Medicare Insurance, Am at a loss

4,342 Views | 42 Replies | Last: 7 mo ago by Pman17
Mark Fairchild
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Howdy, have BC/BS because on retirement, 2013, I could find NO ONE with answers about the additional insurance need with Medicare. They BC/BS have gone up, YET AGAIN! Now paying $940 per month for the two of us. BC/BS pays for NOTHING, Zip, Zero, Nada. Is there any way out of this trap, are there in decent providers with better plans? Seems I can never find any answers about insurance.
Gig'em, Ole Army Class of '70
OldArmyCT
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I'm no help because I have Tricare for Life and they pay like clockwork, meaning I have no idea why your secondary never pays. I'd find myself an insurance broker if I were you.
MsDoubleD81
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Do you have BC/BS Medicare Advantage or traditional Medicare with a BC/BS supplement?
nactownag
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You need to look at a plan G Medicare supplement with United.
MsDoubleD81
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Is that the Medicare supplement? In addition to that you also need an RX plan, but that is not that expensive. I've looked at all of these and decided to stay with my Advantage plan. It's good if you don't get sick as there is a $4,000 out of pocket max and once I leave my current plan, I can't go back.
FourAggies
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You start with Medicare A and B. The pricing depends on your income level, but I think the range is like $130 to $200 a month. Next is your supplemental, which can be Medicare Advantage or Medicare G. Advantage is like an HMO and can be free to very low cost, but like an HMO you need approval for care. G is like a PPO and runs about $130-$150 a month . Unless you have a favorite provider, it doesn't matter who you pick, because all the terms are identical and the prices vary only about $20 a month, and apparently tend to be the same over time. As long as your doctors accept Medicare G , there is a small deductible, I think about $250 a year, and 100% coverage after that. My wife's knee replacement was free, for example.

Lastly you need a Prescription plan. These all vary based on the drugs you take. They can be free or as much as $100 a month.

Once you pick Advantage or G for your supplemental it tends to be a permanent decision, because if you want to change between the 2 or change providers, you have to medically qualify to change. You can change drug plans every year without a problem.

If you don't make these decisions within the enrollment period, there can be both time and financial penalties, and they may be permanent penalities.

I've got a good Medicare insurance agent, if you're interested.
nactownag
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Exactly it's good if you don't get sick. I recommend our clients do the supplement plan G because while it's a little more expensive on a monthly basis.

If you get sick in the future you can potentially be prevented from switching to it if you can't be underwritten.

So start with plan G and make the cost of roughly $130 per month and then effectively you have no out of pocket. I believe it's a $200 annual deductible.

In all my years of doing this, the only time I've ever had clients speak positively of their health insurance it's typically when they have a plan F or plan G. Just one financial advisors experience.
MsDoubleD81
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My advantage plan allows you to see any doctor (PPO) and I pay $74 a month and that includes an R/X plan. I keep thinking of changing to a supplement, but is that affected by IRMAA? I have dental and vision for minimal charge.
nactownag
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Irmaa only affects part b and d.
Brush Country Ag
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Mark….call Paige Ogan in Aransas Pass. She is very knowledgeable and will come to your house and walk y'all through all of your options and make recommendations.
361-779-9009.
FourAggies
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I'm just a participant and only know about the path I took. Looks like Nactownag has more info.
Holistic Planning
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I'm glad to chat with you anytime about this. There's plenty of folks that will help you out there. I have some I can refer to or there are also online offerings like Chapter that are really good.

But ultimately my recommendation generally if you can afford it is to go with a plan G. I've seen a lot of folks use United which I think goes through AARP. I believe it's typically around $130/mo and the price has been fairly steady. I don't sell insurance though. We're fee only planners I just help a lot of people get this in order.

I like the plan G because it makes your cost very predictable in retirement and there's no networks.
www.holisticplanning.com/intro
Remarkably personal financial advice for a fuller life.
SteveBott
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If you go Gap and not Advantage(I do not like this option at all) here is a quick summary of gap plans



Holistic Planning
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Indeed. Also FYI is that plan F is not longer an option. But the only different between F and G is the $200 per year deductible.
www.holisticplanning.com/intro
Remarkably personal financial advice for a fuller life.
SteveBott
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Good to know. I plan to price out G and N this fall. That parallels with my wife's coverage renewal.
lck90
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Reading this thread is depressing, and I am only 35.
IslandAg76
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Have Plan G thru AARP which is United.
about $700/month for wife and I but as said above it is income dependent.

Also need a pharmacy program which gets more complicated if you are on a lot of meds
Holistic Planning
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IslandAg76 said:

Have Plan G thru AARP which is United.
about $700/month for wife and I but as said above it is income dependent.

Also need a pharmacy program which gets more complicated if you are on a lot of meds


The $700 is probably including your Part B as well right?
www.holisticplanning.com/intro
Remarkably personal financial advice for a fuller life.
Hoyt Ag
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lck90 said:

Reading this thread is depressing, and I am only 35.
Agreed, I am 42.
ToddyHill
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Quote:

But ultimately my recommendation generally if you can afford it is to go with a plan G. I've seen a lot of folks use United which I think goes through AARP. I believe it's typically around $130/mo and the price has been fairly steady. I don't sell insurance though. We're fee only planners I just help a lot of people get this in order.
It's now $173.52 per month. I just got a statement with the new premium. They state the premium is increasing "because of multiple adjustments to your account." However, they don't state what those adjustments are.

