dental insurance I have in my Plan G supplemental Plan is basic and does not include periodontal cleanings, which I need and have seperate insurance for.

As for gym memberships, that is a bit overrated as it only costs $10 a month for a good gym membership in Las Vegas. I had that gym membership with Cigna Plan G for $25 a year. But Aetna and the other providers dropped that this year ( and some the year before).

You make a good case for being on a Medicare Advantage plan. But just make sure you stay put in your local network and don't get sick if you are travelling outside your local network. If you do, you will be charged a small fortune, outside of what is considered an emergency.