I’m on Social Security and Medicare. The thing that happens is yes we got a three point whatever percent increase last year but my Medicare part B payment also went up by $60 a month more than my cola so I actually took a $60 a month cut. I literally made best decisions when i started working with an advisor..
I hear you; it's tough when COLA increases barely keep up with rising costs, and with Medicare premiums possibly going up again, it could feel even tighter this year. Having an advisor on your side is a great call-they can help you navigate these changes and make the most of what you’re getting. Here’s hoping for some better adjustments soon!!
Totally agree. A good financial adviser is a game-changer. My portfolio is balanced for all market conditions, and it has returned 120% since early last year. My adviser and I are now working toward hitting a seven-figure goal, which could take another year._
My CFA Julianne Iwersen Niemann, a renowned figure in her line of work. I recommend researching her credentials further. She has many years of experience and is a valuable resource for anyone looking to navigate the financial market.
The limited network she mentions is if you are in a rural area. Here in Fort Worth, Tx, Advantage plans are great, due in part of the vast majority of doctors and hospitals do accept these plans. I am on my third year with Cigna, and am very happy with my plan. Another great point about Advantage plans is the preventative care, you have your primary care doctor and specialist administrating lab work and other tests to ensure your health is as it should be. So you have a care team overlooking your health. 💯🤩
I’m retired 3 years now. A family is approaching retirement age soon. I’ve been watching your videos nonstop so I can walk them through the process. You do an excellent job of dumbing it down. You’re the reason I chose Plan G and love it. They will have to go with an advantage plan due to monthly cost. Your explanation of plan C is clear and understandable. Bravo
We appreciate your honesty in shedding light on the negative part of the advantage plan. Unfortunately my wife was diagnosed with kidney cancer and we came to know how great is the supplemental plan G. We not only save money but what’s important is we were able to choose the best hospital and doctor . No need to priority approval which is decided by someone who represents the interest of the insurance company. Some broker recommended advantage plan because they would make more commission. Not you you’re honest , professional and very knowledgeable. We appreciate your honesty in very much
Beautiful explanation; thank you so much! Why would anyone NOT enroll in traditional Medicare with the added dental and MediGap plans? I'd think the premiums would be fairly reasonable compared to the out-of-pocket and deductible expenses associated with MA plans. I'm old enough to retire, but as long as my employer is willing to pay for this brain, I'll let 'em. Well, at least until I'm 70 and will qualify for the maximum payout....
Super helpful, thank you. All of this is rather complicated, so many decisions to be made. This was very clearly explained .. I'll be looking for more of your videos.
Do brokers push advantage plans because they get a higher commission? Plus, I'm getting tons of mail pushing Advantage plans from different companies. What's in it for them? I don't believe these companies have our best interests in mind, only profits. Tell me I'm wrong.
I am still a couple years away from 65. But the more I am learning about the Advantage plans the more I feel they are not right for me. Primarily since I have homes in Texas and Montana and the Advantage plans seem to be very Geography oriented. And I really need a plan that gets me covered regardless where I am.
Might look at UnitedHealthcare Medicare Advantage plan. They have a national Medicare Advantage network. As to whether or not they cover the areas you will travel to/live, that's where reviewing those areas for coverage helps. We live in NC and travel to VA, FL, SC & GA. UnitedHealthcare covers in the areas we travel. The good news about a Medicare Supplement vs a MedicareAdvantage, a Supplement covers as long as the doctor or hospital accepts Medicare. Go luck with your research.
I think I've nagged you in another video about this, 😄, but the one way to try both types of plans is to start out with a supplement plan, then switch to an Advantage plan for up to a 12-month "trial period", during which you can switch back to your prior supplement plan. And IIRC all without medical underwriting.
