Medicare Advantage vs Supplement | Most Get This Wrong

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  • Опубликовано: 29 авг 2024
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    But this is critical, Original Medicare was never meant to be a stand-alone insurance program. It was a huge improvement over what else was available in the mid-1960s, but is nowhere near 100% coverage and provides no limit on the financial risk for the consumer.
    That is why, in 1966 as Medicare was launched, insurance companies introduced the Medicare supplement insurance program. Not the government, insurance companies.
    Original Medicare plus a supplement is full healthcare coverage.
    Now both Medicare and supplement plans have evolved significantly since then. In 1980 the federal government took over oversight of Medicare supplements and in 2010 they were standardized and re-designed to the improved coverage we have today.
    In 1997 the first Medicare Advantage plan was introduced as an HMO, to give consumers a choice between Traditional Medicare or an HMO.
    It was intended to offer the consumer more choices by providing a privatized replacement of Original Medicare Part A and B, and eventually save money for the government.
    That’s the important point that I have been leading to, Medicare Advantage plans are designed to compete with Original Medicare alone.
    They do not compete with Medicare plus a supplement.
    Links for referenced material in this video:
    www.morningsta...
    www.markfarrah...
    www.kff.org/re...
    www.kff.org/me...
    Margins: www.kff.org/re...
    Income: www.kff.org/me...
    #medigapseminars #medicareadvantage #medicaresupplement

Комментарии • 259

  • @MedigapSeminars
    @MedigapSeminars  8 месяцев назад +11

    Thank you for your comments. If you liked this video, click here to subscribe: ruclips.net/user/medigapseminarsorg?_confirmation=1

    • @markcyr7226
      @markcyr7226 6 месяцев назад +1

      I had already picked a supplement plan. This just reinforced my decision.

  • @nnonotnow
    @nnonotnow 3 месяца назад +30

    I've had a Medicare plan and a Medicare supplement plan for about 8 years. And the supplement plan pays whatever Medicare doesn't. Minus whatever deductible you choose. Monthly premium has gone up over the years. In some years I may have paid more for the plan than I got in services, but there have been years when it's literally saved me thousands of dollars. So over the time frame I've had it. It's definitely paid for itself not only financially but in not having to worry about having a procedure done. And not needing a pre-authorization. If my doctor says go I go I can go to any doctor. I want anywhere in the nation. Medicare advantage plans are basically private insurance. High deductibles, high rejection of coverage. Pre-qualifications. Looks cheaper on the front end but you're going to lose on the back end. So listen to this man

    • @Msfayla1
      @Msfayla1 3 месяца назад +2

      Very helpful ❤

    • @patriciayohn6136
      @patriciayohn6136 Месяц назад +2

      Absolutely agree with you and my Husband and I did the same thing and not sorry, we went with Supplement G plan. I had to have an emergency major surgery three years ago, spent seven days in hospital and I only had to cover about $200.00 dollars!!!

    • @samuelbutterworth4303
      @samuelbutterworth4303 27 дней назад +2

      NEVER take advice from someone that makes money from the choices they recommend, like this guy. I have a degree in Economics specializing in social insurance, and an MBA. I've had Supplemental and Advantage insurance plans. I prefer Advantage plans in my area. Zero premium, zero cost family doctor, every medical profession in my city are in network, I've never had any surgery or treatment turned down, my medications are all free except for one high cost brand and that costs me $45 per month, free dental care, free eye exams and glasses, free hearing and discounted hearing aids. They have a national network of doctors.

    • @bornfree0507
      @bornfree0507 19 дней назад

      @@samuelbutterworth4303I have Medicare Advantage ppo 2 and it seems like it covers a lot but I’ve still gotten bills for tests and doctor bills for procedures or hospital care.

    • @JohnJohn-wr1jo
      @JohnJohn-wr1jo 7 дней назад

      Don't forget the bigger concern with chronic conditions and surgical needs. Quality of care. This is overlooked by almost everyone that signs up for Advantage Plans. They love the cost vs a supp plan until they need care. Seniors are dying prematurely every day because of these Advantage Plans.

  • @JohnJohn-wr1jo
    @JohnJohn-wr1jo 4 месяца назад +24

    I have a niece who worked for one of the largest MA provider in the US. She worked in several finance sections prior to working in the dept that reviews and approves/denies surgery, procedures, tests, prescription drugs etc. She resigned shortly after discovering the tactics that the company employed through their denials and how they treated their customer's by denying the necessary treatments that doctors had ordered. She said it was the most depressing experience in her life to follow company protocols that she knew were killing people prematurely. She couldnt handle it and is now an outspoken critic of the industry.

  • @annelynch600
    @annelynch600 Месяц назад +7

    Thank you. I just met with a Medicare broker yesterday. He tried to tell me original Medicare with a supplement required pre authorizations just like advantage plans and he didn’t know of any of his clients who had delayed or denied procedures. I said I had to review the plans before making a decision. But what I did is make an appointment with a different Medicare agent

    • @MedigapSeminars
      @MedigapSeminars  Месяц назад +1

      Of course, you could call us. That is what we do for a living. I can assure you, I have more experience and knowledge that any local broker you can find. medigapseminars.org/contact-us/ 800-847-9680 Even more, my team is trained to help you after the sale when you may have issues with billing or whatever can come up between your doctor and Medicare.

