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Medical expense not covered by Medicare will be 25,000 bucks this week

Posted on 8/19/25 at 8:49 pm
Posted by Trevaylin
south texas
Member since Feb 2019
9449 posts
Posted on 8/19/25 at 8:49 pm

77 years old and medicare advantage does cover a lot of expense with a few exceptions that your retirement plan needs to include.

Cataract surgery basic is covered well by medicare, until a toric lens upgrade is necessary not covered. 2500 dollars on Friday out of pocket.

Oral surgeon next Tuesday will remove 5 severely deteriorated teeth to control gum infection and install a removable bridge for the princely sum of 17500. dollars. Medicare does not cover as with most other dental work.

The last kick in the gut is funding will come from my 401 k, and the federal government will charge 5000 in income taxes for the privilege of using savings for medical expense.

25000 can come out of your retirement savings for medical expense really fast. plan accordingly
Posted by jeffsdad
Member since Mar 2007
24006 posts
Posted on 8/19/25 at 8:55 pm to
I feel for you, but the 401 k monies were not taxed before you put them into the 401k. Of course, they will be taxed now.
Posted by Thecoz
Member since Dec 2018
3778 posts
Posted on 8/19/25 at 8:59 pm to
Medicare advantage has serious limitations .. which is why the cost is so low.

Do serious due diligence when determining which one you choose and especially which one you chose during the first enrollment when pre conditions can not be factored into plans and cost..

I could give you much more serious examples than the ones you encountered that friends encountered.

Posted by BigBinBR
Baton Rouge
Member since Mar 2023
8963 posts
Posted on 8/19/25 at 9:08 pm to
quote:

Oral surgeon next Tuesday will remove 5 severely deteriorated teeth to control gum infection and install a removable bridge for the princely sum of 17500. dollars. Medicare does not cover as with most other dental work.

This has nothing to do with Medicare. Pretty much no one’s health insurance would cover this. You would need dental insurance.
quote:

The last kick in the gut is funding will come from my 401 k, and the federal government will charge 5000 in income taxes for the privilege of using savings for medical expense.

You need to talk to your CPA. If more than 7.5% of your AGI is medical expenses then you can deduct them and you would likely get a break on your taxes.
Posted by Dixie2023
Member since Mar 2023
4530 posts
Posted on 8/19/25 at 9:08 pm to
What’s not right is they tax you on that withdrawal amount but then add the balance to your overall return and can out one into a higher bracket. That’s not fair. I feel one should have the tax taken out at withdrawal and be done.

On another note. Is there not dental coverage/discount plan one can purchase once retired?
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
72943 posts
Posted on 8/19/25 at 9:11 pm to
It’s fricking ridiculous for you to be bitching about Medicare not covering something when there is widespread agreement along all policy analysts that Medicare is among the most generous insurances in the world.

The amount it pays for folks compared to what they paid for it in taxes their working career is insanely generous.
Posted by Sunnyvale
Member since Feb 2024
2007 posts
Posted on 8/19/25 at 9:13 pm to
Go to Costa Rica for Dental work.
Might save 10k
Posted by Thecoz
Member since Dec 2018
3778 posts
Posted on 8/19/25 at 9:13 pm to
Dental insurance when retired can be purchased.. often it is more of a ppo thing with pretty low maximum per year..I have not found anything as good as I had when with big oil.

You get “free” dental /vision ( really just a ppo with set pricing structure and extremely basic stuff and low max) with an advantage plan as part of the deal.. I will not go into specifics of advantage versus traditional Medicare ( supplements).. but make sure you look into it your self..

Lots of friends that retired from big oil all went into advantage plans as suggested by their hr department upon leaving.. idk I guess they get kickbacks… I have some friends that have horrible stories after coming down with medical conditions while on advantage..
This post was edited on 8/19/25 at 9:16 pm
Posted by HermanBoone
The Chuck
Member since Aug 2013
926 posts
Posted on 8/19/25 at 9:16 pm to
It’s not traditional Medicare. It’s an advantage plan. And they are garbage. Lure you in with perks and discounts but are hot garbage when you need to find a provider or get something covered.

