MedSupp K Vs. High Deductible F

[yorkriver1]

Looking at possibilities with AARP vs. others offering HiDF. No HiDF at AARP. They do allow swtiching between plans, no underwriting.

Seems a way to keep costs low, if things go South, switch to F.

Am I missing anything? When you look at the max OOP on K vs. most MAPD's it's not so bad, cost relatively similar to PPO's. No network...

Drug plan to be added, of course. Relatively healthy prospects might like this idea.

 

[somarco]

I suppose it depends on age and zip, but a 68 YO female in Atlanta would pay $66 for Hi F with Humana vs $57 for K with UHC.

Hi F has a max OOP of $2110 vs $4620 with K.

Not for my money.

Plan L with $2310 OOP with UHC for $96 with UHC doesn't make sense either.

Plan N for $95 with New Era makes more sense than any of these options.

 

[yorkriver1]

Thanks for the response. I have to get used to the idea of someone being permanently on a plan with some out of pocket, with little to no opportunity to go to the "safe harbor" of a plan F.

More experience working with people who can't or don't want to pay the premium for a plan F may help me be less worried about how things go for them when they have a serious illness.

That's why the option with UHC to go back to plan F (or any other they offer) seems attractive.

Those alternatives you propose are interesting, I am considering finding at least one lower cost option on MedSupp.

 

[somarco]

90% of my clients pick G, a few N and almost no one picks F. I also have a few Hi F but they have to ask for it.

If you do it right, G is hard to replace (lose to another agent). If they get to the point they can't afford G and can't qualify for another gap then going to MAPD makes no sense.

If you can't afford the gap premium then you can't afford to get sick on a MAPD. That stops most of them dead in their tracks.

 

[WCMason]

90% of my clients pick G, a few N and almost no one picks F

This matches my book exactly. My prospects go from "I want F" to "Why would anyone choose F" in less than five minutes.

 

[somarco]

Depends on age and zip, but for most the annual savings is $250 - $300

"Let's say you start out with G so you can save $300 a year. If you later decide to switch to F, do you want to pay the carrier $300 extra, let them pay the $147 for you and keep the rest"?

I would have to be crazy to do that.

silence . . . . .

 

[GreenSky]

If you can't afford the gap premium then you can't afford to get sick on a MAPD. That stops most of them dead in their tracks.

State and County specific. Here in the Socialist State of Kalifornia, Southern Section (LA area), MAPD generally are zero premium (all HMO), no cost for docs, hospital, outpatient services, etc. I even have one plan with a $2,200 OOP. They also tend to include transportation, gym membership, dental and dog walking.

Hard to compete with that except for the access to care limitation inherent in an HMO.

BTW, over 90% of my med supps are Plan N.

Rick

 

[somarco]

over 90% of my med supps are Plan N.

How many do you own? Do you know you only need one Medigap plan?

 

[GreenSky]

How many do you own? Do you know you only need one Medigap plan?

Your post has been reported for being anti-capitalist and racist.

Rick

 

[somarco]

anti-capitalist and racist.

That's redundant.....................................