Comparing Advantage VS Supplemental COST on $200k Hospital Stay 🤔

[@MedicareSchool]

✅ Watch the internet's #1 Online Medicare Educational Workshop for FREE: medicareschool.com/master-medicare/? ✅ To get 1 on 1 Help from our Team, Schedule a Call Here: medicareschool.com/talk-to-a-guide/?

[@bigtom1948]

My hospital billed $174K for a total knee replacement, my Medicare Advantage knocked that down to just under $16K. My cost was under $300.00. How the hell does this happen? Why the outrageous $174K billing??? American Healthcare is Effed up!

[@richardtaylor2361]

the outrageous bill of 174k is a tax dodge. buy writing off the 158k they never pay taxes

[@wayneguy6043]

The difference is a loss and in turn they pay no income tax

[@beoz658]

My friend 70 years old just had open heart surgery. With UHC Advantage it cost him nothing WTH!

[@JD-tn5tb]

@@beoz658 - Are you sure it cost him nothing? according to everything I hear, including this video, if you have an advantage plan, you would be paying co-pays and percentages until you reach your out of pocket. Even with plan G, you at least have to pay the deductible.

[@batmore1]

Medicare pays the hospital and physicians a fraction of the billed charge. They are also capped at what they can charge a patient. Hospitals and physicians could not survive financially if they only treated Medicare patients. Private insurance patients subsidize the care of Medicare patients. No one, private insurance or Medicare pays the 'billed' charge. The billed charge is set high because Medicare only pays a small percentage of that charge. Yes, American Healthcare is messed up, but everyone is so afraid of 'socialized medicine'. Socialized Medicine works in just about every other developed nation and every ciitizen is covered and no one goes into debt over medical care.

[@kathryncashner3294]

I got plan G at age 65 after using my work associated health insurance exactly twice in my life. At age 66, I was diagnosed with cancer. 4 surgical procedures, 20 weeks of chemo, 33 sessions of radiation, not to mention all the evaluations prior to treatment (MRIs, PET scan, etc)....my OOP cost was a little over $200 each calendar year. As all my procedures were outpatient, I did not incur the hospital deductible. I'm hoping to be moved to yearly check ups after my May visit....but even those visits with the associated tests are not cheap. The best thing is that I didn't have anyone telling me where I could or could not get treatment. Of course I had my Medicare B, D, and supplement premiums

[@williamh2594]

wow - that's why we pay the G premiums - a great reminder of what can happen to a perfectly healthy person - sorry you went through that nightmare and hope you have smooth sailing for the rest of your Journey on this planet

[@KurtRothwell]

Marvin always makes Medicare easy to understand. We need him to discuss what insurance companies have the lowest rate increases.

[@alikay57]

I took Plan G Plus when I started Medicare and thought, "I'll never use it, I'm never sick." That didn't last long and I was so glad I had that G plan. I had a huge hospital bill for 5 days and only out of pocket was my Plan B deductible.

[@brentdiez7012]

Same here, 2 months after reaching 65, had a huge hospital bill, only paid the Plan B deductible.

[@ej2953]

I have Plan F. I'll turn 70 in a few months and so far I haven't came close to taking much advantage of it. On the other hand, I'm very comfortable knowing that if I need it, I have it. When my younger brother turned 65, I tried to get him to get a Supplemental Plan, but he went with an Advantage Plan instead. Considering our rural location, he would need a 200 mile round trip for just about anything other than a simple doctor's visit and could easily need to go much further to find doctors in the network.

[@WEStern-sm3ot]

I have Plan F as well. I love it. My former employer subsidizes part of the premium though.

[@ChrisSadowski-pp1np]

With plan N you would still have those benefits with a lower premium and annual rate increases.

[@patriciayohn6136]

Smart choice!

[@iwrist313]

You should add on a counselor to your program. I recently had a patient with numerous back surgeries resulting in infections. The wife told me he is in ICU and needed to go to hospice, but she was not ready for him to go to hospice, so he is occupying a bed that is costing her hundreds a day. Her denial will cost her thousands of dollars in end. Families need to be aware of the lack of communication will put them in debt very quickly.😢

[@rishiraman1997]

Good Job, Very well explained. Just two corrections, One is a Typo "Carotid Artery STENT" not STINT. Second, The specialist fees per visit is $50 but only $50 was entered but you said it was about $500. With $50 it accounts for only one visit by one specialist only !!!

[@mushusmom1239]

My advantage plan has a $2600 max out of pocket for the year which includes prescriptions.

[@michaelcoon9269]

I had a kidney surgery it costs177,000 I have an advantage ppo elite I paid 950

[@pbinnj3250]

I’m embarrassed our government allowed for an Advantage program, knowing they will benefit insurance company CEOs who pay the politician.

[@cgilleybsw]

oh complete and utter bs. grow up

[@pbinnj3250]

@@cgilleybsw Real question. I don’t know what you mean. What part is BS? Also, not sure what you mean by grow up. Am I being naive about something? Thanks.

[@josephkelleher8820]

In my opinion the best healthcare coverage in the U.S. for people over age 65 is to have Medicare A&B plus Tricare For Life.

[@sherryhamrick5013]

Not EVERYONE can get Tricare!

[@wolfgangbaerle5832]

Enrolled A&B with gap plan N $90 in TX

[@deerhaven3350]

Yes, the Medigap plan N premiums vary widely depending on the state you're in...I'm in WA state and pay $143/month, but it sure does give me peace of mind. I had to have emergency eye surgery last year, which completely came out of left field and was so thankful I had the gap insurance.

