Medicare Misinformation

Jul 11, 2019 at 8:28 AM

  1. somarco
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    somarco GA Medicare Expert

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    While preparing another video for my GA Medicare YouTube channel I was alerted to a video with similar tags. Some radio guy with a bad toupee on the left coast essentially taped a promo for a DC based Social Security "expert".

    I have never heard of either of these guys and probably never would have except for a fluke. The dialogue is very biased against Republicans accusing them of "drilling holes in Medicare". The video then references changes in Medicare effective 1/1/2020 that are "pre-Trump" so they can't blame him for this problem.

    While I am not a fan of Advantage plans I don't refer to it as "a parasite draining funds from the Medicare system".

    The video is laughable but at the same time disturbing. So much misinformation out there to only further confuse and inflame Medicare beneficiaries.
     
    somarco, Jul 11, 2019 at 8:28 AM
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  2. Travis Price
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    Travis Price Guru

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    I think that people incorrectly compare MA and MS. Actuarially MA is supposed to be closer to Traditional Medicare, except with networks and maximum OoP costs. When you have premiums, you should have more benefits (that should align more with reduced costs) than a zero premium plan.

    Really, I think that Macra has simplified Traditional Medicare moving forward. For new people, it removes the F v G argument.

    G v N is an easier comparison. Go to the doctor often? G might be the better option long term. Generally healthy and active? N might be a better fit.

    The other plans are not competitive (usually) between G and N, if offered at all.

    I agree there's a lot of misinformation presented, on both sides, to meet their personal ambitions.
     
  3. mickeyma
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    mickeyma Guru

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    I know most agents on this forum are prejudice against Medicare Advantage HMO plans, but, here in Southern Calif, I feel these plans are the best way to go.

    We have $0 premium vs $1,800 a year on Plan G and a PDP plan. And, the price does not go up as we age into another age bracket (67-68, 69-70, etc.).

    The plans have $0 copays and $0 deductibles for almost ALL Medicare-approved services including hospital. And, the networks of doctors and specialists are extensive.

    The rap is the 20% cancer copay. Ok. But, these plans have a stop loss. My policy is $1,300. That's the most I'll pay out of pocket in a calendar year for chemo/radiation. But, I saved $1,800+ for EVERY YEAR in premiums over a Medicare Supplement PPO. To me, it's worth it.
     
    mickeyma, Jul 11, 2019 at 2:32 PM
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  4. goillini52
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    goillini52 MAGA...Eat More Bacon & BUILD THAT WALL!!!

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    Can't believe everything you see/read on the internet. :no:

    These guys are BAD. :yes:
     
    goillini52, Jul 11, 2019 at 2:45 PM
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  5. fed up
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    fed up Guru

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    QUOTE="mickeyma, post: 1306374, member: 2340"]I know most agents on this forum are prejudice against Medicare Advantage HMO plans, but, here in Southern Calif, I feel these plans are the best way to go.

    We have $0 premium vs $1,800 a year on Plan G and a PDP plan. And, the price does not go up as we age into another age bracket (67-68, 69-70, etc.).

    The plans have $0 copays and $0 deductibles for almost ALL Medicare-approved services including hospital. And, the networks of doctors and specialists are extensive.

    The rap is the 20% cancer copay. Ok. But, these plans have a stop loss. My policy is $1,300. That's the most I'll pay out of pocket in a calendar year for chemo/radiation. But, I saved $1,800+ for EVERY YEAR in premiums over a Medicare Supplement PPO. To me, it's worth it.[/QUOTE]
    I got out of selling medicare a few years ago because of the misinformation spewed by agents in my area who only spoke of what benefited them. MA was easier to sell because many customers focused on the $0 cost of signing up but never read the plan which stated that benefits reset after every 60 days (or something like that) meaning that an illness treated in January which reoccurred in March could be treated as a new cycle of payouts and the out of pocket costs could be considerable. I told people that MA was great for folks with no money and folks who had a lot but not the majority of the population. A Human rep convinced one of my customers to get out of a supplement and drop their LTC because MA had them covered. They are bankrupt now and no longer my client. her need far exceeded anything MA could provide. But isn't there a place to report such rubbish as this video from misguided PAC?
     
    fed up, Jul 11, 2019 at 3:30 PM
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  6. vic120
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    vic120 Guru

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    I remember when Anthem BC in CA, had $0 premium, $0 Copay for Primary $10 Copay specialist, It had a dental vision, Low drug copays Hosp I believe was near $100 per day 5 days

    Plan was amazing

    It was my first 2 years selling MA When I worked at a brokerage, So this was before 201, Possibly 2008,2009,

    At that time I didn't know much about med supp, In the brokerage, I worked at we did Maj fist 9 months and MA AEP, They also has OEP at that time was like a new AEP

    We were told this plan never goes up, (By our managers)

    Guess what in the 3rd year It went up In some area to $20 per month Some $79 per month At least one area was over $100 per month

    Copays to $20 for primary, $50 specialist, Hospital went up considerably too

    And more they dropped the dental and vision

    I will never tell anyone these plans don't go up with Age, It is misleading Yes Age does not do that But that statement gives a false sense of security
     
    vic120, Jul 11, 2019 at 3:48 PM
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  7. somarco
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    somarco GA Medicare Expert

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    My beef with this video has nothing to do with Medigap vs MA. It is the other crap.

    "Republicans drilled holes in Medicare"

    Medicare is a creation of Democrat president LBJ. The "holes" in Medicare were baked in from the start. Not drilled by Republicans.

    It is possible to broadcast a radio show or make a video that is accurate, unbiased and apolitical.

    This one failed miserably on all accounts
     
    somarco, Jul 11, 2019 at 4:24 PM
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  8. fed up
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    Didn't CMS do away with F because the new G was similar so no need for F? It is biased information such as this that is making it hard for clients to reach any decision. If the facts don't meet the narrative then cast them to the side.
     
    fed up, Jul 11, 2019 at 4:29 PM
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  9. vic120
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    No Obama said he did not want seniors to have 1st dollar coverage

    This is the reason they got rid of F
     
    vic120, Jul 11, 2019 at 4:34 PM
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  10. LostDollar
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    LostDollar Guru

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    MA and MS are two different approaches to the concept of limiting the out of pocket costs of original Medicare.
     
    LostDollar, Jul 11, 2019 at 5:10 PM
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