This week, the Kaiser Family foundation released a study that examines the size and composition of physician networks in Medicare Advantage plans. A plan’s network is often a major consideration for people with Medicare when choosing between Medicare Advantage and Original Medicare.
As increasing numbers of people with Medicare choose Medicare Advantage, making a comprehensive understanding of Medicare Advantage plans’ physician networks crucial. KFF’s analysis draws upon data from 391 plans, offered by 55 insurers in 20 counties. Key findings include:
KFF also observes that although this network information is likely to be particularly important to enrollees when they have an unforeseen medical event or serious illness, accessing the information may not be easy for users and comparing networks could be especially challenging. This could cause beneficiaries to unwittingly face significant costs if they accidentally go out-of-network.
Sign up to receive Medicare news, policy developments, and other useful updates from the Medicare Rights.