In-Depth Review of Noridian Medicare in 2023
Delve into a detailed review of Noridian's Medicare offerings for 2023 to make informed choices about your healthcare coverage.
Here is an in-depth review of Noridian Medicare in 2023:
Overview
- Noridian Mutual Insurance Company contracts with CMS to administer Medicare Part A and Part B plans in 11 states. They serve over 2.9 million beneficiaries.
Plan Options
- Noridian administers Original Medicare (Parts A and B), Medicare Advantage (Part C), and Prescription Drug (Part D) plans in their regions.
- They do not offer their own branded Medicare Advantage plans but administer plans from other insurers like BCBS, Aetna, and Humana.
Costs
- Noridian enrollees pay the standard costs set by Medicare like Part B premiums ($164.90/month in 2023).
- Medicare Advantage premiums vary by plan from $0-$147/month. Part D prescription premiums average around $32/month.
Network Coverage
- Noridian Medicare provides access to any provider accepting Medicare nationwide. Plans also include nationwide urgent/emergency coverage.
- Medicare Advantage plans have localized network areas that vary by insurer.
Customer Service
- Noridian gets mixed reviews from beneficiaries for customer service accessibility and claims handling.
- They are not rated by JD Power or Medicare.gov for overall satisfaction.
Pros and Cons
- Pros are no restrictions on providers under Original Medicare.
- Cons are reportedly long phone hold times and claims processing delays. Lack of overall customer satisfaction data.
So in summary, Noridian provides standard Medicare benefits but has received some complaints on administrative services like claims. But network access remains a key advantage.
Noridian Medicare Review 2023.
Noridian Medicare is a Medicare Administrative Contractor (MAC) that provides administrative services for Medicare Part A and Part B in California, Hawaii, Nevada, American Samoa, Guam, and the Northern Mariana Islands. Noridian Medicare is responsible for processing claims, providing customer service, and conducting audits.
Noridian Medicare has received mixed reviews from beneficiaries. Some beneficiaries have praised Noridian Medicare for its efficiency and customer service, while others have complained about long wait times and difficulty getting their claims processed.
Here is a summary of the pros and cons of Noridian Medicare:
Pros:
- Noridian Medicare has a good reputation for processing claims efficiently and accurately.
- Noridian Medicare offers a variety of customer service options, including online chat, phone support, and in-person assistance.
- Noridian Medicare has a website with a wealth of information about Medicare, including eligibility requirements, benefits, and coverage.
Cons:
- Some beneficiaries have complained about long wait times on the phone and difficulty getting their claims processed.
- Noridian Medicare has been criticized for its auditing practices. Some beneficiaries have said that Noridian Medicare is too aggressive in auditing claims and that it is difficult to appeal denied claims.
Overall, Noridian Medicare is a mixed bag. Some beneficiaries have had positive experiences with Noridian Medicare, while others have had negative experiences. It is important to read reviews from other beneficiaries before making a decision about whether or not to choose Noridian Medicare as your MAC.
Here are some tips for working with Noridian Medicare:
- Keep good records of your medical care and Medicare claims. This will help you to appeal denied claims if necessary.
- Be patient and persistent when calling Noridian Medicare. It may take several calls to get through to a customer service representative.
- If you have a problem with your Medicare claim, try to resolve it with Noridian Medicare first. If you are unable to resolve the issue, you can file a complaint with the Centers for Medicare & Medicaid Services (CMS).