Please talk your loved ones into a traditional plan with Part B coverage for comprehensive healthcare coverage.
Posted by NawlinsTiger9
Where the mongooses roam
Member since Jan 2009
38201 posts
Posted on 8/19/25 at 9:17 pm to
I don’t know what your overall health is like, but using your RMD to fund a Medicare supplement might be something worth looking into if you want to avoid future catastrophic out of pocket issues
Posted by Proximo
Member since Aug 2011
21884 posts
Posted on 8/19/25 at 9:19 pm to
Clown post. you’re seventy fugging seven years old and thought your teeth would last forever?

How about the leanings during that lifetime
Posted by Jim Rockford
Member since May 2011
104048 posts
Posted on 8/19/25 at 9:20 pm to
Not on medicare yet but I had early onset cataracts and my insurance doesn't pay for premium lenses either. I decided to spring for them out of pocket and I'm glad I did. I have 20/20 vision from six inches out to infinity. No more glasses of any kind. The surgery was a piece of cake, the worst part was a month of eyedrops afterward.
Posted by Trevaylin
south texas
Member since Feb 2019
9449 posts
Posted on 8/19/25 at 9:20 pm to
Sir, I am not bitching but rather observing that your retiree financial plan needs to include substantial allowance for medical expense even though medicare exists.

I have paid into medicare since the first day it was implemented,

"fricking ridiculous " is pompous language that aids no one in how to plan
Posted by greygoose
Member since Aug 2013
13854 posts
Posted on 8/19/25 at 9:24 pm to
quote:

Do serious due diligence when determining which one you choose and especially which one you chose during the first enrollment when pre conditions can not be factored into plans and cost..
As someone who works in healthcare, and well versed in Medicare Advantage plans, stay as far away from any United Healthcare plan as possible. Tommorow, I get the pleasure of sending a new prescription for oxygen to them to approve. Keep in mind the person's doctor says they need it now. UHC may take 3 weeks just to approve it.........if they approve it.

Cheap insurance is cheap, for a reason.
Posted by Trevaylin
south texas
Member since Feb 2019
9449 posts
Posted on 8/19/25 at 9:25 pm to
explain what a leaning is.

"clown post". must be related to the hail hail Michigan school of transactional conversation.
Posted by Ingeniero
Baton Rouge
Member since Dec 2013
21648 posts
Posted on 8/19/25 at 9:26 pm to
quote:

explain what a leaning is.

"clown post". must be related to the hail hail Michigan school of transactional conversation.


Damn this old baw is 70 years old, missing a bunch of teeth, and he's still clowning the shite out of Proximo and HHTM 2v1
Posted by Dixie2023
Member since Mar 2023
4530 posts
Posted on 8/19/25 at 9:34 pm to
Thank you for sharing. When I get there in a few years, I plan on going with straight Medicare/supplements. Most folks I know have done this, although it does cost more and one is considering moving to an advantage plan. My mom had humans advantage gold (is with People’s Network now) and she had no issues, interestingly. I’m told it’s better to get straight from the gov and is better .
This post was edited on 8/19/25 at 9:36 pm
Posted by RT1941
Member since May 2007
31624 posts
Posted on 8/19/25 at 9:35 pm to
quote:

Oral surgeon next Tuesday will remove 5 severely deteriorated teeth to control gum infection and install a removable bridge for the princely sum of 17500. dollars. Medicare does not cover as with most other dental work.
77 yrs old? What’s wrong with dentures at that age?
Posted by Trevaylin
south texas
Member since Feb 2019
9449 posts
Posted on 8/19/25 at 9:35 pm to
complements appreciated.

A milestone 36 months from now, I will receive one more full retirement check than I received payroll checks during my lifespan employment.
Posted by TorchtheFlyingTiger
1st coast
Member since Jan 2008
2886 posts
Posted on 8/19/25 at 9:35 pm to
quote:

What’s not right is they tax you on that withdrawal amount but then add the balance to your overall return and can out one into a higher bracket. That’s not fair. 

Just like any other income. Withholding isn't always gonna be spot on. You have to adjust if need be or pay up later. Sometimes you get a refund if overwitheld. How is this unfair? You realize only the portion that goes into next bracket is taxed at higher rate?

If hit with a big expense and it is gonna bump into a higher bracket you could finance it temporarily (if low interest rate) and spread withdrawal over 2 tax years.
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