Carilion Clinics is a large medical services company, operating clinics, hospitals and is under Contract with Medicare to offer Part C (Medicare Advantage Plans) all described a "HMO" which is a misnomer.
A fraudulent aspect enters into their contracts an dis supported by our US Government. Via Medicare Advantage program under Part C Medicare.
You can enroll, pay an extra premium over Part B payments and be denied service access by any one of Carilion's providers. After February 15 of each year, you are stuck even though your local providers will not allow you services. Even routine flu shots. A complaint to US Government, asking for approval to switch to another Part C company is met with a refusal. One is stuck until open season to switch. No matter the enrollee is left without access to services. And the part C insurance company can still collect the Medicare fund fee for having one enrolled.
Thus, by allowing a company to retain a Medicare enrollee until the following year is a fraudulent use of tax-supported fees and individual payments.
In Medicare, like all other insurance activities, it's buyer beware. And that applies to the fallacy-notion of thinking our Government polices such scamming operations of insurance companies. Carilion is just one of many in my experience in enrolling in a Part C Advantage program... I have reported this issue to Whitehouse Staffer, to Congressional Representative and to Medicare CMS and Medicare Ombudsman. There is no agency or entity that cares or can effect changes in the practices. Our Government in that regard, is part of the problem. And is in collusion as our tax money is used to pay a Part C company a fee whether they provide services to enrollee or not.
This is not a result of the much aligned "ObamaCare" the problem exited prior to Obama's "excellent adventure" into overhauling an effective medical care delivery system. Like all else, in Washington and in the medical insurance industry... It's business as usual.
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