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10-15-2012, 03:38 PM
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#1
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Site Team
Join Date: Jun 2011
Location: Wilsey
Posts: 18,799
M.O.C. #11455
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Need Medicare advise
As anyone who's had to deal with it will tell you Medicare is a rat maze. If I get Medicare part A & B does it make sense to have a supplement? If so what's a good one for full timers? Blue Cross of Kansas isn't real hot on the idea. Also, then you need a plan D provider. Who works well as a plan D for full timers? Thanks for the help in advance!
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Dick, Joyce, Diego, Picatso and Gustav
2017 3720 RL, and 2013 HC 343RL
Pullrite Hitch, IS, Disk Brakes, 3rd AC, Winegard Traveler, Bathroom door mod, Dometic 320, couch for desk swap, replaced chairs, sun screens, added awnings, etc.
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10-15-2012, 04:10 PM
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#2
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Montana Master
Join Date: Oct 2006
Location: McKinney
Posts: 7,172
M.O.C. #6433
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First, we are not full timers. But,
The supplements cover an extensive range of costs beyond what A & B cover, including deductibles, co-pays, extended hospital/nursing home stays, excess medical charges, blood, etc. We have the plan F which covers most everything Medicare A & B does not with up to an additional 365 days skilled nursing if needed. That extended 365 days coverage could prevent a catastrophic financial hit for a serious illness or injury.
The insurance companies have negotiated rates for each service that is far below what you would be charged if you did not have an insurance plan.
As for part D, I chose Humana Walmart. It is the least cost per month, but does have a higher drug deductible. You need to look at the various plans closely based on what meds you take. There are web sites where you can weigh the costs of each plan based on monthly premiums and yearly costs of your meds for different plans. Lower monthly premiums typically mean higher deductibles for the meds. Higher monthly premiums typically mean lower deductibles for the meds. Yearly costs for different plans often end up fairly close (depending on the meds.) But some plans have higher monthly rates plus higher med costs. After looking at a number of them, Humana Walmart was the least expensive yearly costs for what both the DW and I take.
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Bill & Patricia
Riley, our Golden
2007 3075RL (recently sold, currently without)
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10-15-2012, 04:23 PM
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#3
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Montana Master
Join Date: Sep 2004
Location: Leona
Posts: 6,382
M.O.C. #2059
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I can't tell you who to go with. You will have to shop for that. I have been advised to go with a supplement and not a Medicare Advantage Plan because of the changes under Obamacare. Also a supplemental policy travels better for an RVer. I use First Health for Part D. They had the best rate and plan when I compared.
When I shop around every year, I call Medicare while I have their site up and discuss with the rep my options. They have always given helpful information. Then I call the provider to discuss details and make the purchase. Advantage, PPO, and HMO plans are too limiting for you to travel extensively.
I have discussed this with doctors and they really don't know the effect of all the Medicare changes coming. The general feeling is that you won't like it.
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10-15-2012, 04:49 PM
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#4
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Montana Master
Join Date: Oct 2006
Location: McKinney
Posts: 7,172
M.O.C. #6433
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Also, supposedly a plan should have the same coverage no matter who the insurer is. That is, a plan F from company A should be the same coverage as plan F from companies B & C. However, the costs may be different for the different companies. And some medical facilities may accept some insurers and not others. Would be best to have a supplement from a company that was widely accepted nationwide.
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Bill & Patricia
Riley, our Golden
2007 3075RL (recently sold, currently without)
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10-16-2012, 01:59 AM
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#5
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Montana Master
Join Date: Apr 2007
Location:
Posts: 992
M.O.C. #7128
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Yep What they said.
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10-16-2012, 04:22 AM
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#6
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Site Team
Join Date: Jun 2011
Location: Wilsey
Posts: 18,799
M.O.C. #11455
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Quote:
quote:Originally posted by BB_TX
Also, supposedly a plan should have the same coverage no matter who the insurer is. That is, a plan F from company A should be the same coverage as plan F from companies B & C. However, the costs may be different for the different companies. And some medical facilities may accept some insurers and not others. Would be best to have a supplement from a company that was widely accepted nationwide.
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That's why I was looking at Blue Cross for the supplement. Seems like this deal out to be easier to work out. I know it's government work, however.
__________________
Dick, Joyce, Diego, Picatso and Gustav
2017 3720 RL, and 2013 HC 343RL
Pullrite Hitch, IS, Disk Brakes, 3rd AC, Winegard Traveler, Bathroom door mod, Dometic 320, couch for desk swap, replaced chairs, sun screens, added awnings, etc.
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10-16-2012, 04:31 AM
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#7
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Montana Master
Join Date: Oct 2006
Location: McKinney
Posts: 7,172
M.O.C. #6433
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Seems that the insurers are somehow linked to specific states, at least in some cases. We have BlueCross BlueShield of Texas plan F supplement since we live in TX. Not sure how that applies to a full timer.
In Colorado last year, I had to pay a visit to a local doctor. In and out with no money or credit card leaving my pocket. ![Smile](images/smilies/smile.gif) And a minor co-pay for drugs at a local home owned pharmacy (with my Humana Walmart part D plan).
