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‘Look-Alike’ Medicare Plans Have Regulators Rethinking New Rules

Oct. 17, 2019, 9:09 AM

Private Medicare health plans that critics say improperly target fragile, low-income beneficiaries could get more scrutiny from federal regulators who recently abandoned efforts to restrict the way the plans are marketed.

As Medicare open enrollment gets underway, program advocates say Medicare beneficiaries who also qualify for Medicaid should avoid “look-alike” plans that don’t address their unique coverage needs and can expose them to hidden costs.

Nearly 2.7 million of these “dual eligible” beneficiaries are enrolled in Dual Eligible Special Needs Plans, or D-SNPs, offered by the private Medicare Advantage plans that cover the program’s benefits. But Medicare Advantage plan...

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