Talk of The Villages Florida

Talk of The Villages Florida (https://www.talkofthevillages.com/forums/)
-   Medical and Health Discussion (https://www.talkofthevillages.com/forums/medical-health-discussion-94/)
-   -   Medicare Premium Increases (https://www.talkofthevillages.com/forums/medical-health-discussion-94/medicare-premium-increases-342461/)

OrangeBlossomBaby 07-05-2023 06:17 PM

Quote:

Originally Posted by Boilerman (Post 2232309)
I understand that’s possible but that’s not been our experience. Every doctor recommended to us by friends and neighbors have been in network.

The question was "why don't people like Advantage plans?" I gave one answer. My answer was factual. The risk of NOT being able to get non-life-saving but necessary surgery due to limited access to available specialists is a bonafide, valid, very real, and not uncommon reason.

SusanStCatherine 07-05-2023 06:33 PM

Please everyone get answers from knowledgeable sources. Visit SHINE. Call doctors offices and see what they take - they can change over time. Use responses here as a starting place for your questions. I appreciate all the responses here so I know what to ask about when I need to select. Everyone is different and has different needs. Seems like I would not like an Advantage plan, but I know people who have one and love it. At least I know more now about what questions to ask. Thanks y'all.

joshgun 07-05-2023 08:20 PM

AAarp United healthcare supplement. No network no preapproval. No geographic limitations. They pay for items not included in Medicare. I needed a planter fasciitis splint. Podiatrist said not covered by Medicare. Supplement paid for it.

Boilerman 07-05-2023 11:16 PM

Quote:

Originally Posted by OrangeBlossomBaby (Post 2232321)
The question was "why don't people like Advantage plans?" I gave one answer. My answer was factual. The risk of NOT being able to get non-life-saving but necessary surgery due to limited access to available specialists is a bonafide, valid, very real, and not uncommon reason.

I’m not saying your answer is wrong. I’m saying that our experience has been very different, which I think is important for others to know.

CoachKandSportsguy 07-06-2023 05:45 AM

Quote:

Originally Posted by Boilerman (Post 2232345)
I’m not saying your answer is wrong. I’m saying that our experience has been very different, which I think is important for others to know.

But your experience is a sample size 1, there are hundreds of samples out in the real world. . and any individual experience works until it doesn't work. .

The problem with most everything in life is that whatever works until whatever doesn't work and most humans blame the whatever not working on something else other than an insignificant sample size. .

Kind of like do black swans exist if you have never seen one?

Boilerman 07-06-2023 08:54 AM

Quote:

Originally Posted by CoachKandSportsguy (Post 2232374)
But your experience is a sample size 1, there are hundreds of samples out in the real world. . and any individual experience works until it doesn't work. .

The problem with most everything in life is that whatever works until whatever doesn't work and most humans blame the whatever not working on something else other than an insignificant sample size. .

Kind of like do black swans exist if you have never seen one?

And I didn’t claim my experience was anything other than my own

Robnlaura 07-06-2023 05:24 PM

My Obamacare plan is awesome
 
Quote:

Originally Posted by Michael 61 (Post 2231972)
I’m still several years away from qualifying for Medicare - until then, I am also stuck with the horrible and expensive Obamacare. From the research I’m starting do, I think I will be going with traditional Medicare and add a supplement when the time comes, vs having my medical managed by an insurance company through an “advantage plan” - Will be great to get off of Obamacare and see my monthly medical premiums dramatically reduced when I turn 65.

I can’t complain with my Obamacare plan through blue cross blue shield about $250 a month but an excellent medical plan .. they spent 3 million last year on my care.. can’t complain at all..

OrangeBlossomBaby 07-06-2023 09:01 PM

Quote:

Originally Posted by SusanStCatherine (Post 2232322)
Please everyone get answers from knowledgeable sources. Visit SHINE. Call doctors offices and see what they take - they can change over time. Use responses here as a starting place for your questions. I appreciate all the responses here so I know what to ask about when I need to select. Everyone is different and has different needs. Seems like I would not like an Advantage plan, but I know people who have one and love it. At least I know more now about what questions to ask. Thanks y'all.

Yes I know folks here who have an Advantage plan with UHC and are very happy with it. I also know two in particular who are not very happy with it. One says she had to change her doctor because he didn't accept Advantage plans, and she felt the free gym membership was a waste because she never goes. Another needed a specialist and had to wait two months just for a consultation. Both of them thought the "free" medical supplies every month or quarter or whatever it is, is incredibly wasteful. They end up buying things their neighbors need and give the stuff to them. They'd rather see their premiums reduced, instead of getting credit for things they don't need.

OrangeBlossomBaby 07-06-2023 09:03 PM

Quote:

Originally Posted by Boilerman (Post 2232345)
I’m not saying your answer is wrong. I’m saying that our experience has been very different, which I think is important for others to know.

It's great that your experience has been very different. But it isn't applicable to the question. Again - the poster wanted to know why people might NOT like Advantage. Not why they DO like it.

Boilerman 07-06-2023 09:28 PM

Quote:

Originally Posted by OrangeBlossomBaby (Post 2232688)
It's great that your experience has been very different. But it isn't applicable to the question. Again - the poster wanted to know why people might NOT like Advantage. Not why they DO like it.

Try re-reading the original post. The question was about the rising cost of supplemental plans, nothing to do with advantage plans.

OrangeBlossomBaby 07-06-2023 09:41 PM

Quote:

Originally Posted by Gigi3000 (Post 2232207)
Sorry OP, off topic i know. Aren't there problems with the medicare advantage plans in FL? In my mind, i've ruled them out but i can't remember why?

Quote:

Originally Posted by Boilerman (Post 2232260)
We’ve been delighted with our UHC advantage plan. No premium, several expensive surgeries (back fusion, neck fusion, total knee replacement), no referrals needed to see specialists and combined we are on a dozen prescription medications. Each surgery cost $250 co-pay total, $40 co-pay for specialists and we see doctors in network in both the Villages and up north. Any doctor we’ve wanted to see have been in network. Not sure why everyone hates advantage plans.

Quote:

Originally Posted by Boilerman (Post 2232695)
Try re-reading the original post. The question was about the rising cost of supplemental plans, nothing to do with advantage plans.

Try re-reading your own post. I bolded and underlined the part where you comment that you don't know why people hate advantage plans. I also included a previous post from gigi asking outright what the problem was with advantage plans in Florida.

Boilerman 07-07-2023 12:27 AM

Quote:

Originally Posted by OrangeBlossomBaby (Post 2232699)
Try re-reading your own post. I bolded and underlined the part where you comment that you don't know why people hate advantage plans. I also included a previous post from gigi asking outright what the problem was with advantage plans in Florida.

As I said, the original post was about the cost of supplemental plans.


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