I actually work for Medicare and NONE of us are trained properly before they throw us onto the production floor. I'm two months in and half the time even with scripting, I have no damn idea what I'm doing and beg for help and don't recieve it. I'm looking for other options now. If they would just better educate their workers, so much could be prevented.
I would love to talk with you Jessica, just to better understand Medicare's training etc. If you can call me at 561-536-5565 I can make it worth your time.
I got that impression of Government Medicare workers when I called a few months ago and was referred to a different tel#. The subsequent worker at the referred place; referred me back to the original tel#.🤔
i have been researching Medicare supplement plans versus Advantage plans and discovered so many negatives with Advantage plans. Your video confirms for me that supplemental plans are the way to go. I hope more people will educate themselves and not be suckered in by the has-been celebrities who are touting Advantage plans in non-stop commercials. Thanks for the very informative video.
I doubt the celebrity hawkers for Medicare Advantage plans really have one themselves. I bet Joe Namath, William Shatner, and the dynamite guy all have supplemental plans. The only reason not to is if you can’t afford the premiums and these guys can.
Well let's see what I have I have United Healthcare Advantage plan I have zero monthly premium I have dental insurance I have vision insurance later on in life if I need hearing aids they are covered my drug plan also known as part d is covered at zero cost my monthly premium is zero cost I get up to a maximum benefit of $375 toward any eyeglasses I get a additional $350 every quarter on over the counter medication including medical equipment blood pressure monitor shower chairs raised toilet seat vitamins I paid 0 I can go to any doctor in and out of network without a doctor referral I have zero specialist 0 doctor copay if I go to the emergency room I' pay 0 if I am admitted into any Hospital I pay zero my drugs are 3.50 prescription I have not had to pay any medication co-pays since August because at August my prescription drug costs so far was 25.000 bucks I also get free transportation to and from my doctor I get a free pair of diabetic shoes every year now you tell me what Medicare Plan can beat that??? I'll be waiting
@@LarryKelly whenever I go to the ER I don't have to pay any co-pay and I have spent almost three weeks in the hospital I had zero copay I can see any doctor I. Can see any specialist and I do not have a co-pay I do not have to have a doctor referral to see a specialist I haven't had to pay a prescription medication copay since August I won't have to pay another copay in till January I have dental I have vision and if needed hearing aids I don't have a Medicare premium I get up to $375 a year on eyeglasses I get a additional $350 every quarter on over-the-counter medication vitamins and supplements I also can buy expensive medical equipment for free blood pressure monitor shower chairs raised toilet seats $350 worth of product for free the only thing that I have to pay for is when I get my prescriptions filled my prescriptions cost$3.50 each my plan also will cover x-rays blood work CT scans. MRI scans if I need to have a blood transfusion I don't have to pay anything and it don't matter how many bag of blood that I get I don't have to pay for it since I don't have an automobile I get 48 free trip to my doctors every year and every year I get 10 additional trips my plan also covers dental work Dentures it covers oral surgery it also covers a gym membership Now can your plan beat mine??? I have never had an issue of my Medicare Plan not wanting to cover any medication but yeah you are probably paying about what 200.00 to 300.00 on medigap or several supplements plans My plan also covers Lasik eye surgery About the middle of next year I am having weight loss surgery guess how much that's going to cost🤔🤔 I give you a hint ((-------------ZERO--------)) NOW TELL ME WHAT YOU PAY AND WHAT ALL GREAT STUFF YOU GET I guarantee you if everything that I own and it's not much that I own that you don't get anything like the stuff I get
Matthew: I have a Medigap Plan N with you and Original Medicare. I am so thankful I followed your advise and made this decision. About 4 months after being enrolled, I was diagnosed with Colorectal Cancer. Treatments included a surgery (3 days in the hospital) and 12 Chemo treatments with my Oncologist over 8 months. I am currently in surveillance, with CT scans and annual Colonoscopies. If I had no insurance, I estimate the cost of treatment at over $250,000. To date, my out-of-pocket expense has been about $750 plus the cost of premiums. At NO time has anything my doctors have prescribed been evaluated or denied by someone else. And I didn't have to wait on any treatments. I am alive today (and hope to be for years in the future) because of the Medicare coverage I have been given. Thank you, thank you for all your efforts.
This video is very informative and he hits it on the head with the differences between Medicare Advantage and Medicare Supplement plans. It's also about having the client in mind and their specific needs and determining what's the best coverage for their medical needs and budget as well. Both plans have their Advantages and Disadvantages; it just depends on what works best for the client and their present health. Some clients maybe more healthy and a Medicare Advantage plan maybe best for them and don't need to use it as much or some clients may not be as healthy and go to the doctor more frequently and a Medicare Supplement plan maybe better because it covers more with less out of the pocket expenses. I'm licensed in NY, TX and 32 other states and anyone needing help choosing the right plan or has any questions about Medicare Supplement and Medicare Advantage plans can call me directly at 929-352-6044. I can send you brochures, documents, forms and other materials and go over all the information with you and there's no cost. Also if clients can't afford Medicare premiums maybe eligible take advantage of the Medicare Savings Program that helps cover the Part B premium 100%. Clients also maybe eligible to save up $2,041.20 or more in Medicare cost. The eligibility requirements are: (2022 monthly income limit for a single person is $1,549, married (living together) is $2,080 and the 2022 Total Resource Limit for single person is $8,400 and married (living together) is $12,600). Anyone interested in learning more and would like to know if they're eligible can give me a call. I'm here to help.
My original seems to be the same as a Type N plan. The prescription plans stinks though !! They all are crap. You can be on a medication for years and they will suddenly no longer cover it.
May God continually bless your health. Were any of your out of pocket expenses for excess charges? I'm trying to decide between the High deductible G plan and the N plan. Thank you. :)
Hi Matthew! I am on the cusp (literally, I have 2 weeks left to decide about plans) of getting on Medicare. I have been tortured with this for months now, not understanding any of it totally, even with extensive researching on my own. I do not have anyone with whom I could speak to about a decision, so I am very grateful that you just explained the critical differences between an Advantage plan and a Supplement plan. I can now make an informed decision without ending up as one of the medical system casualties you spoke of! I was actually in tears (of relief) watching this video. My 24 year old son has already had 2 Cancer surgeries, and I really do not want to add to my family's future medical worries any more than necessary. Thank you SO much again! God Bless people like you.
Thank you Mr Glassen for your very articulate description of the description and benefits of the supplemental plans instead of having one of the PPO or HMO disAdvantage plans. I am a retired surgeon and I thought that dealing with patients on Medicare as well as Insurance Companies, I thought I knew something about Medicare. Now I find I knew nothing about the coverage or lack of it that my patients were going thru when dealing with Medicare. I knew nothing about Supplements to Medicare until I heard about your blog. I like to subscribe to your Page and thank you for your information.
Hi Carol. Advantage plans are not a lower cost alternative to supplements. They simply defer the the major costs to when you are sick or injured. Even more, the maximum out-of-pocket costs have increased again for 2023. Staying with a supplement is probably a good idea. However, supplement prices are all over the board. There is often close to a 300% difference from the best priced company to the highest. It's possible we can save you money with your supplement. Feel free to call us at 800-847-9680 or use this form and just let us know which supplement and insurance company you have now. medigapseminars.org/request-a-quote/ We will respond by email first. No pressure.
Thank you, Matthew. Until I watched this podcast, I had no idea that my Aetna Medicare Premier Advantra PPO was actually provided by a privately owned company. Now it makes sense why I was suddenly being encouraged to change my pharmacy to CVS. My local CVS employees are great, but I was a happy, dedicated Walgreens customer for decades. Of more significance is the frightening information about the proven interference in health care delivery from doctors to patients based on the Inspector General's published three-year study. I realize that you earn a living as an insurance agent, but you are earning an honorable living by spreading truth and educating consumers like me. Thank you.
There is a lot more money made selling Medicare Advantage Plans that Medicare supplements, by a wide margin. I set myself and my company up as a true independent, able to offer anything the customer needs. That way we can represent the clients best interest. It's what i call good business
@@MedigapSeminars I discovered this listening to some other videos here on TH-cam. I decided to switch to original Medicare and got both a Part D and Part G (I was approved for both). I am so thankful that I watched these videos (and I'm impressed by yours as well).
Great! I've had traditional Medicare with supplement N for over ten years and was considering an Advantage plan. . . . until I viewed your video. There are many TH-cam sites on Medicare but your's is the only one I've found that provides real detail about what is best and why. Most are just overviews of programs. Your insight saved me from a major mistake, thank you.
Me too! I am deciding for my mom and just have one day left. I am so glad I watched this video! I will be contacting your company right away to make sure I'm making the right choices for her.
For the first time after being on Medicare and supplement plans, I fully understood these plans. THANKS A MILLION. This helped me a lot. I am going to continue keeping my current plan.
I had back surgery a few years back, I had an LT Gage titanium put in my lower lumbar and thank God I had Original Medicare and a Supplement plan. The bill for the Hospital, therapy, surgery Doctors etc. was around $160 thousand. My portion was -0-.
I was thinking about switching my plan G to an advantage plan. After listening to this video...NO WAY! Now I just need to consider switching to a cheaper supplement. Thank you so much for your videos. You are a natural born teacher and doing a great service for senior citizens. God bless you!
The choice that has the biggest impact on price is the insurance company, not the plan. You can have a Plan N with the wrong insurance company and pay more than the Plan G with the right insurance company. 800-847-9680
I think the big question is for each person is what you may need in coverage/deductibles, and how much you can afford monthly. I understand plan prices increase as you age. So in x years you might end up paying a few hundred more a month. Not affordable to me. So depends on the supplement company, the plan, your age perhaps. Plan choice may based on individual needs not just medicare versus MA.
Excellent information. My suggestion, respectfully, when comparing prices, you did not clearly explain that Supplements “Do Not” include prescriptions and will require an additional PD plan. Which is not a big premium but it is additional monthly dollars. Supplemental plans are Superior if the Senior can handle the monthly premiums. I’ve worked with some seniors who live social security “paycheck to paycheck” and while there are government programs that help assist, they have to decide premiums or food/medication. I love Medicare. I love our country. I love our Seniors. I pray for affordable, excellent medical care plans for ALL. In the meantime, explaining the Medicare plans as you do, is exemplar!!!! You are my hero 👏👏👏
The great advantage to having a Stand-Alone Part D plan, rather than bundled with an Advantage plan, is that the consumer can change Part D Plans annually without any impact on their healthcare. With an Advantage Plan, a person can be left having to choose between the healthcare they want, the doctors they want to see, and low Part D costs. Too often, the best of all three is not in one plan. By the way, when comparing PartD plans it's not the premium that is important, it's the total cost of premium plus prescriptions.
