Our first medical procedures under Medicare

[yellowdogintexas]

27. Advantage Plans have networks. Part B does not

This means you can receive care anywhere in the US. You are basically SOL if you go out of network in any plan which has them.

Advantage Plans are profit for the insurance companies which sell them. Those profits help pay for all that ridiculous advertising and obscene salaries for their top executives. Part B is not designed to produce profits for anyone, and the senior management positions have fixed salaries and are Federal positions.

Advantage Plans put you through medical review boards prior to many types of care, particularly ancillary services like Physical Therapy. Part B does very little of this. Pretty much everything a physician can request or order is outlined in the Part B manual. Same for Ancillary providers When I was receiving PT & my initial number of allowable visits was finished, a quick call to Medicare with an updated history took care of everything. No big hoops to jump through.

Footnote: Medicare has no profit, just a 3% increase maximum per year for cost of doing business (rent, office needs, system updates and employee raises)

Medicare has the lowest cost per claim, the fastest turnaround time and the best accuracy percentage in the industry.

Providers like it because there is never as much paperwork. Also they know they will be paid regularly.