I had a hip replacement in Jan 2023. I paid my $226 deductible against my pre-op tests. I went to the surgeon of my choice, was in PT rehab for 12 days, the dr prescribed follow-up meds, and I had in-home PT for four weeks after rehab. I have Part A&B and Supplement G. Aside from my Part B premium and Supp G premium, I had no additional out-of-pocket costs. That’s including all my follow-ups with the surgeon and his PAs. A&B and supp G are more than worth it for me.
@@CeruleanSky1111 Plan G is $170. I do not have a Plan D. I couldn’t find a plan that included all the prescriptions I take. I utilize a Good Rx card at one pharmacy for occasional prescriptions, and for the two I take on a regular basis I get from a mail-order pharmacy affiliated with the health organization my PCP is at. They have their own negotiated contact with drug companies. My two prescriptions cost around $15 each for a 90-day supply. Hope this helps.
71 y/o, I fractured my right hip and wrist. I had surgery 12/23 and was sent to Skilled Nursing Facility. I was released after 60 days. I'm currently doing physical therapy once a week. I know every persons scenario is different. In my case , I have several medical issues. Therefore, I chose a Medicare Supplemental plan G. I'm happy with my plan.
Your videos make it seem so easy to do, but videos like yours take much work, no "loafing" around.many thanks!! Why did the slippers open a bakery? Because they’re experts at loafing around!
I'm a retired RN Case Manager for a large hospital chain and I can not tell you the frustration, time and energy it was to try to get benefits for MAP plan patients for treatment, disposition and follow up treatment. Another important factor is that MAP may only contract with specific SNF, often not the best. Traditional Medicare can go to any SNF on discharge. This can be a major consideration for proper PT/OT/ wound care and location to family and support. SHOES
Thank you for the information. It was concise and helpful. My favorite sandals are easy spirit leather slip ons. They hug my feet and are easy to slip on and off.
After my mom’s bypass surgery and rehab stay I will never get an advantage plan. If you have to go to a skilled nursing place it’s a hassle renewing every few days and they will do anything to get you out of there. Supplemental plan all the way for me.
I am just months away from Medicare i had to have A TOTAL LEFT HIP REPLACEMENT SURGERY MAY 6TH this year, this surgery was a total of $70,500.00 yes insanity 😮 i applied for the Financial Assistance through the hospital in Southern Indiana i was accepted Praise Jesus, otherwise i would have to be on a payment plan for the rest of my life.
The sole of your video is the truth of the total cost, comparing all plans, so brilliant, my Altra's with the wide toe box provide me with the most comfort , just like your video!
I remember walking into my doctor’s office, with my Altra comfortable wide toe box shoes, and seeing a sign with a list of all the Advantage plans they were not accepting. That made my Medicare choice much easier! Enjoy these cost breakdowns. Thanks.
Truly appreciate your very balanced and objective approach. Even though I'm a traditional Medicare fan it's really nice to have an objective presentation of Medicare advantage to make sure that I maintain a critical thinking perspective on retiree insurance. I'm a big fan of slip-on shoes 🙂
Dr. Weir suggests Supplemental plan N overall. No referrals, out of network for travelers, etc. You never know what the future has in store for you. Your example was great, but I will stick to my supplement plan.
Holy Flip flop…I too have been paying for an N plan for 5 yrs…no major incidents so far….i have considered going with a give back advantage plan which sounds great. However, you don’t know what’s NOT covered untill your hit with a catastrophic issue. Thanks for the comparison cost analysis…i never knew the prices of knee, chemo etc….
I wear mostly boots. Thanks for this example. Quick and clear numbers giving an idea of the different plans for 1 major operation and physical therapy.
Thank you for the timely video! I'll be on Medicare early next year and knee replacement is the only foreseeable procedure that I'll need. I've been able to keep the knees semi-happy by maintaining strong quadriceps, plenty of no-impact cardio and of course, good shoes.
I am only 60 but starting my research early. Learning a lot about the different plans thru taking care of my mom after she broke a hip last year and from my friends that are starting to sign up for Medicare. The new shoes that my mom bought seem to help her walk better now. ☺
I have traditional Medicare and an F supplement. My total knee replacement with all the pre-op costs, surgery costs, 12 physical therapy visits and two surgeon follow ups after the initial 90 day period. My total cost was $0. I also had a fair amount of pre-surgical lab work that was billed separately from the surgery. In my case I stayed overnight in the hospital. My total surgery bill was about $56K and everything else came to about $12K. I don't attribute all of my Part B and Plan F premiums to this surgery since I had about $80K in other medical services that year. I don't carry dental or vision since I only pay about $60 per year for vision and dental coverage around here stinks. I do have a drug plan but it is $0.50/mo.
I've been wearing "barefoot" or "minimalist" shoes for 18 months. They are flat, no cushioning and a wide toe box. Lets your feet interact naturally with the ground...Great video, as usual! A big thing that sticks in my mind is that the Supp plans are much more stable year to year, basically the stuff that is covered is covered the same all the time Adv Plans they can change up who what, when, and how changes very often...
The one year contract for MA is a huge headache keeping up with changes from year to year. Add to that the non-standardization of too many MA plans makeschoosing a plan a nightmare. I'd like to give MA (which costs Medicare more $$$) THE BOOT!
My HOKA sneakers will keep my legs working strong hopefully avoiding any knee surgery. Thanks as always to your concise and informative Medicare videos. Approaching my 65th birthday and impending Medicare signup late summer.
I've heard great things about HOKAs! Need to get me a pair. Thank you so much for your kind words and support! Exciting times ahead for you! Here to help if you need anything!
"These boots are made for walking" sang Nancy (before your time). Thanks for the very interesting cost comparison. My brother had his second knee replacement 5 weeks ago so I am sending him this link. I don't know what plan he has so I will ask him. It helps all of us to see real cost comparisons before we choose what route is best for each of us and I appreciate that you stay very balanced and point out that each plan has some advantages and some disadvantages. As well as how crazy the US medical system is. But we are fortunate to have any medical system at all.