  • @tjsmith3741
    @tjsmith3741 5 месяцев назад +15

    Matthew is probably the most informed and objective source for Medicare insurance information. The relentless advertising and promotion of advantage plans to the uninformed General Public is unfortunate. Keep up the great work Matthew!!

  • @raycoyle4806
    @raycoyle4806 11 дней назад +2

    This was the best 24 minutes I have spent on this topic. I am 11 months away from 65 and this info was outstanding.
    Thank you !!!

    • @MedigapSeminars
      @MedigapSeminars  11 дней назад

      You are very welcome. Please reach out to us when you want see our recommendations. medigapseminars.org/contact-us/

  • @anitamanuel1975
    @anitamanuel1975 7 месяцев назад +10

    I was a Medicare sales agent with an FMO and I almost was brainwashed against Medicare Supplements. Thanks to your videos and others that tell the truth about medicare advantage plans, the damage done by that company was reversed. Before I left that company, we were told that they would no longer be offering supplements. That disturbed me but I was still under the spell of the lies, I eventually left the company due to health reasons and now I am glad that I did. The more that I learn the less I am willing to go back to companies that enforce advantage plans and leave out information about supplements. If I could find a company that tells the whole truth about Medicare plans, I would go back into the sales field. I live in Florida and so far I have not found such a creature. So, I have to rely on you for the "truth" because I will be going on Medicare in July. I will be getting a supplement!! Thank you for your honesty. I have learned so much.

    • @EXPLOREWITHME.
      @EXPLOREWITHME. Месяц назад

      If i give you my email. Could u tell me more info

  • @Okieman46
    @Okieman46 3 месяца назад +6

    You told us in this video very much what our agent told us when we enrolled in A+B+Supplement, we pay a monthly fee for the supplement but beyond that the only thing we have paid is the once yearly $230 Medicare deductible and last year I had 3 overnight hospital stays for a total out of pocket cost of $0.00. I am trying to spread the word, that if you have the choice and the funds, stick with a supplement. Medicare Advantage or should we say Medicare Dis-Advantage is great as long as you never get sick.

  • @bavedoyd
    @bavedoyd 8 месяцев назад +22

    In the year leading up to turning 65, I researched this topic and discovered Matthew's videos, and I'm SO glad I did. I chose traditional Medicare with a Plan N supplement. The more I learn about the topic, and there's a lot to learn, the more I confident that I made the right choice for me. Thank you, Matthew!

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +1

      You are very welcome. Thank you for sharing.

    • @elbamora9624
      @elbamora9624 7 месяцев назад

      How much you pay it’s the key

    • @elbamora9624
      @elbamora9624 7 месяцев назад +1

      It’s crazy now that I am a senior my hard earn money is going to feed the insurance companies no matter which one I choose wether is advantage or original I have to pay the only way is been poor and getting both Medicare and Medicaid now This is am devastated

    • @tioswift3676
      @tioswift3676 7 месяцев назад +1

      Good luck with the plan n. You can pay multiple copays in one visit

    • @MedigapSeminars
      @MedigapSeminars  7 месяцев назад +2

      @@tioswift3676 No, you can't pay multiple copays in ONE visit. But you can pay multiple copays in one day, if you have more than one visit that day.

  • @sporter555
    @sporter555 6 месяцев назад +8

    Excellent! Finally a straight shooter who tells it like it is. I am a physician and I can tell you we hate the administrative red tape The Advantage Plans put us through. That is why we are dropping our participation in these plans. They are not worth the trouble or added administratve payroll that is required of us to provide care. Good luck with your new doctor you had to switch over too be cause you chose advantage plan.

  • @bigd3104
    @bigd3104 8 месяцев назад +12

    Pretty much have decided on original Medicare (A&B) plus N and Part D, whenever I decide to retire. The cost and "perks" of an Advantage plan sound appealing, but not worth the risk of possible out of pocket expenses compared to original Medicare with a supplement plan. Health conditions can change quickly and with us in the over 65 crowd, that's a huge consideration at least in my opinion. And i want my medical decisions to be made between me and my doctor, not an insurance company.

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +5

      One point I cut out of this video to keep it from being too long is that a recent study by Medicare showed that about 90% of Advantage plan companies advertise their plans by drawing attention to the extra benefits (I call shiny objects). They do so to take the focus off the healthcare benefits so people assume they are as good as Original Medicare.

    • @sueeason7827
      @sueeason7827 4 месяца назад +1

      Agree

  • @Dogsnark
    @Dogsnark 6 месяцев назад +5

    Thank you for explaining this. When I get mailings soliciting my participation in a medical insurance plan, it’s ALWAYS for an advantage plan. Until I watched your video, I didn’t know why there are so many advantage plans looking to hook me up. They talk about free gymn membership, vision and hearing test coverage…all kinds of tempting offerings. But I suspected, and your video confirmed this, there is big money to be made by companies offering advantage plans. Money for them, not medical coverage for me. I just toss these mailings. I have a Medicare Supplement plan, and I’m keeping it!

