Medicare Advantage Vs. Medicare Supplement - An Unbiased Comparison
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- Опубліковано 7 лют 2025
- www.abtinsuranc...
Stephanie@abtinsuranceagency.com | (888) 465-9728
Comparing Medicare Supplement Insurance with Medicare Advantage Plans, and weighing the pros and cons of each.
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Very helpful also very clear communication among two choices to pick. Thank you
Ram Roy thank you so much for the comment, and thanks for watching!
Your videos are like a breath of fresh air in an industry where confusing the insured seems to be the norm.
Thank you! 😊
Great information, thank you. I’m appalled at the cost of healthcare in the U.S., particularly for seniors. How does anyone on a limited income keep a roof over their head facing upwards of $7000 ‘out of pocket’? The system is designed to benefit big pharma, doctors, hospitals. This has to change.
Depends on what state you live in with the Medicare Advantage plans offered. In Nevada for instance, a plan is $0 premium, 0 copay for primary, specialist, inpatient hosp unlimited days, outpatient surgery, it also gives you dental, vision, and hearing the original medicare doesn't cover. An advantage plan is a route for seniors on a fixed income wanting healthcare (because it covers the exact same services that original medicare covers, they're obligated to) at a low out-of-pocket cost. Not to mention some plans have a maximum out of pocket of $1,000. It'll be hard to reach that because most of your services are covered 100%. The only few scenarios are cancer treatments, and skilled nursing facility beyond 40 days.
larueleroux how so? What a blatant statement, you have no evidence or data to support that. And what math do you mean? Everything I listed is literally 0. Which means you pay nothing. Think you need to write out your post again, for whatever you’re trying to say or get a certain point across.
larueleroux you’re incredibly weak in this false argument you’re trying to make. A simple google search of a standard Medicare advantage plan offered in Nevada could solve this issue of yours of denial.
@@Referencez But what about coverage limits? Real-life example: a friend of mine has Parkinson's, one of the few medications that are still effective costs upwards of $3000 / month. Will it be covered only by advantage plans (from any insurance company in the US), or only by supplemental medicare plans, or by both? Thanks in advance for any additional information.
@@daanwg2796 for prescription medication, like prescription drugs, it will be covered by part D plans administered by private insurance companies. Part D is often implemented in Medicare advantage plans. If not, and you have a Medicare supplement plan, you’d have to purchase a stand alone Part D plan which will have an additional premium. However, there are many part D plans offered in any given county in each state. There are some with higher premiums and lower copays, and higher copays but lower premium. Each plan will have a different formula for covered drugs so i would start there to try and look for a medication especially one that’s very expensive like that. It will often fall under a “tier”. The higher the tier the more expensive it is. There are savings programs and government assistance for folks with lower-mid income to qualify so they can save on drugs as well.
Thank you Stephanie, no wonder these health insurance are so aggresive to ask you to enroll with medicare advantage, i now understand.
Thanks, great starting point to understanding Medicare.
Can you switch from Traditional Medicare to Medicare Advantage and vice versa once a year?
Your videos are very helpfull for us license agent .
I have Medicare part A, B, D and supplemental part F. I have no copay or deductible. I'm covered 100%. No matter what state, or what facility I go to. Supplemental coverage is standardized. Many Advantage plans charge the same or more than what I pay for my Supplemental, yet cover a lot less. Be smart and do your research. It won't be easy, but it must be done. Good thing is, if you like your plan you don't have to change it every year.
Many Medicare Advantage plans do not charge any premium at all!
@@jungleno. Right...they also don't pay much in time of need. Why do you think Medicare pushed these plans off to 3rd parties? Like the saying goes "You get what you pay for". Good luck!
You are/were very smart.
Could someone PLEASE explain Medicare D & F? Someone mentioned they have Medicaid A, B, D & F and that they have no out of pocket deductions & everything is covered. PLEASE HELP ME! I'm turning 65 soon and I need to know. I'm on a fixed income and considered poor based on government standards. 😢
Plan F is no longer available
Thank you for the helpful information. You have a very warm and welcoming personality.
sara winter thank you for the compliment 😊
Thank you.
Thank you. Well Explained.
Well done video! Good and concise explanation of the two .
D Lee thank you! I appreciate your feedback.
@@AbtInsuranceAgency I agree, very timely and easy to understand. Can you advise on my situation. I am sure others are interested in my question. I have 100% Permanent and Disabled Veteran and enrolled in the VA Healthcare plan. I am about to sign up for Medicare. In using your video and the comments reference to the Advantage Plan, am I on course in staying with the Basic Medicare Plan A and B,?
