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Re: For anyone on Medicare please read [Re: moparx] #3269009
11/07/24 10:17 PM
11/07/24 10:17 PM
Joined: Jan 2003
Posts: 16,141
Omaha Ne
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TJP Offline OP
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TJP  Offline OP
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Omaha Ne
Originally Posted by moparx
Originally Posted by TJP
Originally Posted by moparx
friday my wife and i are meeting with our insurance lady to go over what is out there for next year that will meet our needs.
what concerns me the most, is the possibility of "pre-existing conditions" being a cost escalator that will be unaffordable for us [and others] to obtain the health care we need.
this greatly concerns me, and i'll leave it at that.
beer


if you're both on Medicare, pre -existing conditions shouldn't come into play. The same for Obamacare.
Keep us posted on your findings up beer




one of the main concerns, is finding a drug plan that covers the drugs we need, [formulary] while being able to afford the plan and any co-pays the drugs will cost us. several drugs we take are hugely expensive.
as we are both on medicare, that part doesn't bother us.
beer

|
Understood frown Someone needs to address the issue as well as the insurance industry overall twocents beer

Re: For anyone on Medicare please read [Re: TJP] #3269041
11/08/24 06:32 AM
11/08/24 06:32 AM
Joined: Jan 2003
Posts: 1,803
Greer, SC
TooMany62s Offline
top fuel
TooMany62s  Offline
top fuel

Joined: Jan 2003
Posts: 1,803
Greer, SC
An insurance sales friend of mine told me if you never plan to use it go with an Advantage plan. Otherwise, shop for a suitable supplement plan.

Re: For anyone on Medicare please read [Re: TooMany62s] #3269388
11/09/24 05:11 PM
11/09/24 05:11 PM
Joined: Dec 2005
Posts: 12,733
Fulton County, PA
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CMcAllister Offline
Mr. Helpful
CMcAllister  Offline
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Fulton County, PA
When you're about to turn 65, your mailbox is full of people trying to sell you stuff. One caught my eye and I called them. Straight forward, took time to explain the options and plans, not pushy, not trying to sell me the moon. Knew what he was talking about. Name of the firm is Fairsquare Medicare. I got the regular plans along with a drug plan and one that picks up charges the first two won't.

I've had some stuff pop up that needed to be addressed. After a few years with what I signed up for, I'm happy with my decisions.


If the results don't match the theory, change the theory.
Re: For anyone on Medicare please read [Re: CMcAllister] #3269407
11/09/24 05:44 PM
11/09/24 05:44 PM
Joined: May 2005
Posts: 4,982
Florida
BDW Online content
master
BDW  Online Content
master

Joined: May 2005
Posts: 4,982
Florida
I’ve got some time, but it never hurts to learn early.
Is it basically the same as shopping for home or car insurance?
Call several agents, ask friends, and decide what’s right?

For some reason I was under the impression there were only 1 or 2 choices?

Re: For anyone on Medicare please read [Re: cudaman1969] #3269410
11/09/24 05:54 PM
11/09/24 05:54 PM
Joined: Dec 2003
Posts: 23,850
Here
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jcc Offline
No soup for you!!!
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No soup for you!!!
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Here
Originally Posted by cudaman1969
Been on Medicare plus the supplement for 10 years. Type F, never have paid a dime, no copays. My agent told me five years ago the advantage plan is no good if you're sick a lot, I’ll stick with what I have, I like walking in and out, last hospital bill was $300,000 in may, 0 for me. Now other shoulder then knee in future.


I have it, my older sister calls it the "Cadillac Plan".

I'm not sick much, so far, but the peace of mind is comforting.


I forbid my content here from being learned and used by artificial intelligence systems.
PP [Re: BDW] #3269495
11/09/24 10:56 PM
11/09/24 10:56 PM
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Posts: 16,141
Omaha Ne
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TJP Offline OP
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TJP  Offline OP
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Omaha Ne
Originally Posted by BDW
I’ve got some time, but it never hurts to learn early.
Is it basically the same as shopping for home or car insurance?
Call several agents, ask friends, and decide what’s right?

For some reason I was under the impression there were only 1 or 2 choices?


no sir, there are many choices, plans, and several companies all offering multiple plans and that is where they "gitcha".
It can be very confusing especially for an elderly person due to the choices. They are ALMOST as upfront as a used car salesperson. And it is why I put the post up. At a casual glance the existing 2024 policy appears the same as the 2025 policy. But they slipped the deductibles in for health (dr. visits) and prescriptions 🙄🙄.
Those deductibles DO NOT APPLY to the overall policy deductible. End result, Insured gets porked for another x amount (~500 to 1K) and the insurance companies save 🤑🤑🤑🤑🤑 😳😲. Who would've thought they'd be so ???

beer

Re: For anyone on Medicare please read [Re: CMcAllister] #3269496
11/09/24 10:57 PM
11/09/24 10:57 PM
Joined: Jan 2003
Posts: 16,141
Omaha Ne
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TJP Offline OP
I Live Here
TJP  Offline OP
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Joined: Jan 2003
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Omaha Ne
Originally Posted by CMcAllister
When you're about to turn 65, your mailbox is full of people trying to sell you stuff. One caught my eye and I called them. Straight forward, took time to explain the options and plans, not pushy, not trying to sell me the moon. Knew what he was talking about. Name of the firm is Fairsquare Medicare. I got the regular plans along with a drug plan and one that picks up charges the first two won't.

