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A photograph of businesses in the rural town of Bishop, California where medicare advantage plans have been advertised despite no in-network providers being available within several hundred miles. — In rural areas such as Bishop, Calif., elderly patients on Medicare Advantage plans can't find in-network providers within several hundred miles. Mario Tama/Getty Images

In the rural California town where physician Atashi Mandal sees patients, Medicare Advantage is popular among the older residents, many of whom have multiple chronic health conditions.

Problem is, there aren’t any in-network providers for several hundred miles.

“My patients seem to be unaware of this major deficiency regarding participation in Medicare Advantage plans,” Mandal wrote in a recent letter to the Centers for Medicare and Medicaid Services.

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