Medicare HMO Withdrawals: What Happens To Beneficiaries?
- 1 November 1999
- journal article
- Published by Health Affairs (Project Hope) in Health Affairs
- Vol. 18 (6) , 150-157
- https://doi.org/10.1377/hlthaff.18.6.150
Abstract
More than 400,000 Medicare beneficiaries had to seek other insurance arrangements when their health maintenance organization (HMO) withdrew from Medicare at the end of 1998. According to a new survey of 1,830 involuntarily disenrolled Medicare beneficiaries, two-thirds subsequently enrolled in another Medicare HMO; one-third experienced a decline in benefits, and 39 percent reported higher monthly premiums. One in seven lost prescription drug coverage; about one in five had to switch to a new primary care doctor or specialist. Those with traditional Medicare by itself or with Medigap, the disabled under age sixty-five, the oldest old, and the near-poor experienced the greatest hardship after their HMO withdrew.Keywords
This publication has 1 reference indexed in Scilit:
- Medicare's Choice explosion? Implications for beneficiaries.Health Affairs, 1999