
ESRD Restriction Lifts
For the first time, the new 2022 MA contract year will provide the possibility of end-stage renal disease (ESRD) to enroll in a plan. Why now? Although the goal is to increase the membership in every MA organization, ESRD is a very expensive condition to manage.
The average beneficiary with ESRD cost $67,116 in 2016, in comparison with the $10,182 per beneficiary without the condition. There are other reports that showed how costs for members with ESRD exceeded MA benchmarks in nearly 46% of metropolitan areas. MA organizations need to ensure going into their contract bidding process for 2022 that they have accurate and timely data available.
This is all great for the big company, however, when you live on Social Security it’s terrible. Last year the social security payment went up a little maybe $100-150, but right away medicare raised their fee so I think my check was about $20 different. When the cost of living is so high and changing each year so rapidly, and of course, we have to pay taxes too. Retirees NEED HELP.