Talk of The Villages Florida - View Single Post - Medicare Advantage vs Medicare plus supplement
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Old 10-18-2015, 11:58 AM
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Quote:
Originally Posted by capecoralbill View Post
For some reason i'm not following, are you saying go for the Supplement OR the advantage? Thanks
All depends on how much health care you are likely to "consume". The significant advantage plan co-pays appear to be:
$275 each day 1-6 in the hospital
$160 each day 21 - 49
$250 for an ambulance
$ 275 for outpatient surgery
and the scariest---20% of all diagnostic studies---radiologic and non-radiologic
The rest are all like $30

So for me, personally, if I were over 65 and on this plan:
I had 2 days in the hospital for surgery
3 MRIs
1 EMG
1 plain x ray
all in the last 7 weeks

Whether the out of pocket cost for this exceeded the $2500 a traditional supplemental plan costs depends entirely on whether the 20% copay for diagnostic test is based on the full (cash) price or the negotiated UHC price, which I do not know.
For someone else, they might have far less out of pocket cost
The only other concern would be the availability of specialists who participate in the plan