Yeah, but do you get decent coverage under a PD plan. The regular one is as crappy as a MOA is for their services. I have lost count how may time I have to pay for a medication because it is not covered. I had a doctor write 3 different prescriptions just so I could test each one to see which gets denied. The one that was approved was one that was previous denied a year before. The difference was $3 vs $200 and they only paid another $8 or something.
Sure wish I had this info a couple years ago. Now, as I fight to get a referral to a cardiologist with my HMO Advantage Plan its very upsetting. I still test out healthy at (just) 76, hoping nothing major happens before I try getting a supplement. Thank you so much for putting out this info.a year ago!
You are welcome. I hope the best for you. If you can't get a referral ASAP, at least change to a PPO plan where you can go to a Cardiologist without a referral. A few years ago a gentleman told me his tale of not getting a referral no matter how hard he tried. when he finally did, the specialist told him he needed a kidney. Then he want back to the Primary Care Dr (PCP) who told him straight up he would not allow that to happen. HMO PCPs are bonused to keep you from getting specialty care.
Matthew, I watched many the videos you have made and am very happy with the supplement plan your team helped me with when I retired earlier this year. I no longer worry about coverage and the choices I have that the plan allows. Most of my friends opted for advantage plans and they have no clue of the shortcomings that their plans have so I forward your videos so they can be educated like I am now from your complete and easy to understand videos. Thank you again! Michael
I agree completely! I'm so glad I requested a quote for my wife recently, and that you reached out to us personally and debunked some of the inaccurate info we had already received from a retiree trust that we were planning to use. I'm very happy with the supplement plan that you and your staff helped us choose, and I'm looking forward to doing it again when I turn 65 next year. Thanks Matthew!
Thank you so much for this comparison!!! About 5 yrs ago I had to make a decision which way to go when my husband became disabled and became eligible for S.S. Disability. I researched Medicare extensively and decided to go with Original Medicare with a Plan C because of all his health problems and doctor visits, before it was eventually phased out. When he turned 65, I changed over to Plan G as well as for myself and so glad I did. Thanks sgain
This video is very informative and he hits it on the head with the differences between Medicare Advantage and Medicare Supplement plans. It's also about having the client in mind and their specific needs and determining what's the best coverage for their medical needs and budget as well. Both plans have their Advantages and Disadvantages; it just depends on what works best for the client and their present health. Some clients maybe more healthy and a Medicare Advantage plan maybe best for them and don't need to use it as much or some clients may not be as healthy and go to the doctor more frequently and a Medicare Supplement plan maybe better because it covers more with less out of the pocket expenses. I'm licensed in NY, TX and 32 other states and anyone needing help choosing the right plan or has any questions about Medicare Supplement and Medicare Advantage plans can call me directly at 929-352-6044. I can send you brochures, documents, forms and other materials and go over all the information with you and there's no cost. Also if clients can't afford Medicare premiums maybe eligible take advantage of the Medicare Savings Program that helps cover the Part B premium 100%. Clients also maybe eligible to save up $2,041.20 or more in Medicare cost. The eligibility requirements are: (2022 monthly income limit for a single person is $1,549, married (living together) is $2,080 and the 2022 Total Resource Limit for single person is $8,400 and married (living together) is $12,600). Anyone interested in learning more and would like to know if they're eligible can give me a call. I'm here to help.
I’m getting ready to enroll in Medicare at 69. Started the video with a previous conclusion that the smart choice was Medicare Advantage. After watching this video, I’m trying to figure out how I could have been so wrong. Thanks for setting me straight.
In this video, be sure to view the Medicare Advantage Plans cons. The discussion starts at 15:30 If you listen carefully, you will come to realize that Medicare Advantage has a serious disadvantage.
Thank you; solid info! I chose an advantage plan to save $70/mth. I have free VA, so didn't even want to go on Medicare and pay a premium. I had Tri-Care Prime as a back up to VA, but when I turned 65 they cancelled that, and once I signed up for Part B, I got Tri-Care for Life. I think I'll CanX the Advantage plan while I'm still healthy.
Thank you SO MUCH for this thorough video! You're the first person who's been able to crystallize for me the difference between Supplemental and Advantage plans and wow is it huge and important! THANK YOU and God bless you.
My name is Gilbert I live in New York City I'm 65 years old and I have medical advantage plan. I learned that about the medicalAdvantage that control of your health so I have decided to go for the. medicaid surplus in which I have control of my health I really appreciate your honestly and I learned a lot I am planning to call you on Monday to to discuss this plan again thank you
Hi Gilbert, yes you call my office at 800-847-9680. Or, use this form and we can respond with quotes. Either way, request a time to meet. medigapseminars.org/quotes/medigap-quote-request/
Matthew, I have been so spoiled for many years with excellent medical coverage. Now I am retired and just took it for granted that my retirement plan which uses BC/BS Advantage would be just as good and the fact that there is no cost to me for the plan. made it sound wonderful. So far, it has been good to my husband and I with very low prescription costs and Doctor visits. However, after listening to your presentation I intend to look further into the plan and certainly will consider changing to one of the Medicare Supplement plans. I absolutely HATE the thought of an Insurance company denying a treatment plan that my Doctor deems necessary. Thank you for the lesson and shame on me for not looking into this before I retired.
Is there a way that we could get rules or legislation that people have to be told the truth about the differences between Medicare Advantage plans vs original Medicare combined with a Supplemental Plan? Who would be responsible for setting rules? Which branch of government would handle something like that?
@@jleechadwick My thoughts exactly and help with the payment for the supplement plans. They are great as Matthew mentioned, but very expensive, especially for someone on a fixed income!
I am so grateful for your instruction on these videos. Your coverage and detail is so important to those who are entering into the Medicare phase of life. Much appreciation!
Thanks so much for the very informative video. It certainly did clear up some very confusing issues, that I've encountered. As I saw in another comment, many people at Medicare are not well trained. I will go with the original Medicare, but now I have to reach out to our Representatives and ask for help with paying for the plan. I certainly can't afford $350 a month, while living on SS only!
Back when I retired I found selecting a MediCare insurance plan the most complex and confusing project I had ever undertaken! I spent endless hours reading all the info and most often felt that the more I studied the less I understood. Finally in desperation I opted to receive counciling from a volunteer organization. Imagine my horror when the councilor told me that I already knew more than he did about Medicare options! I finally sought help from a Medicare broker like yourself who heartily recommended that my wife and I opt for a Medicare Advantage plan. At that time I suffered from Type 1 diabetes, Rheumatoid Arthritis, Hypothyroidism and several other chronic illnesses. Watching your video today made painfully clear that I was given bad advice and clearly as I am currently 76 years old my future does not look bright on an Advantage plan! Up until now I thought that at the beginning of every year you could switch the type of plan you were on. From what you say in this video given my various ailments I am now stuck forever in my Advantage plan and it will probably cost me a fortune. Is there any way whatever for me to switch over to a traditional Medicare plan? Also my wife is in good health at age 75 should she switch from her Advantage plan before it's too late? Thank you for your wonderful , highly detailed videos…I just wish I'd known about them when I first signed up for Medicare.
Anytime the government is involved it’s going to be expensive, complicated, time-wasting, and frustrating. Wish they’d never taken over medicine, education, money and anything else.
@@annlong1426 I would amend your statement, any time any large, basically unaccountable organization wants to pull a fast one things get "complicated!" It's helpful to keep in mind that "Advantage" programs are the insurance industry's effort to "attract" those enrolled in the government Medicare insurance over into the "private" corporate world. You can bet your bottom dollar that the legislative process allowing Advantage programs was completely controlled by corporate lobbyists. One big tell is the outrageous commissions given to "independent" insurance brokers who facilitate the move from Medicare to Advantage health coverage. Back when I signed up with an Advantage program I was horrified to discover that the broker who spent 15 minutes signing me up got paid $300 by the taxpayer for stealing one of their policy holders. Imagine how I felt after watching this video that makes clear the fact that the broker continues to get that $300 commission every year for 6 years for doing nothing! The first time I ran into insurance difficulties I called the broker only to be told that he had nothing further to do with it and I needed to contact the insurance company directly! Pp
Thanks for being one of the honest brokers. It seems that most are pushing the Advantage plans for their own benefit. From the literature and the Medicare web sites they tend to recommend the Advantage plans so eventually they can privatize the the whole program.
@@MedigapSeminars One of videos at another channel I was watching a few days ago, they point out that they can make a lot more money selling Medicare Advantage plans than supplements. I am really glad that I started watching videos. I have learned a lot. I decided that I was not going with a Medicare Advantage plan this time. I have gotten both Plan G and Plan D for this next year, and I can't imagine going back to a Medicare Advantage Plan. I think that they should be required to tell the truth about Medicare Advantage Plans. Thank goodness there are people like you and some of the other channels that discuss this that are honest and tell the truth about them.
I work for a small rural hospital. We just love to have Traditional Medicare patients come to us because of the ease of care. No need to get preauth for treatments. We just hate to see Medicare Advantage plans, it is more costly to the hospital and more overhead to hire employees to get preauth for treatments. The fault is in the insurance company reps that talk them into "MCO's are a lot cheaper"..... it is refreshing to find your videos about the differences. Thank you for all your research on this.
Matthew once again you really show TRUE GRIT. As a Medicare Insurance Agent you are a real role model and a leader for the truth. Thank you for your honesty & courage for telling us like it truly is. Question for you sir, you had stated 50% of men over 65 will get cancer & 30% of women over 65 will get cancer in there lifetime, can you please share with me your source for that info, I believe that is important information that should be shared with beneficiaries.. Thank You Frank..
The source is the National Cancer Institute 1National Cancer Institute, Cancer Statistics 2018, www.cancer.gov/ about-cancer/understanding/statistics 2 A Global Public Health Challenge, American Association for Cancer Research, 2019, cancerprogressreport. org/PublishingImages/CPR19/1901016_EXE_19CPR_Sidebars_2.jpg 3 ”Cancer puts many patients into bankruptcy,” CNBC, 2019, www.cnbc.com/2019/11/24/ cancer-puts-many-patients-into-bankruptcy-advisors-are-trying-to-help.html7 ✝ Plans and benefits may vary by state.