@@williamd8886 Having A and B will allow you to visit any Medicare provider. You can also continue to use your VA benefits at VA doctors and hospitals. I'd be happy to discuss your options in more depth - (888) 465-9728
Sorry, Stephanie, but you missed some huge, critical differences. A) If you have an "advantage plan" then everything that you need requires prior authorization from the insurance plan. See a specialist? You need prior authorization. Get a CT scan? need prior auth. Have a special test done on the pathology specimen? Need prior auth. Every time the prior auth takes a week to two weeks. But, the scan or special test may be denied as well. Can't get that spine MRI that your orthopedist wanted.... authorization was denied. Although authorization may take a few weeks, they add up. Find a lump under your arm? Takes four weeks to see your primary physician. Then it takes a week for authorization for a chest CT scan. But then it takes 4 weeks for the contracted radiologist to do the scan. Then a week for authorization to see a surgeon. Then three weeks to see the surgeon. Surgeons says... "just get a needle biopsy under radiology" . Takes 3 weeks to get that done. Pathology shows melanoma, so need authorization to see an oncologist. Oncologist wants a special test done on the pathology. Needs a week for authorization. Then it takes a week for the pathologist to get the authorization. But then the specimen must be sent to a different lab and they want their own authorization... that takes another two weeks. Furthermore, as part of a medicare advantage plan you don't have a choice of labs and you don't have a choice of radiologist. The labs are drawn locally but done at a lab hundreds of miles away... so simple labs take longer to get back. The radiology group is capitated, so they don't make more money by doing more exams.... so they delay exams and there is often a 4 to 5 week wait. You have no choice, however. And some contracted specialists, like gastroenterologists do nothing but endoscopies and don't give any advice. And it can get worse than this. Please, Stephanie... there needs to be transparency here. You are not telling the whole story.
David Young you’re completely right. There are many other specific details regarding Medicare Advantage Plan specifics and “dis” advantages with these plans. I always review these in depth with my clients. This video was meant to be a very simple, brief, unbiased overview. I plan to do another one soon all about the specific pros and cons of Medicare Advantage. Thank you for your feedback and thank you so much for watching!
@@AbtInsuranceAgency thank you for such an easy to understand video of the difference. I called SHIP and was still so confused until I watched this. Is it true I have to get supplemental through a private carrier such as Aetna or Humana?
@@alwayslernin4400 Medicare Supplement Plans are always offered through private insurance carriers, however you are not 'required' to purchase one. I hope this helps!
Abt Insurance Agency l
Thanks. There is a commission incentive also for insurance folks to steer people to Advantage plans as well. Whatever you do, stay away from Humana....
Considering entering into the industry, Curious if your agency is agnostic when it comes to Medigap or Medicare Advantage plans, or do you specialize in one option versus the other?
We work with and represent both options!
Smartly explained without wasting to much of time
Thank you, that is always my aim! :-)
@@AbtInsuranceAgency you did that very well miss
I hear horror stories about people that got into advantage plans, only to be told later that what they needed was out of network and not covered, or only covered to a small extent. Medicare parts A and B don't have a network, so no "out of network" denials.
A good point!
And that is correct, which is why you SHOULD be asking your doctors if they accept Advantage BEFORE signing up for it.
Much more freedom, can tell doc to kick rocks and find another one if not locked into an advantage plan.
Great summary! Thanks.
great brief explanations amongst the two!!! thanks!
tony stark you’re welcome!
It depends on where you live, as to the benefits
John Wisdom very true!
Thank you for the clear, unbiased video. Great job!
Thank you for watching!
I’m currently on SSDI with Medicare parts A B and D. My 65 birthday is on next march 15. I’m planning on getting either G or N supplement. When’s the best time to apply for my supply? Some say 6 months before or 6 months after.
As of 2020, Medigap no longer pays Part B Deductibles, according to the booklet Medicare sent me.
I was told in LosAngeles area
Blue Shield of California
Had lower price compare to others
around $185.00 per mount
Your videos are very useful and provide lots of information. I have received lots of help with your video, please continue to share this kind of information. Thank you.
I’m so glad to hear that!
Now that it is 2024 do you have an updated video? I heard that prices may go up in 2025?
Yes, several updated videos! Like this one - ua-cam.com/video/Wtb7O36Gcu8/v-deo.htmlsi=HlbGIetzdJAJa3GS
I am considering Medigap in lieu of Advantage. An in-depth analysis says that will cost me $1,000 per year. But. If I look at OuT of Pocket and assume I have a serious health issue then Medigap makes more sense. Over a 10 year span if I get seriously sick my maximum exposure is $45,000 less for medigap for a net $5100 increased cost of Medigap premiums over ten years
Can you switch back from the advantage plan back to original Medicare option? Is this only allowed during open enrollment ? Also can you add the medigap during open enrollment or you can do it any time ?
Tony, you can drop your Medicare Advantage Plan and return to Original Medicare every fall during the Annual Election Period. However, adding a Medigap plan will generally require medical underwriting if you're no longer new to Medicare - ua-cam.com/video/UbNv1kIn9GI/v-deo.html
Thanks, very helpful.
granting the same conditions, costwise, which one is really cheaper??
So how do we stop the repeated calls? We receive as many as eighteen a day so many we have to turn are ring tone off, then of course we miss important calls from Doctor's and family We ask to be removed from their call list but to know avail. They of disguise their location by changing their exchange to once local to us. A quarter of the time we can't understand because of their accent. Help me stop the madness.
It’s so insane and while CMS is putting legal measures in place to stop these kinds of calls, many call centers do not adhere to the rules.
Company medical at 65 is now secondary and is only 50,000 max lifetime. A medigap or advantage policy is still needed, right? How would that work with a medigap. Whatever medigap doesn't pay for I can turn into company ins.?
I'd be happy to review your situation. Please call 888-465-9728
Very concise, to the point, no fluff, very professionally done. Thank you very much for your video.
