Medicare with Open Eyes

This site may earn a commission from merchant affiliate links, including eBay, Amazon, and others.

Poke78

Sharpshooter
Supporting Member
Special Hen Supporter
Joined
Aug 8, 2008
Messages
2,824
Reaction score
1,091
Location
Sand Springs
This guy is being quite a bit disingenuous.

-60 days TOTAL......big difference.

- Of course the supplemental does not cover what medicare won't...... it's secondary not primary. Hence the name supplemental.

- Nobody covers LTC except LTC plans, and those are ridiculously expensive, unless you were fortunate to buy one 20 years ago.

- In his example he's citing PRIVATE INSURANCE coverage as part of the bill. Why would there be private insurance coverage on someone with Medicare? An employee plan + Medicare? Again, VERY disingenuous to the point it's almost lying.

-$200-400 is not the average in Oklahoma, more like half that amount.




That makes no sense whatsoever. The opposite is true though. If you are fairly healthy or expect to stay that way, you would not need supplemental insurance.


I used to be one of those individuals that brokered those plans but haven't done so in quite some time. I can give you examples for days on people that got really sick and walked out with $0 charges. Again though, It's just like anything else in health insurance. If you're healthy and expect to remain so, then you should self insure. If you believe you might have issues or you have underlying or chronic issues, you will get nickel and dimed to death on that 20%.

I DO however think AARP is garbage and I have seen people wait on part D and it worked out for them. I've also seen it bite them in the arse too.
AARP is garbage on just their political stances. I’m not interested in enriching them.
 

GeneW

Sharpshooter
Supporting Member
Special Hen Supporter
Joined
Jan 20, 2013
Messages
1,201
Reaction score
1,930
Location
OKC
Well that's interesting.

In about 6 months I'll be signing up for Medicare and I've been trying to study this as best as I can.

It's about as clear as mud, and the devil is in the details.

I've talked to quite a few family members who are on Medicare and they love it. Each has purchased a supplemental plan that covers everything. For example, my sis had a major surgery, her husband just got cataracts done, and they paid exactly Zero. Nothing.

I suppose if you *think* you're very healthy, and you have a lot of money, these supplements may mean nothing for you.

However, if you have only A & B, and have a drastic to cathastropic health event, you could owe many many thousands of dollars.

In the end, it's insurance just like everything else. You pay to get your butt covered. It's all a calculated risk.

If you have a really good regular pension bringing in a lot of money, and have a LOT in retirement asset dollars, you can probably cover yourself with out any supplements.
 

JD8

Sharpshooter
Supporting Member
Special Hen Supporter
Joined
Jun 13, 2005
Messages
33,139
Reaction score
46,554
Location
Tulsa
Well that's interesting.

In about 6 months I'll be signing up for Medicare and I've been trying to study this as best as I can.

It's about as clear as mud, and the devil is in the details.

I've talked to quite a few family members who are on Medicare and they love it. Each has purchased a supplemental plan that covers everything. For example, my sis had a major surgery, her husband just got cataracts done, and they paid exactly Zero. Nothing.

I suppose if you *think* you're very healthy, and you have a lot of money, these supplements may mean nothing for you.

However, if you have only A & B, and have a drastic to cathastropic health event, you could owe many many thousands of dollars.

In the end, it's insurance just like everything else. You pay to get your butt covered. It's all a calculated risk.

If you have a really good regular pension bringing in a lot of money, and have a LOT in retirement asset dollars, you can probably cover yourself with out any supplements.

Spot on.
 

dennishoddy

Sharpshooter
Supporting Member
Special Hen Supporter
Joined
Dec 9, 2008
Messages
86,664
Reaction score
67,220
Location
Ponca City Ok
I have a supplement to my Medicare. Although 95% of my medical needs are met by the VA, the age related macular in my left eye requires an injection every 5 weeks outside of the VA. The cost of the medicine alone is around $2000.00 plus the procedure and office visit.
Total is close to 3K. Medicare pays $1100. I would be on the hook for the balance without the supplement, so the monthly costs for the supplement are negligible in the big picture.
Another reason I opted for the supplement is because we travel 6-7 months of the year and VA facilities aren’t everywhere. If an illness or accident occurred, I’m covered.
Those with advantage plans require a doctor/hospital to be in their network. If one is hospitalized out of network with a Dr out of network in another state or city, the advantage plans pay very little and can run up huge medical bills.
 

Duncandl

Sharpshooter
Supporting Member
Special Hen Supporter
Joined
Aug 17, 2008
Messages
1,227
Reaction score
1,363
Location
South OKC
I will get clarification later to see if this can be explained in a better way:

365F2E57-9B0F-46B7-AB4B-0EBBB524F524.jpeg
 

Dale00

Sharpshooter
Special Hen
Joined
May 28, 2006
Messages
7,498
Reaction score
3,954
Location
Oklahoma
I suspect that the people with the knowledge to best compare the value of supplemental Medicare coverage against Part A and Part B alone are people who work in medical billing. Beck asserts that amounts billed are "fictional" ....that is to say absurdly high and never paid by Medicare. Perhaps he is cherry picking his examples...I do know there is at least some truth in his assertion.

Human nature is to champion whatever decision/purchase we have already made or whatever has been earning us money (e.g. insurance sales).... no offence intended but confirmation bias is a powerful force.

Insurance companies work to have nice, good guy representatives .....and to scare you....

Yes - I agree that the decision very much depends on how much retirement income and savings you have. On the other hand, "insurance poor" is a real thing and insurance companies are milking the public with the complicity of our congress critters who are receiving "benefits" from them. It would be excellent to have an analysis of how much money is needed to bypass the additional high costs of supplemental coverage.

Re Westfall's rebuttal of Beck....Wow! is Westfall ever a marketer: American flag waving next to him............photo of happy victorious seniors punching their fists in the air to accentuate his point. He claims to be fighting for seniors and totally independent but the reality is he makes money selling supplimental plans and Beck is goring his ox.

I appreciate all of your points of view.

The following appears to be useful information pointing towards to benefits of passing on the supplemental coverage. If you have a rebuttal of this or alternate data please post it.
 

Attachments

  • C44AD51C-D27A-48A6-9C22-BB8F9C957351.jpeg
    C44AD51C-D27A-48A6-9C22-BB8F9C957351.jpeg
    64.7 KB · Views: 31
Last edited:

Duncandl

Sharpshooter
Supporting Member
Special Hen Supporter
Joined
Aug 17, 2008
Messages
1,227
Reaction score
1,363
Location
South OKC
I am very curious about how retirement works and I am always asking questions and I admit it is always way over my head.

My only experience is when my wife couldn’t help my aunt out because of her supplements choices and that got me intrigued.
 

Dale00

Sharpshooter
Special Hen
Joined
May 28, 2006
Messages
7,498
Reaction score
3,954
Location
Oklahoma
I am very curious about how retirement works and I am always asking questions and I admit it is always way over my head.

My only experience is when my wife couldn’t help my aunt out because of her supplements choices and that got me intrigued.
Good. I hope we uncover some useful info in this thread. I need it also as I too am preretirement age and doing my research
 

okcBob

Sharpshooter
Supporting Member
Special Hen Supporter
Joined
May 17, 2020
Messages
6,202
Reaction score
10,537
Location
okc
Currently have Med A. Still working so don’t have to enroll in MedB until I retire next year. So, have to decide between Med AB & a supp vs MCR replacement plan. MedB is an 80% benefit so there will be a lot of copays per MD visit
 

Latest posts

Top Bottom