What can Burton do if she is experiencing poor access to care within her MA-PD plan?

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If Burton is experiencing poor access to care within her Medicare Advantage Prescription Drug (MA-PD) plan, filing a grievance with her plan is the appropriate action to take. This process allows her to formally express her dissatisfaction and seek resolution regarding the obstacles she faces in accessing care. The grievance process is established to ensure that members have a channel to voice their concerns and to prompt the plan to address and rectify issues that affect their care and service delivery.

Filing a grievance is an essential step because it encourages the plan to evaluate their services, implement necessary changes, and improve overall access for members like Burton. It also helps create a record of complaints that could lead to systemic improvements in access to care for other members.

Considering the other choices, changing her plan immediately is not typically an option outside of designated enrollment periods without specific qualifying events. Seeking legal counsel is generally a more drastic measure and may not offer timely solutions compared to utilizing the internal grievance process. Contacting her primary care physician might be beneficial for immediate clinical concerns, but it does not address the systemic issues with the MA-PD plan's access to care. Hence, filing a grievance is the most effective and logical course of action in this scenario.

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