@ it’s a daunting task, every year. Quite cruel to Seniors with decreasing cognitive abilities to figure out. But hey, only 24 different plans to consider. What could go wrong?
This was interesting to hear. Jack is currently going through all the documents that Medicare sent his dad and trying to make sense of it all and see what exactly was changing this year vs. next year. Thanks for sharing some knowledge with us to help us as we research this!
1. Not everything with Medicare Advantage requires pre-authorization. Usually, pre-authorization applies to more costly services and treatments, like outpatient procedures, hospital admissions, expensive Part B drug administration, etc. But would not apply to routine services, like exams, diagnostics, and urgent/emergency care. 2. If an Advantage plan is a PPO, then you are not restricted to in-network providers-only, and do not need referrals to see a specialist. Out-of-network care will usually result in higher copays, and out-of-network providers are not required to accept you as a patient. For that matter, unless an emergency situation, no provider is required to take you as a patient, regardless of what insurance plan you have.
Thanks for clarification and sharing this information. We are not experts by any means. From our research we still believe that traditional Medicare with a supplement is for most people the best way to go.
We get a month at the end/start of the year to adapt our policies or change over. It's aways a time to reflect about what I might need. Have an awesome week Terri and Keith. 👌🇳🇱🙋♀🥝
@ oh this is an annual possibility for everyone. We don’t have a seperate arrangement for elderly. There is the National Health which covers many treatments and medication. We all have a compulsory excess of €356 per year. So if a particular treatment isn’t totally covered by government we pay partially ourselves. Once they €356 has been used up no extra payments required. It all falls under national health If people can afford it they have private insurance for more coverage. We have that. This is what we can adjust once a year. 🙋♀️
We are NOT Medicare experts. Please do your own research to see what is best for you.
Great info 👍
Thanks Brian!
This is great information.
Thanks! We appreciate you watching 😊
⏰ Glad I gained an extra hour today to figure out my Medicare plan.☕️👍
It’s a challenge every year 😊 thanks for having coffee with us this morning
@ it’s a daunting task, every year. Quite cruel to Seniors with decreasing cognitive abilities to figure out. But hey, only 24 different plans to consider. What could go wrong?
@grandpa_eric exactly 😅 why can’t things be simple anymore
It is just so sad for struggling seniors to have to deal with changes every year.
@sharondriggers4557 we absolutely agree! And most things now have to be done online which is extremely difficult for many seniors
This was interesting to hear. Jack is currently going through all the documents that Medicare sent his dad and trying to make sense of it all and see what exactly was changing this year vs. next year. Thanks for sharing some knowledge with us to help us as we research this!
It’s hard to keep up with all the changes every year. They certainly don’t make it easy for seniors
Very informative. Thanks for breaking it down.
We appreciate you taking the time to watch 😊
Great info guys
Thanks! 😊
1. Not everything with Medicare Advantage requires pre-authorization. Usually, pre-authorization applies to more costly services and treatments, like outpatient procedures, hospital admissions, expensive Part B drug administration, etc. But would not apply to routine services, like exams, diagnostics, and urgent/emergency care.
2. If an Advantage plan is a PPO, then you are not restricted to in-network providers-only, and do not need referrals to see a specialist. Out-of-network care will usually result in higher copays, and out-of-network providers are not required to accept you as a patient. For that matter, unless an emergency situation, no provider is required to take you as a patient, regardless of what insurance plan you have.
Thanks for clarification and sharing this information. We are not experts by any means. From our research we still believe that traditional Medicare with a supplement is for most people the best way to go.
We get a month at the end/start of the year to adapt our policies or change over. It's aways a time to reflect about what I might need. Have an awesome week Terri and Keith. 👌🇳🇱🙋♀🥝
Have a great week ahead too Anita! We were curious how medical care works for seniors in other countries.
@ oh this is an annual possibility for everyone. We don’t have a seperate arrangement for elderly. There is the National Health which covers many treatments and medication. We all have a compulsory excess of €356 per year. So if a particular treatment isn’t totally covered by government we pay partially ourselves. Once they €356 has been used up no extra payments required. It all falls under national health If people can afford it they have private insurance for more coverage. We have that. This is what we can adjust once a year. 🙋♀️
@ interesting
Good enfo got 2 more years to go
That 2 years will go fast!