Very true! We are fortunate! Before my time, but I was raised on that generation of music 🙂 just hope one of these days those boots won't walk all over me 👢🙂
Thanks for the great video, Erik. It is another outstanding addition to your virtual library of added value for those interested in healthcare and financial topics; you are unique in this space, and over 100,000 subscribers tell the tale.🔥🔥🔥
I needed hightop shoes to deal with ankles with advanced DJD - Orthofeet delivered the support and zero "break-in" time. Are they beautiful? That is in the eyes of the wearer! I can walk a lot farther in the hightop shoes with less pain and no sprained ankles. Win-win! * I am very grateful that most of the problems I expected and some I didn't expect are happening before there is a big change in the Medicare Advantage Plan that I get through my Employees Retirement System. It has been a real blessing to essentially walk away owning little or nothing. That won't last, but I have two new knees and a big surgery (unexpected) that were totally covered during these more advantageous (pun intended) times. Feeling blessed. Really blessed. * I love how informative your work is, and I promote you to anyone who will listen. Thank you so much.
Soles of my shoes are a little wore out, so a slippery comment, but as always you take the fear mongering out of equation and give the facts for an accurate comparison. Keep up the great work
Birkenstocks! 30+ pairs in every color collected over a lifetime and all still wearable. Great video! It is worth noting that all the supplement expenses are already budgeted for, so important on a fixed income, whereas the Advantage plan costs could be a nasty, budget-wrecking surprise.
YES!! The surprise “Gotcha Factor” was a serious consideration for me as well. Many of my retired friends have had to shift to network doctors, receive surprise bills and experienced issues traveling. My time and peace of mind are worth way more than any small or perceived cost savings.
My wife had to have open heart surgery to replace her aortic valve, she was born with a defective valve. The total medical bill, from diagnostic through rehab was just over $250,00, (I forgot what Medicare paid), our cost for her Plan N was $320, which included the Part B deductible. Her Plan N costs $72 a month. During her rehab I walked with her with my Sketcher walkers, very comfortable.
Thanks! I've got a bum knee but I'm putting off replacement as long as possible. I've wondered what out of pocket costs might cost if I ever have to get it or them replaced. SHOE yep, I watched it all.
I had a TKR last month, May 8, 2024. I wore my Hey Dude shoes so I could get them on and off easy. My surgeon requires a one night stay in the hospital for all of his TKR and hip patients. I had four in home PT visits then in office PT. My PT office told me Medicare only covers 20 PT in office visits.
The thing about advantage plans is its like going to the shoe store and being told you can only buy a couple of kinds of shoes. The problem is, instead of shoes we're talking about surgeons. So you want the the best shoes you can get since unlike shoes, you're going to wear your surgery for the rest of your life. And the shoes on offer with the disadvantage system, speaking as a doctor who's seen them all too often, are never the best.
I like the analogy. I’d probably tweak it a little to be shoe stores rather than shoes themselves. Where you live makes a big difference. Some areas only have 1 shoe store and it only offers cowboy boots 👢 if you live there, and you need something besides boots, that gets tough. Other areas have every shoe store and every type you can get in that area. Most are somewhere in between 🙂 Appreciate you watching and adding this!
My podiatrist says my feet are a nightmare and I have to agree. I’ve had issues, over the years and now at 67, I have heel spurs, hammer toes, bunions and arthritis in both ankles. Birkenstocks were awesome for heel spur pain, UNTIL my bunions grew to the point my feet were too wide for Birkenstocks and most other normal shoes! I live in Florida and have found very wide sandals to wear and orthopedic shoes in 9W widths!
Great video, I would rather pay the higher cost of the supplemental insurance and be able to go to who I want to wearing my Sperry dock shoes, than have to go to in network only... ;)
First time viewer, liked your analysis, I’m a subscriber now, and I’m wearing On Cloud slip on tennis shoes for walking and they are supportive and well cushioned. Age 63.5 so studying the Medicare scenario in front of me.
Great illustration, thanks! Here’s another possible topic for a video (I looked briefly for such a video on your channel, but possibly missed it?): Any Medicare or Social-Security ramifications of having a non-US-citizen (permanent resident) spouse, whether or not they have worked in the USA.
Another good video, thank you. I am currently 64 so I am trying to do my homework for next year. So many choices! Like going to a shoe store... which pair fits me best? 😉
It is a lot, for sure! Highly recommend using an agent - even if it's not us. They can help you find your shoe size, the style you're looking for (work boot? sandal? roller skate?) and bring solid options to you :)
EE shoe size here. Always hard to find good fitting shoes. Trying to decide if Supplement plan or advantage plan is best choice for us. We are healthy now and Advantage seems good bet to save money. But the concern over unexpected health issue down the road pushes towards a Supplement plan which protects us from catastrophic medical bills On the fence🤔
It's a tough decision. Where you live and several other circumstances will affect that. Not sure if you've seen this video yet, but it goes into more detail around the differences between the two: th-cam.com/video/eOP76hMPiDs/w-d-xo.html
Secret word: comfort shoes. In my case, plan G, anesthesia was not covered for knee replacement because it’s additional to surgery costs. Had to cancel surgery. I didn’t see anesthesia separated out in this video. Can it be addressed perhaps in a future video? Did I miss it?
I have always wanted to wear deck shoes but the only shoe I have found is Skeetchers. how do the Cozy compare? Thanks for the comparison on a knee replacement. What happens to the surgery original surgery cost that Medicare doesn't pay?
Good Evening. As a 70 year old retired member of the Armed Forces I have TFL (TriCare for Life.) Tricare for Life is "Medicare-wraparound " coverage. Some may find it helpful if you also include and compare TriCare for Life with an Advantage Plan and with Traditional Medicare with a supplemental plan add on. Thank you
Awesome video and awesome explanation. Sketchers are my go to shoes. Thanks for all that you do to inform us about the rabbit hole that is Medicare coverage.