Another great video, I have watched so many and have learned so much. I contacted Medigap Seminars and received my first quote this fall. I made a phone appointment with Vondrea and she was so helpful. Because I had watched so many videos I felt like an informed consumer. Vondrea answered my questions and helped me through the process. I said "are you going to be my girl, the one I ask for to answer my questions?" She said yes and I have been very happy to have her support and knowledge throughout the process. Matthew you do a great job with your videos and Vondrea is excellent at explaining and helping people like me through the process! I have plan N and I am very happy with it. I would highly recommend Medigap Seminars to anyone that is contemplating medicare coverage.
In my area it is nearly impossible to find a doctor who is accepting new Medicare patients, with or without supplemental insurance. There are doctors taking new patients in the advantage group ppo offered by biggest hospital group in the states.
Thank you for admitting, in the first minutes of your lecture, that you're paid by insurance companies. This allows me t skip the video entirely and save valuable time. I wish more advisors on this subject were as honest. :)
Thanks for sharing this information .Prior to my retirement 2 years ago I was an RN in an acute hospital.It was a nightmare sometimes getting approval from an Advantage Plan office for most things,patients would get upset as they had no clue this might happen.
Hi Margaret. I understand. My wife was director of billing and Medicare analyst for a local medical center. The stories she has to tell were heartbreaking. Yes, the lack of transparency within the Medicare industry is harmful to consumers.
I am feeling almost sick about not understanding enough about the Advantage plan I was signed up for just yesterday. I didn't know about all of these negative issues. I was signed up for a Blue Cross plan. I am going to call the county agency on aging and try to get in for another appointment to change to the medicgap plan. Advantage sounded good when she was showing me the paper work and talking about it, but now it seems scary and awful. Thank you for this heads up. I hope I can get this fixed.
You could just call us. That's what we do and we are better at it than your local agency on aging. Have you seen this? oig.hhs.gov/newsroom/videos/medicare-advantage-denials-of-care/ We can fix it for you and will not cost you a dime. 800-847-9680
Great video explanations. We have great agent but still did not fully understand, even though she steered us to the Supplemental. I hardly ever get a bill and hit our deductibles fairly early in the year. Recovery from full knee replacement as i write and still no bills or hassles. A big question maybe you could answer, we spend 5-6 months in mexico. Why does medicare advantsge cover things down ghere bug regular mecicare with supplemental does not. It is definitely a worry for us to have some sort of catastolhic insurance
If you have the right supplement it will have a $50,000 of emergency care when traveling out of the country. there are, get this, 3998 different Medicare advantage plans for 2023. Of those only a handful has any international coverage and those that do are limited to urgent care, emergency care etc. I know of no advantage plan that has full service outside of the US. I have seen some ex-pats make videos say suggesting that the advantage plan has more care but they are absolutely wrong and don’t understand that if an advantage plan finds that you are living outside the US they will simply cancel on you. Then you have nothing
Humana has a ppo advantage plan with a 2200. Out of pocket. I would love to have the medigap but then I don't think I can afford the part d. I will be 65 in October. When should I sign up to have insurance effective 11/1
You should enroll in Medicare as soon as you can during your initial enrollment period (Aug 01) medigapseminars.org/medigap-calculator/ Then, you will get a Medicare number in about 30-days. Once you have a Medicare number, you can apply for your Advantage Plan. Contact us when you have applied for Medicare and we will put you on our schedule: medigapseminars.org/contact-us/
When do you think I should begin to seriously pursue subscribing to Medicare my 65th birthday will be in February 2024. I have existing BLUECROSS&BLUESHIELD PPO as my retirement pkg for medical insurance. I retired 2018 but have worked self employed till last year 2022 where I had an injury that is keeping me from working. I haven't made the claims to social security to get dissability pay yet so I need some guidence to know what I should do next.
I work in a hospital in there billing department. So I understand what you’re explaining. I certainly don’t know everything but even in my early 20s I decided on Medicare and MedIgap.any way I have questions and you explain in detail and so we’ll people understand.many won’t because insurance is complicated. I want to retire by April 23, I sure am glad I found this channel.thank you. I will keep you in mind when I start making calls.
This is so eye opening , I have not realized what a difference between the two types of plans are . Thank you so much for explaining this .When you see a shine councilor or at least my experience was that they do not explain anything well at all .
RE Shine counselors - often people with good intentions but very, very limited knowledge. They are also not licensed and not liable for their "recommendations".
06:25 PPO Misconceptions I did. PPO plans are Medicare Advantage Plans. There is nothing special about them except the misconceptions I discuss at the 6 min 25 sec mark. Did you have any questions about PPOs?
Mathew, Just perfect explanation, with clarity and to the point. Your presentation is so easy to understand for any lay person like me. It really helped me make a confident decision to go for the Medicare Supplement. I am sure your videos must have helped so so many people to right path in this maze of complicated Medicare details. I thank you.
Thank you so much for bringing the major differences between original medicare and supplement plans to medicare advantage plans. Brings a lot of facts to light. I
excellent advice about later in life, a person should seroiusly consider changing from advantage to supplement. I did at 80 and it has been a big money saver for me. I'm 83 and recently had a gall bladder operation and a few other problems. I have plan N and pay about $200 monthly premium.
I have learned that the friends/family I have who are on Advantage plans were not given any information by their insurance rep. about a supplemental. I consulted with several so-called experts and they quit returning my calls when I said I was interested in a supplement. Finally, found someone who actually put my needs first and not the insurance companies. Anyway, I have a HD plan F through BCBS and couldn't be happier. My premium is only $70/mo., plus a small amount for part D.
Hate to burst your bubble, but I will bet we can lower your HD premium substantially. Nowhere in the country is BCBS competitive compared to the companies I recommend.
I am on regular medicare and it still took months to get a reference, in the meantime, I went to urgent care several times and got the wrong treatment each time. Once I got to a proper doctor it was treated in weeks.
Medigap and other plan costs vary wildly from state to state and company to company. Use this for and we will email you prices for your area - no cost or obligation: medigapseminars.org/request-a-quote/
VERY helpful. "Medicare Advantage" is a misnomer! One thing, though: You did not explicitly state, though I believe it reasonable to deduce, that you must qualify medically for Medicare supplemental insurance. When/how does this happen? Apply first, and then be given an exam? Have the exam first, then apply IF you qualify? What sorts of medical problems will keep someone from being approved.? If someone has osteo- and psoriatic arthritis, and osteopenia, is that automatically disqualifying?
When you first enroll in Part B you have 180-days / 6-months to choose a supplement with no health questions asked. After that period, you may need to qualify medically to get a supplement. Depends on your state. There is no medical exam. None of the conditions you mentioned are automatically disqualifying.
I have a gentleman coming to speak with me in a couple of weeks. Is there a difference between Humana and Medicare supplement? I have just read that Humana also offers a supplement. Currently I have a Medicare supplement plan. Thank you this gets all so confusing
Hi PJ A couple points - 1. Humana is an insurance company. They offer both supplement and Advantage Plans. About 85% of Human's business is Advantage Plans and Part D. 2. If an agent is coming to your house there are several things this tells me. If they can afford that much time this time of year (Driving time etc) they do not do a lot of business and likely work from home. They will also very likely try to sell you an Advantage Plan. The commissions are much higher. 3. There is an easy solution to make sure you make an informed decision and don't waste time sitting through a sales presentation...use this form medigapseminars.org/contact-us/ and tell us which supplement you have and which company. If there are better options, we will let you know. Free.
Don't trust plans with advantage. My husband and I had this. Each visit to a specialist ... ($ 40 in the brochure), but in fact, no more than $ 90. This means that the cardiologist did a cardiogram - $ 90, the ENT doctor looked at the ear_ $ 90, for CT $ 235, for the hospital the first 5-5 days at $ 375 per day
Unfortunately, most agents that focus on Medicare Advantage plans never really understand their product, and thus misguide the consumer. Others intentionally gloss over the fine points.
Matthew, your videos are wonderful and eye-opening. I had no idea that Medicare Advantage plans took away the power from your doctor to prescribe care. I am looking forward to receiving a quote from you and discussing my options as I am turning 65 this year.
The first step is to apply for a Medicare supplement to see if you qualify. You have two periods of time that you can get out a Medicare Advantage Plan- form Jan 01 to March 31, then from October 15 thru Dec 07 for a Jan 01 transition. Call us at 800-847-9680
Suggestion for future topic... A couple states allow residents to change their healthcare insurance once a year during a SEP. In New York State it is through the EPIC Program and as I understand it you can change from Advantage to MediGap and vice versa with no penalty or underwriting. I think CA may be the other state. Can you confirm and maybe cover this in a brief video? Specific information is hard to come by and not mentioned elsewhere.
I do have a video specific to New York & CT th-cam.com/video/74K4cZIJpb8/w-d-xo.html When people request a price quote I include information on their state special rules, if any.
My thanks for just about the best explanation of the differences yet. Clear, concise and easy to listen to with no "histrionics". Finally, I have the ammunition to fight my wife's leanings toward the "advantage plan?" The part about future qualification is not well known and the fact the insurance company has total control over my health is completely unacceptable. Thanks again!
Extremely helpful video, very clear, very well organized with documentation to prove your assertions. The part I found most helpful was that advantage plans could actually deny the patient necessary treatment or hold it up for up for several days. Thank you very much for making this video.
Thank you very much for this information, I sure understand now the difference between Supplement vs Advantage plans; you made it so simple. I need to call you.
As an Medicare insurance broker, we sell both plans n get paid by insurance companies. I always use accounting terms “fixed cost n variable cost” to compare medicare supplement vs MAPD. Medicare supplement plan F, G, N, high deductible F & G are all good, and all have monthly PREMIUM as well. Also, seniors require to have a Rx plan to fill government requirement.
this was very eye opening and informative. these supplement plans get VERY confusing to most people - myself included- so I really appreciate the clarity of the info you presented. thank you. PS: ( I have PLAN G) I just had a hip replacement surgery and my max out of pocket was $233.00 deductible for Part B since I went to outpatient same day surgery center no hospital deductible was applicable. All PT visits were covered.