Ted thank you for watching!
@larueleroux Actually I'm not, but thank you for your comment.
Healthcare is so out of control that's why some use advantage noone really want to but can't afford 200 or more for supplemental. I think you lose what ever you do and I have not heard one person that really gave good advice.
Just a FYI.....the VA can bill a veteran supplemental policy and not a Medicare advantage policy.
Can you explain the LEF? Why is it a life time penalty?
i want you to know that you are one of my goto videos about medicare plans...im just wondering..can you also make a video about surgical vs doctors office videos? coz members confuses it..even i..for ex. a small injection...falls on surgery already...though its for claims dept already...thanks
Very clear and informative video about a very confusing topic. I am sure this will help me. Good job!
So glad you found this useful! Please feel free to let me know if you have any additional questions.
Can you help me...what is the best..
(1) Original Medicare
(2) Medical advantage?
🙏🏽
It depends on your situation - call us anytime for free Medicare assistance at 888-465-9728
Great info thank you!
wetflame5838 thank you for watching!
So if your out of pocket ( POTENTIAL) on an Advantage plan is between $5-7000 annually but then again on a supplement what is the total cost of insurance premiums on average in central Texas? I get the feeling the supplement market is a good deal for the insurance companies and can be for an individual if they use it and can afford to pay monthly premiums
ed s very true. I think you also found our video on Medigap rates in Texas.... I’m right here in Austin if you ever have any more specific questions! 888-465-9728.
Great video, very informative.
Superb/succinct. Thank you!
Thank you!
Thank you for taking time to provide this very useful info.
good overall synopsis. I would content that most MOOPs are not 5-7K, but rather like 3-6.7k, and also that part makes it sound like you are covering the 1st 5-7k as she said, so that is a little biases, and dangerous. Gotta watch your verbiage with the senior demographic, you need to be EXACT. But overall, a decent job.
Thanks for the feedback! Verbiage is definitely important. It's amazing how verbally deceptive most of the Medicare Ads you see on TV are. Thanks for watching, and commenting too :-)
@@AbtInsuranceAgency yes, they are very deceptive. I get 50 calls a year at least because of Joe Namath. That guy has no idea of the problems he causes, and he probably gets paid more than both of us for those ads.
djrgator1 absolutely! 💯
Hello Maam how are you lets talk about business.. Should i contact you?
A lot of people don’t have to pay the part B premium it’s based on income and have you looked at the rate increases on med sups? There are amazing advantages to MED advantage
I have a Med Advantage plan and Yes, I don't have to pay anything extra beyond my Part A and B. BUT THAT DOESN'T MATTER. You know why? Because no doctor, hospital, or clinic will take Advantage plans, not within 100 miles of where I live. You can be certain that fact was not mentioned when the agent was hyping the benefits of the Advantage plans. I love Bernie, but Medicare For All won't mean SHIT if we are all on Advantage plans.
well explained , but why people choose adv if it doesn't cover like supp , even they pay 134$ if they have a limitation to choosing doctor
So...if I get a Medicare Advantage Plan...I still have to pay for Part B?
Yes, in most cases. Unless you qualify for a MSP based on your income, or your Advantage Plans offers a full Part B premium reduction.
A supplement plan is just that - it supplements Medicare. I thought a Medicare Advantage Plan replaces Medicare. I would stay far away from an Advantge plan- it sounds good because some will pay for things that Medicare won’t, like glasses and dental. But, if you need specialized cancer treatment or short term rehab for a fall or something, good luck!
I've been paying into Medicare my entire working career since I was 15.
Can someone explain to me why should I be forced to pay a $130.00 premium now that it's time for me to utilize my contributions?
You only pay into Part A benefits, which is why it's $0 premium for you. Part B will have a standard premium. Unless you qualify for Medicaid in your state, you'll be stuck paying a premium that only goes up every year. For 2020 it's $144/month
No one is forcing you to pay the Medicare Part B premium. If you don't want Part B coverage, then don't pay for it!
@@herrickinman9303 if you don't pay for it now...if then ever you want it in the future they will add 10% per year that you did not pay for it. Example: after 5 years you will pay 50% more per year for the rest of your life.
Social Security is constantly changing its policies and unsecured investment without authority of a signature agreement and notary to prevent money laundering issues, it's a unlawful contract investment without authority from both parties of the actual investment withholdings. Most investments comes with a contract and signature required agreement with both parties and carry over assets to the living will. Every one get 500 dollar for burial expenses with social security of a contract that constantly changing in its policies.
@@thomasjensen6243 Yes the penalty for part B reminds me of the penalty for not signing up for Obamacare awhile back which later was dropped. How can this penalty be allowed?
I have plan F-HD. Since plan F will be discontinued after 2020 do you think plan F-HD premiums will go up significantly? I pay $70.95 a month.
Typically HDF premiums don't have very high rate increases since these types of plans don't have to pay on as many claims.
Great information, thanks. But, when referring to the Advantage plan, I wasn't sure what you meant by the "plan not traveling with you?" Can you elaborate? Thanks again.
Steve, this means that Medicare Advantage plans are regional, and plan availability will depend on where you live. If you move outside of your Advantage Plans’s service area, you will have to change plans. Additionally, some plans only offer non-emergency coverage within a certain service area, so if you are traveling, you may or may not have non-emergency coverage. I hope this helps! Let me know if you have any other questions, 888-465-9728.