I am a retired employee from both the federal government and state government. Both plans are PPOs. My State health insurance plan is free into retirement for me and family and the plan will pay Medicare premiums. My FEHB plan is better, but I pay approximately $800 per month. It also covers me and family. The question is, when I am Medicare eligible, should I drop the federal plan where I pay out of pocket and merely keep the state plan?
I’m a physical therapist and spend a significant amount of time educating people on the importance of shoes that provide proper support. Unfortunately,there are more times than not, that I am telling people they need to give their shoes a Viking funeral.
I worked in the ER for years. I remember with tennis shoes were so big for the elderly but they kept getting them stuck when shuffling over carpets and bam...face-plant. I was a Hospice RN for 17 years (5 years pediatric hospice) WE loved you PT and how you helped our patients.
Doctors will often question people on why they care about some charge if the insurance company is picking up the tab. I'm one of thise people because I know ultimately it will add to premiums. I have a question along those lines. In the end, you stated Medicare gets $1k/month for the advantage plan for "taking on risk". In plan G and N, are the insurance companies footing that $12k . I'm asking because I don't want the government paying for medical expenses. National debt is already out of control.
Advantage plans get funding (the $1,000 per month example from the video) from Medicare to take on all of your covered health expenses for the year. Advantage plans take the place of Parts A and B, and take the risk from Medicare, so Medicare pays them for it. If you have a supplemental plan, Parts A and B provide coverage for you, and your supplemental plan fills in gaps in A and B coverage. So whether you have an Advantage plan or a supplemental plan, the federal government is involved one way or another in paying for your care: with an Advantage plan, the federal government pays the plan a fixed amount each month (the $1,000 example from the video), whether you use health services or not. If you have a supplemental plan, Parts A and B pay as usual, as does your supplemental plan.
I need new SHOES!! Thank you for your great understandable explanations on your videos!! I’m new to your channel and will be recommending as well as returning to it.
Thanks Erik for your informative videos. I love your shoes. I am still a little confused about the “Part B Excess Charges“ in Supplement N. In this knee surgery example, there is almost no difference between G and N other than the plan premiums. Cheers from San Diego.
I like slip on shoes like sketchers. I love this site - love watching the costs broken down one versus the other. I took original Med and plan G - it just gives me more piece of mind regardless if thats true when the billing starts for whatever injury or sickness. I live in NC and G is a little less expensive then the avg number u used ( just to mention it) and I didn't purchase a dental vision plan. The dentists I pickeed don't take insurance and the plans themselves are pretty skimpy on what they give you. My total cost using your example came to $3878 still ,more than Advantage. But its still a small price to pay either way for such a surgery. Thanks again for your videos - great info.
I like Nike Air but the sole glue doesn't last so the front is flapping after 6 months. After I figure out the FEHB vs Medicare part B, I'll look for a new shoe.
I just retired and I’m trying to decide which way to go. I’ll be 70 when I begin my Medicare full time. I have several medical issues that can worsen as time goes on. A big factor for me is the underwriting. It’s my understanding that you can be dropped anytime from advantage plans due to underwriting and if you decide to go to Medigap, you must undergo underwriting, all of which equates to much higher premiums and or denials. There is no such problem with Plan G. I also understand that Plan N goes through underwriting yearly as well which can affect your premiums. BTW, I’m more of a Sketcher guy.
Hi friend! Thank you for watching (to the end!). You cannot be dropped from an advantage time. Period. The only way you are getting dropped from an Advantage plan is if there is a monthly premium you are supposed to pay and you do not pay it, or, if that insurance company leaves your area completely. If they leave, you can pick up a supplement plan with no underwriting or a different Advantage plan. Wherever you heard Advantage plans dropping people due to underwriting is (fortunately) incorrect. Underwriting happens with Medigap, and it is if you want to go on a Medigap outside certain enrollment windows. Underwriting means you could be approved, denied, or charged higher rates based on your health. Again, this is for Supplements, NOT Advantage plans. Once on a supplement plan, you do not undergo underwriting each year (any of the Plans... G, N, etc.). Hope that helps!
Speaking of shoes, do any plans cover an orthopedic lift of greater than an inch (not prescribed by a doctor)? Thank you for all your videos. They are all excellent.
No already retired postal workers still have the choice not to take Medicare - they say they will put you in a PSHB plan that is like the FEHB plan you have currently - the only issue is what is that going to look like - and deadlines are approaching and we haven’t seen the PSHB plans
Ok, after watching several of your comparison videos in past couple of years since having to compare G, N, & MA in general I decided to subscribe. The slip-on shoe comparison was the clincher because I don’t like the brand I’ve been wearing this year. Much like this knee surgery comparison to sort out choices for Medicare coverage I used a medical emergency surgery plus 2 relapses back into hospital I had about 2 years before with retirement pre-Medicare private insurance. So I’m using these comparisons to help me keep updated on plan info.
Thanks for the informative video. I sat watching it wearing my Brooks Ghost 16’s. My podiatrist insists I wear a supportive shoe most of my waking hours!!!
To avoid the need for knee replacements, do regular core strength workouts, maintain normal weight, use proper shoes (cushioning doesn't last forever and the new cushioning technology is incredible).
Before I jump out of my shoes, "insurance" is about avoiding the cost of the most extreme events, it seems to me. A difference of $1000 or for knee surgery is not going to make or break most people. In contrast, I would be more interested if you did a comparison of cancer treatment out of pocket costs under the 3 different plans, because then, maybe the difference in cost could be much larger.
Sketchers and Rothys for me - Comment - in the comment section it says you are going to cover cancer...looks like a copy and paste fail...which I do all the time. Great content!
Very good video. I have a supplement, my wife has an advantage plan. My wife is blessed with very goo health. I am not blessed with good health. For us having different plans makes sense. Yes I like comfy shoes too!
My new all black canvas sketchers are perfect for when I start cruising....😊. Question...I lean towards alternatives medicine and I'm intrigued with participating in medical tourism. If I plan on doing semi expat living wouldn't I be better off to go with Advantage Care programs that I can also add a international travel package?
