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Are you one of the 32,000 seniors with Scripps Medicare Advantage plans coverage? Scripps Health announced that in 2024 their clinic and coastal medical groups will no longer accept patients enrolled in Medicare Advantage (MA).
Medicare Advantage (MA or Medicare Part C) is the managed-care alternative to traditional Medicare offered by commercial insurance companies. Roughly 32,000 San Diego-area seniors will need to find new healthcare options or new insurance before January 1, 2024.
Use the Association’s free and private online directory to find a San Diego Medicare insurance agent. You merely enter your Zip Code and instantly see the listing. Decide who (if anyone) you’d like to contact. You can phone them or send a private email.
According to reports posted online, the Scripps move is somewhat rare. Today, more companies are starting and accepting Medicare Advantage plans.
Scripps began sent out letters notifying members that beginning Jan. 1, 2024, Scripps Clinic and Scripps Coastal would no longer accept Advantage plans from carriers including Anthem Blue Cross, Blue Shield of California, UnitedHealthcare and Centene Health Net. Scripps groups will continue to accept Original Medicare, or Parts A and B.
One reporter who spoke with Scripps Health CEO and President Chris Van Gorder, noted that Scripps was reportedly on track to lose $75 million or more on the care it provides to Medicare Advantage patients (2023). Two key issues that led to the decision to stop working with Advantage plans, he said. They were “the rates insurance companies were willing to pay”. And, the tendency of sicker patients to seek treatment at top-notch medical centers such as those run by Scripps.”
There are several options. Your best move is to act during the Medicare Annual Enrollment period (AEP) that starts October 15 and ends December 7.
During AEP one can drop Medicare Advantage in favor of traditional, fee-for-service Medicare. Keep in mind that traditional Medicare has no annual out-of-pocket limit. That means you can be exposed to thousands of dollars in co-pays and deductibles.
You may be eligible to purchase a Medigap (Medicare Supplement) policy. This can be tricky so it really pays to work with a professional Medicare insurance agent near me (you). Click the highlighted link to find one.
Medicare drug plans change each year. Use our free online Medicare drug plan comparison program to find tghe best option for 2024.