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In reply to the discussion: When rich kill the poor, it's capitalism. When the poor kill the rich, it's crime. [View all]Progressive dog
(7,338 posts)best in the world. We live in the longest surviving democracy in world history and no other country can come close to claiming that.
I actually know how medicare advantage works--it works the same as all insurance. You pay up front so that you can average out the cost of a disaster with other insureds. Of course they have rules for what they will pay for and for what requires pre approval. I'm fine with that since I do not expect to manage my own treatment. Doctors and hospitals do not have to accept any medicare advantage plan. I trying to figure out why they continue to accept not being paid (if what you claim is true).
Theoretically, medicare advantage companies are paid based on the average payout of original medicare for comparable patients. The patients no longer have to worry about their health costs exceeding a fixed dollar amount. Usually drugs are included, many plans cost nothing extra, lots of plans provide some dental, vision, and even hearing benefits--none of which are covered in original medicare.
BTW Insurance companies are paid to manage original medicare, they issue medicaid policies, and policies under the affordable care act.
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