Complaints about gaps in Medicare Advantage networks are common. Federal enforcement is rare.

[Karma13612]

1. Aetna Medicare Advantage plan

in my little rural corner of the world has no “in network” Dentist. So, I always have to pay 50% of my Dental cleanings and other preventative stuff.

I know that is just a drop in the bucket of all the obscenities surrounding the ACA and healthcare insurance in this country.

This is more substantial:

1) In our area, There is an 18 month waiting list to get into a Primary Care Practice. So, go to the ER or Urgent Care.
2) Starting next January, if I want the same coverage level, with the same copays and breadth of services, my plan premium will go up by $ 50 plus I still have my Medicare premium taken out of my Social Security retirement benefit which is going from $185 per month to $202.90
3) if I want to not pay the $50, my coverage drops down so there is no restorative dental care, and my copays on all sorts of things go up. A lot.
4) If I choose the $50 increase, the net amount I will get from Social Security will drop below what I have been getting each month this year. That’s because the increase in the Medicare premium and the add on of the Advantage plan is much larger than the COLA increase.

Pathetic. Absolutely pathetic.