Solid shoe choice 🙂 Possibly. Less fixed cost for something you can't really use internationally except in emergencies. Separate travel policies can be a good option. I have a partner for that if you are needing those. Some choose just to have A and B only, then, when they get back to the states they get a plan based on a special election period via moving.
@@Theretirementnerds thank you...they say the tread wears out quickly but there are plenty other color options to chose from when I need another pair! Thanks again!
Hey Erik! On another note, are you savvy on the Medicare Advantage Plans in Mexico through Lakeside Medical Group? I will be moving there with visits back to California. I need to decide soon. I'll be 65 in August this year. Maybe you can do a video if you have this information! Much appreciated. Thanks Dude!
If I were in your shoes I would talk more about the issues with cost of care out of state. That is one thing I worry about because I do travel to visit family.
My wife needs to have both knees replaced as well as her hip. Total cost - - her prescription for pain medication. All I pay is a dispensing fee. I.Live. In. CANADA.
I had a hip replacement in Jan 2023. I paid my $226 deductible against my pre-op tests. I went to the surgeon of my choice, was in PT rehab for 12 days, the dr prescribed follow-up meds, and I had in-home PT for four weeks after rehab. I have Part A&B and Supplement G. Aside from my Part B premium and Supp G premium, I had no additional out-of-pocket costs. That’s including all my follow-ups with the surgeon and his PAs. A&B and supp G are more than worth it for me.
72 y/o, I have a history of several medical issues. For me my supplemental plan G has been great.
Great video. Love the shoes. One suggestion is to focus on the numbers longer so to really read them. You can be in a small box to the side.
How much does your monthly premium for Plan G cost? How much does Part D cost you per month? What are you doing about dental coverage?
@@CeruleanSky1111 Plan G is $170. I do not have a Plan D. I couldn’t find a plan that included all the prescriptions I take. I utilize a Good Rx card at one pharmacy for occasional prescriptions, and for the two I take on a regular basis I get from a mail-order pharmacy affiliated with the health organization my PCP is at. They have their own negotiated contact with drug companies. My two prescriptions cost around $15 each for a 90-day supply. Hope this helps.
@@CeruleanSky1111 Maybe he didn't make it to the end of the video?
71 y/o, I fractured my right hip and wrist. I had surgery 12/23 and was sent to Skilled Nursing Facility. I was released after 60 days. I'm currently doing physical therapy once a week. I know every persons scenario is different. In my case , I have several medical issues. Therefore, I chose a Medicare Supplemental plan G. I'm happy with my plan.
So glad you are happy! Thank you for sharing your experience!
Your videos make it seem so easy to do, but videos like yours take much work, no "loafing" around.many thanks!! Why did the slippers open a bakery?
Because they’re experts at loafing around!
Haha! Love it! Thank you so much! 👟
I'm a retired RN Case Manager for a large hospital chain and I can not tell you the frustration, time and energy it was to try to get benefits for MAP plan patients for treatment, disposition and follow up treatment. Another important factor is that MAP may only contract with specific SNF, often not the best. Traditional Medicare can go to any SNF on discharge. This can be a major consideration for proper PT/OT/ wound care and location to family and support. SHOES
Thank you for watching and sharing! 👟
Thank you for the information. It was concise and helpful. My favorite sandals are easy spirit leather slip ons. They hug my feet and are easy to slip on and off.
@@Commenting_mymind Thank you so much for watching! 🩴
Zero drop shoes with the wide toe box have made a noticeable improvement for my knees ,arches, and walking form.
I've heard great things about those! 👟
After my mom’s bypass surgery and rehab stay I will never get an advantage plan. If you have to go to a skilled nursing place it’s a hassle renewing every few days and they will do anything to get you out of there. Supplemental plan all the way for me.
I am just months away from Medicare i had to have A TOTAL LEFT HIP REPLACEMENT SURGERY MAY 6TH this year, this surgery was a total of $70,500.00 yes insanity 😮 i applied for the Financial Assistance through the hospital in Southern Indiana i was accepted Praise Jesus, otherwise i would have to be on a payment plan for the rest of my life.
Your comparison of shoes and everything else is always so fair
Appreciate you!! 👟😊
The sole of your video is the truth of the total cost, comparing all plans, so brilliant, my Altra's with the wide toe box provide me with the most comfort , just like your video!
Love it! Thank you so much for watching! :) 👟
I remember walking into my doctor’s office, with my Altra comfortable wide toe box shoes, and seeing a sign with a list of all the Advantage plans they were not accepting. That made my Medicare choice much easier! Enjoy these cost breakdowns. Thanks.
Thank you for watching! I've heard great things about Altra. My wife has a pair 👟🙂
I love my Altras!
Truly appreciate your very balanced and objective approach. Even though I'm a traditional Medicare fan it's really nice to have an objective presentation of Medicare advantage to make sure that I maintain a critical thinking perspective on retiree insurance. I'm a big fan of slip-on shoes 🙂
Thank you so much for spending time with me 🙂
Love comfy shoes! 👟
Dr. Weir suggests Supplemental plan N overall. No referrals, out of network for travelers, etc. You never know what the future has in store for you. Your example was great, but I will stick to my supplement plan.
Supplements are great 🙂
We have right to choose any doctors at any given time.
Holy Flip flop…I too have been paying for an N plan for 5 yrs…no major incidents so far….i have considered going with a give back advantage plan which sounds great. However, you don’t know what’s NOT covered untill your hit with a catastrophic issue. Thanks for the comparison cost analysis…i never knew the prices of knee, chemo etc….
Thank you for including Plan N.
🙂
I wear mostly boots.
Thanks for this example. Quick and clear numbers giving an idea of the different plans for 1 major operation and physical therapy.
Thank you so much for watching!! 👢
Thank you for the timely video! I'll be on Medicare early next year and knee replacement is the only foreseeable procedure that I'll need. I've been able to keep the knees semi-happy by maintaining strong quadriceps, plenty of no-impact cardio and of course, good shoes.