Let's not forget the disadvantage plan will fight you if you need any lengthy rehab or cancer treatment. With disavantage you will call your funeral home if you have any costly condition because they will force you to do PA after PA to obtain your treatment
I wonnna work with you directly .is this possible ?
Sounds like Part D with Medigap is better than an "Advantage" plan restricting doctors, needing referrals, more out of pocket pay...hmm
Martin Jimenez it depends on your needs, preferences and your budget. Medigap plans do give you more freedom to choose your own providers and usually your out of pocket medical costs are lower overall. However you do pay a higher monthly premium for Medigap in general, and advantage plans are usually priced lower. It’s important to know the pros and cons of each option! I’d be happy to help if you have any other questions.
Yes it does. That's because she doesn't work for an HMO. Advantage plans are her competition. Seeking an unbiased opinion is a frustrating endeavor. In fact, I tend to believe that it is quite possibly impossible.
funstruck1 Actually I do work with both types of plans, not just Medicare Supplements. I am an independent broker who helps folks with many different types of Medicare Plans, including Medicare Advantage HMOs.
Abt Insurance Agency I stand corrected. I just retired leaving my employers plan and will be 66 in October. Since the month or two prior to turning 65 till now I have become overwhelmingly frustrated with "buyers remorse" before I buy. Finding advice that is not repetitive and contains the answers that I seek feels like I do when trying to find a yes or no answer on the internet. I am now at the point of just needing to do something, anything. I had assumed that there was more money to be made in supplements and a little research leads me to believe that I was wrong. And I wasn't thinking that the values I believe in about good, honest service still exist. However, for me that does not justify my uneducated assumptions about you. I apologise. ✌
funstruck1 thank you for that reply! I hear all the time from my clients that they feel overwhelmed, and find it hard to get the straight answers they’re looking for. I pride myself on giving honest, unbiased information. If you ever have any questions, I’d be more than happy to help. You can feel free to call or email me at stephanie@abtinsuranceagency.com. Your information is always kept private and secure and you will never be “sold” anything. Thank you again for watching.
There are also Medicare Advantage PPO plans that work very well and use a large network of doctors in your area and across the country that are considered in-network. Alot of negativity out there on these plans. Much has changed since this video was made. Good information on the comparison but needs updating.
Thanks for your comment! Yes, things with Medicare are always changing, and PPO Advantage Plans are definitely a great option for some. I am working on an updated version of this video as well. Thanks for watching :-)
Stay with Medicare, keep away from Advantage plans.
I wanted an advantage plan but they lock you into one doctor ,I like freedom to tell your doc to kick rocks if they're no good.
Thank you. I'm staying with my A, B D and G. Plus I have a dental, eye and hearing plan. Being railroad medicare I'd loose benefits if I went with an Advantage plan. I can't take those. Don't want to anyway.
ChinaAl I’m glad you are happy with your coverage!
China what railroad did you work.Im LIRR getting a plan now.Going with PlanF
@@joevezza463 Hi Joe. I started with C&O (now CSX) in 1973, 6 months Switchman, then a position opened at the Milwaukee Rd. 6 months Brakeman and I was promoted to engineer. 2 yr training in Milwaukee. 1981 Milwaukee was sold and we all stayed with Chicago's Metra commuter service. 34 years on the railroad then before that 7 years driven subway trains in Chicago. 1964-1971
I have railroad medicare same as you. Be careful because it's not quite the same as regular medicare. PM me and I'll go into more detail.
I originally had a plan F. Now I got a G and D. Check it out because there was a way to find out which was better for you. Something to do with Part B premiums and the Plan F premium. Because the only difference between F and G is F pays B's premium. For me G was cheaper now.
I was told NO advantage medicare for Railroad guys as you will loose some benefits. Stay with original Railroad medicare
Hey China,thanks.Already have Railroad Medicare A &B. Turning 65 in September,losing Empire plan for prescription and supplemental. Most retired RR employees chose United Health Care AARP prescription plan and F supplemental. I'm in Suffolk County New York.Plan G is the New F. I have to make decision with in the next few day's .
@@joevezza463 United Health Care is good. AARP? OK BUT Watch their mail order prescription outfit. . Nothing but problems over the years. Last year I went with BCBSIL-G and Humana D; Night and day different. They don't listen. Can't follow instructions. My 90 day stuff came more often. I was inundated with extra medications. My wife has them now UGH! UHC and xx Good luck. Maybe on the East coast they have a different mail order service. Ha! Youngster! haha 81 here going on 43.
Great videos with excellent info for the 65 crowd..
I am watching this, I keep thinking that is a very Handsome Chair you are sitting on. Then I realize that is the same chair I have. What a buy from Ikea.
Very well explained. There are hundred of videos on youtube but none explain it this simply yet precise.
@M Detlef can you please explain why you said this? I'm really curious.
