Medicare

etowncatfan

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Jan 3, 2003
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I am not to far from having to apply. What policies do most people get. Advantages or disadvantages ? Things to do or not to do? Seems very confusing.
 
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Deeeefense

Heisman
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Aug 22, 2001
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The biggest downside to Medicare Advantage is you can only use a local PP network so if you spend any time away from home you don't have coverage. I have a Medigap plan for $182/mo that covers about everything that Medicare does not. I can use it anywhere and I don't need referrals.
 
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Chuckinden

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Jun 12, 2006
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My office specializes in senior insurance products and have been for over 20 yrs. It's all we do. Lots of options and we write all of them and it can be confusing. That's why a plan needs to be tailor made for each individual.

One big thing to consider about Medicare Supplements, aka as Medigap, is the rate increase history because they all have them.....some more than others. We tend to go with companies that have historically more stable increases that are less expensive in the long run.

What defense said about PPO coverage is not correct. You are still covered out of your PPO local network, but will pay a higher fee for services.

Deeefense, you must be getting up there in years to have the high of a premium.

We can take care of your needs, if you want us to. We are one of the largest senior health insurers in the state with 98% of new sales coming from referrals.
 

Kaizer Sosay

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Jun 11, 2012
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You should definitely talk to a professional. It's dependent on your needs for healthcare. Keep in mind medication costs, office visits, hospitalizations, etc . Each person's needs are different. You can purchase supplemental coverage which helps to defray your costs.

An advantage plan is through an insurance company. Traditional Medicare is through the government. Many people think they have both but you must choose one or the other. Think of an Advantage plan as Medicare replacement to make it easier.
 

starchief

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Feb 18, 2005
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Many people mistakenly believe that Medicare is free healthcare for the elderly. It is not free. It costs my wife and I about $250 a month. Since it is deducted from one's SS check people seem unaware they re paying for it. Any gap plan (a necessity) may even double that.
 
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Jun 11, 2012
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Many people mistakenly believe that Medicare is free healthcare for the elderly. It is not free. It costs my wife and I about $250 a month. Since it is deducted from one's SS check people seem unaware they re paying for it. Any gap plan (a necessity) may even double that.


It's amazing how many people turn 65 and are shocked they have to pay for Medicare.
 
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Kybluedude

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Nov 19, 2005
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I’m sure Chuck knows what plan but I was told the F plan is the best supplement and may be phased out soon. I had a co worker - never ever sick- take the K plan because it was cheaper. 3 months later he was deathly sick and had big copayments.
 

Wildcat22Fan

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Dec 14, 2005
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Most people buy a Medicare Supplement. (Covers what part A & B Medicare doesnt) Plan G is the most popular today. You pay a one time deductible $183 plus monthly payment approx $110 and then you have 100% covetage. Having Medicare + medigap gives you 100% coverage except prescription medication. You will have to get a part D plan to cover that. If the original poster needs a helping hand, msg me and I can write you a policy that best fits your needs. Part B Medicare premium is approx $183/month and a medigap part G policy will be $108-$120/month depending on insurance company.
 

buckethead1978

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Socialist ********

"Write those letters now; call your friends and them to write them. If you don't, this program I promise you, will pass just as surely as the sun will come up tomorrow, and behind it will come other federal programs that will invade every area of freedom as we have known it in this country...And if you don't do this and if I don't do it, one of these days we are going to spend our sunset years telling our children and our children's children, what it once was like in America when men were free."
 
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Chuckinden

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Also, some Advantage plans are HMO with no out of network benefits.
Medicare Advantage HMO does have out of network benefits. If you have an emergency and if you can't find a doctor in your network to cover certain needs, you can get a waiver.
 

Chuckinden

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Jun 12, 2006
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Most people buy a Medicare Supplement. (Covers what part A & B Medicare doesnt) Plan G is the most popular today. You pay a one time deductible $183 plus monthly payment approx $110 and then you have 100% covetage. Having Medicare + medigap gives you 100% coverage except prescription medication. You will have to get a part D plan to cover that. If the original poster needs a helping hand, msg me and I can write you a policy that best fits your needs. Part B Medicare premium is approx $183/month and a medigap part G policy will be $108-$120/month depending on insurance company.
Every time I hear someone in my office tell someone they have a one time $183 deductible, I just cringe. I learned years ago when I was signing my uncle up on a Plan G and I told him he would have to meet the yearly deductible of $140 (at that time) before his plan would pick up. He said, "well, I'll just pay that up front the first of the year and not have to worry about it". I replied, "No, no, don't do that because if you only go to the doctor a couple times a year you won't meet it and you would be paying for nothing".

Pricing of any plan is contingent upon the company AND where you live. Some places, you pay nothing for Medicare Advantage Plans.
 

Chuckinden

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I’m sure Chuck knows what plan but I was told the F plan is the best supplement and may be phased out soon. I had a co worker - never ever sick- take the K plan because it was cheaper. 3 months later he was deathly sick and had big copayments.
I only suggest Medicare Advantage or the cheaper med supps with less benefits ONLY when some truly cannot afford the better plan.

Also, Medicare Advantage is guaranteed issue regardless of your health.....with the exception End Stage Renal Disease.

Too many people don't realize if they take a lesser plan in the initial enrollment period, they may not be able to switch to a better plan because of their health.