So glad it was helpful! Thank you for watching! 👟
I am only 60 but starting my research early. Learning a lot about the different plans thru taking care of my mom after she broke a hip last year and from my friends that are starting to sign up for Medicare. The new shoes that my mom bought seem to help her walk better now. ☺
I have traditional Medicare and an F supplement. My total knee replacement with all the pre-op costs, surgery costs, 12 physical therapy visits and two surgeon follow ups after the initial 90 day period. My total cost was $0. I also had a fair amount of pre-surgical lab work that was billed separately from the surgery. In my case I stayed overnight in the hospital. My total surgery bill was about $56K and everything else came to about $12K. I don't attribute all of my Part B and Plan F premiums to this surgery since I had about $80K in other medical services that year. I don't carry dental or vision since I only pay about $60 per year for vision and dental coverage around here stinks. I do have a drug plan but it is $0.50/mo.
My husband has large feet and has to order his shoes online. He recommended your videos since I'm just now navigating this process. Thank you!
So glad they are helpful! Thank you both! 👟
I've been wearing "barefoot" or "minimalist" shoes for 18 months. They are flat, no cushioning and a wide toe box. Lets your feet interact naturally with the ground...Great video, as usual! A big thing that sticks in my mind is that the Supp plans are much more stable year to year, basically the stuff that is covered is covered the same all the time Adv Plans they can change up who what, when, and how changes very often...
I've seen shoes like that. Been tempted to try them out! 👟
The one year contract for MA is a huge headache keeping up with changes from year to year. Add to that the non-standardization of too many MA plans makeschoosing a plan a nightmare. I'd like to give MA (which costs Medicare more $$$) THE BOOT!
I could wear my favorite cozy shoes again after knee replacement surgery. Best video I’ve watched on comparisons of plans.
My HOKA sneakers will keep my legs working strong hopefully avoiding any knee surgery. Thanks as always to your concise and informative Medicare videos. Approaching my 65th birthday and impending Medicare signup late summer.
I've heard great things about HOKAs! Need to get me a pair.
Thank you so much for your kind words and support! Exciting times ahead for you! Here to help if you need anything!
I’m on my third pair!❤
My whole family loves HOKAs, except me. They aggravated my Plantar fasciitis, so I returned them.
"These boots are made for walking" sang Nancy (before your time).
Thanks for the very interesting cost comparison.
My brother had his second knee replacement 5 weeks ago so I am sending him this link.
I don't know what plan he has so I will ask him.
It helps all of us to see real cost comparisons before we choose what route is best for each of us and I appreciate that you stay very balanced and point out that each plan has some advantages and some disadvantages. As well as how crazy the US medical system is. But we are fortunate to have any medical system at all.
Very true! We are fortunate!
Before my time, but I was raised on that generation of music 🙂 just hope one of these days those boots won't walk all over me 👢🙂
Thanks for the great video, Erik. It is another outstanding addition to your virtual library of added value for those interested in healthcare and financial topics; you are unique in this space, and over 100,000 subscribers tell the tale.🔥🔥🔥
A smile comes to my face every time I see one of your comments. People like you are what keep us happy to make videos! Appreciate you David!
@@Theretirementnerds My pleasure, Erik.
I needed hightop shoes to deal with ankles with advanced DJD - Orthofeet delivered the support and zero "break-in" time. Are they beautiful? That is in the eyes of the wearer! I can walk a lot farther in the hightop shoes with less pain and no sprained ankles. Win-win! * I am very grateful that most of the problems I expected and some I didn't expect are happening before there is a big change in the Medicare Advantage Plan that I get through my Employees Retirement System. It has been a real blessing to essentially walk away owning little or nothing. That won't last, but I have two new knees and a big surgery (unexpected) that were totally covered during these more advantageous (pun intended) times. Feeling blessed. Really blessed. * I love how informative your work is, and I promote you to anyone who will listen. Thank you so much.
Thank you so much for watching and tour support! 👟
Soles of my shoes are a little wore out, so a slippery comment, but as always you take the fear mongering out of equation and give the facts for an accurate comparison. Keep up the great work
Appreciate you so much for watching!
Birkenstocks! 30+ pairs in every color collected over a lifetime and all still wearable. Great video! It is worth noting that all the supplement expenses are already budgeted for, so important on a fixed income, whereas the Advantage plan costs could be a nasty, budget-wrecking surprise.
Good points! My wife and her sisters love their Birkenstocks!
YES!! The surprise “Gotcha Factor” was a serious consideration for me as well. Many of my retired friends have had to shift to network doctors, receive surprise bills and experienced issues traveling. My time and peace of mind are worth way more than any small or perceived cost savings.
@@lynnephelps2370 I took my Birkenstock shoes back in less than 24 hours. They were miserable and I tripped multiple times.
I’ll add that if you should also consider your level of comfort with the expertise of the surgeons in your network.
Everyone has different needs and different means to meet their needs. I like Schechers!
Thank you so much! 👟
The comparisons were very helpful in this specific example. Comfy shoes are the best!
So glad it was helpful! Have a new one coming out soon!
My wife had to have open heart surgery to replace her aortic valve, she was born with a defective valve. The total medical bill, from diagnostic through rehab was just over $250,00, (I forgot what Medicare paid), our cost for her Plan N was $320, which included the Part B deductible. Her Plan N costs $72 a month. During her rehab I walked with her with my Sketcher walkers, very comfortable.
Thank you for sharing your experience. We are working on a bypass cost comparison as we speak (type)! 👟
Thank you for the example and your time to research the the figures. Not all shoes fit the same.
Appreciate you spending time with us! 👟
Brooks are my shoes of choice!!!
Thank you so much for sharing 😊👟
Thanks! I've got a bum knee but I'm putting off replacement as long as possible. I've wondered what out of pocket costs might cost if I ever have to get it or them replaced. SHOE yep, I watched it all.
Sorry about your knee!