@M Detlef boomer alter-ego troll detected
Thank you this information help me a whole lot
Finally I finally get it lol. I've been trying to help out my mom and this video was very very helpful. Thank you 💗
Thanks Jenn! Please don't hesitate to let us know if your mom ever needs any assistance :-)
@@AbtInsuranceAgency thank you so much I very much appreciate that 💚
. I seriously doubt any supplement or Medicare Advantage plan would accept me I have a heart condition (AFIB) and I have cancer.. Also I'm under 65. It sounds like my only option is to run with Medicare part A &B then add a Part D plan does this sound right?
Verlis Guinn it depends on how long you’ve had Part B, and where you live.
I’d be happy to review your options, call us at 888-465-9728 or email stephanie@abtinsuranceagency.com. Thanks for watching!
I heard when you turn 65, there is 6 month enrollment window for Medicare supplement with no questions asked. only when you turn 65. if you missed it, then there are possibly questions about your preexisting conditions.
Which is better would depend on the circumstances of the beneficiary. For some a supplement ( if they can afford)is more suitable and for others it is the advantage plan. When you break it down, an advantage plan offers much more than a supplement which only pays , in some cases, deductibles, coinsurance and copays. Original Medicare is the real comparison to Medicare Advantage. Not the supplement.
Calvin Roach you’re absolutely right, certain options are better for certain people. It depends on their health and their financial situation. We work with both options so we offer unbiased recommendations in that regard.
Original Medicare vs Medicare Advantage is at the core of what we’re reviewing here, but many folks confuse the concept of “Medicare Supplements” and “Medicare Advantage”, so my goal for this video was to try and clear that up.
Thank you so much for your feedback, and thank you for watching!
@@AbtInsuranceAgency if you agree with everything that was in that last statement you have got me confused
Excellent video, thank you Stephanie!
Could you please comment on Medicare Advantage (Cost) plans which combine traditional Medicare and Medicare Advantage plans. I have such a plan with Kaiser Permanente and like it very much because I have the option of either using Kaiser network providers or going outside of Kaiser with traditional Medicare benefits if I want.
COST Plans are offered in certain areas, and they can be a desirable option for many people when they are available. It sounds like your plan is working for you, which is great!
I am 61 and on disability. I was told that I would not qualify to buy a medigap plan and if I kept my r/w/b card, I would be responsible for lots of out of pocket. My best and only option, in this person that called me said, is to get an advantage plan. I am coming off medicaid and will have Medicare only. Is that information correct? Also, I am on SLMB with my helping hands. Do I need to buy from my state since I get that helping hand?
It depends on your area- in some locations Medicare Supplement plans are not offered to folks under 65 on Medicare, or the options could be more limited. If that’s the case in your area then you may want to get on a Medicare Advantage Plan in order to help cap your out of pocket Medicare costs. What is your zip code?
Additionally once you turn 65 you’ll have a new Medicare Supplement “open enrollment period “ when you can qualify for any Medigap plan you’d like without any medical underwriting if you’d like to switch back to original Medicare at that time and add a Supplement.
If you ever have any questions please let me know! Stephanie@abtinsuranceagency.com
37129
There are Medicare Supplements available to people under 65 in your area, but the rates are higher than they would be if you were 65 +. For example, a Plan N Medicare Supplement would be over $200/month for you currently, while the rates for the same Plan N for a 65 year old start at about $78/month. Depending on your needs and your budget you may want to consider a Medicare Advantage Plan as an alternative. Let me know if you have any other questions, I'd be happy to get you some more specific information about your options.
Thank You
Abt Insurance Agency When you reach 65 isn't there a time limit (window) that you can apply for medicare supplement without any medical underwriting involved?
Trying to avoid Advantage, but in need of vision and dental coverage.
You could try a stand alone dental/vision plan with Original Medicare. Often these types of plans have more comprehensive benefits than the dental/vision that's included with some Advantage Plans. I'd be happy to help! (888)465-9728
@@AbtInsuranceAgency Thank you.
Im in Arkansas 72719 and on disability age 45. It looks like I cannot get supplement insurance until Im 65. So Im considering a medicare advantage plan. I have been on disabilty since 2014 and never had part d so I assume I will have to pay a penalty if I choose an advantage plan. Do you think an advantage plan may be my best choice at this point? I have to see a rhumatologist every 6 months so I assume thats something I would need a referralral for. Could I just get a referral from my primary doctor?
VapeKing good questions. Most Medicare Advantage Plans include Part D Rx coverage, so you wouldn’t face a penalty for Part D as long as your plan includes the Rx benefits. Medicare Advantage HMO plans do require referrals to see a specialist typically, while PPO plans do not require referrals.
The best Medicare Advantage Plan for your needs will be based on your budget, your current doctors and medications, and your specific situation.
If you have any questions please feel free to call or email me - stephanie@abtinsuranceagency.com or 888-465-9728.
HMO Medicare Advantage plans do not require a referral to see an in network specialist. And regardless of whether your Medicare Advantage plan offers Part D or not you still can face a penalty if you did not enroll in a Part D plan when you first became eligible or didn’t have prescriotion coverage that was just as good as the Medicare plan. If you qualify for LIS ( low income subsidy ) or have Medicare and Medicaid, the penalty is waived.
@M Detlef are you a physician, do you have vape Kings medical history. There's a good chance he has rheumatoid arthritis extremely painful, you should just shut the hell up
What about the ‘disappearance’ of Medicare supplement F in 2020? Will I be able to switch to another supplement (like supplemen G, for example), and how do I go about it?
