Recently, I was contacted by a client whose family I had enrolled in Marketplace health plans, informing me she had several issues this past year with providers opting out of her plan. Since Lake Health was bought out by University Hospitals, there have been many changes. While she was assured over the phone that her marketplace plan was in network, when arriving for her appointment she was informed at the providers office that she was misinformed.
Everyone either enrolled in Medicare or becoming eligible for Medicare has a target on their back for unsolicited sales calls. Ohio is the eighth largest state of beneficiaries turning 65. Couple that number with those already enrolled in Medicare and sales people from all over the country are soliciting your business.
Click learn more to view the table that illustrates the timeline for the proposed Prescription Drug Provisions in the Inflation Reduction Act
In 2015, over 86,000 complaints were logged for Identity Theft, Fraud and Consumer Complaints in the State of Ohio alone. One of the most common groups targeted are seniors for a multitude of reasons: they own their own home; likely have a nest egg and or liquid assets; have money hidden in their homes; and were raised in the 30’s 40’s and 50’s to be trusting and polite. The group is less inclined to say “no” as well as less likely to report a fraud. Seniors may not know where to report it, are ashamed and can be fearful of losing their financial independence.
Sara was experiencing extreme pain in her lower back and went to the emergency room. She resided in a Cleveland area hospital for five days and had back surgery to alleviate her condition. Unfortunately, she was never admitted to the hospital. Since she had Medicare supplemental coverage, the required three day admission requirement was not met as she was categorized as “under observation.”