Based in Pittsburgh, Pennsylvania, Dr. Pachavit Kasemsap serves as Cigna’s medical director manager in utilization management (UM) and oversees the completion of UM determinations and assists in UM appeals. Among Pachavit Kasemsap, MD’s core responsibilities is supporting the firm’s Medicare Advantage business.
A federally mandated program, Medicare offers patients several primary ways of accessing coverage. One is through Medicare Part A (hospital insurance) and another is through Part B (medical insurance), with Part D covering the Medicare prescription drug plan.
Original Medicare combines Part A and Part B, with patients able to join Part D separately. It allows the flexibility of accessing any physician or hospital nationwide that accepts Medicare. Those wanting to cover 20 percent coinsurance and other out-of-pocket costs can purchase supplemental coverage, and add elements such as Medigap and former employer or union coverage.
A preferred route for many is Part C, Medicare Advantage, which bundles the other three forms of Medicare coverage. It reduces out of pocket costs compared to Original Medicare, and typically offers benefits beyond Original Medicare such as dental, hearing, and vision. Medicare Advantage does have greater restrictions, including requiring the use of physicians who are within the plan’s network for care that is non-urgent and non-emergent.
Pachavit Kasemsap 