I'm so confused

JAW7373

New Member
Location
Lebanon, Indiana
I will be 65 in March and currently still employed. I will keep my ins at work for one more year. (I think ugh) It costs me 60/mth with a $2,000 deductible. I only take one pill a day that cost around $4.00 month. (without ins.) Everyone keeps telling me I am a prime candidate for the free Advantage Plan. I'm just lost with all of this. Can someone tell me what would happen if I had decided to switch to another supplemental plan if I hated it? What would happen if I became ill or disabled while on the Advantage Plan? I have never understood any kind of insurance. hehe

Thanks to all for your response!
 

Ladybj

Member
Prior to retirement I was in the medical billing arena for years. You HAVE to review the plan very carefully. I wish I was there to view different plans with you. Sounds like you are pretty healthy, that is a plus with a $2000 deductible. If you switch to another plan and is locked in, you may not be able to switch plans until open enrollment....this is why you have to review the plan very carefully. Feel free to send me a private message.
 

Aunt Bea

Well-known Member
Location
Near Mount Pilot
What happens if you hate the insurance offered by your employer?

At least with Medicare supplements, you have the option to choose the insurance for yourself and if you make a mistake you can change plans or companies once a year during the open enrollment period.

Take the time to read the Medicare & You handbook to familiarize yourself with what Medicare covers then go to Medicare.gov to see what options exist for you in your area.

It's really up to you to take control of this important decision and not allow others to make it for you. By all means, listen to what people have to say and read all of the promotional material but make the choice that fits you and your situation.

Good luck!
 
Last edited:

Liberty

Senior Member
Location
Texas
We've always had Medicare & a standard supplement. That, to us, is real peace of mind. Don't want to have to be in the hospital with any nasty financial surprises on top of what ails ya'. Some of those cheap plans are free now, when you are healthy with potential high deductibles kicking in for hospitalization when you aren't. They are "Managed Care" , not standard Medicare plans.

On the other hand, if you think you will be healthy for years...not fall or have a traffic accident or something that might cost you big time out of pocket, you could take a chance for a few years with the cheap plan and then maybe you can opt out and still qualify for a good standard medicare supplement plan later on.

There are a couple brokers on this forum that could certainly help you make a knowledgable decision. Good luck!
 
My advise is to find a good independent insurance broker and have him/her explain the options that you have. It is extremely confusing trying to figure it out on your own. Be sure to go to a broker who can find plans from many different companies, not an agent that is employed by a specific insurance company.

When I turned 65 I was still working and just enrolled in Medicare as my secondary insurance. When I retired at age 66 I bought a Medicare supplement policy as my secondary coverage and switched Medicare as my primary.

Please understand that you may enroll in Medicare on the first day of the month 3 months prior to your 65th birthday. example: birthday on August 31st, you may apply on or after May 1st. You may wish to apply for Medicare Part D (if you don't apply for an Advantage Plan), which covers drugs, at the same time you apply since you will be charged an on-going penalty if you wait past your birthday.

You may want to go ahead and set up an online account for Medicare at Mecicare.gov That is where I applied for my coverage.

I just noticed that you said you turn 65 in March, so you now qualify to enroll since the first day of the month of your birthday is within 3 months. Concerning the Advantage Plans, all I really know is that I have had 2 different independent insurance brokers advise against it. I think you would really benefit from speaking in person to a qualified insurance broker face to face so that your options may be explained and can have all of your questions answered.
 

Myquest55

Member
Location
Happily in MAINE
We too, were very confused about all of this - what a nightmare! I also turn 65 in March but have been getting things in the mail from all kinds of insurance companies for months!! Last fall, we got a post card from Anthem ( the local Blue Cross/Blue Shield carrier) for a FREE seminar in the next town. We called in the RSVP and attended. The Rep. laid out the basics so we finally had a much better idea of what we faced and since there were 4 of us, he took time to answer questions and explain how the different programs relate to what basic Medicare offers. It was totally worth the hour to have it finally make sense!

