Will Medicare Advantage cover anything for an out-of-network emergency hospital stay?

Interesting question and please come back and tell us what they say.

I personally won't have an MA. At one time they were HMOs but I have noticed lately the are PPOs. Which means they have their network doctors that they will give you a better break on and then out of network that get paid but you don't get the savings as you would with "in network". But the doctors need to except Dads insurance and then there is did this happen out of state?

So, as said you need to call the insurance company. The Medicare portion should be paid because they have to abide by Medicare criteria.

Call them. My dad had a similar situation and I had to fight to get approval.

They even paid for rehab when I informed them that they would have to pay for the medical transport if they required him to receive services in network. Since he could not walk or transfer after being bedridden in the hospital for 10 days.

You will have to call. They would almost certainly cover the ER because ambulances take patients to nearest hospital often; but after stablization the elder is often transferred to an in-network hospital for surgery. So it is the latter, the surgery that is of concern here. You should call her advantage program immediately.

Call them immediately and report the emergency.

You need to report an emergency hospitalization lije this immediately or they assume it is not

Also, talk to the SW at the hospital about what funds they have for charity care if MA is not forthcoming.

I went through this (with regular insurance) years ago when DH was directed to a non- network hospital and surgeon in an emergency situation. It all worked out, but you have to get them on the phone (I did, before the surgery) and asked "what should I do?"

It was decided it was too dangerous to move him, so it was covered.