Medicare Supplement Plan F is not exactly "disappearing", but it will no longer be offered to new Medicare beneficiaries as of year 2020 or later. So if you have a Plan F now, you will be grandfathered in forever, as long as you continue to pay your premium. However, many folks are looking to get away from Plan F due to the high rate increases on Plan F that will likely become even higher after 2020. You can switch to a Plan G or Plan N, ect. at ANY time during the year, but typically you will have to go through medical underwriting in order to qualify to change.
Please let me know if you'd like Plan G or Plan N quotes and I'd be happy to get you some rates based on your age and your zip code! Stephanie@abtinsuranceagency.com or (888) 465-9728
Abt Insurance Agency Would you by chance know how many years medical history they ask for?
Fran Finnerty to switch to a new Medicare Supplement Plan, the health questions asked will depend on your state and the insurance company. Most health questions have a 2-3 year look back, but there are certain conditions that may lead to a decline if there was ever a diagnosis at any time in the past. It can vary from company to company. Feel free to reach out at any time with more specific questions, I’m happy to help!
Abt Insurance Agency Thank you!
@M Detlef Just not true.
Traditional medicare is too expensive.
Unbiased?? They steer you toward MA plans becuase they MAKE MORE in commisions. If you choose a medigap plan, you can easily switch to a MA plan. If you choose MA and have bad health you will find it almost impossible to switch to a medigap policy. Choose wisely.
Yes, we (me and my team) are unbiased and we explain this exact situation to all of our clients who are comparing their options! 🙂
Im on original medicare. 39... Anf disabled. i need to goto a dentist and a eye doctor. I have not been in years because i have no coverage with medicare. medicare advantage seems like a ripoff.What are my options?
You can purchase a stand alone dental and vision insurance plan. I'd be happy to help - (888) 465-9728
Another option is just have Original Medicare, but a salesman will tell you, that you have to buy something!!
You can do only original medicare. And you can opt out of Part B and Part D. But just because you can, doesn't mean it's a good, sound idea.
If you only do original medicare, you still have a 20% medical liability. If you realize that liability on your own, on an expensive medical procedure, you'll wish you had a supplement or MA plan.
The reason that good Medicare agents have long careers is because many people make poor decisions on their own. You can weed through all of the material and try to make an informed decision. But an agent has spent close to 200 hours getting certified, appointed and studying the plans that are presented. Some of us have software programs designed to put in your data and score the available plans by most appropriate for each client.
And there is absolutely no advantage to doing any of that on your own, because your cost will be the same with or without the agent helping you.
@@kevinjarchow8812 With Part A covered 100% it is hard to run up that big a bill on Part B even with Open heart surgery. Sure many seniors make bad decisions, but agent often sell the highest commission for themselves by pushing Advantage plans with Zero Premiums and narrow networks.
Harry, it’s called a dumb tax.I am a Medicare agent in Texas so I do not have a dog in this hunt. It is glaringly obvious that you have not read the Medicare and You book that the Federal Government sends you every year. Part A coverage for 2019 is a $1385 deductible then Medicare covers 80% you cover 20% no cap on that 20%. You don’t have to believe any of us, Read your book or call 1-800- Medicare, hint the deductible goes up in 2020 or you can wait and take your chances with financial ruin.
@@matthewroussel9674 you are right that Part A has a deductible and co-insurance too, not just part B. My point was the Medicare reimbursement rates are so low, it is hard to run up a big bill. With 20% co-insurance and 80% discount on most hospital items you are paying only 4% or so. So you need a $100,000 bill for the deductibe and co-insurance to amount $5,500
I have been with Supplemental N since I was eligible for Medicare. I chose this route because my husband did nothing when he was eligible and he had a heart attack, which thankfully they cleaned out the "widow maker artery," but needed a pace maker. We had to wait for open enrollment to which he got a Advantage PPO and was able to get his pace maker surgery without much cost to us, this was in 2019 Jan. I have been paying $129 a month for my supplemental since beginning and I am thinking about changing to an Advantage PPO so I can keep my cardiologist and primary care doctor. It seems like we never have bills come in for my husband, and yet I am paying monthly payments for my supplemental and I am being charged for Quest lab work and copays. Also, I have no silver sneakers or any other "goodies." What are your thoughts on this?
So much of it depends on your needs, and your doctors. We would be happy to take a look at your situation and help you determine the best Medicare Advantage PPO options as well. Please call us anytime - 888-465-9728 🙂
What if I am a Veteran and on the VA program? Do I need part B and C and D or whatever? My VA program has free drugs and all my health care is covered. Why do I need Medicare and the supplement programs?
A Babbit you don’t have to enroll in Part B or Part D if you have VA benefits. You may want to consider it if you would like the option of seeing non-VA doctors.
@@AbtInsuranceAgency Thank you and God Bless.
If you have VA benefits and no other coverage like employer plan the you ARE required to enroll with Part B of Medicare. If you don’t you do not have any coverage outside of the VA. There is a late enrollment penalty for not enrolling. I have had a number of VA clients who did not and had no coverage for an emergency visit. If you have 100% disability with VA then you do not
John Richardson it is not mandatory to enroll in Part B if you have VA benefits but yes it is recommended, especially if you would like to see non VA providers. Penalties would apply if you declined Part B but then decided to enroll later on. Please call me with any more specific questions!
