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-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Changes to Medicare Advantage plans for 2026 (https://www.talkofthevillages.com/forums/medical-health-discussion-94/changes-medicare-advantage-plans-2026-a-361044/)

Mrprez 09-03-2025 11:45 AM

Quote:

Originally Posted by rsmurano (Post 2458687)
I don’t think any supplement plan has to accept anybody if your advantage plan goes south and they shouldn’t. Everybody knew when you started Medicare, if you don’t go with a supplement plan initially, you have a slim chance of converting to 1 later on in life. If you have any medical issues in the last 2 years, these supplement plans will not accept you.

So if your advantage plan goes south, or they eliminate all the freebies or raise your prices, you shouldn’t get a free pass into a supplement plan, you shouldn’t go thru their normal underwriting procedures to see if you qualify.
Not all advantage plans are going south, so you still can get an advantage plan but probably without the freebies.

Also, plan f participants pay more that plan g clients because there are many more plan g clients to spread out the costs. A friend my age pays over 2x more for his plan f the Han I pay for plan g.

Those are the rules. Live with it.

rustyp 09-03-2025 04:20 PM

Quote:

Originally Posted by rsmurano (Post 2458687)
I don’t think any supplement plan has to accept anybody if your advantage plan goes south and they shouldn’t. Everybody knew when you started Medicare, if you don’t go with a supplement plan initially, you have a slim chance of converting to 1 later on in life. If you have any medical issues in the last 2 years, these supplement plans will not accept you.

So if your advantage plan goes south, or they eliminate all the freebies or raise your prices, you shouldn’t get a free pass into a supplement plan, you shouldn’t go thru their normal underwriting procedures to see if you qualify.
Not all advantage plans are going south, so you still can get an advantage plan but probably without the freebies.

Also, plan f participants pay more that plan g clients because there are many more plan g clients to spread out the costs. A friend my age pays over 2x more for his plan f the Han I pay for plan g.

Quote:

Originally Posted by Mrprez (Post 2458701)
Those are the rules. Live with it.

May I suggest you go back and watch the video. Pay close attention starting at minute mark 17.00. Sounds like some people are going to have the rules waived for 2026.

OrangeBlossomBaby 09-03-2025 06:24 PM

Quote:

Originally Posted by Normal (Post 2458670)
We are going with a supplemental because United Healthcare doesn’t honor Medicare Advantage.

Are you confusing United Healthcare with University of Florida Health?

United Healthcare is an insurance company that offers regular (marketplace) health insurance, Medicare supplemental insurance, and Medicare Advantage insurance. UF Health is a medical provider group that might or might not accept various insurance plans.

Cliff Fr 09-04-2025 07:24 AM

Millions of new people added to the free health care rolls added over the previous 4 years has had a negative impact

Dr.Butler 09-04-2025 08:55 AM

Quote:

Originally Posted by Cliff Fr (Post 2458827)
Millions of new people added to the free health care rolls added over the previous 4 years has had a negative impact

Please explain. Free health care? Who in this country (Besides the military and they do pay in other ways) gets free healthcare?

tophcfa 09-04-2025 09:02 AM

Quote:

Originally Posted by Dr.Butler (Post 2458851)
Please explain. Free health care? Who in this country (Besides the military and they do pay in other ways) gets free healthcare?

It’s available through Obamacare and Medicaid for people who fall below certain income thresholds. But technically it’s not free, the people who get it for free are being subsidized by those who pay.

OrangeBlossomBaby 09-04-2025 09:18 AM

Quote:

Originally Posted by tophcfa (Post 2458853)
It’s available through Obamacare and Medicaid for people who fall below certain income thresholds. But technically it’s not free, the people who get it for free are being subsidized by those who pay.

Personally I'd rather know that the cashier at the supermarket has free health care courtesy of the wealthy who can afford the premiums and other costs. The alternative might be that the cashier can't afford to go to the doctor, and show up at work with a communicable disease and infect everyone instead.

The health of EVERYONE is good for the collective. One sick person = the potential for another Typhoid Mary, or another pandemic.

Dr.Butler 09-04-2025 10:01 AM

Quote:

Originally Posted by tophcfa (Post 2458853)
It’s available through Obamacare and Medicaid for people who fall below certain income thresholds. But technically it’s not free, the people who get it for free are being subsidized by those who pay.

So here is what I see is right in your statement:
Medicaid: Correct that low-income individuals can qualify for free or very low-cost coverage. (Keep in mind in 2027 there will no longer be Medicaid)

Subsidies: Also correct that “free” coverage isn’t truly free; costs are covered by taxpayer funding.
Here is what needs correction:

Obamacare (ACA) ≠ Free Healthcare
  • The Affordable Care Act (ACA) provides marketplace health insurance.