Also, once you get a supplement, you can't change to another one if you've experienced a medical issue. For example, I was diagnosed with Prostate cancer 6 months after signing up with United Healthcare. I can't switch to another provider until I'm cancer-free for five years.
ToddyHill
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Here's something I also didn't think through when planning for retirement. I did not realize your premium is based off your income. I assumed (incorrectly) your premium was no different than the next guy (kinda like your insurance coverage from your employer). That was quite the blind-side.
IslandAg76
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Actually, I don't know. My wife sort of keeps track of this.
All these parts and plans are just another way to take advantage of us old, confused folks
MsDoubleD81
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Ok, not to derail.......anyone know what the status is about "no tax on social security"? My first year to collect. It appeared I was getting a refund, then once I put in SS, I ended up paying $5,000!
SteveBott
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Long way to go. There is still a great amount of 'sausage making' in Congress. Hasn't even passed the house yet and the Senate hasn't started on their plan.

I'd give it about 40% change of making through.
MsDoubleD81
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Wow. Thanks, I guess.
halfastros81
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Yeah. I started Medicare this year and I can't say I understand it at all. I think I'm well covered but I suppose I won't really know until I need it and then it'll be too late if I'm not adequately covered.
halfastros81
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Yes, I got burned by that assumption as well. I was told my premiums would be under $200 per month and then I got a notice that in fact it's going to be well over $400 because of my prior income. Surprise , surprise , surprise Sergeant Carter . I do think the premium drops after you retire and your income drops accordingly but I believe it takes a yr or two to see the premium drop.
ToddyHill
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Quote:

Yes, I got burned by that assumption as well. I was told my premiums would be under $200 per month and then I got a notice that in fact it's going to be well over $400 because of my prior income. Surprise , surprise , surprise Sergeant Carter . I do think the premium drops after you retire and your income drops accordingly but I believe it takes a yr or two to see the premium drop.
As Lee Corso used to say, "not so fast my friend."

I heard this all the time when I was working...."when you retire and your income drops..."

While that is true for me today (I'm 68), in 5 years I'lll have to start taking mandatory RMD's. Those RMD's are going to send my income to levels I've never experienced when I was working. I guess it's a nice problem to have....but I can see the day in the somewhat near future where my Medicare premium is going to be rather costly...all due to the fact I saved and invested during my working years.
Holistic Planning
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ToddyHill said:


Quote:

Yes, I got burned by that assumption as well. I was told my premiums would be under $200 per month and then I got a notice that in fact it's going to be well over $400 because of my prior income. Surprise , surprise , surprise Sergeant Carter . I do think the premium drops after you retire and your income drops accordingly but I believe it takes a yr or two to see the premium drop.
As Lee Corso used to say, "not so fast my friend."

I heard this all the time when I was working...."when you retire and your income drops..."

While that is true for me today (I'm 68), in 5 years I'lll have to start taking mandatory RMD's. Those RMD's are going to send my income to levels I've never experienced in my working years. I guess it's a nice problem to have....but I can see the day in the somewhat near future where my Medicare premium is going to be rather costly...all due to the fact I saved during my working years.


This is a case study on what we help clients with in the tax planning realm.

Now (if you're married) do this same thing when one of you passes but the RMD stays the same.

You likely need a Roth conversion strategy…or some kind of strategy to mitigate this.
www.holisticplanning.com/intro
Remarkably personal financial advice for a fuller life.
halfastros81
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No question about it, the government is going to get their pound of flesh one way or another. My income this year and for the next 5 yrs is going to drop tho and I don't think the RMD's kick in until 70 so at least my Medicare premium will go down . I'm 65 and am planning to defer SS benefits as long as the law allows it which I think is currently 70.

The Medicare rates should be the same for everyone imo.
P.H. Dexippus
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lck90 said:

Reading this thread is depressing, and I am only 35.
Don't worry, the system is guaranteed to be 10x worse or in a state of collapse by the time you reach eligibility.
newbie11
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Being in healthcare, and a Conservative, I've never believed in government control of anything BUT healthcare needs to go to a single payer system run or at the very least overseen by the feds. Private insurers are devastating the consumers. They're a total rip off and every single one of them should be out of business and dismantled. It's a travesty what the health insurance companies get away with. Every politician who takes money from them should be fired and sued as well for collusion and being complicit with this garbage.
P.H. Dexippus
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newbie11 said:

Being in healthcare, and a Conservative, I've never believed in government control of anything BUT healthcare needs to go to a single payer system run or at the very least overseen by the feds. Private insurers are devastating the consumers. They're a total rip off and every single one of them should be out of business and dismantled. It's a travesty what the health insurance companies get away with. Every politician who takes money from them should be fired and sued as well for collusion and being complicit with this garbage.
I'll help you out- you're not a "conservative" if you believe in single-payer government run medical care.
Ribeye-Rare
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halfastros81 said:

My income this year and for the next 5 yrs is going to drop tho and I don't think the RMD's kick in until 70 so at least my Medicare premium will go down . I'm 65 and am planning to defer SS benefits as long as the law allows it which I think is currently 70.
I've been looking at some of the same calculations as you have.

First, due to recent legislation, I think we can defer RMD's to 73 (or even 75 if you're young enough).

Second, my preliminary calculations on taking retirement just short of 67 vs. waiting until 70 show that I'll have to live to age 83 or so just to break even, and that's assuming no time value of money. Can I make it that long? Who knows.

I'm going to check my calculations before I decide, however.
ToddyHill
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Quote:

You likely need a Roth conversion strategy…or some kind of strategy to mitigate this.
I had a long conversation with my CPA a couple of weeks ago and she suggested the same thing. She's putting a plan together which she'll share with me shortly.
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