Medicare Part C Costs??

workerscomp1

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New to forum( a lot of interesting posts!) Long time P&C producer have written a few Sups could do more probably won't... that said I have a quick Question Why do Medicare Part C(Advantage Plans) cost taxpayers more $$$ than Regular Medicare recipients? I remember in the 1980s they were introduced as Private sector cost savers.
Source-Medicare Board of Trustees
 
Because companies like UHC and Humana own CMS and lobbied for more money. It's a ripoff to taxpayers.

Those same carriers (especially Humana) threw independent agents under the bus by complaining it was high commission paid by the smaller carriers that caused all the fraud in the system. That's why commissions are standardized and CMS is always breathing down our necks.

Rick
 
Depressing but thanks at some point are they not bound to come in at a lower cost to taxpayers?? Have they been higher in costs all these years?? It seems hard to believe that the Liberal Media or Fox news or someone hasn't been all over this??
 
Depressing but thanks at some point are they not bound to come in at a lower cost to taxpayers?? Have they been higher in costs all these years?? It seems hard to believe that the Liberal Media or Fox news or someone hasn't been all over this??

The Dems complain about this from time to time, charging that it is a giveaway to insurers. But so many people are on MA now that a lot of members will raise hell if MA is cut or goes away.
 
Because Medicare Advantage plans (Part C) offer much more than regular Medicare.

Original Medicare has deductible and coinsurance and generally pays only 80% of the medical claims. It does NOT offer Part D prescription drugs

Most Medicare Advantage plans in Southern Californiahave $0 deductible,$0 premium, $0 copays for doctor, specialist, lab and hospital. They also include $0 premium for Part D prescription drug. In addition, most offer free gym membership.

Naturally, this costs more money which is born by the taxpayers.

Most MA plans in Southern Calif have a Maximum Out of Pocket (MOOP) in the mid $2,000 range (Humana is $2,200). A Med Supp with a Part D would be around $2,000 a yr in premium over a lifetime. Do the math.

The only advantage of Original Medicare and Med Supp in my area is the network of doctors. Both allow access to any doctor in the U.S. who accepts Medicare while the MA plan is an HMO with a network of doctors that must be used. That network of doctors here in So. Cal is extensive.

It boils down to a prospect's prospective. Almost all want the $0 MA plan here.
 
I understand the advantage plans are a better deal and offer goodies for the recipients but I clearly remember in the 1980s that this was touted by my (Republican) party as a free enterprise private sector alternative that would be way cheaper and better than regular Medicare. Current (and ha ha mostly future taxpayers) already subsidizes Part b 75% part d 87% and add insult to injury we have to pay 15% more so folks can select a advantage plan man o man what a downer!!!
 
Because companies like UHC and Humana own CMS and lobbied for more money. It's a ripoff to taxpayers.

Those same carriers (especially Humana) threw independent agents under the bus by complaining it was high commission paid by the smaller carriers that caused all the fraud in the system. That's why commissions are standardized and CMS is always breathing down our necks.

Rick

Stop. Sugar. Coating.

Tell us how you really feel...
 
Because Medicare Advantage plans (Part C) offer much more than regular Medicare.

Original Medicare has deductible and coinsurance and generally pays only 80% of the medical claims. It does NOT offer Part D prescription drugs

Most Medicare Advantage plans in Southern Californiahave $0 deductible,$0 premium, $0 copays for doctor, specialist, lab and hospital. They also include $0 premium for Part D prescription drug. In addition, most offer free gym membership.

Naturally, this costs more money which is born by the taxpayers.

Most MA plans in Southern Calif have a Maximum Out of Pocket (MOOP) in the mid $2,000 range (Humana is $2,200). A Med Supp with a Part D would be around $2,000 a yr in premium over a lifetime. Do the math.

The only advantage of Original Medicare and Med Supp in my area is the network of doctors. Both allow access to any doctor in the U.S. who accepts Medicare while the MA plan is an HMO with a network of doctors that must be used. That network of doctors here in So. Cal is extensive.

It boils down to a prospect's prospective. Almost all want the $0 MA plan here.

You mentioned "in Southern California" a few times, except in what should have been the most important place. The end of your first sentence.
 
You mentioned "in Southern California" a few times, except in what should have been the most important place. The end of your first sentence.

Right. There aren't any MAPD plans in Georgia that come anywhere close to what they have in California, or Florida for that matter. Most plans here are at the top end of max out of pocket allowed ($6,700).
 
You mentioned "in Southern California" a few times, except in what should have been the most important place. The end of your first sentence.

Virtually everything he posts is incorrect. He used to (I assume this is in the past) tell prospects that Medicare wanted them to enroll into an MA plan. Somehow he still has a license.

Rick
 
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