    • @EXPLOREWITHME.
      @EXPLOREWITHME. Месяц назад

      Do we get prescription and dental with original Medicare?

  • @Nano-fh1yi
    @Nano-fh1yi 4 месяца назад +1

    This was definitely an eye opener for me and my husband! He was “sold” on a Medicare Advantage plan but I was not. I have been watching your videos for a few years now and I really, really trust you. I can’t say that enough. I really trust you! We have now decided NOT to get the advantage plan. Every year at open enrollment I become a nervous wreck and feel sick because I just don’t understand so much about Medicare , especially part D. My hubby is now sold on MedigapSeminars!!! If we could afford a supplement, we would get one, but it’s not an option for us. Thank you so much. I’m sending you a big hug!

  • @sunflowermarcia7277
    @sunflowermarcia7277 4 месяца назад +4

    Matthew is why I went with traditional Medicare and supplement. It was a great decision.

    • @josephkelleher8820
      @josephkelleher8820 15 дней назад

      The best in the country is original Medicare plus Tricare For Life. So glad I qualify for Tricare For Life. Healthcare wise I live a stress free life.

    • @helenmorrison8719
      @helenmorrison8719 11 дней назад

      Me too !!!!

  • @michaelarnold2728
    @michaelarnold2728 7 месяцев назад +7

    Excellent explanation. I have done all my due diligence over the past year and made my choices already, as I'm turning 65 next month. I'm going with traditional Medicare parts A and B, taking part D drug supplement and selecting part G high-deductable as my supplement. I live in Washington State, so I can change this to regular G anytime if I have serious medical issues coming up. Right now, I'm on Obamacare paying $75 a month. When I transition to Medicare on February 1st, I'll be paying $275 (including part B). My social security increased by $100 this month, so I'm really only losing a grand total of $100 a month. Luckily, I worked in corporate America for 30 years and sold my old home, so I'll simply ask Fidelity to transfer that $100 to my bank account each month. All that hard work and saving money since the creation of the 401k in 1986 has finally blessed me. I hope everyone else is as fortunate.

    • @EXPLOREWITHME.
      @EXPLOREWITHME. Месяц назад

      May i ask why increase? Was it caz where u live?

    • @michaelarnold2728
      @michaelarnold2728 Месяц назад

      @@EXPLOREWITHME. yearly USA cost of living increase

  • @mktwatcher
    @mktwatcher 2 месяца назад +1

    Very good explanation of the differences between Medicare A+B, Advantage Plans and Supplemental Plans. Thank you.. My wife and I are very pleased to have chosen to go with supplemental plans from Mutual of Onaha.

  • @mediacreators3481
    @mediacreators3481 7 месяцев назад +2

    Thank you for a concise overview of the Medicare plans and their history. You have convinced me that my decision to go with a Supplemental plan instead of the Advantage Plan is correct. I will advise others to watch this video before succumbing to the "eye-candy" Advantage Plans with their perks. Again, thank you!"

  • @mrmja50
    @mrmja50 2 месяца назад +1

    Thank you for spelling all this out in a way thats easy to understand. I play pickleball and love it. Im turning 65 in a week and started medicare this month. I chose to keep A and B and add N since im very healthy and can afford N. I like the idea of chosing what ever Dr. I want where ever I am. I like to travel. I also at this point in my life only see a Dr for my annual physical or an emergancy once in a while. I take no meds and stay active. Everyone I have talked to has an advantage plan. I think its the zero cost that sold them and they all like the silver sneakers free gym thing. Im very happy I chose what I did and will recommend anyone watch your vidoes, thank you.

  • @pperdion
    @pperdion Месяц назад +2

    It's not just the supplement premium, It's also part D (prescriptions) dental, vision. It's a lot for some people.

  • @claudiarosser8339
    @claudiarosser8339 6 месяцев назад +1

    I am definitely going with a Supplement. I have been on disability for 15 years and have seen the up and downs of Advantage plans. I am turning 65 in May. I have been working with a broker and she has been talking to me about this. I was nervous about the amount I would pay. Since I am being paid disability only. I come out better with the G plan. Thank you!

  • @karenbonnin7128
    @karenbonnin7128 6 месяцев назад +1

    Matthew enjoy listening to your videos as they have helped me navigate the Medicare world, which I entered into early 2023. I am so glad I selected a Medicare Supplement N plan as I have had some unique and life threating illness come up over the past six month. Had no issue in finding a doctor and getting the necessary treatments which have placed me on the road to recovery.

  • @uncklefrankmoore4540
    @uncklefrankmoore4540 6 месяцев назад +3

    I have to make a decision like "today". I am on disability and barely have money to pay my regular bills. I guess advantage plans are not for me. I am 52 and pretty healthy. I haven't been sick in over 22 years. I tried to do the research and found these videos. They helped to realize that i am to poor to afford ANY coverage that will actually help me. No advantage plans and supliment plans are almost as bad for OKLAHOMA. I dont know what TF to do..

