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Unread 04-23-2012, 02:12 PM
 
Location: Ponte Vedra Beach FL
9,630 posts, read 5,971,385 times
Reputation: 3264
Default Medigap Versus Medicare Advantage Plans - Another Consideration

President Obama’s Medicare slush fund—Benjamin E. Sasse & Charles Hurt - NYPOST.com

I don't want to get into a political discussion about this. But the bottom line is that if Obamacare comes out of the Supreme Court intact - any Advantage plan you buy or switch to this year may not be available next year due to payment reductions to Medicare Advantage providers. As if this wasn't already complicated enough...

Robyn
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Unread 04-23-2012, 02:56 PM
 
39,604 posts, read 39,286,975 times
Reputation: 11625
I really don't thnik this is news to nayone that keptup witht eh heakthcare bill debate or paid attention when it was in committee for amendments. The total used in scorig to fund healthcare bill was 500 billio over from medicare. The savings to off set was aprtially redcution to advantage plans to eaul medicare fee for service average. Its goes furthetrtha that tho to get to that amount.Just as they promised but did nothing to elminate the donut holes when talkig about it. But one always has to remmber amny savings never come true just as the planned redcution in medicare remebursement passed.The medicare trusteees talkabout that in their reprot ;basically saying fee for service would drop to 30% of what the average private insurance pays. Using a reduction or savings to make CBO consider it when scoring often is a pipe dream.But who knows because part of that medicare is being used now already for soe purposes of the heathcare bill. Remmeber a bill must score zero to be adopted under senate rules and they play a sheell game has alweays seen to get aroud the actual truth. One reason CBO now pouts the cost much higher and says that by 2020 ;15 million will not be cover under the bill.Anyone who believes you can cut 500 billion in ten years and it not effect medicare is conning themelves.Bt perhaps the real surprise comes for mnay in 2017 when states have to fund huge numbersw palced i mediciad to support their portion.Nebraska has a exception because nelsen(D) said it would bankropt his stae so that is what it took to but his yes vote.
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Unread 06-28-2012, 09:14 AM
 
Location: Virginia
18,621 posts, read 12,747,615 times
Reputation: 42116
Quote:
Originally Posted by Robyn55 View Post
President Obama’s Medicare slush fund—Benjamin E. Sasse & Charles Hurt - NYPOST.com

I don't want to get into a political discussion about this. But the bottom line is that if Obamacare comes out of the Supreme Court intact - any Advantage plan you buy or switch to this year may not be available next year due to payment reductions to Medicare Advantage providers. As if this wasn't already complicated enough...

Robyn
Considering the SCOTUS decision today, I thought this would be a good point to remind everyone about.
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Unread 06-28-2012, 02:03 PM
 
395 posts, read 329,803 times
Reputation: 362
There is nothing at this point to indicate that the Medicare Advantage plans will be going away next year. Everyone should wait and see what happens instead of panicking now for something that may never come about.
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Unread 06-28-2012, 02:35 PM
 
Location: Wisconsin
12,388 posts, read 14,392,782 times
Reputation: 5609
Advantage plans such as mine with a zero premium may institute a premium, at which point I will drop it. I rarely doctor, don't take drugs, and resent the copays, which are many times higher than the original Medicare copays. The in and out-of-network issues are another hassle if one is hospitalized and treated by a staff doctor not in the plan. Original Medicare would be less expensive for me for at least the next ten or more years, although I am always considering a supplement. Just hate to spend $2,000/yr for health insurance in addition to the $1200/yr Medicare Part B premium, both of which do very little for me and won't for a long, long time.
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Unread 07-02-2012, 06:56 PM
 
Location: Los Angeles area
8,030 posts, read 5,286,576 times
Reputation: 13267
Quote:
Originally Posted by Ariadne22 View Post
Just hate to spend $2,000/yr for health insurance in addition to the $1200/yr Medicare Part B premium, both of which do very little for me and won't for a long, long time.
For your sake I hope you are right that you won't be needing much doctoring "for a long, long time". However, none of us can really know that ahead of time. Problems come up, and things change. Indeed, that is one reason it's called "insurance" - we don't know ahead of time when, or how much, we will need to make claims against the insurance. I've never made a claim against my homeowner's/fire insurance. Good Lord, it would be terrible if my place burned down. But I'm not sorry I have that insurance in place.

