WASHINGTON – U.S. Sen. Mark R. Warner (D-VA), a member of the Senate Finance Committee, today issued the following statement after successfully pushing the Centers for Medicare & Medicaid Services (CMS) to provide more options to Medicare Advantage seniors who lose network access to their doctors in the middle of the year:

“Navigating the health care landscape is hard enough as is – we shouldn’t be forcing seniors to jump through hoops in order to continue seeing the doctors they know and trust. I’m glad to see CMS heed our call by proposing new measures that would allow Medicare Advantage enrollees to change their coverage more easily when they experience mid-year provider network changes. I’ll keep working with CMS to get this proposed rule finalized and ensure that elderly Americans can count on the continuity of care they need.”

CMS currently has the ability to allow affected Medicare Advantage enrollees to switch plans as part of a “special enrollment period” when a significant number of doctors or hospitals no longer accept their insurance in the middle of the year. However, the circumstances for how these special enrollment periods are determined are currently opaque, and there is minimal notice to the public, states, and enrollees. In November, Sen. Warner joined Sen. Ron Wyden (D-OR) in calling on CMS to clarify how these special enrollment periods are determined and provide seniors enrolled in Medicare Advantage with more information about plan changes.

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