Hi there, I want to highlight that you are doing a great job providing this valuable information to the public. I have a question. Does Medicare Card support the heart device implants? Like the ICD's (implantable cardiovascular defibrillator)
I have quite a few retired friends that are leaving their supplements for Medicare Advantage. With all this inflation the cost of everything is just out of control. Paying into Supplement every month, Part B Deductible, dental, vision, hearing and drug plan has become too much. Where they once were quite comfortable with their supplements they are now going to MA. It's just a matter of dollars and cents for those of us on a fixed income. We're tightening our belts on everything now in order to survive. I'm on a Medicare Advantage PPO with a huge network. All of my coverage is good. I also have a hospital indemnity plan. My friends are following suit.
Thanks for the great video.Do you have any news about the deal finalized in the first quarter 2025 between Cigna/Hscs and the effect with the existing Cigna medigap policies holder.
Great video- if I choose Medicare advantage when I turn 65, I thought I could switch back to a supplement plan within 12 months with no reviews? I thought I heard that somewhere.??
I am on original Medicare. I thought that I would not have to get a referral from my family doctor to see any specialist but.... I called a specialist office once and they told me that my PCP would need to send a referral in for me. They also told me that it has nothing to do with Original Medicare's rules that it's their own rules now. So I can't just pick up my phone if I need to see an Orthopedic Dr and make my own appointment, I have to go back to my PCP and have her to send a referral in for me and that's if she wants to. What is going on? I don't understand this
Sorry, but I am confused. If I chose to go with Medicare gov't plan only Part A Hospital is $0.00 otherwise if I add Part B or others it is at least $174 per month out of my social security retirement. So to clarify, I must enroll in Part B in order to chose a Humana plan for $0.00 per month? Thanks, great video.
Sounds like the big negative reason you gave about underwriting to switch back from advantage to a supplemental plan does not apply to those of use with FEHB. Unless I missed something, I would always have the option to change plans during annual open season and go back to traditional medicare plus an FEHB plan for secondary. For a healthy 'young' senior, medicare advantage looks pretty attractive.
Medicare advantage sounds almost exactly like the PPO plans that every company I worked for offer. I have used it for all my working years. So what's new or different? For someone like me who is not on Medicare yet, comparing Medicare advantage with the PPO plans most companies offer makes more sense. Traditional Medicare is too wasteful IMO.
Good idea for a future video. Prior authorization and claims denials are more prevalent (currently) on Advantage plans when compared to commercial medical insurance.
IMHO I'd say that's basically correct. But one advantage of "traditional + supplement" is that, unlike those PPO plans, you'll have access to virtually any doctor, hospital, cancer center, etc. in the country. Of course the reality has a lot of that is not easily accessible, but if there's a very good one in an adjoining state that's not difficult to get to, then you'd have access to it on traditional, whereas it's unlikely to be available through an Advantage plan's network.
Agreed, based on my personal experience. PPO and HMO employer group plans were becoming the standard about 40 years ago. And yes, I've been subject to prior authorizations with that employer insurance. We had deductibles and copays, as well. The employer plan was usually a take-it-or-leave-it proposition, and the employer may decide to switch carriers at any time. Your provider not in the network anymore? Too bad. The one good thing was the employer's substantial premium subsidy. At least there are choices among a number of different Advantage plans in most markets, and for those coming off their subsidized employer plans, Medicare Part B + Part D drug plan + Dental, can result in sticker shock, so it makes Advantage plan choices look pretty good, in comparison to what their employers had been providing.
My mom was denied skilled nursing home coverage after a femur fracture by her FEHB group medicare advantage plan. I naively thought that a plan sponsored advantage plan wouldn't have authorization denials. Her trauma team doctors at the hospital immediately became alarmed as soon as they found out she was on an advantage plan and actually voiced right then and there that there wouldn't be near as much of a fight for coverage if she was on original Medicare! I now know why they were so concerned. @AbtInsuranceAgency
Which plan is better to have a supplement or Medicare advantage plan HMO if you don’t really have a lot of health problems now, but your time your year to not have a questionnaire for health benefits runs out in a few months so which plan would be the better plan a supplement or an advantage plan
This is such a great question, and exactly what we help our client determine every day. The right answer will be specific to each individual. Call us anytime for assistance! 888-465-9728
You didn't mention that Medicare Advantage plans do not work out of state, or even sometimes out of specified zip codes. Emergencies are, by law, covered out of area, but that would mean something like a heart attack or an accident that lands you in the hospital. If you want to consult with a specialist in a nearby state, it's not usually covered! If you travel, especially if it's frequent, this is very risky.