@@jsr-insurance6723 I do NOT have 100% VA disability. I only have a VA clinic 40 miles from my house. I am retired on SS. If I fully understand you, I WILL need part B because there is no VA hospital near me (nearest VA hospital with an emergency room is 250 miles from my house). I WILL need part B, am I reading this correctly? Thank you for your reply.
thank you... solidified my answer of going with an Advantage plan... $0 premium for health, drugs, dental, vision, hearing, otc, maximum out of pocket protection, travels. no brainer.
I'm glad you've found something that works for you!
Did you forget to post your EMAIL ADDRESS ? I don't seem to be able to find it in your video or in your info above
irProteus it’s on our contact info and website - stephanie@abtinsuranceagency.com. I’d love to hear from you!
Stephanie: Why should the viewer HAVE TO go digging for it????
Logic, and Reason, would dictate that because you mentioned it in the video, it should therefore be
IN PLAIN VIEW …. for all to SEE..... without having to go digging for it. Would you Not Agree ????
irProteus my apologies for any inconvenience! This is one of our earliest videos and we were still learning the best practices for video descriptions and managing contact info. I appreciate the feedback!
Maybe you can find out more about Cobra. Example I'm on Medicare part b I have private ins from my spouse. She is retired from a large employer at 62. She has lifetime benefits, not as cobra but as a retired employee as if she is still working. they should take primary but they sent me a look letter stating they would be secondary to medicare for me. But they are my primary now
Medicare's coordination with employer health plans can be tricky. I'd be happy to help you explore your options and understand how this works in your specific situation. Call me at 888-465-9728
I will live outside the USA for the rest of my life, unless my healthy wife dies. I am 2 1/2 years older than my wife. I may visit the US but not live there unless my wife dies before me. What do I have to pay for just in case my wife wife passes away before me?
You may have to pay penalties if you enroll in Medicare A and B after your are initially eligible, even if you live/were living outside the US at the time you first became eligible for Medicare. -- www.medicare.gov/your-medicare-costs/part-b-costs/part-b-late-enrollment-penalty
This is a great video.
My anecdote for what it's worth; my retired father had Trans America insurance and paid about $240/month; he could go to any specialist he chose and he paid no deductibles.
I'm healthy and will likely go for an Advantage plan because I like the low premium.
Kim Siewers thanks for your input! There’s definitely not a “one size fits all” Medicare plan, different people have different needs just as you mentioned.
My wife bought in to the Nameith bamboozle and is unlucky. Payed twice what I payed under pkan N.last year... Just dont get sick and you'll be fine.
$240 per month, wow! That is not necessary but I bet you couldn’t talk your father out of that. Once old folks get it in their mind that “my plan / company is the best plan ever”, you can’t change their mind. NEVER EVER fall in love with an insurance company, their goal is to make a profit off of you and $240 means there’s a sucker in the crowd. I educate my clients but still have a few that you can’t teach them jack.....and they become suckers.
@larueleroux if you're an "old folk" that pays $240 per month for your Medicare Supplement yes you are a "old folk" that lost your mind years ago. I'm real and I do this for a living so I know a few tards like yourself that assumed that what I said was directed at you because you're an octogenarian. As the old adage goes, a fool and his money are soon parted. Everything this woman said in this video is accurate.
@larueleroux The title is Medicare Advantage or Medicare Supplement. Sometimes when you argue with an idiot some folks, old folks, can't tell the difference.
I switched from Govt Medicare to a private Advantage plan and was not happy with it. I had back surgery in 2013 and was on numerous opioid pain medications for years. All of the negative press against these types of medications caused me to stop taking them. I started taking back injections every 3 months, that is most that I could take. I would take them every day if I could. I never had an issue with Govt medicare they always paid for these injections, the cost for these is less than the cost for pills. Medicare Advantage paid for injections one time and then began denying services and I had to either go back on pain pills or pay for them myself. I called to question why these injections were denied and was told that they never deny any claim. After digging into this I found that they hired a go between company to approve or deny services to the people they insure. This ploy allows them to say they deny nobody services, What a sham this is, from my experiences I would never get into another Advantage plan.
Your budget shouldn't be a factor. Affordable insurance is often in adequate and adequate insurance is unaffordable.
Every one of these comparison vids I have seen trash medicare advantage saying they have a $5000 or more out-of-pocket max, sometime times using figure like $7500 and even $8000. My plans OOP max is $2950 for 2024. Of course, using this number will skew the comparison in a direction these "experts" don't like, so they don't use it.
I always think you’re about to burst out laughing when you speak in your videos. Great explanation btw.
9929kingfish I try to have fun :-) Thanks for watching!
Pick the disadvantage plan so your CEO can earn at least 20 million. I can't bear to see my CEO not earn over 20 million
Why so many parts? Seems like there could be just one part to cover all! Why make life more difficult for our seniors?
Agreed! They make it very confusing.
Now I’m really confused
Any specific questions I can help with?
You need to watch lots of videos on You tube to get this straight. Whatever you do, stay away from Advantage Plans as they take you OUT of medicare and into the hands of unscrupulous Insurance companies. They ALSO give these agents huge sign up bonuses and commissions. Stick with original medicare and maybe a supplement if it makes you feel better. DO YOUR HOMEWORK.
