To the Editor: A reading of the proposed updated NYC Medicare Advantage Evidence of Coverage Plan lists well over 125 services needing prior authorization.
Such services as splints, casts and X-rays are just some of the many items that might require prior authorization. Under Medicare, these PA's were never required. Sadly this MAP Plan will save money by denying services.
I wonder how many retirees will get sick and how many will pass on while waiting for prior authorization. Many services could be denied after appeals; after all the Medicare Advantage Plan has to be profitable.
The first 26 pages of the Evidence of Coverage materials lists with an asterisk all that require prior authorization. All current city workers and retirees should take note of these changes if enacted.
Sadly, the Municipal Labor Committee has never sought to rein in the administrative costs from the 92 welfare and annuity funds they run. In 2018, $113 million was spent on these costs without any thought of considering consolidating these funds or having New York City administer them. These actions would save enormous administrative costs and allow for greater funding for good health care including, the current Medicare program.
Not surprisingly, New York State and other localities have chosen to maintain Medicare as the plan of choice for their eligible retirees.