So glad this was helpful! Thank you for making it to the end 😊 👟
I had a TKR last month, May 8, 2024. I wore my Hey Dude shoes so I could get them on and off easy.
My surgeon requires a one night stay in the hospital for all of his TKR and hip patients.
I had four in home PT visits then in office PT.
My PT office told me Medicare only covers 20 PT in office visits.
Love the shoe choice 🙂
Thank you for sharing your experience!
Shoes are crucial for knees. I have spent 3 years adapting to Vibram 5 fingers to regain toe strength and balance.
Thank you for sharing this and watching 🙂👟
I wear Hoka shoes. They are great. Thanks for breaking down a confusing topic.
Thank you so much for watching. I hear Hokas are great!
Love the video detail explanation and honest comparison side by side, plus the shoes..😊
Appreciate you watching! To the end! 🩴
The thing about advantage plans is its like going to the shoe store and being told you can only buy a couple of kinds of shoes. The problem is, instead of shoes we're talking about surgeons. So you want the the best shoes you can get since unlike shoes, you're going to wear your surgery for the rest of your life. And the shoes on offer with the disadvantage system, speaking as a doctor who's seen them all too often, are never the best.
I like the analogy. I’d probably tweak it a little to be shoe stores rather than shoes themselves.
Where you live makes a big difference. Some areas only have 1 shoe store and it only offers cowboy boots 👢 if you live there, and you need something besides boots, that gets tough.
Other areas have every shoe store and every type you can get in that area.
Most are somewhere in between 🙂
Appreciate you watching and adding this!
Merrell shoes work The best for me.
I have a pair for hiking and enjoy them very much :)
My podiatrist says my feet are a nightmare and I have to agree. I’ve had issues, over the years and now at 67, I have heel spurs, hammer toes, bunions and arthritis in both ankles. Birkenstocks were awesome for heel spur pain, UNTIL my bunions grew to the point my feet were too wide for Birkenstocks and most other normal shoes! I live in Florida and have found very wide sandals to wear and orthopedic shoes in 9W widths!
Thank you so much for watching. Sorry to hear about the foot troubles! 🩴
Your comparison of shoes is always very logical and very well explained. Thank you!
Thank you so much! 👟
Great video, I would rather pay the higher cost of the supplemental insurance and be able to go to who I want to wearing my Sperry dock shoes, than have to go to in network only... ;)
Thank you for watching (to the end :) )
Totally understand that logic!
Great video! I enjoy all of yours. Very informative and not long and boring. I wear Merrill’s a lot.😊
Thank you so much! Merrills are super solid! 👟
First time viewer, liked your analysis, I’m a subscriber now, and I’m wearing On Cloud slip on tennis shoes for walking and they are supportive and well cushioned. Age 63.5 so studying the Medicare scenario in front of me.
Thank you so much! So glad you found us.
I'm a huge Roger Federer fan, which automatically makes me an ON fan... 😊
Very helpful comparisons. Thank you. How do wild horses survive without shoes?
Thank you for watching! Excellent question! 🧲🐎
Good and balanced analysis. Surprised to see an advantage plan come out on top. new Balance have been my old reliables for decades….thanks.
I've never been let down by New Balance. Thank you for watching! 👟
After you video about your Mom I decided on Plan G a few years from now. Here Advantage won! Lol. I love my ON shoes!
It's different for all kinds of circumstances.
I LOVE my On shoes 🙂👟
I'm very happy to have your advice. You have made my life so much easier and helped take the worry out of my retirement. I love my sneakers. 😅
Makes me so happy to hear these are helpful. Thank you for watching! 👟
Plan G all the way for me
Great illustration, thanks!
Here’s another possible topic for a video (I looked briefly for such a video on your channel, but possibly missed it?): Any Medicare or Social-Security ramifications of having a non-US-citizen (permanent resident) spouse, whether or not they have worked in the USA.
Another good video, thank you. I am currently 64 so I am trying to do my homework for next year. So many choices! Like going to a shoe store... which pair fits me best? 😉
It is a lot, for sure!
Highly recommend using an agent - even if it's not us.
They can help you find your shoe size, the style you're looking for (work boot? sandal? roller skate?) and bring solid options to you :)
This was so clear and helpful. Thank you!
So glad it was helpful! We have a new one coming soon with a heart attack 😮
Another excellent video Erik - thank you! Gosh, so much to know. Glad we have a Gumshoe like you on the case! Appreciate the video!😉
Haha! Thank you my friend! Appreciate you! 👟
My favorite shoes are Brooks.
Solid brand right there :) 👟
EE shoe size here. Always hard to find good fitting shoes. Trying to decide if Supplement plan or advantage plan is best choice for us. We are healthy now and Advantage seems good bet to save money. But the concern over unexpected health issue down the road pushes towards a Supplement plan which protects us from catastrophic medical bills
On the fence🤔
It's a tough decision. Where you live and several other circumstances will affect that. Not sure if you've seen this video yet, but it goes into more detail around the differences between the two:
th-cam.com/video/eOP76hMPiDs/w-d-xo.html
Secret word: comfort shoes.
In my case, plan G, anesthesia was not covered for knee replacement because it’s additional to surgery costs. Had to cancel surgery. I didn’t see anesthesia separated out in this video. Can it be addressed perhaps in a future video? Did I miss it?
Thank you for another excellent and informative video. By the time I become Medicare eligible, I will definitely be prepared! Love my Hoka's!
Thank you Brenda! Hokas, I hear, are amazing! Need to get me a pair! 👟
I have always wanted to wear deck shoes but the only shoe I have found is Skeetchers. how do the Cozy compare?
Thanks for the comparison on a knee replacement.
What happens to the surgery original surgery cost that Medicare doesn't pay?
The hospital just gets rid of it. Think of it like the sticker price and the sale price at your favorite shoe store 🙂👟
I love Sketcher shoes!,
Super cozy! :) 👟
Good Evening. As a 70 year old retired member of the Armed Forces I have TFL (TriCare for Life.) Tricare for Life is "Medicare-wraparound " coverage. Some may find it helpful if you also include and compare TriCare for Life with an Advantage Plan and with Traditional Medicare with a supplemental plan add on. Thank you
Thank you so much! Great idea!
