Talk of The Villages Florida - Medicare Advantage

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- - Medicare Advantage (https://www.talkofthevillages.com/forums/medical-health-discussion-94/medicare-advantage-339546/)

Quote:

Originally Posted by rustyp (Post 2195074)

Your response is not quite clear to me - no offense. For a person on Medicare Part A has no premium. It is paid from the Medicare trust fund. Part A is the hospital part. Part A is the part you paid for from your paycheck before retirement. Part B was $174 in 2022. That is the part the gov pulls out of your social security check per month. This is the part you are paying for during retirement.

Correct, there is no monthly premium for Part A. But, a supplemental plan will cover the copay part of a Part A claim. The premium for Part B is based on your income level, and it can range from $164.90 to $560.50 per month for higher income groups.

Quote:

Originally Posted by PurvisT (Post 2194471)

suggest you contact Ron Heath at Guided Medicare, office is on route 44 near Brownwood, phone 352-446-1455, very simple when working with Ron, extremely helpful.

Beware Ron and all other health insurance sales people. They are biased!

Contact SHINE.

Note that after your health inevitably declines you may not be allowed to switch back to original medicare with a supplement. SHINE can explain all that.

There’s no need to go back to Medicare and a supplement.

Quote:

Originally Posted by keepsake (Post 2195060)

Even the advantage plans that you get $160 back a month from are reaping the $800 a month from the feds.

How are the reviews of the rebate plans? Is there an offsetting downside, like higher copays, higher drug costs?

Go to Welcome to Medicare | Medicare to compare local plans. Then meet with Shine as suggested above.

Quote:

Originally Posted by rustyp (Post 2194791)

A complete overabundance of misleading to outright false information about advantage plans being posted here. Let's clarify one of the biggest fallacies - you can't go back to Medicare. You can always go back to Medicare in the fall at enrollment time. No questions asked. Supplemental is a different story. Pay attention to the overwhelming majority of doomsday reporters of Advantage Plans. They never had one. Unlike many advantage plans enrollees had Medicare first and switched. Go to SHINE and get the straight story. 48% of Medicare eligible seniors are on Advantage plans. That percentage is increasing year over year.

Before one gets too excited about how wonderful Medicare Advantage is, they may want to perform an online search how $307 billion has been moved away from Medicare Advantage and is to be used to fund other “special projects”. Cuts to Medicare Advantage may be coming.

Announced in January, a new “advance notice rule” proposing to cut funds for Medicare Advantage in a move that could cost seniors up to $540 per year in benefits.

Quote:

Originally Posted by Aces4 (Post 2195768)

2023 FL BL plan has more perks than ever & lowered tier 3 drugs from $125 to $105

Quote:

Originally Posted by Aces4 (Post 2195768)

I did the online search trying to get as close to a reliable source as possible. From HHS.gov published Feb 17 2023:

"Despite industry-funded reporting indicating otherwise, the (current) Administration is not proposing cuts to Medicare Advantage. In fact, the Administration is proposing to increase Medicare Advantage payments this year by 1%, on top of an 8.5% increase in Medicare Advantage payments last year. The Administration also announced efforts to strengthen Medicare and hold industry accountable. This year, it will start recovering improper payments made to insurance companies in Medicare Advantage through audits. Recovering these improper payments and returning this money to the Medicare Trust Funds will protect the fiscal sustainability of Medicare and allow the program to better serve seniors and people with disabilities, today and in the future."

Quote:

Originally Posted by rustyp (Post 2195800)

We’ve been seeing ads stating don’t let the proposed changes to Medicare Advantage happen. It’s a slight of hand thing, IMHO, tightening of codes for coverage and going after patients who they feel shouldn’t have received coverage for certain procedures. Remember if insurance coverage is removed for a procedure, the patient is on the hook.

The diverted money will go for pet projects. Search under KFF (Kaiser Family Foundation) and search if there are proposed cuts to Medicare Advantage in 2023.