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Medicare Advantage Denial Rates: What Seniors Need to Know Reports from the Office of Inspector General (OIG) have revealed that Medicare Advantage plans often deny coverage for medically necessary treatments, with many approvals only granted after lengthy appeals. This can pose significant challenges for seniors who need ongoing therapies, costly diagnostic tests, or specialized care, as administrative delays and denials may interrupt or limit access to essential services. In contrast, Original Medicare typically does not require prior authorization, making it a more reliable choice for those who require immediate and comprehensive care. By highlighting these key facts, the article empowers seniors to make informed decisions about their health insurance options, carefully weighing the benefits, potential costs, and possible barriers to care before selecting a Medicare plan.