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I don’t come from a large family tree, so I’ve only signed my parents, one uncle and one cousin and her husband. They have all had very positive experiences on the Medicare Advantage plans that I put them on until recently. Both my cousin and her husband have both experienced back problems and poor mobility issues. Her husband decided to have an elective back surgery in the nearest major city (he has Aetna PPO) last October. Upon discharge, he was admitted to a SNF in his hometown. My cousin and husband patient opined that he was discharged TOO SOON to go home from that SNF. I’ve had a few other customers in a similar situation.
Once he was home, he kept her awake A LOT! As I mentioned, her mobility is limited and he is a Big Baby.
Things got so bad at home that he was told that he would need to receive a 2nd surgery. Cousin and her husband both felt the 2nd surgery would not have been needed had the SNF not discharged him so abruptly.
Then Readmitted to an out-of-town major hospital for another surgery (a 3-week stay).
He has been in a local SNF since late December and has made extremely little progress with his therapy and now they are discharging him even after an appeal. She is now going to talk with a lawyer about getting him on Medicaid. Shit’s getting bad.
At AEP time, all they talked about was how they would have to get out of Aetna and go to Original Medicare to receive decent care. She had already called “Medicare” to find out about stand-alone PDPs. I explained the options (even GI for Med Supp moving out of area). I honestly felt “awkward” about trying to talk them into staying with Aetna for fear of appearing to deaf to what his pitiful experience was or seeming like comp superseded blood.
Fast Forward
This whole time, I have been under the impression that they were BOTH on Orig Medicare since they were disenrolled from my BOB.
I noticed her text that read that she was being charged “a little under $200/day” for SNF. Since OM copay is exactly $200, I verified online that they were both enrolled in the “new” PPO that Aetna invents every year to make us agents miserable.
There were honestly VERY minor differences between these 2 PPO options.
My cousin is the type of cousin who never forgets my birthday and other occasions. I honestly feel some relief that I no longer will feel guilt for any of his bad experiences. I’m not even upset about it.
But, it does seem strange to me that they haven’t mentioned that they are BOTH still with Aetna PPO, the plan that they were dissing and trying to get out of.
Another agent once told me that she would not sell to certain family members or friends. Now I get it.
Once he was home, he kept her awake A LOT! As I mentioned, her mobility is limited and he is a Big Baby.
Things got so bad at home that he was told that he would need to receive a 2nd surgery. Cousin and her husband both felt the 2nd surgery would not have been needed had the SNF not discharged him so abruptly.
Then Readmitted to an out-of-town major hospital for another surgery (a 3-week stay).
He has been in a local SNF since late December and has made extremely little progress with his therapy and now they are discharging him even after an appeal. She is now going to talk with a lawyer about getting him on Medicaid. Shit’s getting bad.
At AEP time, all they talked about was how they would have to get out of Aetna and go to Original Medicare to receive decent care. She had already called “Medicare” to find out about stand-alone PDPs. I explained the options (even GI for Med Supp moving out of area). I honestly felt “awkward” about trying to talk them into staying with Aetna for fear of appearing to deaf to what his pitiful experience was or seeming like comp superseded blood.
Fast Forward
This whole time, I have been under the impression that they were BOTH on Orig Medicare since they were disenrolled from my BOB.
I noticed her text that read that she was being charged “a little under $200/day” for SNF. Since OM copay is exactly $200, I verified online that they were both enrolled in the “new” PPO that Aetna invents every year to make us agents miserable.
There were honestly VERY minor differences between these 2 PPO options.
My cousin is the type of cousin who never forgets my birthday and other occasions. I honestly feel some relief that I no longer will feel guilt for any of his bad experiences. I’m not even upset about it.
But, it does seem strange to me that they haven’t mentioned that they are BOTH still with Aetna PPO, the plan that they were dissing and trying to get out of.
Another agent once told me that she would not sell to certain family members or friends. Now I get it.
