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Medicare Advantage prices to drop 23%
Posted on 10/2/19 at 3:36 am
Posted on 10/2/19 at 3:36 am
Ahead of this fall’s Medicare Open Enrollment, the Centers for Medicare & Medicaid Services announced on Tuesday that, on average, Medicare Advantage premiums in 2020 are expected to decline 23 percent from 2018 while plan choices, benefits and enrollment continue to increase.
HHS Secretary Alex Azar issued the following statement:
“President Trump has promised American patients a system with affordable, personalized healthcare, a system that puts you in control, provides peace of mind, and treats you like a human being, not a number. That is what CMS has been delivering with its improvements to Medicare Advantage: lower costs, more options, and benefits tailored to patients’ needs. This proven record of success—decreasing premiums in both Medicare Advantage and Medicare Part D—contrasts with proposals for a total government takeover of healthcare, which would destroy options such as Medicare Advantage that seniors increasingly choose.”
HHS Secretary Alex Azar issued the following statement:
“President Trump has promised American patients a system with affordable, personalized healthcare, a system that puts you in control, provides peace of mind, and treats you like a human being, not a number. That is what CMS has been delivering with its improvements to Medicare Advantage: lower costs, more options, and benefits tailored to patients’ needs. This proven record of success—decreasing premiums in both Medicare Advantage and Medicare Part D—contrasts with proposals for a total government takeover of healthcare, which would destroy options such as Medicare Advantage that seniors increasingly choose.”
Posted on 10/2/19 at 4:04 am to Lsujacket66
Well that seems unprecedented
Posted on 10/2/19 at 5:18 am to Lsujacket66
quote:
Medicare Advantage
My PCP told me to choose a medicare Supplement plan and not an Advantage Plan. In his experience, Advantage plan users commonly don't get the coverage they expect and certain test, diagnostics & procedures are not covered as well as plan owners expect. So in about eight months, I'm going to get a Supplement plan. Maybe that's why they are getting cheaper.
Posted on 10/2/19 at 5:27 am to aTmTexas Dillo
quote:
y PCP told me to choose a medicare Supplement plan and not an Advantage Plan. In his experience, Advantage plan users commonly don't get the coverage they expect and certain test, diagnostics & procedures are not covered as well as plan owners expect. So in about eight months, I'm going to get a Supplement plan. Maybe that's why they are getting cheaper.
true. The only Advantage is the customer being taken advantage of. Price probably dropping because no one wants that shite. Many are a pain in the arse the deal with and I refuse to accept it.
Posted on 10/2/19 at 7:13 am to Lsujacket66
HSA > All (if you get in one when you're young and healthy and stay in it).
Posted on 10/2/19 at 7:29 am to aTmTexas Dillo
i am an independent medicare insurance agent. i sell both medicare advantage and medicare supplement. i can tell you both the pros and cons of these two types of plans. they are both insurance products, but its like comparing apples and oranges. they are totally different from one another. ive been in the industry for over 20 yrs.
what the doctor said has to be taken with a grain of salt; he’s looking out for himself possibly. contact me, i can help you and make some recommendations
what the doctor said has to be taken with a grain of salt; he’s looking out for himself possibly. contact me, i can help you and make some recommendations
Posted on 10/2/19 at 7:38 am to selfgen
Advantage plans seem too good to be true, why would I choose a Supplemental plan? I don’t understand
Posted on 10/2/19 at 7:40 am to selfgen
quote:
what the doctor said has to be taken with a grain of salt; he’s looking out for himself possibly. contact me, i can help you and make some recommendations
Nice. Drumming up some business on your free time. Hard worker.
Posted on 10/2/19 at 7:41 am to Pussykat
There is no max out of pocket on certain things in a Medicare Advantage plan
Posted on 10/2/19 at 8:00 am to jrobic4
quote:
There is no max out of pocket on certain things in a Medicare Advantage plan
for ALL health care services there is a Max out of pocket, which Medicare sets; plans can go under that amount, offering a lower MOOP to their members, but they cannot exceed Medicare’s.
Understand that Medicare itself doesnt have a MOOP; thats why members either get a supplement or a Medicare Advantage plan.
Now maybe you are referring to drug coverage. there is no MOOP for drugs, however once youve spent a certain amount out of your pocket on Rx, you only pay 5% on your Rx for the rest of the year.
Posted on 10/2/19 at 8:12 am to selfgen
So what’s the catch? There has to be a cost somewhere
Posted on 10/2/19 at 8:15 am to jrobic4
quote:
There is no max out of pocket on certain things in a Medicare Advantage plan
Not true
Posted on 10/2/19 at 8:36 am to Lsujacket66
quote:
the Centers for Medicare & Medicaid Services announced on Tuesday that, on average, Medicare Advantage premiums in 2020 are expected to decline 23 percent from 2018 while plan choices, benefits and enrollment continue to increase.
I have had an Advantage Plan for 5 years; the NC premiums are dropping ~ 32%, from $57.60 to $39. My wife is on it as well. That includes Part D, the prescription drug coverage. I take two drugs, generic Crestor and a low does BP medicine, and have not had to pay for those for several years even without meeting a deductible. She takes some RA medicine that we have to pay for.
And last year they brought back Silver Sneakers so we go to the Y for $0 cost, that saves ~$70/month.
We are both relatively healthy and have had very little out of pocket costs over the years. We were told, I guess it is correct, that we could switch to a supplement if we wanted. When, not if, one of us develops a serious illness we will look closely at switching; I assume it would have to be open enrollment time to do that.
The biggest issue we have is that you have to be in a network and some doctors in the small town we live in don't accept Advantage but most, if not all, take Medicare & the Supplement plans. I guess it could also potentially be an issue if we got sick and had to see a doctor while traveling in the US.
As of now the Advantage Plan is working for us. When that serious illness hits I may get a nasty surprise though; at least until we can switch to the supplement. Just another life time bet.
Posted on 10/2/19 at 8:39 am to Lsujacket66
quote:
Medicare Advantage prices to drop 23%
AOC and Pelosi upon hearing the news.....
Posted on 10/3/19 at 12:14 am to Pussykat
you have out of pocket costs( co payments ) each you get services, doctor visitvis $5, specialist is $40, ER visit is $90, outpatient procedure is $250. hospital admission is $185 per day for days 1 thru 7.
you have to use providers that ate “in the network”
thats how it works
you have to use providers that ate “in the network”
thats how it works
Posted on 10/3/19 at 12:17 am to aTmTexas Dillo
quote:what is a supplement plan exactly?
My PCP told me to choose a medicare Supplement plan and not an Advantage Plan. In his experience, Advantage plan users commonly don't get the coverage they expect and certain test, diagnostics & procedures are not covered as well as plan owners expect. So in about eight months, I'm going to get a Supplement plan. Maybe that's why they are getting cheaper.
Posted on 10/3/19 at 12:56 am to selfgen
quote:
MOOP
"It was the Moores!"
"Sorry, card says Moops. You lose."
Posted on 10/3/19 at 7:23 am to Pussykat
Because the supplemental plan picks up all your deductibles and copays and you don’t have to pay for anything except refraction of eyes which was $20.00. Bottom line. I have copays for meds, that’s your prescription drug plan, but that’s a whole different ball game.
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