A dying agents warning ‼️

[Midlevel]

I tried a MAPD with Aetna this year. No deductible and $47 copay on Tier 3...very good. Next year, lousy. $590 deductible each and 22% on Tier 3 ($142 and $124) moving forward.

My wife's Cardiologist left the network in the middle of the year. Her new one will be in network next year. Our other 3 specialists won't be. The hospital/medical group we like to use won't accept Humana and UHC MAPD'S.

F*ck it. We're going back to Med Supps with PDP's that have no deductible and a $47 copay on Tier 3.

I'll still sell somebody a MAPD if that's what they want, but it AIN'T for me.

So you are going to pay 95.00/month for a PDP bc wife has to switch Drs? Can't believe people let a Dr (God in some people's eyes) control them. Poor babies have to do a little more work to get their half a million dollars a year. Screw that.

 

[Midlevel]

And did you die?

No, I'm not old enough for a MAPD. Only people who die are MAPD members don't ya know?

 

[Chazm]

Speaking of the $92 PDP plan next year with no DED and a flat copay for tier 3.
I don't think they understand the world of hurt they may have on their hands next year.

I'm not trying to do it but if my clients take generics, they are staying with the zero premium plan. If they take any expensive brands, it's automatically the $92 plan. Most agents will probably do this and they will have zero healthy clients on their plan.

 

[Yagents]

Speaking of the $92 PDP plan next year with no DED and a flat copay for tier 3.
I don't think they understand the world of hurt they may have on their hands next year.

I'm not trying to do it but if my clients take generics, they are staying with the zero premium plan. If they take any expensive brands, it's automatically the $92 plan. Most agents will probably do this and they will have zero healthy clients on their plan.

Exactly what I'm finding

 

[MedicareWAA]

Medigap is an extra tax you pay for OM's, waste, and abuse. There's a reason it's so easy to stay in a SNF when you have OM …

 

[sshafran]

Medigap is an extra tax you pay for OM's, waste, and abuse. There's a reason it's so easy to stay in a SNF when you have OM …

Last year I talked with a Plan G clients wife and she was complaining that "they wouldn't send her husband home" until he was in "3 months."

She thought he could have come home way sooner.

I know why he was there 3 months. Any guesses?

Anyone?

 

[Fisher]

Last year I talked with a Plan G clients wife and she was complaining that "they wouldn't send her husband home" until he was in "3 months."

She thought he could have come home way sooner.

I know why he was there 3 months. Any guesses?

Anyone?

Anecdotally, this is one of the poorest excuses I've seen for a rebuttal in quite some time. But rock on, bro!

 

[InsuranceGuy29]

Medigap is an extra tax you pay for OM's, waste, and abuse. There's a reason it's so easy to stay in a SNF when you have OM …

Yup....60 BILLION dollars, every single year, in Medicare fraud from original Medicare. And then we wonder why everyone's taxes and premiums are through the roof. Money don't grow on trees, folks. You cannot just have a system that questions almost nothing. Contrary to popular belief/narrative, there actually are some prior authorizations on original Medicare, but certainly not a lot. That is a LOT of our money.

 

[somarco]

.60 BILLION dollars, every single year, in Medicare fraud from original Medicare.

This begs the question . . . does this mean there is zero fraud on the managed care (MAPD) side? How about Medicaid?

 

[rmhaire]

This begs the question . . . does this mean there is zero fraud on the managed care (MAPD) side? How about Medicaid?

There can't be. AHIP doesn't mention it.

MA plans also reduce world hunger and helps reduce the effects of climate change.