Mr. Ed
Be what you is not what you what you ain’t
- Location
- Central NY
The group is suing the county and county administrator, alleging the shift to a Medicare Advantage plan approved by legislature in August deprives retired workers and their eligible dependents from receiving Medicare benefits promised by the county.
The lawsuit comes on the heels of. a similar and successful legal challenge in New York City., where a local judge barred the city from switching to Medicare Advantage plan. The judge's decision cited that former employees had been promised a Medicare plan, which is a public benefit , during their tenure working for the city.
County legislatures approved the move to a private Medicare Advantage plan in late August, citing no annual deduction, no co-pay, for a variety of services, low-cost prescription drugs, and vision and dental coverage--which are not included in traditional Medicare---as some of the perks of the new plan.
Officials added the county would stand to save $800,000 next year by moving to an Advantage plan. Current workers and retirees will move to the new plan starting next January.
The plan would shift retirees insurance to a privatized plan, meaning they would have to pay out of pocket if a healthcare provider is out of network. Traditional Medicare does not pose a network, out-of-network dynamic. and is widely accepted across the country..
This could mean retirees who receive sustained treatment at a local provider would have to pay out-of-pocket if their provider is out of network under the plan.
In the suit, former workers allege the move by the county is a unlawful, arbitrary, and capricious plan to forcibly deprive county medicare eligible, elderly, retired workers, veterans and their insured dependents--of their Federal Medicare benefit and their promised county health insurance.
That's what is happening
The lawsuit comes on the heels of. a similar and successful legal challenge in New York City., where a local judge barred the city from switching to Medicare Advantage plan. The judge's decision cited that former employees had been promised a Medicare plan, which is a public benefit , during their tenure working for the city.
County legislatures approved the move to a private Medicare Advantage plan in late August, citing no annual deduction, no co-pay, for a variety of services, low-cost prescription drugs, and vision and dental coverage--which are not included in traditional Medicare---as some of the perks of the new plan.
Officials added the county would stand to save $800,000 next year by moving to an Advantage plan. Current workers and retirees will move to the new plan starting next January.
The plan would shift retirees insurance to a privatized plan, meaning they would have to pay out of pocket if a healthcare provider is out of network. Traditional Medicare does not pose a network, out-of-network dynamic. and is widely accepted across the country..
This could mean retirees who receive sustained treatment at a local provider would have to pay out-of-pocket if their provider is out of network under the plan.
In the suit, former workers allege the move by the county is a unlawful, arbitrary, and capricious plan to forcibly deprive county medicare eligible, elderly, retired workers, veterans and their insured dependents--of their Federal Medicare benefit and their promised county health insurance.
That's what is happening
