NYC Retirees Could be Denied ‘Medically Necessary Care’ Under Medicare Advantage Plan
April 28, 2022
In, "NYC retirees could be denied ‘medically necessary care’ under Medicare Advantage plan" (New York Daily News, 04/28/2022), a federal study, conducted by the inspector general’s office for the Department of Health and Human Services (HHS), is discussed in connection with medical claims denied by Medicare Advantage plans which, as noted in the article, “… may prevent or delay beneficiaries from receiving medically necessary care.”
Marianne Pizzitola, a retired FDNY emergency medical specialist and president of the NYC Organization of Public Service Retirees, a client represented by Pollock Cohen partner Steve Cohen, said the HHS study corroborates what her group has been arguing and urged the mayor to drop his court action. The NYC Organization of Public Service Retirees, which is made up of retired cops, firefighters and other city workers, sued last year to block former Mayor Bill de Blasio’s administration from first rolling out the Advantage plan, arguing that it would water down their health coverage. New York City Adams’ administration continues to fight in court in hopes of transferring the city’s roughly 250,000 retired municipal workers onto an Advantage plan administered by a coalition of private health insurance companies known as Alliance.
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