A dying agents warning ‼️

An unfortunate truth that is often ignored by those who have enjoyed good health . . . for those that find humor at the inability to pay MA copays & coinsurance

The likelihood of having problems paying medical bills or debt was significantly higher for older adults with Medicare Advantage than those with traditional Medicare. Differences in the percent with medical bill or debt problems were significant among those with income between 200 percent and 399 percent of FPL and not statistically significant for those with higher or lower incomes.


Among White Medicare beneficiaries under age 65, the rate of cost-related problems was higher among Medicare Advantage enrollees (48%) than among traditional Medicare beneficiaries with supplemental coverage (36%). In contrast to patterns observed for other findings, a larger share of White beneficiaries than Black beneficiaries in traditional Medicare who are under age 65 with disabilities reported cost-related problems, both overall (43% versus 26%) and among those with supplemental coverage (36% versus 19%). This may be because Black beneficiaries are more likely to be dually enrolled in Medicare and Medicaid, which provides relatively comprehensive supplemental coverage. These findings are significant at the bivariate level; however, we were unable to generate reliable multivariate estimates comparing cost-related problems by race for the subgroup of beneficiaries in fair or poor health by coverage type (i.e., Medicare Advantage and traditional Medicare) due to sample size limitations.




Choosing between the two (MA or Medigap) requires careful consideration of your finances and health needs. And Advantage plans can carry hidden risks, especially for people with major health issues.

“Some people in Medicare Advantage end up paying unexpectedly high costs when they become ill or find their network lacks the providers they need,” says Tricia Neuman, senior vice president at Kaiser.

 
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An unfortunate truth that is often ignored by those who have enjoyed good health . . .

The likelihood of having problems paying medical bills or debt was significantly higher for older adults with Medicare Advantage than those with traditional Medicare. Differences in the percent with medical bill or debt problems were significant among those with income between 200 percent and 399 percent of FPL and not statistically significant for those with higher or lower incomes.


Among White Medicare beneficiaries under age 65, the rate of cost-related problems was higher among Medicare Advantage enrollees (48%) than among traditional Medicare beneficiaries with supplemental coverage (36%). In contrast to patterns observed for other findings, a larger share of White beneficiaries than Black beneficiaries in traditional Medicare who are under age 65 with disabilities reported cost-related problems, both overall (43% versus 26%) and among those with supplemental coverage (36% versus 19%). This may be because Black beneficiaries are more likely to be dually enrolled in Medicare and Medicaid, which provides relatively comprehensive supplemental coverage. These findings are significant at the bivariate level; however, we were unable to generate reliable multivariate estimates comparing cost-related problems by race for the subgroup of beneficiaries in fair or poor health by coverage type (i.e., Medicare Advantage and traditional Medicare) due to sample size limitations.




Choosing between the two (MA or Medigap) requires careful consideration of your finances and health needs. And Advantage plans can carry hidden risks, especially for people with major health issues.

“Some people in Medicare Advantage end up paying unexpectedly high costs when they become ill or find their network lacks the providers they need,” says Tricia Neuman, senior vice president at Kaiser.


I mean, if they're having problems handling a low $3,200 MOOP (rough average of MOOPS) that only roughly 1.8% of people hit every year, then how are they gonna handle high monthly premiums from Medigap, PDP's, and Dental/Vision plans every month, that are rising every year?? Makes no sense to me. Just more fear mongering nonsense.

I just had to take a woman's mother off of the $354/month supplement she was on because the monthly premium was sending her to the poor house. Between that, the $45/month PDP, and the $43 dental/vision plan, I just saved her $442/month. You guys that don't offer Medicare Advantage have no clue what's even going on because you don't offer it. That's very evident by what you post.

I have never had one sick person when they become ill discover their "network lacks the providers they need." There are tons of high quality providers, in every category, in every plan I offer. Go with a good established company, pay attention to the star ratings, READ the individual star rating sections, and you won't have issues.
 
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This is the first AEP that nearly every single one of my med Supp clients has complained about their premium. With nearly 50% of them stating, if my premium keeps on going up, I’m going to have to seriously consider a MAPD.

Not one has changed this AEP, yet, but they are all curious about the switch. Once I mention “network” they’ll say, nope, I don’t want it. But, let’s talk again next year after my next rate increase.
T65 Plan G is pretty much all over $200/month.

On the flip side, I’ve had a dozen or so MAPD clients ask about moving to a med Supp. I tell them it’s great coverage and they can go to almost any doctor they want. A low DED and you’re set. They have all said, let’s sign up! How much is it? Ma’am, assuming you can get approved it’s $250. Every single one of them has said, never mind.
 
Anecdotes are nice but not as convincing as news articles culled from numerous complaints.

I know two people with cancer, given last rites, and made a full recovery. Both are still alive over a dozen years later.
 
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