Medicare enrollment before Dec 7th. Additional plans, costs and penalties.

[trickormate]

Medicare Advantage the short answer is, you kick Medicare Part A -B out the door.

You will NEVER NEVER use those benefits, you will PAY for Part B to have the Medicare Advantage plan, BUT NEVER USE THE BENEFITS.

your stuck for a year, regardless if you like them or decide to hate them.

You have NO SAY SO AND if your favorite DR leaves the Network, you can no longer see them with In-network benefits.

In a Supplement, if you are 6 months into the plan, you have the Option of switching plans whenever you want. You're not governed by the Medicare rules, besides your Part D (RX) plan. Where you can switch from Oct -Dec.

Medicare Supplement, those recipients don't need referrals, and they are covered the same across the US as if they were here at home (Oklahoma) your benefits don't change and everyone is in your Network as long as they take Medicare which most Dr's do.

 

[RickN]

Here is our insurance guy. He is an independent insurance agent.
Dan Gelino Cell 918-896-1469
Office 913-649-0300.

Now then, we pay NO PREMIUM except for $30 a month. Last year we payed nothing. None, Nada, Zip, Zilch. We changed plans this year because even though we have a small premium it is made up for in lower specialist co-pays.

 

[okcBob]

I will turn 65 next year & will enroll in MedA while still continuing to work. Am I correct in enrollment in Med A is the only time-sensitive requirement I have if still working & covered by my employers health insurance?

 

[trickormate]

Here is our insurance guy. He is an independent insurance agent.
Dan Gelino Cell 918-896-1469
Office 913-649-0300.

Most that are in Medicare Advantage plans get in these plans due to the low cost or no cost of the premium. But they forget they have a 1-5 day hospital stay of $250 or more regardless of how many times they end up in the hospital. You end up paying more then what Part B Medicare allows, their is more out of pocket then those that are on a Medicare supplement at the end of the day.

The other reason why these plans have a no cost or low cost premiums is because the government is paying the remaining balance for you to the insurance company.

Insurance agents love selling these plans because they never get charge backs, what that means you can't cancel and the insurance company charge them back the commission they paid them.

They are good plans for the healthy people, for those that are sick, they end up with a pile of bills and one last thing. The hospital or Dr's most of the time want their money upfront,since they know you're paying them first and Medicare isn't.

For the record I'm a Broker, not an agent. I work for the client and not for the insurance company.

PM me and I'll educate on both. I'll forward you my phone number.

Regards,


Now then, we pay NO PREMIUM except for $30 a month. Last year we payed nothing. None, Nada, Zip, Zilch. We changed plans this year because even though we have a small premium it is made up for in lower specialist co-pays.

 

[trickormate]

Most that are in Medicare Advantage plans get in these plans due to the low cost or no cost of the premium. But they forget they have a 1-5 day hospital stay of $250 or more regardless of how many times they end up in the hospital. You end up paying more then what Part B Medicare allows, their is more out of pocket then those that are on a Medicare supplement at the end of the day.

The other reason why these plans have a no cost or low cost premiums is because the government is paying the remaining balance for you to the insurance company.

Insurance agents love selling these plans because they never get charge backs, what that means you can't cancel and the insurance company charge them back the commission they paid them.

They are good plans for the healthy people, for those that are sick, they end up with a pile of bills and one last thing. The hospital or Dr's most of the time want their money upfront,since they know you're paying them first and Medicare isn't.

For the record I'm a Broker, not an agent. I work for the client and not for the insurance company.

PM me and I'll educate on both. I'll forward you my phone number.

Regards,

 

[RickN]

Most that are in Medicare Advantage plans get in these plans due to the low cost or no cost of the premium. But they forget they have a 1-5 day hospital stay of $250 or more regardless of how many times they end up in the hospital. You end up paying more then what Part B Medicare allows, their is more out of pocket then those that are on a Medicare supplement at the end of the day.

The other reason why these plans have a no cost or low cost premiums is because the government is paying the remaining balance for you to the insurance company.

Insurance agents love selling these plans because they never get charge backs, what that means you can't cancel and the insurance company charge them back the commission they paid them.

They are good plans for the healthy people, for those that are sick, they end up with a pile of bills and one last thing. The hospital or Dr's most of the time want their money upfront,since they know you're paying them first and Medicare isn't.

For the record I'm a Broker, not an agent. I work for the client and not for the insurance company.

PM me and I'll educate on both. I'll forward you my phone number.

Regards,

I spent a month and a half in the hospital last year, had all kinds of medical treatments, skilled nursing, in home nursing, several different specialist, etc, etc. We paid very little and I am very happy with it. We did not pay any doctor up front except for copays.

 

[JD8]

I spent a month and a half in the hospital last year, had all kinds of medical treatments, skilled nursing, in home nursing, several different specialist, etc, etc. We paid very little and I am very happy with it. We did not pay any doctor up front except for copays.

With Medicare + the right supplement you would have had no out of pocket costs in that situation. Plus you'd had more versatility if you needed a different specialist.

 

[RickN]

With Medicare + the right supplement you would have had no out of pocket costs in that situation. Plus you'd had more versatility if you needed a different specialist.

Problem is I am not 65 and the supplements that would take me cost more per year than what I had to pay. Even my wife came out cheaper under Part C and she is 72. The trick seems to be to add up your yearly cost of a supplement, and compare it to what you might have to pay. As far as choice of doctors, no problem seeing any I wanted to.

 

[JD8]

Problem is I am not 65 and the supplements that would take me cost more per year than what I had to pay. Even my wife came out cheaper under Part C and she is 72. The trick seems to be to add up your yearly cost of a supplement, and compare it to what you might have to pay. As far as choice of doctors, no problem seeing any I wanted to.

Not if you're talking bout the same hospital stay as in this thread. You say you spent $11,000 in one year. Guess what.... with part F you'd paid nothing, with part G, it would've been a small fraction. Even with the premiums.

https://www.okshooters.com/threads/medicare-part-c.288028/

We've been over this several times. You preach to people about Part C for whatever reason....realize that you are doing people a disservice.

 

[Dale00]

I will turn 65 next year & will enroll in MedA while still continuing to work. Am I correct in enrollment in Med A is the only time-sensitive requirement I have if still working & covered by my employers health insurance?

I am in the exact same situation. The guidance from HR tells me this is correct: only need to enroll in A (zero cost) if I keep my employer insurance......When I go to medicare.gov I see this is correct as long as the employer verifies it is correct and they employ more than 20 people.