    • @liqaboxentertainment2608
      @liqaboxentertainment2608 6 месяцев назад +3

      Please give him a call him and his team will guide you through benefits you may qualify for. You got through part 1 now stay strong 💪🏾

  • @dennislaplant95
    @dennislaplant95 8 месяцев назад +7

    After a year of researching my Medicare options, I chose original Medicare with Plan N. Living in SW Florida, it was a close call between Plans N & High Deductible G, but because of underwriting requirements here, I had to pick the plan that would be best for the long-term.
    Initially, my HD-G's total costs would be cheaper (if I remain healthy). But after about 10 years, it's likely that my N's total costs would be cheaper as I need more medical services and HD-G's max out-of-pocket would keep getting higher.
    In the end my decision came down to my concern about HD-G's deductible increasing each year at an unpredictable rate of inflation versus the much more predictable & budgetable N monthly premiums.

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +3

      You made a good choice. Pre- 2020 I would have chosen a G-HD myself. But now that inflation is back, it's not a risk I want to take.

    • @ChrisSadowski-pp1np
      @ChrisSadowski-pp1np 8 месяцев назад

      ​@@MedigapSeminarschoose Plan N to avoid high rate increases of plan G, avoid HDG for inflation and EOB issues, avoid advantage plans and pay dental and vision with an HSA to avoid networks and denials.

    • @robannmateja5000
      @robannmateja5000 7 месяцев назад

      I chose G-HD. I have a well funded HSA which I never touched (except to contribute!) prior to Medicare. I live in a state that allows me to switch from one Medigap to another at any time (no birthday rule) and community only rating. So I can switch in later years with guaranteed issue and no age related issues.

    • @ChrisSadowski-pp1np
      @ChrisSadowski-pp1np 7 месяцев назад +2

      @@robannmateja5000 HDG deductible has gone up 27 percent over 5 years. Having said that most people will not reach that deductible. Remember your paying only 20 percent of Medicare approved charges. Unless you have cancer you simply will not hit that deductible. NY you can switch back and forth so you can play that game. Of course that's why the regular G rates are so high.

    • @robannmateja5000
      @robannmateja5000 7 месяцев назад

      Yes, I am aware of that, thank you. And thank you for your videos. My state allows me to switch to any other plan except Plan A (no longer sold?) and Plan F (don't qualify for that one due to my age) , so I can switch to a Plan N later, if that makes more sense. Right now, this is the path that works best for me. I have done extensive research and also discussed and got assistance from my SHIP representative. I had to get some Medigap plan within the bounds of my SEP (because, although my state - not NY btw- has better guaranteed issue rights than many others, I am still bound by the SEP timing or I lose guaranteed issue. HD-G premiums in my state are lower than Plan N, I am healthy right now (thank God!) and have few doctor's visits, so this seemed like a good choice for me. Am I taking advantage of the system, well, just doing what is right for me. I wish everyone the best. This is much more convoluted than it should be, and as I mentioned, your videos are very helpful in finding the way through the maze.

  • @johnlagrega4435
    @johnlagrega4435 8 месяцев назад +4

    I’m retired with a pension, RV travel a lot supplemental was my choice and very easy 👍

  • @user-pp8ly2wn6t
    @user-pp8ly2wn6t Месяц назад +1

    Your videos are very useful and provide lots of information. I have received lots of help after watching this post, please continue to share this kind of information. Thank you.

  • @thomaswilke6312
    @thomaswilke6312 8 месяцев назад +3

    I really like the history lesson. It gives me a better understanding of original Medicare and the origins of Medical Advantage. Thank you very much

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад

      You are welcome. I appreciate your letting me know.

  • @Barbiedoll1959
    @Barbiedoll1959 8 месяцев назад +3

    Great video. My husband turned 65 this year and I turn 65 in February 2024. I worked for many of the Advantage Plans as a Network Development Contractor. I did the actual negotiations with Providers for the Plan. I watched many Specialty Groups and Hospitals term their contracts mid year. So many do not know that the Providers can term with a 90 day notice. This is one of the Big Dis-Advantages on the Plans. Also, the Insurance Plan has a huge Department that reviews the Prior Authorizations and will deny, deny & deny many services. The Free benefits out way the stressful issues that come along with the prior authorizations and Denial that happen with a so called Advantage Plan. My hubby and I will be staying with a supplement. Thank you for this video!!!!

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +1

      You are welcome and thank you for sharing your story.

  • @maureensaunders8866
    @maureensaunders8866 5 месяцев назад +3

    I’m a Medicare provider and advantage plans pay providers less than original Medicare. This is why providers reject clients who are with Advantage plans!

    • @nicktuttle9359
      @nicktuttle9359 4 месяца назад

      Not always true. Depends on your contacts. Some MA plans will pay much higher than original Medicare

  • @Jerseygirlinberkeley1
    @Jerseygirlinberkeley1 8 месяцев назад +3

    Thanks again for your informative videos! I still have a few years to go before I’m eligible for Medicare, but I feel confident that I will understand my choices.

  • @NorthCarolinaHarpguitar
    @NorthCarolinaHarpguitar Месяц назад +2

    I'll be 65 in 2 months. I have been studying this issue and I was leaning toward original medicare and a supplement. Your explanations confirmed my choice but with a different twist. The advantage plans do in fact take away all those choices that we paid into during our working career. As long as I can afford the choice why should I give it up? Thanks

    • @MedigapSeminars
      @MedigapSeminars  Месяц назад

      I am glad to have helped. For more personalized recommendations, feel free to call my team 800-847-9680 By the way, my Medicare starts November 01 and I already know what plan and insurance company I will use.