Did you drop a Medigap plan to get advantage for the first time? Or did you enroll in an advance plan less than 1 years ago when first eligible for Medicare?
![Eminem - Fuel (feat. JID) [Official Lyric Video]](http://i.ytimg.com/vi/t5H_CewqpKA/mqdefault.jpg)
I’m on Social Security and Medicare. The thing that happens is yes we got a three point whatever percent increase last year but my Medicare part B payment also went up by $60 a month more than my cola so I actually took a $60 a month cut. I literally made best decisions when i started working with an advisor..
I hear you; it's tough when COLA increases barely keep up with rising costs, and with Medicare premiums possibly going up again, it could feel even tighter this year. Having an advisor on your side is a great call-they can help you navigate these changes and make the most of what you’re getting. Here’s hoping for some better adjustments soon!!
Totally agree. A good financial adviser is a game-changer. My portfolio is balanced for all market conditions, and it has returned 120% since early last year. My adviser and I are now working toward hitting a seven-figure goal, which could take another year._
That sounds interesting! Could you share the details of your adviser? I'm urgently in need of one.
My CFA Julianne Iwersen Niemann, a renowned figure in her line of work. I recommend researching her credentials further. She has many years of experience and is a valuable resource for anyone looking to navigate the financial market.
I just looked her up, and her credentials are impressive! I've already reached out and scheduled a call for some guidance. Thank you!
The limited network she mentions is if you are in a rural area. Here in Fort Worth, Tx, Advantage plans are great, due in part of the vast majority of doctors and hospitals do accept these plans. I am on my third year with Cigna, and am very happy with my plan. Another great point about Advantage plans is the preventative care, you have your primary care doctor and specialist administrating lab work and other tests to ensure your health is as it should be. So you have a care team overlooking your health. 💯🤩
I’m retired 3 years now. A family is approaching retirement age soon. I’ve been watching your videos nonstop so I can walk them through the process. You do an excellent job of dumbing it down. You’re the reason I chose Plan G and love it. They will have to go with an advantage plan due to monthly cost. Your explanation of plan C is clear and understandable. Bravo
@@10Flat thank you!
We appreciate your honesty in shedding light on the negative part of the advantage plan. Unfortunately my wife was diagnosed with kidney cancer and we came to know how great is the supplemental plan G. We not only save money but what’s important is we were able to choose the best hospital and doctor . No need to priority approval which is decided by someone who represents the interest of the insurance company. Some broker recommended advantage plan because they would make more commission. Not you you’re honest , professional and very knowledgeable. We appreciate your honesty in very much
@@sbe8544 thank you!
Beautiful explanation; thank you so much! Why would anyone NOT enroll in traditional Medicare with the added dental and MediGap plans? I'd think the premiums would be fairly reasonable compared to the out-of-pocket and deductible expenses associated with MA plans. I'm old enough to retire, but as long as my employer is willing to pay for this brain, I'll let 'em. Well, at least until I'm 70 and will qualify for the maximum payout....
Your content is always helpful and informative.
A well done, very informative and helpful video that is presented in a way that all people can understand. Thank you.
Glad it was helpful!
@@AbtInsuranceAgency Your videos always are, you're one of the best on YT regarding Medicare supplement plans & Advantage plans, in my opinion.
Excellent summary. Thank You
Glad it was helpful!
Thanks for the valuable information. You answered many of my questions.
