As of January 1, 2015, my practice will no longer accept Medicare Advantage Plan insurance
Medicare Advantage Plans are private insurance plans which contract with Medicare to administer Part A and Part B benefits to Medicare patients, usually in combination with Medicare Part D drug programs. A Medicare Advantage Plan is a privatization of Medicare benefit administration, which for a provider such as myself, is indistinguishable from private insurance. As my patients are aware, I do not file insurance claims for private insurance carriers due to the additional work and delay in payment. After careful consideration, I have determined that Medicare Advantage Plan insurance requires too much additional clerical work for my practice when compared to traditional Medicare. As of January 1st, I will not submit claims to Medicare Advantage Plans.
A Medicare Advantage Plan participant who wishes to continue with my services will have two options: (a) she can revert back to the "Original Medicare" coverage with optional "Medigap" insurance prior to January 1st or (b) she can become a fee-for-service (e.g. cash, check or credit card) patient who pays me at the time of service. As a courtesy to those choosing option (b), I will discount my fee-for-service prices by 25%, which is similar to what I receive from Medicare, but it will be payable at the time of service and you may not be reimbursed for this by your insurer.
I regret that this change is necessary; however, Medicare Advantage Plans are simply too costly for my practice to administer. Thank you for your understanding.
Carol A. Meynen, M.D.
November 1, 2014