Blog

By Cynthia Macluskie
•
September 17, 2025
If you're enrolled in a Medicare Advantage plan and your doctor recommends a treatment or prescription, it can be frustrating — and even alarming — to learn that your plan has denied it. Unfortunately, this scenario is becoming more common. Medicare Advantage plans are increasingly using prior authorization as a cost-control tool. While this process is designed to ensure care is medically necessary, it can also create delays, confusion, and unnecessary stress. Here’s what you need to know — and what steps to take if your care is denied.







