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An experience from a patient/client/consumer's point of view: My primary care physician has referred me to a vascular surgeon and I will need some kind of surgical procedure to correct an acute condition. It is VERY challenging to find out what my Medicare Advantage insurance policy covers before I make the appointment. It is very complicated to figure out: I am told that the physician I'm referred to is on the plan but not in network so my co-pay is twice as high. I have made many phone calls in an attempt to find out what my coverage is, for which institutions, and I have yet to get clear answers. Very frustrating to try to be responsible and know in advance what the costs will be, at which institution, so I can make an informed decision.

posted 3 years, 6 months ago
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