It's always better to talk to an experienced professional about your needs. These companies on TV are not much more than just telemarketers and not licensed agents.

If you have questions, I would certainly be glad to help or you can call 1-800Medicare and they will refer you to someone.
 
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USSLair

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Apr 9, 2017
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The biggest downside to Medicare Advantage is you can only use a local PP network so if you spend any time away from home you don't have coverage. I have a Medigap plan for $182/mo that covers about everything that Medicare does not. I can use it anywhere and I don't need referrals.

Sounds fishy to me. Either you are old or ripping off decent Americans who actually need it.
 

krazykats

Heisman
Nov 6, 2006
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I sold this stuff for 4 months. It’s crazy how cut throat this market was and how much lying is done.

Stay away from AARP and Omaha plans as they have crazy rate increase.

That F plan is more expensive out of pocket but it covers everything too so between Medicare and plan F your covered.

But you may not need that and you can change plans a few years in.

I’d contact Physicians Mutual honestly.
 
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Deeeefense

Heisman
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Aug 22, 2001
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Sounds fishy to me. Either you are old or ripping off decent Americans who actually need it.

Yea well if you have medicare chances are you are "old".
Have no idea who you think I'm "ripping off" I'm talking about what I pay for insurance.
 

Chuckinden

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Jun 12, 2006
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I’m sure Chuck knows what plan but I was told the F plan is the best supplement and may be phased out soon. I had a co worker - never ever sick- take the K plan because it was cheaper. 3 months later he was deathly sick and had big copayments.
Plan F has the best coverage, but it doesn't mean it's the best plan. I know that sounds dubious, but basically all Plan F pays that Plan G doesn't is the Part B deductible and if you do the math, the difference in the cost the Plan F premium per year can be more than what the Part B premium is. This is really a moot point since new Plan F sales will be halted when the Plan F is phased out.

We are cautioning people that want the Plan F before it's phased out that companies will probably have steep rate hikes on Plan F to get those policyholders to move away from that plan. I have seen this happen in the past.
 
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Medicare Advantage HMO does have out of network benefits. If you have an emergency and if you can't find a doctor in your network to cover certain needs, you can get a waiver.

Yes, for emergencies.

If there is not an in network specialist within a certain mileage radius, you can request a waiver.
 

John Henry

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Medicare Advantage HMO does have out of network benefits. If you have an emergency and if you can't find a doctor in your network to cover certain needs, you can get a waiver.
And you can also get a PPO. I have a Humana PPO plan with zero premium. It includes prescription drug coverage. It has a $15.00 copay for primary care physicians and $50 for specialists.

My only premium expense for medical coverage is paying for Medicare which is deducted from my social security check.

But to be honest I wish we did not have social security or medicare as I would be miles ahead if I had been allowed to invest that money during my working career. Thankfully I have a nice little nest egg that will leave a lot to my family after I am long gone from this earth.
 
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Chuckinden

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Jun 12, 2006
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And you can also get a PPO. I have a Humana PPO plan with zero premium. It includes prescription drug coverage. It has a $15.00 copay for primary care physicians and $50 for specialists.

My only premium expense for medical coverage is paying for Medicare which is deducted from my social security check.

But to be honest I wish we did not have social security or medicare as I would be miles ahead if I had been allowed to invest that money during my working career. Thankfully I have a nice little nest egg that will leave a lot to my family after I am long gone from this eart.

I understand that, but way too many people would have never invested that money and then our health care system would be in worse shape than it is today.
I sold this stuff for 4 months. It’s crazy how cut throat this market was and how much lying is done.

Stay away from AARP and Omaha plans as they have crazy rate increase.

That F plan is more expensive out of pocket but it covers everything too so between Medicare and plan F your covered.

But you may not need that and you can change plans a few years in.

I’d contact Physicians Mutual honestly.
There is no one company that is right for everyone. It depends on where you live because prices are different in different zip codes.
 

Deeeefense

Heisman
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Aug 22, 2001
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I understand that, but way too many people would have never invested that money and then our health care system would be in worse shape than it is today.

Also the average person receives one third more in benefits than they put in. Of course that's just an average there are many exceptions. That's a good deal for the medicare recipient but not a good deal for the government and the tax payer as the deficit between payments and benefits will eventually have to be made up if Medicare is not reformed.

Link
 

John Henry

Hall of Famer
Aug 18, 2007
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I understand that, but way too many people would have never invested that money and then our health care system would be in worse shape than it is today.
.

So true. The average American lives for today and today only with no thought of reaching an age where you would be totally dependent on what you had stored up. Before social security and medicare people had family who cared and would take care of the elderly. Today we are mobile and the family is not so strong. So government takes over and redistributes the wealth.
 

Ukbrassowtipin

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Aug 12, 2011
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Dont get advantage..get regular red, white, and blue. I suppose tho, base it on your needs..but it doesnt cover several things. I've seen elder pol fall and break their hips and humana advantage will pay for like 2 days of therapy
 

WildcatFan1982

Heisman
Dec 4, 2011
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All health insurance has both disadvantages and advantages. Choose the best health plan for you that can cover the medical services you usually need.

Holy crap. I honestly never thought about it that way. Damn someone give this guy the Nobel Prize in Medicine