Thanks for the detailed information. Now I know who "foots" the bill.
Thank you so much for watching (to the end! 👟🙂)
Awesome video and awesome explanation. Sketchers are my go to shoes. Thanks for all that you do to inform us about the rabbit hole that is Medicare coverage.
Appreciate you taking the time to watch and comment! 👟
I am a retired employee from both the federal government and state government. Both plans are PPOs. My State health insurance plan is free into retirement for me and family and the plan will pay Medicare premiums. My FEHB plan is better, but I pay approximately $800 per month. It also covers me and family. The question is, when I am Medicare eligible, should I drop the federal plan where I pay out of pocket and merely keep the state plan?
I’m a physical therapist and spend a significant amount of time educating people on the importance of shoes that provide proper support. Unfortunately,there are more times than not, that I am telling people they need to give their shoes a Viking funeral.
Shoes are a big deal! Especially for the knees! 👟
I would love to give all my shoes a Viking funeral.
I worked in the ER for years. I remember with tennis shoes were so big for the elderly but they kept getting them stuck when shuffling over carpets and bam...face-plant. I was a Hospice RN for 17 years (5 years pediatric hospice) WE loved you PT and how you helped our patients.
Doctors will often question people on why they care about some charge if the insurance company is picking up the tab. I'm one of thise people because I know ultimately it will add to premiums. I have a question along those lines. In the end, you stated Medicare gets $1k/month for the advantage plan for "taking on risk". In plan G and N, are the insurance companies footing that $12k . I'm asking because I don't want the government paying for medical expenses. National debt is already out of control.
Advantage plans get funding (the $1,000 per month example from the video) from Medicare to take on all of your covered health expenses for the year. Advantage plans take the place of Parts A and B, and take the risk from Medicare, so Medicare pays them for it.
If you have a supplemental plan, Parts A and B provide coverage for you, and your supplemental plan fills in gaps in A and B coverage.
So whether you have an Advantage plan or a supplemental plan, the federal government is involved one way or another in paying for your care: with an Advantage plan, the federal government pays the plan a fixed amount each month (the $1,000 example from the video), whether you use health services or not. If you have a supplemental plan, Parts A and B pay as usual, as does your supplemental plan.
I need new SHOES!! Thank you for your great understandable explanations on your videos!! I’m new to your channel and will be recommending as well as returning to it.
Thank you so much! And thank you for making it to the end! ;)
Thank you so much for these incredibly informative videos. So helpful. I’m into shoes that are comfy and easy to get in and out of.
Comfort and ease of use are pretty much all I look for in life 🙂👟 thank you for watching!
Thanks Erik for your informative videos. I love your shoes. I am still a little confused about the “Part B Excess Charges“ in Supplement N. In this knee surgery example, there is almost no difference between G and N other than the plan premiums. Cheers from San Diego.
In this case, no real difference in coverage between the two. Just a difference in monthly premiums!
I like slip on shoes like sketchers. I love this site - love watching the costs broken down one versus the other. I took original Med and plan G - it just gives me more piece of mind regardless if thats true when the billing starts for whatever injury or sickness. I live in NC and G is a little less expensive then the avg number u used ( just to mention it) and I didn't purchase a dental vision plan. The dentists I pickeed don't take insurance and the plans themselves are pretty skimpy on what they give you. My total cost using your example came to $3878 still ,more than Advantage. But its still a small price to pay either way for such a surgery. Thanks again for your videos - great info.
Thank you so much for watching and sharing what you're experiencing! Appreciate you! 👟
I like Nike Air but the sole glue doesn't last so the front is flapping after 6 months. After I figure out the FEHB vs Medicare part B, I'll look for a new shoe.
Thank you for watching! 🙂👟
Thank you for your videos, they are very helpful. I switched to Barefoot shoes last year and love them!
Appreciate you taking the time to watch and comment! Barefoot sounds interesting! 👣
Love New Balance, but only with my Super Feet inserts installed.
Sounds like a solid footwear setup! 👟🙂
Great Shoes, all your detail really helped me make my decision. Thank you
Thank you! 👟
So glad it was helpful!
I just retired and I’m trying to decide which way to go. I’ll be 70 when I begin my Medicare full time. I have several medical issues that can worsen as time goes on. A big factor for me is the underwriting. It’s my understanding that you can be dropped anytime from advantage plans due to underwriting and if you decide to go to Medigap, you must undergo underwriting, all of which equates to much higher premiums and or denials. There is no such problem with Plan G. I also understand that Plan N goes through underwriting yearly as well which can affect your premiums. BTW, I’m more of a Sketcher guy.
Hi friend! Thank you for watching (to the end!).
You cannot be dropped from an advantage time. Period.
The only way you are getting dropped from an Advantage plan is if there is a monthly premium you are supposed to pay and you do not pay it, or, if that insurance company leaves your area completely. If they leave, you can pick up a supplement plan with no underwriting or a different Advantage plan. Wherever you heard Advantage plans dropping people due to underwriting is (fortunately) incorrect.
Underwriting happens with Medigap, and it is if you want to go on a Medigap outside certain enrollment windows. Underwriting means you could be approved, denied, or charged higher rates based on your health. Again, this is for Supplements, NOT Advantage plans.
Once on a supplement plan, you do not undergo underwriting each year (any of the Plans... G, N, etc.).
Hope that helps!
@@Theretirementnerds , thanks, that great info!
I love my sketcher's . In New York the monthly Plant G premium is $312 and Plan N monthly is $242. Very expensive.
Super expensive. You are able to switch anytime, though, so a lot go Advantage until something bad happens and they jump on a dupplement.
Choose HDG.
Speaking of shoes, do any plans cover an orthopedic lift of greater than an inch (not prescribed by a doctor)? Thank you for all your videos. They are all excellent.