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Bill & Patricia
Riley, our Golden
2007 3075RL (recently sold, currently without)
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10-16-2012, 04:52 AM
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#8
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Montana Fan
Join Date: Mar 2011
Location: The Dalles
Posts: 166
M.O.C. #11255
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I go on Medicare in December. I will not take the Advantage plan because it is PPO or HMO and a hassle if you need medical attenion and are not near someone in their plan. Since I travel alot for business and pleasure, that would not work for me. I will probably sign up for Plan G (possible F) with the supplimentals. Mutual of Omaha is the biggest name provider im my county so will go with them. The only difference between F and G is that the first $146 (if I remember right) deductible is covered under F but out of pocket on G. But it is about $20/Month cheaper for G so I won't mind the $146 out of pocket to save $240/yr. At least it will be cheaper than the health insurance I am paying for now.
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10-16-2012, 02:05 PM
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#9
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Montana Master
Join Date: Sep 2004
Location: sioux falls
Posts: 1,835
M.O.C. #2121
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As full timers we went with AARP United Health Care for the supplement, Plan F and Humana Walmart for Part D. Bob had an unexpected triple bypass last February in Chandler, AZ, followed by an unexpected partial nephrectomy 2 months later at the same hospital. United Health Care picked up 100% of what Medicare didn't pay and we had very little out of pocket on the resulting drugs afterward. Prior to being on Medicare we were uninsured, so you can see we are very grateful to have had the coverage when these major events occurred.
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10-16-2012, 04:31 PM
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#10
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Site Team
Join Date: Jun 2011
Location: Wilsey
Posts: 18,799
M.O.C. #11455
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Thanks Pam. Glad it worked out so well for you!
__________________
Dick, Joyce, Diego, Picatso and Gustav
2017 3720 RL, and 2013 HC 343RL
Pullrite Hitch, IS, Disk Brakes, 3rd AC, Winegard Traveler, Bathroom door mod, Dometic 320, couch for desk swap, replaced chairs, sun screens, added awnings, etc.
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10-16-2012, 06:40 PM
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#11
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Montana Master
Join Date: Feb 2004
Location: Georgetown
Posts: 1,411
M.O.C. #956
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We have had Medicare supplement with AARP (United Health Care) and also Medi D for 7 years now and have had no issues with it. We look at the other plans on a yearly basis but stay with this. It is very confusing so do your homework. The one thing I didn't understand 7 yrs ago was that of the thousands that were billed medicare only approved hundreds. Then they pay 80% of the approved and your supplement picks up the 20%. The docs and hospitals write off the thousands they don't approve. That is why some doctors will not take medicare patients. Good luck and welcome to Medicare.
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10-17-2012, 03:12 AM
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#12
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Montana Master
Join Date: Feb 2012
Location: Lake Gaston
Posts: 8,773
M.O.C. #12156
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I have been on Medicare A and B for a year now and have had no issues. Actually, easier to deal with then my old insurance which unfortunately my wife is still on since she is not yet 65. I have supplemental coverage which picks up all the delta plus perscription medications. Critical and Key to Medicare is identifying a medicare provider, who then has to accept medicare payment schedules. Believe with Obamacare, finding them will be more difficult as Doctors are already starting to not take new medicare patients.
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Mike and Lorraine
2002 3655 FL, 2005 3650RK
2010 3665RE, 2015 3910FB
F350 crew cab dually 6.7
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10-28-2012, 01:11 PM
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#13
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Established Member
Join Date: Aug 2005
Location: Milton
Posts: 45
M.O.C. #4408
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medicare.gov website gives you pretty much all the info. It will give you a list of physicians and hospitals that accept medicare and whether they will accept what medicare pays or whether they will charge more than medicare and you may have to pick up that difference.
Also they will give you a list of all supplement providers for your home area. You have to pick from your home area list and pay the price that that company charges for your home area. Once you have a supplement it will follow you anywhere you get medicare covered services. If you are eligible for USAA supplemental they were the cheapest in my home area last year.
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10-28-2012, 02:06 PM
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#14
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Site Team
Join Date: Jun 2011
Location: Wilsey
Posts: 18,799
M.O.C. #11455
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Part of the problem is picking a home area if you're a full timer.
__________________
Dick, Joyce, Diego, Picatso and Gustav
2017 3720 RL, and 2013 HC 343RL
Pullrite Hitch, IS, Disk Brakes, 3rd AC, Winegard Traveler, Bathroom door mod, Dometic 320, couch for desk swap, replaced chairs, sun screens, added awnings, etc.
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10-28-2012, 05:34 PM
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#15
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Montana Master
Join Date: Aug 2008
Location: Rapid City
Posts: 931
M.O.C. #8757
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Dick, sense we moved our address to SD, then last year when we changed age, we were advised that SD only had one choice... Plan F.
Not sure if any of that info is helpful, but... There it is. And you know we have used it quite often for Bob! Our supplement is AARP (United Health Care is the other name for it, I think). We have NOT had to put out any other monies yet.
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10-28-2012, 05:37 PM
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#16
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Site Team
Join Date: Jun 2011
Location: Wilsey
Posts: 18,799
M.O.C. #11455
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I think United Health Care is the way I'll go, but I'll keep looking at others until I have to decide in December.
__________________
Dick, Joyce, Diego, Picatso and Gustav
2017 3720 RL, and 2013 HC 343RL
Pullrite Hitch, IS, Disk Brakes, 3rd AC, Winegard Traveler, Bathroom door mod, Dometic 320, couch for desk swap, replaced chairs, sun screens, added awnings, etc.
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