Seniors Getting Switched to Medicare Advantage with Little Warning: Report

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With Medicare’s specific approval, a health insurance company can enroll a member of its marketplace or other commercial plan into its Medicare Advantage coverage when that individual becomes eligible for Medicare. Called “seamless conversion,” the process requires the insurer to send a letter explaining the new coverage, which takes effect unless the member opts out within 60 days. Medicare officials refused recently to name the companies that have sought or received such approval or even to say how long CMS has allowed the practice.

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Steve Brock
Chief Financial Officer
Lynn County Hospital District
806-998-4533