Thank you so much!
Medicare covers orthopedic shoes if they are a necessary part of a leg brace...
Your shoes look nice - any way to discuss taking Medicare part B or not with the new PSHB when we had FEHB without Medicare part B?
We touch on it in this video:
th-cam.com/video/mK9Ik6Q269E/w-d-xo.html
But for those with postal benefits, they are making you take Part B now.
No already retired postal workers still have the choice not to take Medicare - they say they will put you in a PSHB plan that is like the FEHB plan you have currently - the only issue is what is that going to look like - and deadlines are approaching and we haven’t seen the PSHB plans
Ok, after watching several of your comparison videos in past couple of years since having to compare G, N, & MA in general I decided to subscribe. The slip-on shoe comparison was the clincher because I don’t like the brand I’ve been wearing this year. Much like this knee surgery comparison to sort out choices for Medicare coverage I used a medical emergency surgery plus 2 relapses back into hospital I had about 2 years before with retirement pre-Medicare private insurance. So I’m using these comparisons to help me keep updated on plan info.
Thank you so much for watching! So glad to hear they are helpful - both for Medicare and shoes 😊👟
Thanks for the informative video. I sat watching it wearing my Brooks Ghost 16’s. My podiatrist insists I wear a supportive shoe most of my waking hours!!!
Thank you so much for watching! 👟🙂
Would love to try those shoes.
They are cozy 👟🙂
Thank you for these videos... I appreciate your disclaimers, including that comfortable shoes matter.
Appreciate you watching (to the end!) 👟🙂
Sketchers shoes are pretty OK. Not particularly long lasting. How’s that? Nice video. Staying with my Plan G.
Thank you so much for watching! 👟
Cute shoes! I just wanted to point out that no live links appear on your video whilst you are pointing them out. 🤔 Always great content!
Hmm... were you watching on a phone, computer, laptop, or TV?
As always a great video, with clear information. My favorite type of she are western boots. Thanks again for this type of overview.
Thank you so much for watching! 👢
To avoid the need for knee replacements, do regular core strength workouts, maintain normal weight, use proper shoes (cushioning doesn't last forever and the new cushioning technology is incredible).
Thank you! 👟
Great comparison. I turn 65 in January so thanks for doing what you do! Did you know a size 13 in the USA is only a 12 in Mexico? Hmmmm.
Did not know that! 🙂👟
Toscana Shoes. you do scholarly work on daily challenges of understanding Medicare. when the Medicare professionals explanation is clear as mud.
Thank you so much for spending some time with me! 👟
Before I jump out of my shoes, "insurance" is about avoiding the cost of the most extreme events, it seems to me. A difference of $1000 or for knee surgery is not going to make or break most people. In contrast, I would be more interested if you did a comparison of cancer treatment out of pocket costs under the 3 different plans, because then, maybe the difference in cost could be much larger.
Your wish is my demand:
th-cam.com/video/77YF-TL0n-8/w-d-xo.html
Sketchers and Rothys for me - Comment - in the comment section it says you are going to cover cancer...looks like a copy and paste fail...which I do all the time. Great content!
Thank you! 👟
Hmm... is it referring to this video?
th-cam.com/video/77YF-TL0n-8/w-d-xo.htmlsi=OuEN99dRTdBWkejl
@@Theretirementnerds I thought it was referring to this video - but I guess it is about another video.
@CherylParkerPhDRN hmm... not sure. I'll try and find the comment
@@Theretirementnerds please just ignore my comment - it was my mistake
Got a little confused on the advantage plan math. Thought I was smart until I watched this!
And I prefer Hey Dudes. 😊
Thank you! Hopefully it made more sense as we went through it? 👟🙂
I love Altra Sneaker as my daily shoes
I've heard good things! 👟🙂
Thank you for watching!
Very good video. I have a supplement, my wife has an advantage plan. My wife is blessed with very goo health. I am not blessed with good health. For us having different plans makes sense. Yes I like comfy shoes too!
Thank you so much for watching! Hope your health improves!!
Hmmm. I don't have a favorite shoe, but may need to check out the ones mentioned in the comments. I chose my plan based on your informative videos.
Thank you so much for watching! Hope you are super happy with your plan. I'm seeing lots of great shoe recommendations! 👟
Love me Chaco Sandals, they are buildable too. Love the videos great info.
Thank you so much!! 🩴
My new all black canvas sketchers are perfect for when I start cruising....😊. Question...I lean towards alternatives medicine and I'm intrigued with participating in medical tourism. If I plan on doing semi expat living wouldn't I be better off to go with Advantage Care programs that I can also add a international travel package?
Solid shoe choice 🙂
Possibly. Less fixed cost for something you can't really use internationally except in emergencies. Separate travel policies can be a good option. I have a partner for that if you are needing those. Some choose just to have A and B only, then, when they get back to the states they get a plan based on a special election period via moving.
@@Theretirementnerds thank you...they say the tread wears out quickly but there are plenty other color options to chose from when I need another pair! Thanks again!
Hey Erik! On another note, are you savvy on the Medicare Advantage Plans in Mexico through Lakeside Medical Group? I will be moving there with visits back to California. I need to decide soon. I'll be 65 in August this year. Maybe you can do a video if you have this information! Much appreciated. Thanks Dude!
Hi Sophia, I'm not familiar with that one. I'll look into it! Thank you for watching!
If I were in your shoes I would talk more about the issues with cost of care out of state. That is one thing I worry about because I do travel to visit family.
You read my mind! Have a few travel videos coming!
My wife needs to have both knees replaced as well as her hip. Total cost - - her prescription for pain medication. All I pay is a dispensing fee. I.Live. In. CANADA.
Thanks for the video. It's an eye opener. I like wearing shoes on both feet.
Thank you so much! 👟
Another great video! I like Merrill’s. Thanks!
Thank you so much! Great choice on the shoes! 👟
Your videos are as comforting as my favorite pair of shoes.
Thank you so much for watching! 🙂👟