Super helpful, thank you. All of this is rather complicated, so many decisions to be made. This was very clearly explained .. I'll be looking for more of your videos.
Do brokers push advantage plans because they get a higher commission? Plus, I'm getting tons of mail pushing Advantage plans from different companies. What's in it for them? I don't believe these companies have our best interests in mind, only profits. Tell me I'm wrong.
I am still a couple years away from 65. But the more I am learning about the Advantage plans the more I feel they are not right for me. Primarily since I have homes in Texas and Montana and the Advantage plans seem to be very Geography oriented. And I really need a plan that gets me covered regardless where I am.
Might look at UnitedHealthcare Medicare Advantage plan. They have a national Medicare Advantage network. As to whether or not they cover the areas you will travel to/live, that's where reviewing those areas for coverage helps.
We live in NC and travel to VA, FL, SC & GA. UnitedHealthcare covers in the areas we travel.
The good news about a Medicare Supplement vs a MedicareAdvantage, a Supplement covers as long as the doctor or hospital accepts Medicare.
Go luck with your research.
Hi beautiful 😍❤️ thanks for the update that's a great information thanks again have a wonderful 👍 night you and your family see you soon
I think I've nagged you in another video about this, 😄, but the one way to try both types of plans is to start out with a supplement plan, then switch to an Advantage plan for up to a 12-month "trial period", during which you can switch back to your prior supplement plan. And IIRC all without medical underwriting.
Very helpful. Thank you.
Glad it was helpful!
Wonderful video - thank you !
Love your videos thank you Stephanie.
Thanks for watching!
Hi there,
I want to highlight that you are doing a great job providing this valuable information to the public.
I have a question.
Does Medicare Card support the heart device implants? Like the ICD's (implantable cardiovascular defibrillator)
Thank you for this video, it's interesting
I have quite a few retired friends that are leaving their supplements for Medicare Advantage. With all this inflation the cost of everything is just out of control. Paying into Supplement every month, Part B Deductible, dental, vision, hearing and drug plan has become too much. Where they once were quite comfortable with their supplements they are now going to MA. It's just a matter of dollars and cents for those of us on a fixed income. We're tightening our belts on everything now in order to survive. I'm on a Medicare Advantage PPO with a huge network. All of my coverage is good. I also have a hospital indemnity plan. My friends are following suit.
Medicare Advantage PPO + hospital indemnity and/or a cancer plan is a great option for many!
We are new to Medicare. Picked part A,B,G,D. Best insurance you can have IMO. Thanks for your help!
Thanks for the great video.Do you have any news about the deal finalized in the first quarter 2025 between Cigna/Hscs and the effect with the existing Cigna medigap policies holder.
Great video- if I choose Medicare advantage when I turn 65, I thought I could switch back to a supplement plan within 12 months with no reviews? I thought I heard that somewhere.??
@@willay747 yes! If you start a Medicare advantage plan when you are first enrolled in parts A and B, this is true!
Thank you, are you licensed in NJ?
Yes!
I am on original Medicare. I thought that I would not have to get a referral from my family doctor to see any specialist but.... I called a specialist office once and they told me that my PCP would need to send a referral in for me. They also told me that it has nothing to do with Original Medicare's rules that it's their own rules now. So I can't just pick up my phone if I need to see an Orthopedic Dr and make my own appointment, I have to go back to my PCP and have her to send a referral in for me and that's if she wants to. What is going on? I don't understand this
Sorry, but I am confused. If I chose to go with Medicare gov't plan only Part A Hospital is $0.00 otherwise if I add Part B or others it is at least $174 per month out of my social security retirement. So to clarify, I must enroll in Part B in order to chose a Humana plan for $0.00 per month? Thanks, great video.
Sounds like the big negative reason you gave about underwriting to switch back from advantage to a supplemental plan does not apply to those of use with FEHB. Unless I missed something, I would always have the option to change plans during annual open season and go back to traditional medicare plus an FEHB plan for secondary. For a healthy 'young' senior, medicare advantage looks pretty attractive.