In addition to medical problems which can occur, there are also injuries from falls and other sources which are impossible to predict.

Your sentiments are perfectly understandable: "Gee, I'm paying a fair amount for this coverage that I haven't used for ages and there seems to be no need for it on the immediate horizon either." The looking back is accurate, but I am just questioning how accurate the looking forward can be. Some people have good genes, practice good health habits, are are lucky in addition. I am hoping that your genes/habits/luck will hold, but I'm suggesting the coverage is worth it nonetheless, just in case those thing do not hold.
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Unread 07-02-2012, 07:07 PM
 
304 posts, read 212,755 times
Reputation: 134
Quote:
Originally Posted by Escort Rider View Post
For your sake I hope you are right that you won't be needing much doctoring "for a long, long time". However, none of us can really know that ahead of time. Problems come up, and things change. Indeed, that is one reason it's called "insurance" - we don't know ahead of time when, or how much, we will need to make claims against the insurance. I've never made a claim against my homeowner's/fire insurance. Good Lord, it would be terrible if my place burned down. But I'm not sorry I have that insurance in place.

In addition to medical problems which can occur, there are also injuries from falls and other sources which are impossible to predict.

Your sentiments are perfectly understandable: "Gee, I'm paying a fair amount for this coverage that I haven't used for ages and there seems to be no need for it on the immediate horizon either." The looking back is accurate, but I am just questioning how accurate the looking forward can be. Some people have good genes, practice good health habits, are are lucky in addition. I am hoping that your genes/habits/luck will hold, but I'm suggesting the coverage is worth it nonetheless, just in case those thing do not hold.
You are soooo right. At the age of 64, thinking I was healthy, good weight, 5'4", 119 lbs, I had a TIA (mini stroke). Even though it only lasted 30 minutes, I lost my speech and almost passed out and if I had, I think I would have died! Spend a day and night in the hospital for tests, MRI, Cat scan. Everything came back Normal! My husband was healthy and suddenly he started getting Minierre's attacks and was in the ER four times, so you never know!
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Unread 07-02-2012, 07:23 PM
 
4,703 posts, read 7,637,928 times
Reputation: 5756
Quote:
Originally Posted by quietstormnc View Post
There is nothing at this point to indicate that the Medicare Advantage plans will be going away next year. Everyone should wait and see what happens instead of panicking now for something that may never come about.
Exactly!
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Unread 07-03-2012, 04:03 AM
 
20,491 posts, read 27,298,645 times
Reputation: 9513
Quote:
Originally Posted by Ariadne22 View Post
Advantage plans such as mine with a zero premium may institute a premium, at which point I will drop it. I rarely doctor, don't take drugs, and resent the copays, which are many times higher than the original Medicare copays. The in and out-of-network issues are another hassle if one is hospitalized and treated by a staff doctor not in the plan. Original Medicare would be less expensive for me for at least the next ten or more years, although I am always considering a supplement. Just hate to spend $2,000/yr for health insurance in addition to the $1200/yr Medicare Part B premium, both of which do very little for me and won't for a long, long time.
Well, lets hope your crystal ball is working and you never fall down and break a leg or have a ruptured disk from lifting something or have a sudden onset of some illness. I would just hate to spend $20,000 when I didn't have to. You could also look for a less expensive plan with higher deductibles/co-pays to save money but at least you would have something in the event of an accident or worse.
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Unread 07-03-2012, 04:06 AM
 
20,491 posts, read 27,298,645 times
Reputation: 9513
Quote:
Originally Posted by Robyn55 View Post
President Obama’s Medicare slush fund—Benjamin E. Sasse & Charles Hurt - NYPOST.com

I don't want to get into a political discussion about this. But the bottom line is that if Obamacare comes out of the Supreme Court intact - any Advantage plan you buy or switch to this year may not be available next year due to payment reductions to Medicare Advantage providers. As if this wasn't already complicated enough...

Robyn
Could you cite some credible sources for your claim vs someone ranting about a law he doesn't like. Facts would help this discussion tremendously.
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