  • @conniesuper9892
    @conniesuper9892 21 день назад +1

    Thanks a million,aha!!!And WOW!!! Appreciations galore!!!!

  • @rudyyruegas350
    @rudyyruegas350 3 месяца назад

    Outstanding video. I have been in independent life sales since 2020 but this year I have decided get into Medicare. It is something I have always wanted to do. Luckily I was hired in a a full time roll that is providing all of the training and a small base to get me ready for AEP. I will continue to watch your content! I understand that many simply will not be able to afford a supplement, but I will make sure to do my due diligence with every client and educate them on all their options.

  • @bennri
    @bennri 8 месяцев назад +3

    14:30 matches what I heard from a Statistician who had then just completed an INSANELY lucrative contract with a large health insurance provider. He told me to expect an onslaught of ads trying to lure me in to "privatized Medicare" as he called it. Now 64, my friends and I are all receiving these. They are very professionally done - not on glossy paper with all red caps, but in an official communication from my current (private) insurer implying that I have little choice but to go through their Medicare. They didn't use the word "Advantage" anywhere but it clearly is MA.

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +6

      Thanks for sharing. The simple truth is there is too much money in Advantage plans, all fueled by our tax dollars. Everyone involved benefits except the consumer. Wherever there is too much government money, there is greed and corruption.

  • @TM-yn4iu
    @TM-yn4iu 8 месяцев назад +1

    Factually Brilliant!!! I have shared my limited research with friends and family on this. You have identified key points I shared but better yet, many i didn't. A bragging point - bonuses on employee retirement insurance. Thank you again.

  • @leerundall6539
    @leerundall6539 7 месяцев назад +1

    Thanks for the video. I am fortunate enough to be able to get a Medicare Supplement plan. Lots and Lots of horror stories with Medicare advantage and I will not miss my opportunity for a Med Sup.

  • @kai88875
    @kai88875 5 месяцев назад +1

    Selected original Medicare, part d and supplemental g. When I did a cost analysis, the cost was an additional $100 per month. I rather pay a little each month and not have to worry about maximum out of pocket when I get sick.
    This was based on the comparison of Medicare advantage PPO and original Medicare. The PPO cost was $125 a month more. Although the HMO had $0 premium, it had a smaller network than the PPO. Both had limited within network, pre authorization, and referral requirements. Could I have chosen supplemental N and save some money? Yep, I could have but I am very happy with my choice. For me it has been peace of mind. Thank you for providing great videos. If I did not see your videos and get educated on the differences in both programs, I would still be with Medicare advantage. Thank you Matt!

  • @carolmillinder8300
    @carolmillinder8300 2 часа назад +1

    Thank you so much!! That was so helpful!! I'm definitely going with Medicare part A & B plus a supplemental plan. Now how do I pick the supplemental plan???? Haha!! Hoping you have another video on that!! 😀

    • @MedigapSeminars
      @MedigapSeminars  2 часа назад

      Hi Carol - I have over 300 videos. This is the next one to see...then subscribe ruclips.net/video/EaO_P7ttfqg/видео.html

  • @RShackTravels
    @RShackTravels 6 месяцев назад +1

    So informative, thank you so much for explaining everything. Medicare supplement is the way to go.

  • @edsweetwood2581
    @edsweetwood2581 13 дней назад

    Thank you for the great insight . It really helped me decide what direction to take.
    God Bless.

  • @mark98070
    @mark98070 8 месяцев назад +1

    Thank you so much. Very informative discussions you bring to the table.
    It's no wonder that during open enrollment period Insurance companies are all
    over the airwaves with their commercials trying to enroll the unsuspecting.

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +2

      They really need to change the name of Medicare Part C / Advantage Plans. They are not Medicare and they confuse people.

  • @joycecooper1533
    @joycecooper1533 12 дней назад +2

    Thank you!! You are a good man doing great work.

  • @williamruby4140
    @williamruby4140 6 месяцев назад +2

    I would never choose an Advantage plan. It’s only a privatized plan.

  • @tomm7505
    @tomm7505 8 месяцев назад +5

    Matthew, very interesting about the 37% of Advantage plan people are on SN Medicaid plans or Employer Retirement Advantage plans.

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +2

      Ya, it's always what they don't tell you that matters most.

  • @user-nm5yv6ij8w
    @user-nm5yv6ij8w 8 месяцев назад +2

    Excellent video. Important information framed in a new way. One of your very best.

  • @jacobkleckner83
    @jacobkleckner83 6 месяцев назад +1

    Thank you for being honest about this

  • @miguelberrios19
    @miguelberrios19 8 месяцев назад +4

    You can state whatever you want to say, about original medicare with a supplement is best. It's just not best for everybody. I for one, chose an Advantage plan. It's a plan with one of the big insurance companies, and the best part is that I don't have to worry about having to purchase a separate drug plan, then have to add a dental and vision plan, and pay an astronomical $250 to $300 a month. I also get the part B monthly give back of $125. I have a great primary care physician and a Cardiologist. I just cannot afford those kind of premiums.

