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Thank you. Yes, that's why I chose Plan F. In fact, my agent wouldn't let me sign up for Plan F even if I had wanted to. Her belief was it's a flawed policy for too many seniors. I've been so happy with Plan G. It has worked really well for me. My only regret is not choosing Supplemental at the outset of my disability at age 59. I had 3 hospitalizations in one year. Had I chosen Supplemental at that time, my outlay would have been $300/mo. Can you imagine what 20% of 3 hospitalizations and surgeries cost? Yeah. There is a cap but the end result was still punitive.
Well that settles it for me, high deductible as I had planned. No Advantage plan either.
Now next question which is probably more of a general insurance question. You read people with long term cancer or say ALS having huge medical bills. I read Tuesday With Morrie and learned the author is donating the earnings to pay for his medical bills. Why is this so if your maximum out of pocket is defined in the policy? How are people not covered for these bills?
Large out-of-pocket expenses that people on Traditional Medicare might incur could result from not having a Medigap plan, long-term care costs that Medicare does not cover, or prescriptions where they either did not have a Part D Plan, the prescriptions were not covered by their Part D Plan, or prescription out-of-pocket costs (including the 5% for Part D catastrophic coverage).
Large out-of-pocket expenses that people on Traditional Medicare might incur could result from not having a Medigap plan, long-term care costs that Medicare does not cover, or prescriptions where they either did not have a Part D Plan, the prescriptions were not covered by their Part D Plan, or prescription out-of-pocket costs (including the 5% for Part D catastrophic coverage).
My comment was not specific to Medicare. We read about people with cancer who were working and had health plans with defined out of pocket limits yet they are saddled with huge medical bills.
Thank you. Yes, that's why I chose Plan F. In fact, my agent wouldn't let me sign up for Plan F even if I had wanted to. Her belief was it's a flawed policy for too many seniors. I've been so happy with Plan G. It has worked really well for me. My only regret is not choosing Supplemental at the outset of my disability at age 59. I had 3 hospitalizations in one year. Had I chosen Supplemental at that time, my outlay would have been $300/mo. Can you imagine what 20% of 3 hospitalizations and surgeries cost? Yeah. There is a cap but the end result was still punitive.
Typo in first line. I chose PLAN G. I don't remember a choice between low deductible and high deductible. This was in October 2016. I have a low deductible ($168/yr for California, no co-pays).
The only thing I've ever had to pay extra for was in 2021 for home health care for 2 weeks for IV Infusion. It was $300. Regular Medicare doesn't cover that, so Supplemental plans don't cover it either.
I have one thing to add about the Medicare hg plan versus the regular g plan. When having to make our decision, my husband and I had a thought that the regular g plan would encourage us to make appointments for check ups and screenings because we “are already paying for it,” while the hg plan would make us think twice about appointments because we would have to put out money. Don’t know if this makes any sense
Since most doctor’s visits have an approximate $100-$130 Medicare-approved cost, after you get past the $233 annual Part B deductible that you would pay for with both Plan G and Plan G-HD, the additional cost of a doctor’s visit would be about $20 -$25 (20% coinsurance on $100-$125) with Plan G-HD.
I don’t know how many people would avoid a doctor’s visit for $20 - $25 and the additional monthly premium of over $100 for Plan G would probably dwarf the $20 - $25 coinsurance cost of doctors visits during the year.
I have one thing to add about the Medicare hg plan versus the regular g plan. When having to make our decision, my husband and I had a thought that the regular g plan would encourage us to make appointments for check ups and screenings because we “are already paying for it,” while the hg plan would make us think twice about appointments because we would have to put out money. Don’t know if this makes any sense
I have the low deductible plan G and it is totally worth it. No referrals, no co-pays... the only thing I had to pay for last year was the yearly deductible (so small as to be next to nothing) and $300 for some home health visits for IV infusion for 2 weeks. Those visits are not covered by Medicare or my supplemental Plan G.
Since most doctor’s visits have an approximate $100-$130 Medicare-approved cost, after you get past the $233 annual Part B deductible that you would pay for with both Plan G and Plan G-HD, the additional cost of a doctor’s visit would be about $20 -$25 (20% coinsurance on $100-$125) with Plan G-HD.
I don’t know how many people would avoid a doctor’s visit for $20 - $25 and the additional monthly premium of over $100 for Plan G would probably dwarf the $20 - $25 coinsurance cost of doctors visits during the year.
I agree. My last doctor office visit cost me $24. I'm very happy to pay that in return for my $45 per month premium for my high deductible F policy
I agree. My last doctor office visit cost me $24. I'm very happy to pay that in return for my $45 per month premium for my high deductible F policy
?
If you have a Plan F your office visit should cost NOTHING. If you see Dr 2-3+ times a year still costs NOTHING. Premium only went up $9.00 this year.
Actually the office visit may cost more than $24. If you get blood work, flu shot, other tests total cost may get to $100 or more for what Medicare allows. Good deal if Dr takes Assignment.
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...lol...
