Please, please, please...Do NOT choose AARP Medicare Complete Secure Horizons
FENTON, MO -- I work in an internal medicine office with 2 physicians. This plan is an absolute nightmare. Originally, we did not accept the HMO plan. As of 01/09, we started to accept it. BIG mistake! I do coding/billing and am also the referral coordinator. Everything that the patient has to do outside of their internist's office, whether it be see a specialist or having surgery, has to be called in by your internal medicine physician. It's what is known as a "gatekeeper plan". On numerous occasions, I have a specialist office call and say, Patient X is going to have surgery tomorrow and I need it authorized. I tried to do it, but they said that the PCP has to call and get it authorized. Are you kidding me? Such a HUGE hassle. They have to call and give us the CPT and ICD-9 codes that they are using. If Secure Horizons has a question like, have they had a such and such test done, I most likely don't have that information. I have to hang up with them, call the specialist back and see, then call Secure Horizons to let them know. Stick with plain Medicare and get a secondary insurance such as Anthem or straight UHC. You will benefit so much more in the long run.
I just get so sick and tired of our elderly patients getting manipulated by the Medicare replacement plans. It all sounds great initially, but when it comes down to it, they are full of...well you get the gist.