Mr. Clausen, you didn't mention the Medigap Plan F, not the high dectible F. But the F, which I have, can you explain that plan in your next videos, I throughly enjoyed these videos, and the ppls I have talked to @ Medicare, outside of a few, have no clue, I know more than they do!! Thank You Paula A. Blissett..
Love love love this information! Even without knowing it previously, I always felt there was something fishy going on. They call me constantly wanting to "help" me set up a doctor's appointment for a wellness screening. I am a very blessed, active, healthy 68 yo female. Im not on any medication and get really mad that they won't leave me alone! Well, anyway, here's my question: When I was planning for a total knee replacement in 2019, I was on plain old Medicare A and B. I was advised by a friend to get on an Advantage plan to greatly reduce my out of pocket cost for the surgery. I made many calls to Medicare to confirm this information.The amount they told me I would be responsible for was thousands. Two different reps, two different calls at different times. I then spoke with the Advantage plan people and was assured that I would only be responsible for $275 after meeting my deductible ($250 I think?). So, I took the Advantage plan, which I still have, and yes indeed, that was all I had to pay. Lock, stock, and barrel. I believe what you're saying but, in my case, why was the Advantage plan a decided "advantage"?
One disadvantage of Medicare Advantage is they are for "in network" so since we winter in one state, summer in another state Medicare Supplement was better for us....
This information just reconfirmed what I had been reading from several sources, except you explained it much better. I've had friends tell me since I'm in good health I should go with Medicare Advantage, which is what many of them have. I'm so glad I chose plan G last year and plan to stay with it.
Thank you so much for your great explanation of Supp vs Advantage. Although I’ve watched many very good vids by others, you did the best job at providing the reasons and examples. Thank you!!!!
excellent video. I chose Medicare Supplemental plan G this year when I signed up. By far, this is the best choice for those who can afford the extra premium compared to an Advantage plan. I know several people who have switched to a supplemental plan after paying huge deductibles in their advantage plan.
Premium differences between medigap and advantage plans can influence seniors as to which plan to pursue. Do you have a video on that aspect of comparisons?
Thank you. Very important information. I would recommend this video to anyone who needs to enroll in a Medicare Supplement Plan and is considering a Medicare Advantage plan. The lure of low or no premium on a Medicare Advantage Plan is attractive but heart breaking when you find out you are not covered or needed care isn't approved or your share is very costly. I pay a higher premium so my doctor and I can determine what care or treatment I need.
Thank you for clearing up the misconception of PPO plans vs Medigap plans. I'm a new agent to the industry and I do a lot of research educating myself on the industry so I can make a unbiased decision on what to recommend to my clients. There is huge push from a lot agency that heavily promote MA plans for everyone!! And there response for constantly recommending them is the EXTRA BENEFITS!!! It drives me crazy because it's not all about the benefits!! I wanna know if MY clients get really sick will the insurance cover them??? To hell with the benefits if they can't get the best care possible. If ppl really access the actual value of the benefits the only thing that is worth the money is possible dental coverage bc it's the most expensive out of vision dental and maybe hearing(not familiar with the actual cost of hearing) I totally agree if a person can keep original Medicare and supplement with something else than go that route. If you just can't afford it or your health doesn't allow than my final recommendation would be a MA plan.
Thank you. Just to be clear, you enroll in Original Medicare through Social Security (ssa.gov/medicare). You enroll in a supplement or advantage plan or Part D though a company like Medigap Seminars. medigapseminars.org/contact-us/
I appreciate what I learned from this video. I particularly find value in your emphasis on "Don't make your decision solely on the fact that you are healthy today because as we age that most likely will change."..…and can change in the blink of an eye !!! I find Original Medicare very important & perhaps is being thrown away all to often & too easily.....as with anything if it sounds too good to be true most likely it is too good to be true !!! Don't be pound wise and penny foolish ! A sound health care plan is as important as Good Health !!!
Thank you for all the information I’ve never had an advantage plan because I’ve never heard anything really positive about them and I never will have one all I wanna do is get a better plan that I already have through Medicare I want the end plan which I haven’t listen to your video on yet that’s coming up after I finish this one and it airs. Again thank you for putting these out either reinforced every thing I’ve thought about the advantage plan which is nothing good! Cheers
Thank you so much! This really clarified the difference between the Advantage Plan and Supplements. Is there a video on how old or rather when do i have to enroll in Medicare?
There should be laws regarding whether or not a doctor can refuse you based on your insurance. When I moved to a new state with my plan F as I was grandfathered in when it was discontinued. I called numerous offices and was told that they were only taking Medicare Advantage patients. I finally did find a wonderful doctors office that takes my medigap plan and also a P.T. It was difficult but it can be done. I have recently heard that if you see a doctor who is a part of one of the “for profit” corporations you are now in danger if you have medigap. If this “company” decides to go fully into medicare advantage - you will be automatically forced to go with it or find a doctor who will take you. Can you address this issue? Thanks
I've been on Medicare like 5yrs only because I didn't understand the whole thing. Then because I stupidly filled out something online, got hounded daily & repeatedly for months by companies trying to sell me Medicare Advantage. They pissed me off so didn't want to deal with it. Now you're telling us about Medicare supplement/medigap (had no idea), & G, N, HD plans? Someone mentioned an F plan? Wth, never heard of these. (I was an RN 20yrs.) Medicare has sent me huge books every year, but never opened. Maybe they are explained in them. :/ I need to watch this in the am when I'm awake. Thanks ahead of time for breaking this stuff down for us.
Matthew, you have covered pretty much all the basics about Advantage vs Supplement plans as well as Part D for prescriptions. I don't know if you have any insight or suggestions in the area of vision and dental supplements not included in the basic plans. The plans I have seen cover the basics but significant dental work remains only partially covered and the annual limits are not all that high. I figured that saving the $500-600 annual premiums for mostly just 6 month checkups and cleanings is worth the risk unless I knew that I would need some expensive work done in the future.
Matthew, your videos are very well done and you have covered all the details on the various Supplements, Part D prescription plans and Medicare Advantage plans. What I think would be helpful is a specific video on how to avoid being misled by deceptive TV advertising and misleading, inaccurate or incomplete information that some agents give to prospective clients about Medicare Advantage plans. Too often, people make a decision that is not in their best interest, simply because they are not well enough informed about the tactics some agents use to convince them that Medicare Advantage is their best or their only option, without ever explaining in detail, the pitfalls of these plans.
Can you address how providers are supposed to code/document screening breast exams and screening for cervical/vaginal cancer if women do not have their PCP do this during an IPPE/AWV and want their GYN to do this screening? We would like to be able to get the screenings without risking Medicare denying portions of claims, and being held financially responsible for the un-negotiated billing charges.
@@oldschool3696 The best suggestion I have is to read the ABN form they ask you to sign before the procedure. See my video on how to Avoid Surprise Medicare Bills #MedigapSeminars
stellar, took me along time to figure out and fortunately I choose plan g over the free advantage plan insurance. I did not have help like this video. I now share this video with all me friends on Medicare.
I find this very useful. This healthcare question for retirement is my biggest concern. I see numerous specialists, take lots of meds, and periodically need procedures. This is not likely to change. It also seems quite difficult to get unbiased assistance locally on how to navigate the choices.
Hi Michael. This is what we do. We represent your best interest and help you make an informed decision. Best of all, when you make your choice, you don't pay us. The insurance company you choose will do that. medigapseminars.org/request-a-quote/ I am confident we can help you.
Question please. From experienced and the best doctors and specialists perspective, does the best doctor or specialist prefers “supplement” vs “advantage”. It does make a difference for me to make a decision over choosing between “supplement” vs “advantage”. Looking forward to your reply. Best regards
The best Medicare in my area is Kaiser's Advantage plan, not just because it saves a huge amount of money, but rather because it is an integrated system where things don't fall through the cracks and the staff are all direct employees so there is no fee-for-service care, nobody is incentivized to perform unnecessary procedures or office visits and a lot of stuff can be handled online. As a retired physician who spent over 40 years in health care, they get my vote.
I actually work for Medicare and NONE of us are trained properly before they throw us onto the production floor. I'm two months in and half the time even with scripting, I have no damn idea what I'm doing and beg for help and don't recieve it. I'm looking for other options now. If they would just better educate their workers, so much could be prevented.
I would love to talk with you Jessica, just to better understand Medicare's training etc. If you can call me at 561-536-5565 I can make it worth your time.
I got that impression of Government Medicare workers when I called a few months ago and was referred to a different tel#. The subsequent worker at the referred place; referred me back to the original tel#.🤔
Jessica are you in DC or Kansas?
Don’t mean to laugh, but I’m so tickled with this comment. I feel everything you’re saying.😅
I have Medicare and I concur that Medicare people know nothing.
i have been researching Medicare supplement plans versus Advantage plans and discovered so many negatives with Advantage plans. Your video confirms for me that supplemental plans are the way to go. I hope more people will educate themselves and not be suckered in by the has-been celebrities who are touting Advantage plans in non-stop commercials. Thanks for the very informative video.
You are welcome Debra. I hope you give us the opportunity to compete for your business.
I doubt the celebrity hawkers for Medicare Advantage plans really have one themselves. I bet Joe Namath, William Shatner, and the dynamite guy all have supplemental plans. The only reason not to is if you can’t afford the premiums and these guys can.
