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Originally Posted by CrazyTiki
This is a timely and important discussion, especially since I just hit the big 6-5 this month and dove headfirst into the Medicare jungle (no machete required, but a good cardiologist helps). One of my closest friends—who also happens to be my cardiologist—was a lifesaver in helping me figure out which coverage made the most sense.
He told me he no longer accepts certain Medicare Advantage plans because, in his words, “they’re more interested in saving pennies than saving patients.” He’s had to fight tooth and nail just to get approval for basic tests. Based on his advice, I also met with a Senior Health Advisor—because when it comes to Medicare, Google just doesn’t cut it.
After chatting with both the advisor and my cardiologist (and surviving the paperwork avalanche), I decided traditional Medicare, a supplemental (Medigap) plan, and a separate drug plan was the way to go. It’s not the cheapest combo, but it felt like the safest bet for my health and sanity.
In my humble opinion, if you’re on a very tight budget, I totally get the appeal of an Advantage plan, those zero-dollar premiums can look mighty tempting. But if you’ve got a little financial breathing room, traditional Medicare with a supplemental and drug plan might just be the Cadillac of coverage. And hey, at our age, we’ve earned a smooth ride.
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My exact sentiments- I’m 63, so two more years from Medicare age, but have done extensive research and homework in preparation of making the very important decision TM vs MA. I have also met with the folks at Shine - great resource.
I’m amazed how many my age haven’t done any research on the topic, and have an almost “cavalier” approach as to what to do when they turn 65. Many, unfortunately, appear that cost and freebies will be the deciding factor as to what they choose.
I feel it’s so important not to just to assess your current health conditions/situations, but look down the line 20-30 years from now, and determine what type of coverage would suit you best if diagnosed with a serious or terminal illness or if in need of rehab.
Everyone’s situation is different - and one plan may work better for some than others. For me, I’m going with TM + Medigap. Even though I’m healthy and prescription-drug free at this time in my life, it will help me sleep better knowing I have the best coverage available if needed. It’s the same as house or auto insurance, I don’t go with the cheapest premium necessarily, but for what is the best actual coverage in the event I need to make a claim. (I’m a retired insurance claims manager).