@@BMTOKC I agree!
@@BMTOKC I agree.
No problems with Kaisers advantage plan. Great care
Donald George, if you’re not sick.
The most important thing about Kaisers is your primary care doctor. Who knows how to work the system
I'm so glad you've found a plan that is working well for you!
❤️❤️❤️
As a UHC customer service representive I have to say you explained this phenomenally! Come to UHC🤣🤣 All of the plans travel with you! And not only do you have dental, vision, and a hearing benefit, you will also get a free gym membership, and some plans even have the over the counter benefit that GIVES you money to buy over the counter with little to no monthly premium! 😂 😂 IJS
Thank you so much for watching!
The most important part of Medicare that nobody mentions is the huge discounts from Doctors and hospitals for services. At those rates, it is very difficult to run up a large bill, so catastrophic coverage is less expensive and important and high deductible plan F is very overpriced, especially with self selected healthy people buying it.
Consider “G” plan, less cost for premiums. Only difference between “F” and “G” is Part “B” deductible $184.00/yr. You will save a great deal more in premiums by going with “G”.
If medicare was to help people without medical insurance, why do you need supplemental insurance. Might as well give it back with interest.
I hate anthem provider line 🥴
The advantage plan benefits the doctors and insurance companies.
Whoa , most people get medigap? I beg to differ!
Michael Ashcraft about 30% of Medicare beneficiaries go with Medicare Advantage and the rest have original Medicare. www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage-in-2019/
Data shows that at least 30% of beneficiaries on Original Medicare have a Medigap Plan (others have Supplemental insurance through their employers/retiree plans, etc.) and in this video I state that most of our clients go the route of Original Medicare vs. Medicare Advantage, however we do help folks with both types of plans.
Thanks for watching!
If I don't plan on leaving my state or traveling out of the country I'd probably get an advantage plan.
@@silverbullit89 I better rethink my strategy!
@@silverbullit89 I hope you live in a state (or even county) that has the BEST of any type of health care that you might possibly need in the future (cancer, heart disease/surgery or any catastrophic illness).
You shouldn't have to pay anything, how often do you get sick?
Those premiums are a rip off.
How often do you have a car wreck? Or damage to your home? Do you pay for insurance for those? Same with health insurance.
You don't know that Medicare is for the elderly (65 YO +) and disabled? If you're just showing off your ignorance then you have succeeded grandly.
MUCH information was left out. This video leads one to believe that a "Supplement" plan is much better. That is NOT necessarily true. I just switched from a Supplement plan to an HMO plan. My Supplement plan "F" was increasing to about $250 a month, and I am only 72. My new HMO plan is $0 a month (that's ZERO), and I have an annual MAXIMUM out-of-pocket of $1,000. I have NEVER had Part D (Rx coverage), so I also have to pay about $54 a month penalty. I STILL am saving about $1.500 a year IF I end up getting very sick and have to pay MANY co-pays. If I DON'T get sick, I COULD save as much as $3,000 for the year. That's worth being restricted to some of their rules, I'd say. Where I live I won't even have to change Primary Care Physician, Hospital, or ER. Something to consider BEFORE choosing or staying with a Supplemental plan.
Touche' it sounds like you’ve found an Advantage Plan that meets your needs, which is great. And yes, a lot of information is always left out when we try to do a brief and to-the-point informational video like this one. Medicare Advantage Plans can vary GREATLY from one state or one county to another. We work with both Supplement Plans and Advantage Plans and the overview we provide here is meant to be quite general. You should always base your Medicare Plan decision on a thorough and unbiased assessment of your needs. Thank you for watching!
People who want medicare for all are ignorant as to the actual cost of medicare
It is you who are the ignorant one. M4A costs LESS and covers EVERYONE.
www.businessinsider.com/bernie-sanders-medicare-for-all-plan-cost-save-money-2018-7
@@dallassmith7468
Everyone that believes that "stand on their heads"!!!! Y'all see anyone standing on head??
@@brucethomas3100 I did mention that mental health was covered under Bernie's plan too right?
@@dallassmith7468 You have no idea what M4A costs BECAUSE it does not exist yet. One should remember how inaccurate the claims were for ACA to know that.
The estimate is 33 trillion and is LOWER than what we pay currently over the same 10 year period, with 83 million Americans either with no insurance of under insured. The 33 trillion would cover EVERYONE with comprehensive insurance.
Tell me..since you like to talk about costs. How much did the Wall St bailout cost, when they illegally gambled away our money and crashing the economy? What is the budget of the military industrial complex again ( how much is wasted) according to the Pentagon's own FOIA requested budget documents? ( 125 billion a year wasted) How about all those never ending wars? How about Trump's 1.3 trillion tax cut to the rich and corporations?. You really want to talk about 'cost'
Healthcare needs to be seen as a human right, LIKE EVERY OTHER INDUSTRIALIZED COUNTRY ON EARTH that has a form of universal single payer healthcare.
William Perrow: No I'm not but you definitely are, first of all, you can't sign up for it till you're 55and can't access it till you're 65. Did you even graduate from high school, you seem to have trouble with basic english.
I would suggest you take some night courses in basic english.