Well let's see what I have I have United Healthcare Advantage plan I have zero monthly premium I have dental insurance I have vision insurance later on in life if I need hearing aids they are covered my drug plan also known as part d is covered at zero cost my monthly premium is zero cost I get up to a maximum benefit of $375 toward any eyeglasses I get a additional $350 every quarter on over the counter medication including medical equipment blood pressure monitor shower chairs raised toilet seat vitamins I paid 0 I can go to any doctor in and out of network without a doctor referral I have zero specialist 0 doctor copay if I go to the emergency room I' pay 0 if I am admitted into any Hospital I pay zero my drugs are 3.50 prescription
I have not had to pay any medication co-pays since August because at August my prescription drug costs so far was
25.000 bucks I also get free transportation to and from my doctor I get a free pair of diabetic shoes every year now you tell me what Medicare Plan can beat that??? I'll be waiting
@@eugeneallison7457 just don’t get sick or injured
@@LarryKelly whenever I go to the ER I don't have to pay any co-pay and I have spent almost three weeks in the hospital I had zero copay I can see any doctor I. Can see any specialist and I do not have a co-pay I do not have to have a doctor referral to see a specialist I haven't had to pay a prescription medication copay since August I won't have to pay another copay in till January I have dental I have vision and if needed hearing aids I don't have a Medicare premium I get up to $375 a year on eyeglasses I get a additional $350 every quarter on over-the-counter medication vitamins and supplements I also can buy expensive medical equipment for free blood pressure monitor shower chairs raised toilet seats $350 worth of product for free the only thing that I have to pay for is when I get my prescriptions filled my prescriptions cost$3.50 each my plan also will cover x-rays blood work CT scans. MRI scans if I need to have a blood transfusion I don't have to pay anything and it don't matter how many bag of blood that I get I don't have to pay for it since I don't have an automobile I get 48 free trip to my doctors every year and every year I get 10 additional trips my plan also covers dental work Dentures it covers oral surgery it also covers a gym membership
Now can your plan beat mine???
I have never had an issue of my Medicare Plan not wanting to cover any medication but yeah you are probably paying about what 200.00 to 300.00 on medigap or several supplements plans
My plan also covers Lasik eye surgery
About the middle of next year I am having weight loss surgery guess how much that's going to cost🤔🤔 I give you a hint
((-------------ZERO--------))
NOW TELL ME WHAT YOU PAY AND WHAT ALL GREAT STUFF YOU GET I guarantee you if everything that I own and it's not much that I own that you don't get anything like the stuff I get
Matthew: I have a Medigap Plan N with you and Original Medicare. I am so thankful I followed your advise and made this decision. About 4 months after being enrolled, I was diagnosed with Colorectal Cancer. Treatments included a surgery (3 days in the hospital) and 12 Chemo treatments with my Oncologist over 8 months. I am currently in surveillance, with CT scans and annual Colonoscopies. If I had no insurance, I estimate the cost of treatment at over $250,000. To date, my out-of-pocket expense has been about $750 plus the cost of premiums. At NO time has anything my doctors have prescribed been evaluated or denied by someone else. And I didn't have to wait on any treatments. I am alive today (and hope to be for years in the future) because of the Medicare coverage I have been given. Thank you, thank you for all your efforts.
Thank you for your comment Bob. It's always good to have a story with a happy ending. It's stories like these that motivate us every day!
God blessed you!😀
This video is very informative and he hits it on the head with the differences between Medicare Advantage and Medicare Supplement plans. It's also about having the client in mind and their specific needs and determining what's the best coverage for their medical needs and budget as well. Both plans have their Advantages and Disadvantages; it just depends on what works best for the client and their present health. Some clients maybe more healthy and a Medicare Advantage plan maybe best for them and don't need to use it as much or some clients may not be as healthy and go to the doctor more frequently and a Medicare Supplement plan maybe better because it covers more with less out of the pocket expenses. I'm licensed in NY, TX and 32 other states and anyone needing help choosing the right plan or has any questions about Medicare Supplement and Medicare Advantage plans can call me directly at 929-352-6044. I can send you brochures, documents, forms and other materials and go over all the information with you and there's no cost. Also if clients can't afford Medicare premiums maybe eligible take advantage of the Medicare Savings Program that helps cover the Part B premium 100%. Clients also maybe eligible to save up $2,041.20 or more in Medicare cost. The eligibility requirements are: (2022 monthly income limit for a single person is $1,549, married (living together) is $2,080 and the 2022 Total Resource Limit for single person is $8,400 and married (living together) is $12,600). Anyone interested in learning more and would like to know if they're eligible can give me a call. I'm here to help.
My original seems to be the same as a Type N plan. The prescription plans stinks though !! They all are crap. You can be on a medication for years and they will suddenly no longer cover it.
May God continually bless your health. Were any of your out of pocket expenses for excess charges?
I'm trying to decide between the High deductible G plan and the N plan.
Thank you. :)
Hi Matthew! I am on the cusp (literally, I have 2 weeks left to decide about plans) of getting on Medicare. I have been tortured with this for months now, not understanding any of it totally, even with extensive researching on my own. I do not have anyone with whom I could speak to about a decision, so I am very grateful that you just explained the critical differences between an Advantage plan and a Supplement plan. I can now make an informed decision without ending up as one of the medical system casualties you spoke of! I was actually in tears (of relief) watching this video.
My 24 year old son has already had 2 Cancer surgeries, and I really do not want to add to my family's future medical worries any more than necessary. Thank you SO much again! God Bless people like you.
Thank you Mr Glassen for your very articulate description of the description and benefits of the supplemental plans instead of having one of the PPO or HMO disAdvantage plans. I am a retired surgeon and I thought that dealing with patients on Medicare as well as Insurance Companies, I thought I knew something about Medicare. Now I find I knew nothing about the coverage or lack of it that my patients were going thru when dealing with Medicare. I knew nothing about Supplements to Medicare until I heard about your blog. I like to subscribe to your Page and thank you for your information.
With cost of living going up I was thinking of changing to an advantage plan....but no way now after listening to you. Thanks so much
Hi Carol. Advantage plans are not a lower cost alternative to supplements. They simply defer the the major costs to when you are sick or injured. Even more, the maximum out-of-pocket costs have increased again for 2023. Staying with a supplement is probably a good idea. However, supplement prices are all over the board. There is often close to a 300% difference from the best priced company to the highest. It's possible we can save you money with your supplement. Feel free to call us at 800-847-9680 or use this form and just let us know which supplement and insurance company you have now. medigapseminars.org/request-a-quote/ We will respond by email first. No pressure.
Thank you, Matthew. Until I watched this podcast, I had no idea that my Aetna Medicare Premier Advantra PPO was actually provided by a privately owned company. Now it makes sense why I was suddenly being encouraged to change my pharmacy to CVS. My local CVS employees are great, but I was a happy, dedicated Walgreens customer for decades. Of more significance is the frightening information about the proven interference in health care delivery from doctors to patients based on the Inspector General's published three-year study. I realize that you earn a living as an insurance agent, but you are earning an honorable living by spreading truth and educating consumers like me. Thank you.
There is a lot more money made selling Medicare Advantage Plans that Medicare supplements, by a wide margin. I set myself and my company up as a true independent, able to offer anything the customer needs. That way we can represent the clients best interest. It's what i call good business
Drop them! Get medicare!
@@MedigapSeminars I discovered this listening to some other videos here on TH-cam. I decided to switch to original Medicare and got both a Part D and Part G (I was approved for both). I am so thankful that I watched these videos (and I'm impressed by yours as well).
@@jleechadwick how much are the premiums though?
Great! I've had traditional Medicare with supplement N for over ten years and was considering an Advantage plan. . . . until I viewed your video. There are many TH-cam sites on Medicare but your's is the only one I've found that provides real detail about what is best and why. Most are just overviews of programs. Your insight saved me from a major mistake, thank you.
you are very welcome!
Thank you for confirming the decision I wanted to make. I have filled out the form to get information from your company and look forward to the reply.
You literally saved Our Lives. We were on the verge of going with an Advantage plan. We are eternally grateful.
you are welcome
Me too! I am deciding for my mom and just have one day left. I am so glad I watched this video! I will be contacting your company right away to make sure I'm making the right choices for her.
Thank you sooooo much! This video was very clear and easy to understand. No advantage plan for me.
Robert Kaufman
Plus, your commission for putting someone on a Part C advantage plan is about 3 times that of a Med Supp. There's a reason for that.
For the first time after being on Medicare and supplement plans, I fully understood these plans. THANKS A MILLION. This helped me a lot. I am going to continue keeping my current plan.
I had back surgery a few years back, I had an LT Gage titanium put in my lower lumbar and thank God I had Original Medicare and a Supplement plan. The bill for the Hospital, therapy, surgery Doctors etc. was around $160 thousand. My portion was -0-.
I can say your Prior authorization critique is spot on. Radiation oncology staff member.
Sad and frustrating. But people need to know before making a decision about their insurance.
I was thinking about switching my plan G to an advantage plan. After listening to this video...NO WAY! Now I just need to consider switching to a cheaper supplement. Thank you so much for your videos. You are a natural born teacher and doing a great service for senior citizens. God bless you!
The choice that has the biggest impact on price is the insurance company, not the plan. You can have a Plan N with the wrong insurance company and pay more than the Plan G with the right insurance company. 800-847-9680
I think the big question is for each person is what you may need in coverage/deductibles, and how much you can afford monthly. I understand plan prices increase as you age. So in x years you might end up paying a few hundred more a month. Not affordable to me. So depends on the supplement company, the plan, your age perhaps. Plan choice may based on individual needs not just medicare versus MA.
And supplement prices, terms can change over time. Might be great today but who knows in x years.
Excellent information. My suggestion, respectfully, when comparing prices, you did not clearly explain that Supplements “Do Not” include prescriptions and will require an additional PD plan. Which is not a big premium but it is additional monthly dollars. Supplemental plans are Superior if the Senior can handle the monthly premiums. I’ve worked with some seniors who live social security “paycheck to paycheck” and while there are government programs that help assist, they have to decide premiums or food/medication.
I love Medicare. I love our country. I love our Seniors. I pray for affordable, excellent medical care plans for ALL.
In the meantime, explaining the Medicare plans as you do, is exemplar!!!! You are my hero 👏👏👏
The great advantage to having a Stand-Alone Part D plan, rather than bundled with an Advantage plan, is that the consumer can change Part D Plans annually without any impact on their healthcare. With an Advantage Plan, a person can be left having to choose between the healthcare they want, the doctors they want to see, and low Part D costs. Too often, the best of all three is not in one plan. By the way, when comparing PartD plans it's not the premium that is important, it's the total cost of premium plus prescriptions.
Yeah, but do you get decent coverage under a PD plan. The regular one is as crappy as a MOA is for their services. I have lost count how may time I have to pay for a medication because it is not covered. I had a doctor write 3 different prescriptions just so I could test each one to see which gets denied. The one that was approved was one that was previous denied a year before. The difference was $3 vs $200 and they only paid another $8 or something.
Sure wish I had this info a couple years ago. Now, as I fight to get a referral to a cardiologist with my HMO Advantage Plan its very upsetting. I still test out healthy at (just) 76, hoping nothing major happens before I try getting a supplement. Thank you so much for putting out this info.a year ago!
