2 years ago I wrote a friend who had aca basically free for yrs a mapd . He had a lot of money but showed little income . I gave him choice he wanted mapd . I insisted on a gtl hospital plan and $7500 center rider . He developed cancer after 10 months on it . Gtl paid the $7500 and he had zero out of pocket . I want to see how part d shakes out vs mapd rx's in 2025 . I'll factor in the big increases in med sup premiums . But due to the much higher copays in mapd and the big cutting In benefits plan n with a pdp could be better
Eventually all Medicare non Commissionable
- Thread starter Robduq23
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MedicareWAA
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1. Because cancer comes with all sorts of costs unrelated to health care services rendered.
2. Because it's inexpensive. Plenty of fine options for about $35 a month.
3. Because those agents want to make more commission money.
In other words, it has nothing to do with access to care.
Especially #3 . . .
Many of the add-on's are extremely profitable to agent and carrier and loss ratio's are often low.
$35/month can help towards the Medigap premium that is an "all cause" policy rather than just one illness.
Or your policyholder can stack multiple policies each with their own claim form that can be completed while recovering.
You won't change my mind, and I have no desire to try and change yours.
MedicareWAA
Guru
- 447
To be clear, I have nothing against supplements. I write many of them - in my area, my book is about 30% sup and 70% MA, in line with the overall market.
My focus is on explaining options completely and with impartiality. I don't consider myself a salesman. I'm an advisor and, especially with T65, that means I'm basically a teacher.
Medigap is no better or worse than Advantage. They're both good for different reasons, and everyone has different needs AND different preferences.
I happen to like ancillary products. I don't write much cancer insurance but when I do, it's usually bought by a sup client. I add HI to maybe 20% of my MA clients for about $30 a month.
I'm going off on a tangent now but I'd like to write a lot more critical illness with a facility benefit. It's cheaper than LTC and much easier to get through underwriting. Terrific product for someone 60-70 years old who doesn't have LTC and is concerned about it.
$5,000 unrestricted cash per month for 36 months is very helpful. It's not cheap (about $225/mo) but it's cheaper than LTC insurance and most importantly it's easier to obtain for someone 60+.
My SIL's father had a liver transplant about 5 years ago at Mayo in Jacksonville. His employer group covered that. When he became eligible for Medicare he enrolled in a MAPD. He is not 65. Mayo quit accepting his MAPD so he now only has original Medicare. I advised him to go on his wife's group insurance. She is with the school system. He didn't. Now he has been diagnosed with Stage 4 lung cancer and is taking chemo. The 20% is adding up quick. I have tried to talk with him multiple times in the past and he has never bought anything from me. Now they are selling their home and my SIL just found out he has no life insurance. Too late now. His wife will be burdened with debt.
Working with a lady right now with bladder cancer. GA cut her medicaid off so I had to help get that back. Currently working on an ACA plan for her.
You need to get him on an ACA plan since he's U65. There's a SEP for that.
As for life, he needs a modified plan if he can still get it. If not a GI plan.
Anything's better than nothing.
He is probably not going to live long. No cure. He has Medicare so not eligible for ACA. I talked to him multiple times about GI life but he thought he could get immediate so he wouldn't buy. No telling how many times he has been declined for life since his liver transplant. He needs to get on his wife's group. I think they also offer life. Hate to see him terminal but I know I did my best to help and he did not listen.
If your sister in law is with the state then yes, she has good benefits. If it's some private system that may be another story.
But being on medicare would not prevent him from going back. People do it all the time.
Since he's U65, he's got his T65 eligibility to look forward to. He can apply for a supplement with no health questions.
He can also drop part B and reapply in January (OEP) and get the same thing. A supplement with no health questions.
Several ways to solve the problem.
His wife has group coverage but now is OE so they need to act soon. If you had terminal cancer would you cancel Medicare and try to get set up in something else during treatment? He has never listened to me so I sure ain't gonna talk to him about that. I think he will be 65 in a year or so and I told him about supplements but if he buys one it will probably be from someone else. He has to live another year which I doubt he will do.
Just considering the bills he's got coming in and it's open enrollment, he needs to apply today. Not tomorrow.
And he doesn't have to drop anything. In his case your sister in law's plan would become primary (Pretty sure Florida has more than 20 ee's) and medicare would become secondary.
He could drop medicare or keep it. It's up to him. But from what you've told me I'm pretty sure he's going to bitch about that part B premium.
As far as your question, I never advise anyone to drop what they have until they're damn sure they've got what they want.
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