PROOF

🛑 MEDICARE BILLING FRAUD 🛑

as of AUGUST 23, 2025

Somebody over at SPARTANBURG Regional (in South Carolina) billing office is calling Mr. Parrott’s plan a Medigap policy and not a Medicare Advantage Policy. Doug (DCP/Mr. Parrott) does not (and NEVER HAD) a Medigap policy.

He only has his Medicare Advantage PPO (since September 2023) so whatever in the hell they’re doing is also medical identity theft, which would constitute aggravated identity theft. It would also constitute elder abuse and fraud brought on by the hospital STAFF

Equating to NASTY FEDERAL CHARGES AGAINST THE HOSPITAL and $500,000.00 (+) fines on just te surface of what we see, but what AETNA & MEDICARE both see on the back-end COULD TELL A MUCH HEFTIER FINE! Then SSA gets to fine $11,000.00 for EACH VIOLATION!

AETNA OPEN (Medigap ~ NEVER)

vs

AETNA MEDICARE

ADVANTAGE PREMIER PLUS PPO (DCP’s PLAN)

COURTESY of Google®️ AI ASSISTANT Search: “Is Aetna Medicare Open the same as Aetna Medicare Advantage PPO”

No, Aetna Medicare Open is likely not the same as Aetna Medicare Advantage Premier Plus, as "Open" may refer to an Aetna Medicare Supplement (Medigap) plan or a different type of Medicare Advantage plan, while Aetna Medicare Advantage Premier Plus is a specific PPO Medicare Advantage plan that covers prescription drugs. Aetna's "Open" plans often imply flexibility in provider choice, while Medicare Advantage plans like Premier Plus are offered by private insurers to provide coverage beyond Original Medicare, potentially including vision, dental, and hearing benefits.

Key Differences:

Plan Type:

Aetna Medicare Open Plan: This could be an Aetna Medicare Supplement (Medigap) plan, which provides more coverage than Original Medicare but doesn't include prescription drug benefits, or a specific type of Medicare Advantage plan, potentially a Fee-for-Service (PFFS) plan, that offers flexibility in provider choice.

Aetna Medicare Advantage Premier Plus: This is a specific Aetna Medicare Advantage plan, a PPO plan that includes coverage for prescription drugs, according to a North Carolina DOI document.

Benefits:

Medicare Advantage (like Premier Plus): These plans offer benefits beyond Original Medicare, such as vision, hearing, and dental services, along with prescription drug coverage.

Medigap (if "Open" refers to this): Medigap plans supplement Original Medicare by covering costs like deductibles, copayments, and coinsurance but do not include prescription drug coverage or other extra benefits.

Provider Choice:

Aetna Medicare Open (Medigap or PFFS): These plans typically allow you to see any provider who accepts Original Medicare.

(ATTN FBI & SLED! THIS IS WHY WE KEEP GETTING TOLD BOTH OF US NEED A REFERRAL, WHEN NEITHER OF US HAVE EVER HAD A MEDIGAP POLICY ~ EVER! My Medicare PPO in place since MAY 2014 in Houston, TEXAS ~and~ DCP’s in place in South Carolina SEPTEMBER 2023 after helping him CIRCUMVENT SHARON’s NEGLIGENCE TOWARDS HIM, canceling his insurance without telling him to get it in place to get medical care in TEXAS! with me Juline ‘Julie’ Stratton-Kerr, OIL & GAS EXECUTIVE since 1999 and NYSE: GRM Whistlblower since 2009 https://dockets.justia.com/docket/texas/txsdce/4:2009cv03234/703344)

Aetna Medicare Advantage Premier Plus (PPO) (BOTH OF US ONLY SEE NOTE ABOVE ATTN FBI & SLED…): As a PPO plan, you have the freedom to see any provider, but you receive lower rates and claims handling when you stay within the plan's network.

↕️ PROOF ↕️

📂 2025_AUG 23_EMAIL_SLED_Fwd- DCP SHRS SC FRAUDULENT BILLING 8:21:2025 $500k fines Re- 🏁Re- TX STATE TRO

https://drive.google.com/file/d/1UXKxarJLwCYij1IbWGG68_hEx77fWJjx/view?usp=drivesdk

Best regards,

JULINE (Julie) A. STRATTON-KERR, IAH WHISTLEBLOWER since 2009

https://dockets.justia.com/docket/texas/txsdce/4:2009cv03234/703344

President & Treasurer of J2RRINC.com

E: StrattonWorldwide@yahoo.com

P: 808.298.3370

O: 808.204.6330

F: 808.666.8188

W: https://j2rrinc.com/lawsuits
Sent from my iPhone 14 PRO