    Premiums can be reduced via tax credits if your income is below a certain level.

    Only a small subset of people, typically those with very low incomes, might qualify for $0 monthly premiums.

    Most people still pay something for deductibles, copays, or prescriptions.

Other Groups Get Free or Nearly Free Healthcare
  • Children in Low-Income Families → Covered under CHIP.

    Native Americans & Alaska Natives → Free services via the Indian Health Service (IHS).

    Emergency Care → Hospitals must stabilize anyone regardless of ability to pay under EMTALA (but bills often follow).

    Community Clinics & Federally Qualified Health Centers → Free or sliding-scale services for uninsured individuals.

SaucyJim 09-05-2025 05:18 AM

Quote:

Originally Posted by kingofbeer (Post 2458433)
Why are you trying to scare us?

Raising concerns for us through the process of informing us, perhaps. Scare us? I'm not seeing it.

This video was timely for us, as my wife is in her enrollment period and now we need to rethink our original strategy. Unfortunately, because I thought we knew our choice after hours of research, I threw away all of my notes. Fortunately, a neighbor recommended SHINE, which gives free, unbiased Medicare advice at various recreation centers on an ongoing basis. We're going that route and will see if they are up to speed on this upcoming circumstance.

Not scared. Concerned. Informing ourselves to move forward with as much information as possible. The unsupported (by links) evidence on this site is not going to be our primary methodology for obtaining said knowledge.

Road-Runner 09-05-2025 09:19 AM

Spoke with my Florida Blue rep yesterday about this, and I'm no longer concerned about our Medicare Advantage plans. He himself will be going on the exact same plan as ours in April when he turns 65 which I really don't think he would do if it was going away or changing significantly as people are saying here.

Mrprez 09-05-2025 09:23 AM

If you bought your MA plan from a TV ad featuring Jimmie Walker, you might be worried.

Road-Runner 09-05-2025 09:30 AM

Quote:

Originally Posted by Dr.Butler (Post 2458875)
So here is what I see is right in your statement:
Medicaid: Correct that low-income individuals can qualify for free or very low-cost coverage. (Keep in mind in 2027 there will no longer be Medicaid)

Subsidies: Also correct that “free” coverage isn’t truly free; costs are covered by taxpayer funding.
Here is what needs correction:

Obamacare (ACA) ≠ Free Healthcare
  • The Affordable Care Act (ACA) provides marketplace health insurance.

    Premiums can be reduced via tax credits if your income is below a certain level.

    Only a small subset of people, typically those with very low incomes, might qualify for $0 monthly premiums.

    Most people still pay something for deductibles, copays, or prescriptions.

Other Groups Get Free or Nearly Free Healthcare
  • Children in Low-Income Families → Covered under CHIP.

    Native Americans & Alaska Natives → Free services via the Indian Health Service (IHS).

    Emergency Care → Hospitals must stabilize anyone regardless of ability to pay under EMTALA (but bills often follow).

    Community Clinics & Federally Qualified Health Centers → Free or sliding-scale services for uninsured individuals.

The Obamacare law significantly expanded Medicaid in those states dumb enough to take the temporary (five years?) additional Federal funding. After that period the extra costs were totally the states to cover. Florida was one of the many states that said "No thanks" and we should be very glad they did.

Dr.Butler 09-05-2025 12:10 PM

Quote:

Originally Posted by Road-Runner (Post 2459106)
The Obamacare law significantly expanded Medicaid in those states dumb enough to take the temporary (five years?) additional Federal funding. After that period the extra costs were totally the states to cover. Florida was one of the many states that said "No thanks" and we should be very glad they did.

Just to clarify, the ACA’s Medicaid expansion funding wasn’t only temporary. The federal government initially covered 100% of the costs from 2014 to 2016 and now permanently covers 90% of expansion costs. States only pay 10%. Florida opted out, so it didn’t receive that federal funding, which is why many low-income residents here remain uninsured.

kkingston57 09-05-2025 03:00 PM

Quote:

Originally Posted by ROCKETMAN (Post 2458681)
So I guess the $1000.00 free golf between the two of us and the $120.00 over the counter between the two of us will be a thing of the past?

Good one! Better question is how does playing golf help you out physically? Bet more people hurt themselves (requiring medical attention) than helping people?

eyc234 09-06-2025 08:06 AM

Quote:

Originally Posted by Road-Runner (Post 2459106)
The Obamacare law significantly expanded Medicaid in those states dumb enough to take the temporary (five years?) additional Federal funding. After that period the extra costs were totally the states to cover. Florida was one of the many states that said "No thanks" and we should be very glad they did.

People not having medical insurance or care is not anything to be glad about. Your information is not correct as well.


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