Just checked out my zipcode options here in tge Bay Area California not one worth my time!Kaiser should be ashamed of themselves!
Medicare advantage sounds almost exactly like the PPO plans that every company I worked for offer. I have used it for all my working years. So what's new or different? For someone like me who is not on Medicare yet, comparing Medicare advantage with the PPO plans most companies offer makes more sense. Traditional Medicare is too wasteful IMO.
Good idea for a future video. Prior authorization and claims denials are more prevalent (currently) on Advantage plans when compared to commercial medical insurance.
IMHO I'd say that's basically correct. But one advantage of "traditional + supplement" is that, unlike those PPO plans, you'll have access to virtually any doctor, hospital, cancer center, etc. in the country. Of course the reality has a lot of that is not easily accessible, but if there's a very good one in an adjoining state that's not difficult to get to, then you'd have access to it on traditional, whereas it's unlikely to be available through an Advantage plan's network.
Agreed, based on my personal experience. PPO and HMO employer group plans were becoming the standard about 40 years ago. And yes, I've been subject to prior authorizations with that employer insurance. We had deductibles and copays, as well. The employer plan was usually a take-it-or-leave-it proposition, and the employer may decide to switch carriers at any time. Your provider not in the network anymore? Too bad. The one good thing was the employer's substantial premium subsidy.
At least there are choices among a number of different Advantage plans in most markets, and for those coming off their subsidized employer plans, Medicare Part B + Part D drug plan + Dental, can result in sticker shock, so it makes Advantage plan choices look pretty good, in comparison to what their employers had been providing.
My mom was denied skilled nursing home coverage after a femur fracture by her FEHB group medicare advantage plan. I naively thought that a plan sponsored advantage plan wouldn't have authorization denials. Her trauma team doctors at the hospital immediately became alarmed as soon as they found out she was on an advantage plan and actually voiced right then and there that there wouldn't be near as much of a fight for coverage if she was on original Medicare! I now know why they were so concerned.
@AbtInsuranceAgency
That’s how I see it too. I had NO IDEA how expensive Medicare was going to be with supplemental, drug and dental premiums added on!
Do you have an office in Iowa?
If Medicare is federally run then why do certain states exempt from medical underwriting should it be uniform across all 50 states?
The Medigap plans are private insurance, so states can set their own rules.
Which plan is better to have a supplement or Medicare advantage plan HMO if you don’t really have a lot of health problems now, but your time your year to not have a questionnaire for health benefits runs out in a few months so which plan would be the better plan a supplement or an advantage plan
This is such a great question, and exactly what we help our client determine every day. The right answer will be specific to each individual. Call us anytime for assistance! 888-465-9728
Are you licensed in Kentucky?
@@maryanncissell5347 yes!
Are you licensed in the state of Iowa ?
Yes!
@@AbtInsuranceAgency Thank you. You folks are great; I've been working with you since last year.
@@NUKE.2024 😁
Advantage plans are great until you develop a serious condition.
Are you licensed in Virginia?
@@ginacline5632 yes!
You didn't mention that Medicare Advantage plans do not work out of state, or even sometimes out of specified zip codes. Emergencies are, by law, covered out of area, but that would mean something like a heart attack or an accident that lands you in the hospital. If you want to consult with a specialist in a nearby state, it's not usually covered! If you travel, especially if it's frequent, this is very risky.
In January will not be a year for my advantage play will I still have to go through underwriting
Did you drop a Medigap plan to get advantage for the first time? Or did you enroll in an advance plan less than 1 years ago when first eligible for Medicare?
We are going to have to go with an Advantage plan because we can't afford a medical plan
Never take Medicare advice from someone half your age.
There is no advantage to advantage care. It’s managed care and boy is it managed .
@@MarshaMarsha885 exactly
Other than cost.... Which is kind of a big thing for many. Just getting your Part D drugs included could save you $600+/ year