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I have used a medicare broker. Brokers are free to you. You tell the broker your criterion, names of all your drs, health facilities & hospitals You want covered and are presented with plans to select from. It is so much less laborious. Two of my requirements are 1) no referrals required 2) must have free gym membership. Yours will be different.
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Medicare will help you select a supplemental plan , call them . All the plans are published on a web site you can review .
Medicare charges me $148 a month . Supplemental from UHC plan G has a $208 yearly deductible for $138 a month . Medicare is going up to $170 a month next year . For $308 a month you have peace of mind your not going to go broke paying for healthcare costs . This does not include dental . Will pay eye care if you have the beginning of cataracts . Why did you wait to start investigating health insurance? |
My late mom was a Villages resident who got talked into switching from a "Medigap" (supplemental) plan to the Villages Medicare Advantage (aka "MA") plan. One of her doctors told her that was the only insurance they would take.
It was quite costly in the end. This plan would only cover in-patient hospital stays after the 3rd day. She had several in-patient hospital stays the year she had this MA plan. We had to essentially beg the Villages hospital to absorb her bills, as they were thousands of dollars. There were rules about getting OUT of MA plans if you've been in one longer than a year. She couldn't switch back to a traditional medicare supplemental plan without going through a health exam - and if they even accepted her as a customer, her monthly supplemental premium would have been exorbitant. In other words, she no longer had "guaranteed acceptance" (no health exam) for supplemental coverage. The only way she was able to keep guaranteed acceptance and switch out of MA was to move out of the Villages to Crystal River - outside the Villages MA plan's coverage area. So, good move trying to get off of MA, and you shouldn't have any problem switching since you just started on MA in October. I would recommend you look at / investigate Medicare Supplemental Plan "G". Plan "F" is no longer available to new patients, but Plan "G" is, and covers everything Plan F did. Good luck. |
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It's easier to understand Medicare if you know that there are two basic systems: 1) Original or Traditional Medicare, and 2) Medicare Advantage.
1) Original or Traditional Medicare plans are also called Supplemental or Medigap plans. In this scheme Medicare pays the doctor or provider 80% of what Medicare decides is a reasonable cost for the service you receive (not what the doctor bills). Medigap plans then pay the provider the remaining 20% of that "reasonable" cost. You can use any provider that accepts Medicare patients. This system is administered by the government. 2) Medicare Advantage plans are run by insurance companies. The gov't hands over the Medicare premium that you must pay to the insurance company and the company decides on the benefits they will offer their subscribers. The company contracts with certain providers that agree to offer services at an agreed-upon rate. You must use a provider that has a contract with that insurance company. There are different levels of benefits offered within Original (prescribed by law) or Advantage (promoted) programs, but all plans are one of two basic types. The advertisements in the mail and on TV are all Advantage plans. |
Personally I prefer straight Medicare with a supplemental insurance! You can go “anywhere and to any Doctor or hospital of your choice and you will be covered 100%. If you prefer an Advantage plan make sure it is a PPO NOT an HMO (you will have limited choices of Drs, Hospitals etc.) Aetna, UHC and Blue Cross would be the better choices but PPO. Check the plan you pick to see if all your doctors etc are on the plan you want to pick! Good Luck
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Just do what Martha says
she knows what she's talking about :1rotfl:
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The plan you select should match up with your current and near future medical condition. Since plans are selectable every year you can continue to match your plan to your medical needs. If you're very healthy your plan selection can be a lower cost limited benefit plan like an Advantage HMO. If you have serious health issues than opt for a more comprehensive plan. Bear in mind that all of the supplement plans ex. A,B,C,E,F,G,etc are all the same but can be priced differently by various insurance companies. Don't buy on price, buy the plan features.
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Medicare Advice
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Just get traditional Medicare with plan G supplement from AARP. I’m going out State to see a specialist, no referral needed, and I can choose any Doctor that takes Medicare which most of them do. If you have an Advantage Plan the insurance company will manage your care not you. If you try and change to traditional Medicare later on you will pay more, and they will pre existing condition you, because you are out of your enrollment period.
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kathy |
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Another strong vote for SHINE!!!
The last time I saw it in the paper was Nov 30th at 9 AM, Lake Miona RC. Dec 1st at Eisenhower RC. Call 800.963.5337. They are extremely knowledgeable of all plans and don't have an ax to grind in whatever you select. They have been very helpful to me in the past. I would go immediately because the deadline is December 7th and only you know what health concerns you have and what plan best suits your needs. Good luck! |
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