You are welcome. I hope the best for you. If you can't get a referral ASAP, at least change to a PPO plan where you can go to a Cardiologist without a referral. A few years ago a gentleman told me his tale of not getting a referral no matter how hard he tried. when he finally did, the specialist told him he needed a kidney. Then he want back to the Primary Care Dr (PCP) who told him straight up he would not allow that to happen. HMO PCPs are bonused to keep you from getting specialty care.
Matthew, I watched many the videos you have made and am very happy with the supplement plan your team helped me with when I retired earlier this year. I no longer worry about coverage and the choices I have that the plan allows. Most of my friends opted for advantage plans and they have no clue of the shortcomings that their plans have so I forward your videos so they can be educated like I am now from your complete and easy to understand videos. Thank you again!
Michael
You are very welcome!
I agree completely! I'm so glad I requested a quote for my wife recently, and that you reached out to us personally and debunked some of the inaccurate info we had already received from a retiree trust that we were planning to use. I'm very happy with the supplement plan that you and your staff helped us choose, and I'm looking forward to doing it again when I turn 65 next year. Thanks Matthew!
@@kellyx57 Thank you.
I’ve been up listening to your videos! They were a God send. God bless you sir! Thank you…..
Thank you so much for this comparison!!! About 5 yrs ago I had to make a decision which way to go when my husband became disabled and became eligible for S.S. Disability. I researched Medicare extensively and decided to go with Original Medicare with a Plan C because of all his health problems and doctor visits, before it was eventually phased out. When he turned 65, I changed over to Plan G as well as for myself and so glad I did. Thanks sgain
This video is very informative and he hits it on the head with the differences between Medicare Advantage and Medicare Supplement plans. It's also about having the client in mind and their specific needs and determining what's the best coverage for their medical needs and budget as well. Both plans have their Advantages and Disadvantages; it just depends on what works best for the client and their present health. Some clients maybe more healthy and a Medicare Advantage plan maybe best for them and don't need to use it as much or some clients may not be as healthy and go to the doctor more frequently and a Medicare Supplement plan maybe better because it covers more with less out of the pocket expenses. I'm licensed in NY, TX and 32 other states and anyone needing help choosing the right plan or has any questions about Medicare Supplement and Medicare Advantage plans can call me directly at 929-352-6044. I can send you brochures, documents, forms and other materials and go over all the information with you and there's no cost. Also if clients can't afford Medicare premiums maybe eligible take advantage of the Medicare Savings Program that helps cover the Part B premium 100%. Clients also maybe eligible to save up $2,041.20 or more in Medicare cost. The eligibility requirements are: (2022 monthly income limit for a single person is $1,549, married (living together) is $2,080 and the 2022 Total Resource Limit for single person is $8,400 and married (living together) is $12,600). Anyone interested in learning more and would like to know if they're eligible can give me a call. I'm here to help.
I’m getting ready to enroll in Medicare at 69. Started the video with a previous conclusion that the smart choice was Medicare Advantage. After watching this video, I’m trying to figure out how I could have been so wrong. Thanks for setting me straight.
There is lots of $ in Advantage plans, as a result much of the information you receive from insurance companies steer consumers to those plans.
In this video, be sure to view the Medicare Advantage Plans cons. The discussion starts at 15:30
If you listen carefully, you will come to realize that Medicare Advantage has a serious disadvantage.
so true
Thank you; solid info! I chose an advantage plan to save $70/mth. I have free VA, so didn't even want to go on Medicare and pay a premium. I had Tri-Care Prime as a back up to VA, but when I turned 65 they cancelled that, and once I signed up for Part B, I got Tri-Care for Life. I think I'll CanX the Advantage plan while I'm still healthy.
Thank you SO MUCH for this thorough video! You're the first person who's been able to crystallize for me the difference between Supplemental and Advantage plans and wow is it huge and important! THANK YOU and God bless you.
You are welcome.
Medicare (DIS)advantage Plans
My name is Gilbert I live in New York City I'm 65 years old and I have medical advantage plan. I learned that about the medicalAdvantage that control of your health so I have decided to go for the. medicaid surplus in which I have control of my health I really appreciate your honestly and I learned a lot I am planning to call you on Monday to to discuss this plan again thank you
Hi Gilbert, yes you call my office at 800-847-9680. Or, use this form and we can respond with quotes. Either way, request a time to meet. medigapseminars.org/quotes/medigap-quote-request/
Extremely informative! I was just pushed , over the phone , for an Advantage plan. I”m glad I did more research.
Matthew, I have been so spoiled for many years with excellent medical coverage. Now I am retired and just took it for granted that my retirement plan which uses BC/BS Advantage would be just as good and the fact that there is no cost to me for the plan. made it sound wonderful. So far, it has been good to my husband and I with very low prescription costs and Doctor visits. However, after listening to your presentation I intend to look further into the plan and certainly will consider changing to one of the Medicare Supplement plans. I absolutely HATE the thought of an Insurance company denying a treatment plan that my Doctor deems necessary. Thank you for the lesson and shame on me for not looking into this before I retired.
You are welcome Gracine. You can view some of my other videos on Medicare here #MedigapSeminars
Is there a way that we could get rules or legislation that people have to be told the truth about the differences between Medicare Advantage plans vs original Medicare combined with a Supplemental Plan? Who would be responsible for setting rules? Which branch of government would handle something like that?
@@jleechadwick My thoughts exactly and help with the payment for the supplement plans. They are great as Matthew mentioned, but very expensive, especially for someone on a fixed income!
I am so grateful for your instruction on these videos. Your coverage and detail is so important to those who are entering into the Medicare phase of life. Much appreciation!
Thanks so much for the very informative video. It certainly did clear up some very confusing issues, that I've encountered. As I saw in another comment, many people at Medicare are not well trained. I will go with the original Medicare, but now I have to reach out to our Representatives and ask for help with paying for the plan. I certainly can't afford $350 a month, while living on SS only!
Back when I retired I found selecting a MediCare insurance plan the most complex and confusing project I had ever undertaken! I spent endless hours reading all the info and most often felt that the more I studied the less I understood. Finally in desperation I opted to receive counciling from a volunteer organization. Imagine my horror when the councilor told me that I already knew more than he did about Medicare options! I finally sought help from a Medicare broker like yourself who heartily recommended that my wife and I opt for a Medicare Advantage plan. At that time I suffered from Type 1 diabetes, Rheumatoid Arthritis, Hypothyroidism and several other chronic illnesses. Watching your video today made painfully clear that I was given bad advice and clearly as I am currently 76 years old my future does not look bright on an Advantage plan! Up until now I thought that at the beginning of every year you could switch the type of plan you were on. From what you say in this video given my various ailments I am now stuck forever in my Advantage plan and it will probably cost me a fortune. Is there any way whatever for me to switch over to a traditional Medicare plan? Also my wife is in good health at age 75 should she switch from her Advantage plan before it's too late? Thank you for your wonderful , highly detailed videos…I just wish I'd known about them when I first signed up for Medicare.
Anytime the government is involved it’s going to be expensive, complicated, time-wasting, and frustrating. Wish they’d never taken over medicine, education, money and anything else.
@@annlong1426 I would amend your statement, any time any large, basically unaccountable organization wants to pull a fast one things get "complicated!" It's helpful to keep in mind that "Advantage" programs are the insurance industry's effort to "attract" those enrolled in the government Medicare insurance over into the "private" corporate world. You can bet your bottom dollar that the legislative process allowing Advantage programs was completely controlled by corporate lobbyists. One big tell is the outrageous commissions given to "independent" insurance brokers who facilitate the move from Medicare to Advantage health coverage. Back when I signed up with an Advantage program I was horrified to discover that the broker who spent 15 minutes signing me up got paid $300 by the taxpayer for stealing one of their policy holders. Imagine how I felt after watching this video that makes clear the fact that the broker continues to get that $300 commission every year for 6 years for doing nothing! The first time I ran into insurance difficulties I called the broker only to be told that he had nothing further to do with it and I needed to contact the insurance company directly!
Pp
Call your state's Medicare office. In some states maybe you can switch, at least to the G plan. A guaranteed issue plan. 💖
Best and direct video I’ve seen. Thank you.
Thanks for being one of the honest brokers. It seems that most are pushing the Advantage plans for their own benefit. From the literature and the Medicare web sites they tend to recommend the Advantage plans so eventually they can privatize the the whole program.
The difference in commissions paid over the plan lifetime are shocking. That's why so many agents lean Medicare Advantage
@@MedigapSeminars One of videos at another channel I was watching a few days ago, they point out that they can make a lot more money selling Medicare Advantage plans than supplements. I am really glad that I started watching videos. I have learned a lot. I decided that I was not going with a Medicare Advantage plan this time. I have gotten both Plan G and Plan D for this next year, and I can't imagine going back to a Medicare Advantage Plan. I think that they should be required to tell the truth about Medicare Advantage Plans. Thank goodness there are people like you and some of the other channels that discuss this that are honest and tell the truth about them.
I work for a small rural hospital. We just love to have Traditional Medicare patients come to us because of the ease of care. No need to get preauth for treatments. We just hate to see Medicare Advantage plans, it is more costly to the hospital and more overhead to hire employees to get preauth for treatments. The fault is in the insurance company reps that talk them into "MCO's are a lot cheaper"..... it is refreshing to find your videos about the differences. Thank you for all your research on this.
Matthew once again you really show TRUE GRIT. As a Medicare Insurance Agent you are a real role model and a leader for the truth. Thank you for your honesty & courage for telling us like it truly is. Question for you sir, you had stated 50% of men over 65 will get cancer & 30% of women
over 65 will get cancer in there lifetime, can you please share with me your source for that info, I believe that is important information that should be shared with beneficiaries.. Thank You Frank..
The source is the National Cancer Institute
1National Cancer Institute, Cancer Statistics 2018, www.cancer.gov/
about-cancer/understanding/statistics 2
A Global Public Health Challenge,
American Association for Cancer Research, 2019, cancerprogressreport.
org/PublishingImages/CPR19/1901016_EXE_19CPR_Sidebars_2.jpg 3
”Cancer puts
many patients into bankruptcy,” CNBC, 2019, www.cnbc.com/2019/11/24/
cancer-puts-many-patients-into-bankruptcy-advisors-are-trying-to-help.html7
✝
Plans and benefits may vary by state.
