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I have Traditional Medicare, Plan F (no longer available, but grandfathered in). Years ago, when The Villages switched to United Health Care and I was kicked out of The Villages Health, I asked a specialist I see for a referral to another Primary Care Physician. He was glad I wasn’t switching to Medicare Advantage. To quote him, “Please don’t switch to Advantage. They dictate what tests I can order for my patients. I have a patient right now that needs an MRI and they won’t let me order it for her.”
So Medicare Advantage is more than which doctors you see, it’s also about what tests and procedures you can have. To me, that means a disAdvantage! |
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I have plan F and everything is covered with a $20 copay.
One example: my friend and I both had kidney stones the same year, went to the same urologist and had the same procedure. He has the advantage plan and his out of pocket cost was $800 vs my $20. The advantage plans work until you get sick. |
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Doctors/medical facilities that accept Medicare accept all Medigap (Supplemental) plans. Plenty of doctors accept Medicare in and around The Villages. And with Medicare + a Medigap plan you do not need referrals and are not restricted in using only physicians/hospitals/other medical facilities that are in your Advantage Plan. I have Medicare + Medigap Plan G and all I have had to pay for medical services is the annual Medicare Part B deductible. The Villages Health system requires one to be in certain Advantage Plans for using one of their primary care physicians; however, specialty doctors with The Villages Health do accept Medicare.
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Medicare "Advantage" plans are a waste of money (in my humble opinion) because the dental and vision part of those plans are not worth the premiums. Better to self-pay.
Get regular Medicare with a part F or G supplemental. Then look for one that has "Silver Sneakers" to join a fitness place (eg Planet Fitness for free). Those Advantage plans are all "private" and will steer you towards their own set of doctors and service providers and are very limited in travel especially outside the USA.... Plus somebody has to pay for all of their advertising Guess who?? |
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I call this kind of logic Casino mathematics. |
If you are still n good health, you may consider “N”. The monthly premiums are less even with the copays. You can always change to “G” when you health issues increase.
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It is the clinics only. The hospitals accept all insurances including Medicare supplement plans.
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