I've had some stuff pop up that needed to be addressed. After a few years with what I signed up for, I'm happy with my decisions.


thank you for that info, I may give them a call beer

Re: PP [Re: TJP] #3269595
11/10/24 11:49 AM
11/10/24 11:49 AM
Joined: Sep 2003
Posts: 20,742
north of coder
moparx Offline
Buying your homeless and unwanted bolt on battery terminals
moparx  Offline
Buying your homeless and unwanted bolt on battery terminals

Joined: Sep 2003
Posts: 20,742
north of coder
Originally Posted by TJP
Originally Posted by BDW
I’ve got some time, but it never hurts to learn early.
Is it basically the same as shopping for home or car insurance?
Call several agents, ask friends, and decide what’s right?

For some reason I was under the impression there were only 1 or 2 choices?


no sir, there are many choices, plans, and several companies all offering multiple plans and that is where they "gitcha".
It can be very confusing especially for an elderly person due to the choices. They are ALMOST as upfront as a used car salesperson. And it is why I put the post up. At a casual glance the existing 2024 policy appears the same as the 2025 policy. But they slipped the deductibles in for health (dr. visits) and prescriptions 🙄🙄.
Those deductibles DO NOT APPLY to the overall policy deductible. End result, Insured gets porked for another x amount (~500 to 1K) and the insurance companies save 🤑🤑🤑🤑🤑 😳😲. Who would've thought they'd be so ???

beer



exactly correct.
that is why it is paramount [in my opinion] one has talks with a [or several] very qualified health insurance advisor before locking into any supplementary health care plan.
one needs to find something that is RIGHT for oneself, and not listen to all the noise generated by those plans one sees on tv or social media.
beer

Re: For anyone on Medicare please read [Re: TJP] #3271612
11/21/24 05:53 AM
11/21/24 05:53 AM
Joined: Oct 2009
Posts: 67
Arizona
3
340rag Offline
member
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Posts: 67
Arizona
Interesting, why are they doing this. Is it because of the frauds being committed in Medicare every day? It says here that Medicare costs the federal government (and U.S. taxpayers) tens of billions of dollars each year. So there is a lot of money there.

Last edited by 340rag; 11/25/24 03:42 AM.
Re: For anyone on Medicare please read [Re: 340rag] #3271796
11/21/24 10:55 PM
11/21/24 10:55 PM
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Omaha Ne
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TJP Offline OP
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Originally Posted by 340rag
Interesting, why are they doing this. Is it because of the frauds being committed in Medicare every day?


IMO the entire insurance industry is running amok jacking rates as they choose and no one is questioning it or making them justify the increases. Hopefully enough individuals will start asking questions and demanding answers. We are all aware that costs have increased but are they in check with we're being hit with premium wise whistling shruggy
Again I am not wanting this to become political as the intention was to make people aware of the changes that are being "SLIPPED" in. beer

Re: For anyone on Medicare please read [Re: TJP] #3271913
11/22/24 08:30 PM
11/22/24 08:30 PM
Joined: Jan 2004
Posts: 8,930
fredericksburg,va
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cudaman1969 Offline
Itch Nutz
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Posts: 8,930
fredericksburg,va
Originally Posted by TJP
Originally Posted by cudaman1969
Been on Medicare plus the supplement for 10 years. Type F, never have paid a dime, no copays. My agent told me five years ago the advantage plan is no good if you're sick a lot, I’ll stick with what I have, I like walking in and out, last hospital bill was $300,000 in may, 0 for me. Now other shoulder then knee in future.


Plan F is no longer available unless you're grandfathered in. It was replaced with G beer


I’ll stay there if I can, I’ll call my agent Monday to ask his advice. The supplement is $194 a month now, RX has went up but I don’t take anything, might drop that.

Re: For anyone on Medicare please read [Re: cudaman1969] #3271927
11/22/24 10:39 PM
11/22/24 10:39 PM
Joined: Jan 2003
Posts: 16,141
Omaha Ne
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TJP Offline OP
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TJP  Offline OP
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Joined: Jan 2003
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Omaha Ne
Originally Posted by cudaman1969
Originally Posted by TJP
Originally Posted by cudaman1969
Been on Medicare plus the supplement for 10 years. Type F, never have paid a dime, no copays. My agent told me five years ago the advantage plan is no good if you're sick a lot, I’ll stick with what I have, I like walking in and out, last hospital bill was $300,000 in may, 0 for me. Now other shoulder then knee in future.


Plan F is no longer available unless you're grandfathered in. It was replaced with G beer


I’ll stay there if I can, I’ll call my agent Monday to ask his advice. The supplement is $194 a month now, RX has went up but I don’t take anything, might drop that.


Locally for me The humana Advantage give back plan was the best deal. They actually only charge 125.00 a month which = 1440. a year saving for the wife and I.
max out of pocket is 4900 I think. lot's of other pluses.
Everyone's needs are different beer

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