Johns Hopkins Advantage MD

"UPDATE 3/29/2022: Just celebrated 6 months since my first call to Johns Hopkins Advantage to get approval to have my sleep apnea appliance replaced. I keep getting passed on to another case manager. I will be changing insurance companies at the endo of the year. 12/17/2021: If I could give them a zero I would. I wear a mouth appliance for sleep apnea and after 4 years it needs to be replaced. Hopkins made me complete another sleep study (I had completed 3 with my prior insurance company) which showed I still have sleep apnea. I now need to find an in-network dentist that specializes in sleep apnea oral appliances. There are none within 100 miles of Annapolis - I had to do the research because they wouldn't. I asked them to add one to their in-network. I have called a minimal 20 times, each time I get passed to someone else. I was even gave a case manager and a Case Reviewer. My first call was on September 22 so I'm going to celebrate my 3 month anniversary next week. My next step is contacting the BBB, Maryland Insurance Administration, and the Maryland Attorney General."

"The worst Medicare Advantage Plan in Maryland. After two years I now understand why Medicare gives them a 3.5 stars. No problems with Doctors and facilities. My issues are with the insurance company. Was referred by my primary doctor to a specialist at a JH facility in Baltimore. Was informed by my insurance that the JH facility was not in my plan and there would be a facility fee. Asked what the fee would be and neither my insurance or the facility could tell me. I guess they wanted a blank check. My cardiologist scheduled an imaging procedure for me and it was rejected by my insurance as “medically unnecessary “ not knowing my medical history. Better plans out there and am in the process of switching to a five star plan."

"My husband just started with Medicare and John's Hopkins Medicare Advantage. Lots of easy to read information on the website. Surprised there is no way to sign up online to have his premiums deducted from our bank account; had to mail a voided check. Didn't get a 1st bill, on the 2nd bill showed past due. But we're paid up now, hopefully things will go smoothly from here on."

"Though I have been with John's Hopkins Advantage Plan (medicare) since January 2020 when I went on Medicare A &B they suddenly cancelled my insurance saying it is because I don't have Medicare part B. I was on the phone with them for an hour and they said they would look into the situation. In the meantime I contacted Medicare to confirm that I had Medicare part B. They confirmed and said the problem was with John's Hopkins Advantage. John's Hopkins has not returned a call as they assured me they would. In the meantime they advised me not to receive medical care to avoid being charged without their coverage. I had to cancel my mammogram, could not get a prescription filled for statins and was unable to communicate with my doctor about a lab test result than could indicate kidney failure."

"I have been trying to find an in-home wellness program for my 86 year old mom and have been unable to get a straight answer regarding my options. The first representative told me that JH Adv MD did not provide that type of service and that I would have to call each of their providers to see if anyone of them provided services at home. The second representative mentioned a CareSite program and gave me a number to call. When I called the number, I was told I first needed a referral from JH Adv MD to join the program. The third representative told me she would start the process and that in 7-10 business days I would receive a phone call. After waiting 11 days I called JH Adv MD and was told that my case had not been addressed yet and that the CareSite program was by invitation only (not sure how they determine who they invite to the program) and that I would have to wait (apparently indefinitely) to be notified by CareSite whether my mom was accepted (I would receive NO phone call if she was NOT accepted). I filed a grievance because it now has been almost 20 days since the first phone call and I am still nott clear what are my options. I received a called from JH Adv MD in which their only purpose was to find out how I had heard about the CareSite program. No apology and no intention on trying to help me."