Extremely informative! Thank you very much for making this video
Another great video, I have watched so many and have learned so much. I contacted Medigap Seminars and received my first quote this fall. I made a phone appointment with Vondrea and she was so helpful. Because I had watched so many videos I felt like an informed consumer. Vondrea answered my questions and helped me through the process. I said "are you going to be my girl, the one I ask for to answer my questions?" She said yes and I have been very happy to have her support and knowledge throughout the process. Matthew you do a great job with your videos and Vondrea is excellent at explaining and helping people like me through the process! I have plan N and I am very happy with it. I would highly recommend Medigap Seminars to anyone that is contemplating medicare coverage.
Thank you Richard. I really appreciate your taking the time to write such a kind comment.
In my area it is nearly impossible to find a doctor who is accepting new Medicare patients, with or without supplemental insurance. There are doctors taking new patients in the advantage group ppo offered by biggest hospital group in the states.
Thank you for admitting, in the first minutes of your lecture, that you're paid by insurance companies. This allows me t skip the video entirely and save valuable time. I wish more advisors on this subject were as honest. :)
You don't get it
Thanks for sharing this information .Prior to my retirement 2 years ago I was an RN in an acute hospital.It was a nightmare sometimes getting approval from an Advantage Plan office for most things,patients would get upset as they had no clue this might happen.
Hi Margaret. I understand. My wife was director of billing and Medicare analyst for a local medical center. The stories she has to tell were heartbreaking. Yes, the lack of transparency within the Medicare industry is harmful to consumers.
I am feeling almost sick about not understanding enough about the Advantage plan I was signed up for just yesterday. I didn't know about all of these negative issues. I was signed up for a Blue Cross plan. I am going to call the county agency on aging and try to get in for another appointment to change to the medicgap plan. Advantage sounded good when she was showing me the paper work and talking about it, but now it seems scary and awful. Thank you for this heads up. I hope I can get this fixed.
You could just call us. That's what we do and we are better at it than your local agency on aging. Have you seen this? oig.hhs.gov/newsroom/videos/medicare-advantage-denials-of-care/ We can fix it for you and will not cost you a dime. 800-847-9680
Great video explanations. We have great agent but still did not fully understand, even though she steered us to the Supplemental. I hardly ever get a bill and hit our deductibles fairly early in the year. Recovery from full knee replacement as i write and still no bills or hassles.
A big question maybe you could answer, we spend 5-6 months in mexico. Why does medicare advantsge cover things down ghere bug regular mecicare with supplemental does not. It is definitely a worry for us to have some sort of catastolhic insurance
If you have the right supplement it will have a $50,000 of emergency care when traveling out of the country. there are, get this, 3998 different Medicare advantage plans for 2023. Of those only a handful has any international coverage and those that do are limited to urgent care, emergency care etc. I know of no advantage plan that has full service outside of the US. I have seen some ex-pats make videos say suggesting that the advantage plan has more care but they are absolutely wrong and don’t understand that if an advantage plan finds that you are living outside the US they will simply cancel on you. Then you have nothing
Humana has a ppo advantage plan with a 2200. Out of pocket. I would love to have the medigap but then I don't think I can afford the part d. I will be 65 in October. When should I sign up to have insurance effective 11/1
You should enroll in Medicare as soon as you can during your initial enrollment period (Aug 01) medigapseminars.org/medigap-calculator/ Then, you will get a Medicare number in about 30-days. Once you have a Medicare number, you can apply for your Advantage Plan. Contact us when you have applied for Medicare and we will put you on our schedule: medigapseminars.org/contact-us/
When do you think I should begin to seriously pursue subscribing to Medicare my 65th birthday will be in February 2024. I have existing BLUECROSS&BLUESHIELD PPO as my retirement pkg for medical insurance. I retired 2018 but have worked self employed till last year 2022 where I had an injury that is keeping me from working. I haven't made the claims to social security to get dissability pay yet so I need some guidence to know what I should do next.
I work in a hospital in there billing department. So I understand what you’re explaining. I certainly don’t know everything but even in my early 20s I decided on Medicare and MedIgap.any way I have questions and you explain in detail and so we’ll people understand.many won’t because insurance is complicated. I want to retire by April 23, I sure am glad I found this channel.thank you. I will keep you in mind when I start making calls.
This is so eye opening , I have not realized what a difference between the two types of plans are . Thank you so much for explaining this .When you see a shine councilor or at least my experience was that they do not explain anything well at all .
RE Shine counselors - often people with good intentions but very, very limited knowledge. They are also not licensed and not liable for their "recommendations".
When making a comparison also include ppo plans and the difference
06:25 PPO Misconceptions I did. PPO plans are Medicare Advantage Plans. There is nothing special about them except the misconceptions I discuss at the 6 min 25 sec mark. Did you have any questions about PPOs?
Mathew, Just perfect explanation, with clarity and to the point. Your presentation is so easy to understand for any lay person like me. It really helped me make a confident decision to go for the Medicare Supplement. I am sure your videos must have helped so so many people to right path in this maze of complicated Medicare details. I thank you.
Thank you so much for bringing the major differences between original medicare and supplement plans to medicare advantage plans. Brings a lot of facts to light. I
Once you are in medicare system with say plan N ,down the road can you switch to Plan F or it will depend on your health at the time ?
Switching to or between Medicare supplement plans almost always requires a person to qualify medically. Some states have exceptions, with limits.
excellent advice about later in life, a person should seroiusly consider changing from advantage to supplement. I did at 80 and it has been a big money saver for me. I'm 83 and recently had a gall bladder operation and a few other problems. I have plan N and pay about $200 monthly premium.
I have learned that the friends/family I have who are on Advantage plans were not given any information by their insurance rep. about a supplemental. I consulted with several so-called experts and they quit returning my calls when I said I was interested in a supplement. Finally, found someone who actually put my needs first and not the insurance companies. Anyway, I have a HD plan F through BCBS and couldn't be happier. My premium is only $70/mo., plus a small amount for part D.
Hate to burst your bubble, but I will bet we can lower your HD premium substantially. Nowhere in the country is BCBS competitive compared to the companies I recommend.
I am on regular medicare and it still took months to get a reference, in the meantime, I went to urgent care several times and got the wrong treatment each time. Once I got to a proper doctor it was treated in weeks.
What are the costs of the medical p!ans plans
Medigap and other plan costs vary wildly from state to state and company to company. Use this for and we will email you prices for your area - no cost or obligation: medigapseminars.org/request-a-quote/
Generally speaking, what would you suggest for a type 2 diabetes 64 year old.. who turns 65 in mid 2024
A supplement. Either N or G depending on your budget.
VERY helpful. "Medicare Advantage" is a misnomer! One thing, though: You did not explicitly state, though I believe it reasonable to deduce, that you must qualify medically for Medicare supplemental insurance. When/how does this happen? Apply first, and then be given an exam? Have the exam first, then apply IF you qualify? What sorts of medical problems will keep someone from being approved.? If someone has osteo- and psoriatic arthritis, and osteopenia, is that automatically disqualifying?
When you first enroll in Part B you have 180-days / 6-months to choose a supplement with no health questions asked. After that period, you may need to qualify medically to get a supplement. Depends on your state. There is no medical exam. None of the conditions you mentioned are automatically disqualifying.
I like to know how anyone can go back to supplement plan when you are diagnosed with a prostrate cancer ?
I have a gentleman coming to speak with me in a couple of weeks. Is there a difference between Humana and Medicare supplement? I have just read that Humana also offers a supplement. Currently I have a Medicare supplement plan. Thank you this gets all so confusing
Hi PJ A couple points - 1. Humana is an insurance company. They offer both supplement and Advantage Plans. About 85% of Human's business is Advantage Plans and Part D. 2. If an agent is coming to your house there are several things this tells me. If they can afford that much time this time of year (Driving time etc) they do not do a lot of business and likely work from home. They will also very likely try to sell you an Advantage Plan. The commissions are much higher. 3. There is an easy solution to make sure you make an informed decision and don't waste time sitting through a sales presentation...use this form medigapseminars.org/contact-us/ and tell us which supplement you have and which company. If there are better options, we will let you know. Free.
Don't trust plans with advantage. My husband and I had this. Each visit to a specialist ... ($ 40 in the brochure), but in fact, no more than $ 90. This means that the cardiologist did a cardiogram - $ 90, the ENT doctor looked at the ear_ $ 90, for CT $ 235, for the hospital the first 5-5 days at $ 375 per day
Unfortunately, most agents that focus on Medicare Advantage plans never really understand their product, and thus misguide the consumer. Others intentionally gloss over the fine points.
Matthew, your videos are wonderful and eye-opening. I had no idea that Medicare Advantage plans took away the power from your doctor to prescribe care. I am looking forward to receiving a quote from you and discussing my options as I am turning 65 this year.
Thank you for such a kind comment.
how do I get off my advantage plan on to original medicare and a supplemental plan?
The first step is to apply for a Medicare supplement to see if you qualify. You have two periods of time that you can get out a Medicare Advantage Plan- form Jan 01 to March 31, then from October 15 thru Dec 07 for a Jan 01 transition. Call us at 800-847-9680
Suggestion for future topic... A couple states allow residents to change their healthcare insurance once a year during a SEP. In New York State it is through the EPIC Program and as I understand it you can change from Advantage to MediGap and vice versa with no penalty or underwriting. I think CA may be the other state. Can you confirm and maybe cover this in a brief video? Specific information is hard to come by and not mentioned elsewhere.
I do have a video specific to New York & CT th-cam.com/video/74K4cZIJpb8/w-d-xo.html When people request a price quote I include information on their state special rules, if any.
My thanks for just about the best explanation of the differences yet. Clear, concise and easy to listen to with no "histrionics". Finally, I have the ammunition to fight my wife's leanings toward the "advantage plan?" The part about future qualification is not well known and the fact the insurance company has total control over my health is completely unacceptable. Thanks again!
Both the 2018 and 2022 Inspector General (IG) Reports on Advantage Plans are linked on this page: medigapseminars.org/resources/
Extremely helpful video, very clear, very well organized with documentation to prove your assertions. The part I found most helpful was that advantage plans could actually deny the patient necessary treatment or hold it up for up for several days. Thank you very much for making this video.
I am strongly suspecting a lady I knew died for that reason, she was denied a medication.
