Talk of The Villages Florida - View Single Post - Advantage plans cost more than regular Medicare
View Single Post
 
Old 07-08-2022, 07:21 AM
Notsocrates Notsocrates is offline
Senior Member
Join Date: Dec 2020
Posts: 165
Thanks: 3
Thanked 75 Times in 44 Posts
Default

Quote:
Originally Posted by Happydaz View Post
I was taking with a friend today and I had mentioned that Advantage plans cost the Medicare program more per patient than regular Medicare. He was very surprised to hear that since Advantage plans were originally developed to save money as regular Medicare costs were at that time increasing at a rapid rate. These Advantage plans were supposed to save the Medicare fund money by having drug choice restrictions, physician choice restrictions, specialist access restrictions, etc. Unfortunately, due to bonus payments and other unseen costs the average Advantage patient costs Medicare $321 more than a regular Medicare part B patient!
You don't understand how it works.

CMS uses the premium it deducts from your Soc. Sec. benefit and pays private insurers to assume the risk of covering you. The insurers collect premiums, write policies and pay bills following Medicare standards.