To the Editor: Thousands of NYC retirees have to decide over the next month whether to accept the new Medicare Advantage Plus Plan or to "opt out" based upon a 44-page Plan Summary of Benefits booklet.
Retirees should have access to the full "Evidence of Coverage" to determine whether to sign on with any Medicare Advantage program. The EOC details each type of service covered, which ones may require prior approval, in and out of network co-pays and deductibles, appeals and much more.
The "Summary of Benefits" is not the contract. The "EOC: Evidence of Coverage" explains our rights and obligations and it must be available prior to making any decision on healthcare coverage.
Why are New York City unions asleep at the wheel and not demanding that the Medicare Advantage Plus EOC be released to their retirees?
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