    • @JohnJohn-wr1jo
      @JohnJohn-wr1jo 4 месяца назад +3

      It's very important u stay healthy with the Advantage plans. Most people are very happy with them until they experience a serious health issue. That's when the reality of these plans kick in.

    • @lynnehall5125
      @lynnehall5125 2 месяца назад +1

      Me either I'm a widow and they just tax you to death...

  • @venkatreddy8829
    @venkatreddy8829 Месяц назад +1

    Very good and got clarity after listening to this session.

  • @MichaelJohnson-lx1lc
    @MichaelJohnson-lx1lc 8 месяцев назад +3

    Choosing Medigap

  • @markrosenthal9108
    @markrosenthal9108 15 дней назад

    It's not one size fits all. I've been on Medicare Advantage for many years and am very satisfied. The max out of pocket is not much above what I had with employer health care. I hit that a couple of times over the last 10 years. I live in a large metro area. I've never had a problem with doctors or hospitals being out of network. Prior approvals have been effectively immediate. I have one single plan that covers everything and my healthcare providers have one number to call for insurance. I've never had to show my Medicare card. My monthly cost in years where I've not had major health issues has been well below the monthly cost for a supplement.
    I'd recommend a supplement plan if you have or expect to have a chronic condition that requires regular medical treatment that is expensive. I'd also recommend it if you live in a small and remote community where staying in-network might be more of a challenge.

  • @eleonorabartoli2225
    @eleonorabartoli2225 7 месяцев назад +1

    You have the best explanations! I wish I had found your videos sooner, especially before I met with a broker whose explanations and knowledge was less than desirable or willfully incomplete.
    But I still have time and I think I will choose a HDG, will have to make some sacrifices but the freedom is too important. I have worked in skilled nursing facilities for years and I have seen the consequences of denied therapy and it was heartbreaking.

    • @MedigapSeminars
      @MedigapSeminars  7 месяцев назад

      Feel free to contact us . We can help. medigapseminars.org/contact-us/

  • @josephkelleher8820
    @josephkelleher8820 15 дней назад +1

    The best insurance for people over 65 in the country is Medicare A & B and Tricare For Life. My opinion.

    • @MedigapSeminars
      @MedigapSeminars  15 дней назад

      I agree. In fact I made a video on it. If I were allowed to offer TFL, I would do it all day.....but too few qualify. ruclips.net/video/AWVDpE4CqNI/видео.htmlsi=3nLF_PFAkEiRA97I

  • @joecrowe3681
    @joecrowe3681 8 месяцев назад +3

    Not sure how it works here in Mn but my advantage plan with Health Partners PPO seems to cover all the things that are needed as they have there own Dr’s and Clinics and Hospitals

    • @JohnJohn-wr1jo
      @JohnJohn-wr1jo 8 месяцев назад +3

      Joe, no disrespect intended but your already behind the 8 ball if your in an Advantage plan. Run, don't walk to get out. It will in the end cost you a lot more money unless you remain healthy and die in your sleep. The bigger issue is the overall quality of care when you do develop a serious illness. These private insurers make their money by denying and delaying services to seniors when they need it most. My sister in law died prematurely waiting for denials to be resolved for tests and acute care which her doctor ordered. She died at home when she should have been in rehab.

  • @lesliehillhouse5309
    @lesliehillhouse5309 Месяц назад

    I wish I had this available when I went on Medicare last year.

  • @chasa4347
    @chasa4347 5 месяцев назад

    Very nice video. While I am able to have a company sponsored advantage plan, I ended up with a supplement and a part d plan. I went with plan N for many of the reasons you listed. My wife found the snake oil salesman (M) that convinced her that anything but a G would be filled with excess charges. I'll be sure to let folks turning 65 that they need to watch your videos!

  • @donaldketter4589
    @donaldketter4589 4 месяца назад

    Thanks. History and reason very helpful. I am 81 with Medicare BC/BS supplement that increased 21%. Looking for cheaper but you convinced me to stay with supplement, maybe just different plan

  • @xxxx-tb4de
    @xxxx-tb4de 2 месяца назад

    MA plan was basically created to increase profits for the insurance companies and Mathew thanks for confirming it.

  • @johnvincentio
    @johnvincentio 3 месяца назад

    Matthew, thank you for the clear explanations. You have been very helpful.

  • @oldmanonthehill8661
    @oldmanonthehill8661 4 месяца назад

    Matthew Thanks for the eye opening 👀 I wasn’t sure a the advance plan , now all I have do is decide on G Or N plan thanks again .

  • @ValerieT2023
    @ValerieT2023 6 месяцев назад

    I'll be signing up for Medicare later this year. I helped my older brother sign up last year. Encouraged him to buy a supplement and not take an Advantage plan. He bought a supplement. Worked out great when he had a few medical issues arise soon after. I plan on taking a supplement even though I have no health issues. Haven't decided which one yet. I just can't deal with the Advantage plan horror stories I've heard about. Plus, as mentioned in below comments, I've heard medical providers are pulling out of Advantage plans.