Thank you very much for this information, I sure understand now the difference between Supplement vs Advantage plans; you made it so simple. I need to call you.
As an Medicare insurance broker, we sell both plans n get paid by insurance companies. I always use accounting terms “fixed cost n variable cost” to compare medicare supplement vs MAPD. Medicare supplement plan F, G, N, high deductible F & G are all good, and all have monthly PREMIUM as well. Also, seniors require to have a Rx plan to fill government requirement.
this was very eye opening and informative. these supplement plans get VERY confusing to most people - myself included- so I really appreciate the clarity of the info you presented. thank you. PS: ( I have PLAN G) I just had a hip replacement surgery and my max out of pocket was $233.00 deductible for Part B since I went to outpatient same day surgery center no hospital deductible was applicable. All PT visits were covered.
Mr. Clausen, you didn't mention the Medigap Plan F, not the high dectible F. But the F, which I have, can you explain that plan in your next videos, I throughly enjoyed these videos, and the ppls I have talked to @ Medicare, outside of a few, have no clue, I know more than they do!! Thank You Paula A. Blissett..
Love love love this information! Even without knowing it previously, I always felt there was something fishy going on. They call me constantly wanting to "help" me set up a doctor's appointment for a wellness screening. I am a very blessed, active, healthy 68 yo female. Im not on any medication and get really mad that they won't leave me alone!
Well, anyway, here's my question: When I was planning for a total knee replacement in 2019, I was on plain old Medicare A and B. I was advised by a friend to get on an Advantage plan to greatly reduce my out of pocket cost for the surgery. I made many calls to Medicare to confirm this information.The amount they told me I would be responsible for was thousands. Two different reps, two different calls at different times. I then spoke with the Advantage plan people and was assured that I would only be responsible for $275 after meeting my deductible ($250 I think?). So, I took the Advantage plan, which I still have, and yes indeed, that was all I had to pay. Lock, stock, and barrel. I believe what you're saying but, in my case, why was the Advantage plan a decided "advantage"?
One disadvantage of Medicare Advantage is they are for "in network" so since we winter in one state, summer in another state Medicare Supplement was better for us....
Thank you. I have a plan N but was thinking of changing to an advantage plan but after listening to youI will keep my Plan N
Have been trying to research advantage plans and this helped
I just found your channel I am 56 and disabled on Medicare and have a PPO wow this explains why my out of pocket is so high😳
This information just reconfirmed what I had been reading from several sources, except you explained it much better. I've had friends tell me since I'm in good health I should go with Medicare Advantage, which is what many of them have. I'm so glad I chose plan G last year and plan to stay with it.
I am glad you made the extra effort to research for yourself. It will pay off big over the long-run.
Excellent presentation of exactly the information I was searching for. Subscribed
Thank you so much for your great explanation of Supp vs Advantage. Although I’ve watched many very good vids by others, you did the best job at providing the reasons and examples. Thank you!!!!
excellent video. I chose Medicare Supplemental plan G this year when I signed up. By far, this is the best choice for those who can afford the extra premium compared to an Advantage plan. I know several people who have switched to a supplemental plan after paying huge deductibles in their advantage plan.
Do seniors receive the cost amount of Part B returned to their social security checks when a Medicare Advantage Plan takes over Medicare
Parts A & B?
No - you must still pay your Part B premium no matter what else you do with your Medicare
Premium differences between medigap and advantage plans can influence seniors as to which plan to pursue. Do you have a video on that aspect of comparisons?
Thank you. Very important information. I would recommend this video to anyone who needs to enroll in a Medicare Supplement Plan and is considering a Medicare Advantage plan. The lure of low or no premium on a Medicare Advantage Plan is attractive but heart breaking when you find out you are not covered or needed care isn't approved or your share is very costly. I pay a higher premium so my doctor and I can determine what care or treatment I need.
Thank you for clearing up the misconception of PPO plans vs Medigap plans. I'm a new agent to the industry and I do a lot of research educating myself on the industry so I can make a unbiased decision on what to recommend to my clients. There is huge push from a lot agency that heavily promote MA plans for everyone!! And there response for constantly recommending them is the EXTRA BENEFITS!!! It drives me crazy because it's not all about the benefits!! I wanna know if MY clients get really sick will the insurance cover them??? To hell with the benefits if they can't get the best care possible. If ppl really access the actual value of the benefits the only thing that is worth the money is possible dental coverage bc it's the most expensive out of vision dental and maybe hearing(not familiar with the actual cost of hearing) I totally agree if a person can keep original Medicare and supplement with something else than go that route. If you just can't afford it or your health doesn't allow than my final recommendation would be a MA plan.
I appreciate your explaining Medicare and supplemental insurance. I can understand it perfectly and know what to ask for; when I sign up.
Thank you. Just to be clear, you enroll in Original Medicare through Social Security (ssa.gov/medicare). You enroll in a supplement or advantage plan or Part D though a company like Medigap Seminars. medigapseminars.org/contact-us/
I appreciate what I learned from this video. I particularly find value in your emphasis on "Don't make your decision solely on the fact that you are healthy today because as we age that most likely will change."..…and can change in the blink of an eye !!!
I find Original Medicare very important & perhaps is being thrown away all to often & too easily.....as with anything if it sounds too good to be true most likely it is too good to be true !!!
Don't be pound wise and penny foolish ! A sound health care plan is as important as Good Health !!!
Excellent advice - chose a plan based on what plan would you want when you are sick.
Thank you for all the information I’ve never had an advantage plan because I’ve never heard anything really positive about them and I never will have one all I wanna do is get a better plan that I already have through Medicare I want the end plan which I haven’t listen to your video on yet that’s coming up after I finish this one and it airs. Again thank you for putting these out either reinforced every thing I’ve thought about the advantage plan which is nothing good! Cheers
I didn't realize how wrong an advantage plan is. Thank God I found your video. Now I will be sure to stay away from all advantage plans.
Best video I’ve ever seen for seniors! Don’t get manage care.
Thank you so much! This really clarified the difference between the Advantage Plan and Supplements. Is there a video on how old or rather when do i have to enroll in Medicare?
Yes, th-cam.com/video/PTPrifNpU5A/w-d-xo.html Of course, the easy way to find my 50+ videos it to subscribe to the channel.
Do insurance agents get more money for placing a person with Medicare Advantage than with Medigap?
Most agents seem to really push Medicare Advantage
There should be laws regarding whether or not a doctor can refuse you based on your insurance. When I moved to a new state with my plan F as I was grandfathered in when it was discontinued. I called numerous offices and was told that they were only taking Medicare Advantage patients. I finally did find a wonderful doctors office that takes my medigap plan and also a P.T. It was difficult but it can be done. I have recently heard that if you see a doctor who is a part of one of the “for profit” corporations you are now in danger if you have medigap. If this “company” decides to go fully into medicare advantage - you will be automatically forced to go with it or find a doctor who will take you. Can you address this issue? Thanks
I've been on Medicare like 5yrs only because I didn't understand the whole thing. Then because I stupidly filled out something online, got hounded daily & repeatedly for months by companies trying to sell me Medicare Advantage. They pissed me off so didn't want to deal with it. Now you're telling us about Medicare supplement/medigap (had no idea), & G, N, HD plans? Someone mentioned an F plan? Wth, never heard of these. (I was an RN 20yrs.) Medicare has sent me huge books every year, but never opened. Maybe they are explained in them. :/ I need to watch this in the am when I'm awake. Thanks ahead of time for breaking this stuff down for us.
What subject should I approach for my next video?
Matthew, you have covered pretty much all the basics about Advantage vs Supplement plans as well as Part D for prescriptions. I don't know if you have any insight or suggestions in the area of vision and dental supplements not included in the basic plans. The plans I have seen cover the basics but significant dental work remains only partially covered and the annual limits are not all that high. I figured that saving the $500-600 annual premiums for mostly just 6 month checkups and cleanings is worth the risk unless I knew that I would need some expensive work done in the future.
Matthew, your videos are very well done and you have covered all the details on the various Supplements, Part D prescription plans and Medicare Advantage plans. What I think would be helpful is a specific video on how to avoid being misled by deceptive TV advertising and misleading, inaccurate or incomplete information that some agents give to prospective clients about Medicare Advantage plans. Too often, people make a decision that is not in their best interest, simply because they are not well enough informed about the tactics some agents use to convince them that Medicare Advantage is their best or their only option, without ever explaining in detail, the pitfalls of these plans.
Can you address how providers are supposed to code/document screening breast exams and screening for cervical/vaginal cancer if women do not have their PCP do this during an IPPE/AWV and want their GYN to do this screening? We would like to be able to get the screenings without risking Medicare denying portions of claims, and being held financially responsible for the un-negotiated billing charges.
@@oldschool3696 The best suggestion I have is to read the ABN form they ask you to sign before the procedure. See my video on how to Avoid Surprise Medicare Bills #MedigapSeminars
@@oldschool3696 th-cam.com/video/wlUzeBBoIgg/w-d-xo.html
Then is better tu estey oriented Medicare, a end part b ?
stellar, took me along time to figure out and fortunately I choose plan g over the free advantage plan insurance. I did not have help like this video. I now share this video with all me friends on Medicare.
I find this very useful. This healthcare question for retirement is my biggest concern. I see numerous specialists, take lots of meds, and periodically need procedures. This is not likely to change. It also seems quite difficult to get unbiased assistance locally on how to navigate the choices.
Hi Michael. This is what we do. We represent your best interest and help you make an informed decision. Best of all, when you make your choice, you don't pay us. The insurance company you choose will do that. medigapseminars.org/request-a-quote/ I am confident we can help you.
Excellent, Clear Presentation. Thank you.
Question please. From experienced and the best doctors and specialists perspective, does the best doctor or specialist prefers “supplement” vs “advantage”. It does make a difference for me to make a decision over choosing between “supplement” vs “advantage”. Looking forward to your reply. Best regards
The best Medicare in my area is Kaiser's Advantage plan, not just because it saves a huge amount of money, but rather because it is an integrated system where things don't fall through the cracks and the staff are all direct employees so there is no fee-for-service care, nobody is incentivized to perform unnecessary procedures or office visits and a lot of stuff can be handled online. As a retired physician who spent over 40 years in health care, they get my vote.
The best Medicare video I have seen.
I am pressing both the Like button and the Subscribe button.