That said - there are dozens of insurance plans that supplement basic Medicare. We made a personal appointment with the Anthem Rep and sat down to discuss what would cover everything for my husband's situation. (NOTE - He could not do that until my husband had his Medicare card and I am waiting for mine so I can sit down with him and discuss my plan.) Most people I have talked to have the "Advantage plan" and are happy with it, but there are other plans you can opt for besides just that one. Depends on the carriers. We decided to stick with what we knew - to begin with. You can change plans DURING THE ENROLLMENT period - once a year. GOOD LUCK!
 

Ladybj

Member
What happens if you hate the insurance offered by your employer?

At least with Medicare supplements, you have the option to choose the insurance for yourself and if you make a mistake you can change plans or companies once a year during the open enrollment period.

Take the time to read the Medicare & You handbook to familiarize yourself with what Medicare covers then go to Medicare.gov to see what options exist for you in your area.

It's really up to you to take control of this important decision and not allow others to make it for you. By all means, listen to what people have to say and read all of the promotional material but make the choice that fits you and your situation.

Good luck!
Great advice but unfortunately some people will not take the time to read their health insurance material and those that do may find it a bit confusing. When I was in the medical billing field, people called in so confused as to why they were billed for this or that and some of them had Medicare Part A only and I explained to them that Part A takes care of in patient hospital stay and not office visits nor out patient procedures. A lot of patients used their Medicare Part A as their secondary insurance which of course their claim was denied. Several people feel they made a good decision in choosing their healthcare insurance until they start getting bills for services rendered. When hubby had a procedure done..(we have good insurance) he was surprised to get a bill which was a bit high.. but I explained to him why. No matter how good your health insurance plan is, with some, their will be out of pocket cost. Some cost higher than others.
 
I will be 65 in March and currently still employed. I will keep my ins at work for one more year. (I think ugh) It costs me 60/mth with a $2,000 deductible. I only take one pill a day that cost around $4.00 month. (without ins.) Everyone keeps telling me I am a prime candidate for the free Advantage Plan. I'm just lost with all of this. Can someone tell me what would happen if I had decided to switch to another supplemental plan if I hated it? What would happen if I became ill or disabled while on the Advantage Plan? I have never understood any kind of insurance. hehe

Thanks to all for your response!
As others here have stated, the only reliable way to get correct information for you and in your state is to get with an independent insurance agent who has experience in medicare supplements/plans.

All you will get from an online forum (except of course, from experts -- there are a couple on this forum) is anecdotal stories about what has or has not worked for us, where we live, and which may or may not work for you, where you live.

It is just way too important a decision to try to muddle through on your own, or based on others' stories of what does or doesn't work.

Seeking guidance from an independent insurance agent who is an expert in this area will not cost you anything, and may save you a fortune.
 

Ken N Tx

Well-known Member
Location
Texas
We too, were very confused about all of this - what a nightmare! I also turn 65 in March but have been getting things in the mail from all kinds of insurance companies for months!! Last fall, we got a post card from Anthem ( the local Blue Cross/Blue Shield carrier) for a FREE seminar in the next town. We called in the RSVP and attended. The Rep. laid out the basics so we finally had a much better idea of what we faced and since there were 4 of us, he took time to answer questions and explain how the different programs relate to what basic Medicare offers. It was totally worth the hour to have it finally make sense!

That said - there are dozens of insurance plans that supplement basic Medicare. We made a personal appointment with the Anthem Rep and sat down to discuss what would cover everything for my husband's situation. (NOTE - He could not do that until my husband had his Medicare card and I am waiting for mine so I can sit down with him and discuss my plan.) Most people I have talked to have the "Advantage plan" and are happy with it, but there are other plans you can opt for besides just that one. Depends on the carriers. We decided to stick with what we knew - to begin with. You can change plans DURING THE ENROLLMENT period - once a year. GOOD LUCK!
You can change Medical Supplement Plans any time during the year.>>>CLICK HERE<<<
We switched my wife's plan and saved over $200 a Month!! I could not switch because of pre-existing conditions.. 😢
 


Top