  • @danielmeyer3417
    @danielmeyer3417 7 месяцев назад

    very educational video, for clients and agents. If an agent gives you insider knowledge good sign the agent cares more about the client then the company.

  • @PamelaCurry
    @PamelaCurry 3 месяца назад

    I really liked your video. Though I must take issue with the example from NY. They received snap and rant assistance. I'm in Texas, I've been ob disability since 2000, turned 65 in 2022. I chose a supplement plan. Due to my initial part B date of 2000 I was actually able to get a Plan F.
    The monthly premium is applied as a spend down on my income, reducing my portion of rent. I got $128 p/m off my rent. Of the remaining $28 p/m paid toward premium I get $23 p/m in snap benefits I previously didn't qualify for.
    My option F supplement essentially cost me only a few $$ per month.

  • @cincybabs0691
    @cincybabs0691 4 месяца назад +1

    Ill go with medigap fir sure.

  • @angel2k3t
    @angel2k3t Месяц назад

    Definitely going with Medicare supplement. Either G or N. Need more information on those.

  • @bmwdutch22
    @bmwdutch22 Месяц назад

    Very good information. Now I need to learn on selection of a supplement.

  • @paulwilliams8067
    @paulwilliams8067 2 месяца назад

    Thank you a lot for this video. This is very interesting and informative. Keep posting like those amazing videos, this is awesome.

  • @suzanneleocopoulos7171
    @suzanneleocopoulos7171 6 месяцев назад +1

    Very informative and concise.

  • @lisettefonder1566
    @lisettefonder1566 2 дня назад

    I’ve had advantage but after watching a few videos, hope I can go back to a supplement.

  • @pksltd
    @pksltd 2 месяца назад

    I believe that all providers of Medicare Advantage plans are different based on where you live. In my case, an advantage plan has many of the desired benefits of a supplemental plan at no premium cost.

  • @Rottiek9000
    @Rottiek9000 7 дней назад

    I think medicare should pay vision dental and hearing aids at 100% coverage !!! instead of 80% 100% And no Premium for Seniors

  • @mmane257
    @mmane257 7 месяцев назад

    turning 65 in november 2024.trying to learn as much as i can.think i will go with the G or N plan.

  • @ZorroDaddy
    @ZorroDaddy 8 месяцев назад +3

    Would be nice to see All plans for retired seniors with Low Income(20K a year), Any way to avoid the 20% out of pocket?

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +1

      You can. There are agents who specialize in the low income market. But you have to be careful. A lot of new agents work this market as well.

    • @ZorroDaddy
      @ZorroDaddy 8 месяцев назад

      I see, so Medicare will not, and medicaid pays for Medicare premium only, seems cut off is like $1340 a month, over that we pay@@MedigapSeminars

  • @ronniepemberton1942
    @ronniepemberton1942 25 дней назад +1

    Do you have a video about the supplemental plans

    • @MedigapSeminars
      @MedigapSeminars  24 дня назад +1

      This is my favorite: ruclips.net/video/q7_Adr2LDwA/видео.htmlsi=WfpLzq9C8jDDa1ot

  • @tonagshead
    @tonagshead 3 месяца назад +1

    Great Video. Great explanation of history of medicare and advantage vs medigap. So much misleading information out there.

  • @bearteeka4782
    @bearteeka4782 8 месяцев назад

    This really explained it well. I have been advised by many people that supplement plan was "better", but this explains why. I hate that insurance companies have taken control of our health care, as I have been on employer plans with pre-authorizations for decades. My only issue with supplement will be the monthly extra cost, plus the Part D plan.... Now, onward to your 2024 Part D video. Thank you for these.

  • @yobbboy
    @yobbboy 8 месяцев назад +1

    One key point not mentioned. Drug coverage! Medicare + Supplement doesn't cover prescription drugs. You need to add a Plan D if you want help with prescriptions. On my current advantage plan, my prescriptions are covered and with lower out of pocket copays than a Plan D. Plus there is very basic dental coverage included too. I'm considering moving to Medicare+supplement+D, for the reasons you mentioned, but I need to look at these additional things you didn't talk about.

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +2

      Having a stand alone Part D plan is a huge benefit. You can change your Part D plan each year without messing with your healthcare plan. partdshopper.com/ With an Advantage Plan, we often see people forced into a potion of either choosing a low cost prescription drug plan, or a higher cost with an Advantage plan accepted by their doctor.

  • @strikerz2912
    @strikerz2912 Месяц назад

    It’s hard too switch from an advantage plan to a supplement plan. You have to go through medical underwriting

  • @georgemilanez8033
    @georgemilanez8033 4 месяца назад

    Very informative, found out critically important information!

  • @terriroussel3645
    @terriroussel3645 15 дней назад

    Thank you for the information. I’m turning 65 soon and have a prior history of a retinal detachment. I see my ophthalmologist and retinal doctor on a regular basis. Me eyes are stable My agent has
    suggested 2 popular advantage plans and my doctors are all in network. What do you recommend. I will have to pay more for part B due to IRMA. What do you recommend? I’m healthy at this point in time.

  • @janwilliams4282
    @janwilliams4282 8 месяцев назад +3

    The government should make watching your videos required at least one year prior to age 65.

