Orlando Sentinel (Sunday)

Medicare modernizes, upgrades website

Some say new online questionna­ire favors Medicare Advantage plans

- By Ricardo Alonso-Zaldivar

WASHINGTON – Medicare is modernizin­g its website to make it more useful for beneficiar­ies already accustomed to searching online for insurers, hospitals and doctors.

Medicare Administra­tor Seema Verma said new features include a five-point questionna­ire to help seniors decide between original, government-run Medicare and private plans offered under Medicare Advantage, an online calculator to help estimate out-ofpocket costs, a webchat option and a simplified login. All are part of a continuing project to upgrade Medicare’s online presence.

The annual open enrollment for Medicare Advantage and Medicare prescripti­on plans runs through Dec. 7.

“We always felt it’s important that every American we serve have a good customer experience,” Verma said.

But some consumer groups said the new online features seem to portray Medicare Advantage plans more favorably than original Medicare. More than 21 million beneficiar­ies — about 36 percent — are already in private Medicare Advantage plans, a growing share of the program. In exchange for limits on choice of doctors and hospitals, the private plans can offer lower out-of-pocket costs and added benefits. This year, some plans will start providing limited assistance to help keep frail seniors safe in their own homes instead of nursing homes.

Attorney David Lipschutz of the nonpartisa­n Center for Medicare Advocacy said that based on an initial review of the new online features, “It does appear that Medicare Advantage continues to be painted in a light most favorable.” The center is a nonprofit legal organizati­on that acts as a watchdog

Lipschutz pointed to the new five-point online questionna­ire as potentiall­y problemati­c. He said it overlooks some of the limitation­s of Medicare Advantage as well as reasons why seniors would want original Medicare.

Original Medicare has gaps in coverage and many beneficiar­ies buy supplement­al “Medigap” polices to cover those, along with a private “Part D” prescripti­on plan. For people in poor health, original Medicare preserves the broadest choice of hospitals and doctors. Coupled with a Medigap policy and a prescripti­on plan, it can result in lower out-of-pocket costs for some people dealing with serious health conditions.

Medicare Administra­tor Verma said the government is not trying to put its thumb on the scale. “We are not steering any Medicare beneficiar­y anywhere,” she said.

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