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +3

      I would agree with that! Thank you.

    • @JohnJohn-wr1jo
      @JohnJohn-wr1jo 4 месяца назад +2

      Unfortunately the government is in bed with the Insurers and their lobbyist. That's how we ended up in this mess. Advantage was misrepresented when it was voted on and a lot of people warned the public and their representatives that this was going to be a huge problem as the public aged.

  • @websterhays8352
    @websterhays8352 7 месяцев назад

    My Medicare premium is $675 per month. My supplemental G plan is $138 per month. I think this is reasonable for the care I get.

  • @jenifad9959
    @jenifad9959 Месяц назад

    Thanks for the great information ❤

  • @ZorroDaddy
    @ZorroDaddy 8 месяцев назад +1

    Wonderful info, Thank you.

  • @bodokleber
    @bodokleber 5 месяцев назад +2

    I am still not sure what to choose. I pay a LOT for Mededicare B and Plan G and drug plan as i am already in my 67th, so i pay 10-20% more more as i am older than 65. 2ndly, i have a low soc. Benefit but still a very high income. So my monthly payments are much much much higher. Also I have European health insurance which pays worldwide. So all that points to an Advantage plan, right?

    • @MedigapSeminars
      @MedigapSeminars  5 месяцев назад +1

      It depends on a lot of other factors as well...But mostly, Medicare Advantage plans are NOT cheaper than a supplement. They simply divert your costs from the premium to the cost of care when you need it. feel free to call us for specific 800-847-9680

  • @user-lp8qp2un9v
    @user-lp8qp2un9v 5 месяцев назад

    Your right i got on a ship program pays my 175 got a plan d 4.50 to 11.dollars like 200 a yr my medgap is 125 but they take part b out regardless so its like less than the 175 and im in reg original medcare with the best benefits

  • @lisawei3742
    @lisawei3742 8 месяцев назад +1

    I would like to know how many healthcare providers don't accept MA PPO out of network patients.

  • @toughquestionsforgod9018
    @toughquestionsforgod9018 8 месяцев назад +1

    Nice job, very informative!

  • @piotrmarianna
    @piotrmarianna 7 месяцев назад +1

    Good verbal explanation but why aren't there any charts / flow charts how to go about the choices? This requires work but a picture is worth 1000 words ...

    • @MedigapSeminars
      @MedigapSeminars  7 месяцев назад

      That is a good idea. Yes, time is a big factor.

  • @lucialoftus8869
    @lucialoftus8869 17 дней назад +1

    I wish you had commented on what if you are 75 and want to go to a Supplemental no Advantage. Is it hard if you are healthy?

    • @MedigapSeminars
      @MedigapSeminars  17 дней назад +1

      Great question. I have a video on that titled "Can You Pass Medical Underwriting?" ruclips.net/video/c29jkM5-6bw/видео.html

  • @ManWander
    @ManWander 8 месяцев назад +1

    advantage plans cover dental and vision which can be a huge cost relief

    • @SilverSergeant
      @SilverSergeant 8 месяцев назад +3

      But at what other cost??

    • @MedigapSeminars
      @MedigapSeminars  8 месяцев назад +6

      If you apply for a healthcare plan for the shiny objects instead of the healthcare benefits, you have just been taken. Especially considering the plan can and will change benefits every year, but your decision to use an Advantage plan can be permanent. As I mention in this and other videos, compare losing the two greatest benefits of Original Medicare to whatever you believe is the benefit of the Advantage plan. It's that simple. Is it worth it? For some yes. But don't assume the healthcare benefits between Advantage and Original Medicare are the same, but the Advantage plan ads shiny objects and magically makes more money.

  • @robertbelar5341
    @robertbelar5341 21 день назад

    I have Tricare here.

    • @MedigapSeminars
      @MedigapSeminars  20 дней назад +1

      How TriCare for Life works with Medicare ruclips.net/video/AWVDpE4CqNI/видео.htmlsi=7wDzQsz4YbkOghZQ

  • @Tradewind777
    @Tradewind777 Месяц назад

    Thank you!

  • @byron2521
    @byron2521 18 дней назад

    What happened to the ACA? Everything is just back the way it was before the ACA.

  • @debzierk4223
    @debzierk4223 3 дня назад

    What about the newer PPO MA Plans??

  • @oliverholness8033
    @oliverholness8033 Месяц назад

    This is a very informative video.

  • @cherylgleason3666
    @cherylgleason3666 8 месяцев назад

    Excellent, thank you!

  • @robynthorne9729
    @robynthorne9729 7 месяцев назад +1

    sorry, my fault. I have scheduled an appt now.

  • @cindyd1042
    @cindyd1042 7 месяцев назад

    Thank you

  • @michaeldeborahnoble9719
    @michaeldeborahnoble9719 4 месяца назад

    Thank you 👍

  • @myunclejimmy
    @myunclejimmy Месяц назад

    So how much more costly are the supplemental plans compared to going on medicare advantage? Why would one pick the HMO plan (advantage) without medical freedom?

  • @jameswbuchananjr
    @jameswbuchananjr 3 месяца назад

    Is it true that you can be locked into an advantage plan by your answers to certain medical questions? If so, what are some representative questions?