[@marilynalvarez8378]

I just retired as an Insurance Agent. You are explaining how insurance works for retirees truthfully and accurately. Unfortunately not everyone listens until it is too late and then they place the blame for their situation not on their bad decisions but on other factors. I have a lot of respect for the work you are doing. Thank you.

[@lilblackduc7312]

I agree! Some of the world's "best kept secrets" are because folks didn't take time to learn it, like this video/tutorial.

[@cgilleybsw]

this guy makes me want to have tooth extractions with no sedative. Pick the worse possible case, protect yourself from the 0.00000001% issue and piss your retirement savings away on the plan G premiums.

[@davidgreen4038]

With Advantage people get sucked in with the $0 premium. They may be good from 65 -75 years old but then things happen and they need to pay big bills. With Plan G you are paying more upfront but it will pay off in the long run when you need it.

[@juliebutler8241]

Only if you eat processed crap. I eat the proper human diet. You are what you eat!

[@alansach8437]

​@@juliebutler8241Everybody gets sick eventually. No one dies healthy, unless they get hit by a truck! I've known people who have done everything right, grown their own food, ran marathons, you name it. No one is immune. Sure, you can improve your odds that you stay healthy longer, but there are no guarantees, and sooner or later something will get you!

[@nicolemorter6008]

@@juliebutler8241 I've known people to eat like crap and smoke cigarettes and live into their 80s and seen people eat right, exercise and do every single thing right and end up with cancer. Shit happens a lot is your genes too

[@christosemper8715]

Exactly! Ask an advantage plan if you can go to a rehab facility after a broken hip. They’ll either deny or give you very few days. Vs Medicare where you have 100 days.

[@cdgerhart]

what about all the premiums savings if you are healthy tor the next 10 years? That could add up to 20-30k in savings on the advantage program.

[@michaelsd284]

Correction: at 18:05 you mentioned seeing Specialist 10 times at $50 each would be $500 not =$50. Not a huge deal, but want people to keep focus.

[@dotcodan]

I saw that same mistake in this video. Good catch.

[@LTVoyager]

That is the copay, not the total cost. I am not aware of any copay for a specialist that is $500.

[@richstewart1]

He corrected it when he got to the total numbers.

[@rmtl3140]

@@LTVoyager because he said you would probably see around 10 specialists making it $500.00. Just an error in his addition.

[@dmoro6]

Keep the videos coming!!! They never get old. I am an Ambassador for UHC here in NEO and I love helping people get through difficult situations finding resources to get them help with whatever is going on in there lives medically. These videos keep me sharp and loaded with tons of information to share back to the community!

[@faedeela9]

It's ridiculous. The whole standard US medical system.

[@JPmotion]

125 part G 20-30 part D 174 part B That’s 329 a month at the bare minimum of prices and not including dental, vision, hearing , over the counter benefits, transportation. That’s all separate insurances you will have to add to that 329 a month which can be up to 500 dollars a month for complete insurance. Almost 6000 dollars a year. Part c is no premium and comes with dental vision hearing. Yes it has co pays when you see a doctor but most plans are capped at 3000 dollars a year and the rest is free. So even if you had a bad health year your paying half what you would pay for supplement. And what if you healthy? You pay nothing but the part b which is 4000 less than a supplement you may or may not use. For people on low income like most people on Medicare, a supplement plan is not affordable for them, which is why there is a part c option. Supplements increase every year with no cap, most clients will go to part c after a couple years of supplement because it’s not affordable anymore.

[@donnam5060]

It shouldnt be this complicated, or cost so much. Too many fingers in the cake.

[@FIRED13]

@MedicareSchool Thank you for the easy to understand video. We are not Medicare age yet but are following friends'advice to read up on this stuff now while our minds are still 'young'. That said, I don't think we'd want to deal with the Advantage Hoops when we are old, gray and time deprived. We will just pay for the Supplement and be done with it.

[@topplacetoLive]

Understanding the nuances between advantage and supplemental options is crucial for healthcare decisions. Your analysis provides valuable clarity.

[@robobob-ul5ud]

My wife and I are on a Aetna Medicare Advantage plan. She was 71 years old at the time two years ago.We live in a rural area in Georgia. Wife had a an AFIB episode. Ambulance ride to the hospital, overnight stay and ambulance transportation to a larger regional hospital 80 miles away. She spent two days at the regional hosp. undergoing tests and observation. Underwent a heart ablation procedure to treat AFIB issue. Total bill was over $400,000 Our out of pocket was $500 for the ambulance rides and $350 for the hospital stay and ablation procedure. There was no delay in getting approval fro these procedures. The monthly premium for the Advantage Plan is $0 per month. The Advantage plan has saved us thousands over the years.

[@felipeneto4203]

Success depends on the actions or steps you take to achieve it. Building wealth involves developing good habits, such as regularly setting aside money for sound investments.

[@채은우CHAEUN_WOO]

I'm in a similar situation where should I look to increase income? Do you have any advice? What did you do ? Thank you

[@ruadasflores7559]

Well I engage in nice side hustles like inves'ting, and the good thing is I do it with one one of the best(Ricky Wen), he's really good!

[@codecreateurroku6764]

Did someone just mention Mr Ricky!? Damn! You just made my day; what a coincidence.. I've worked with him for over 2years and I can tell how good he is

[@tulapradhan6882]

No doubts, this Ricky Wen must be an icon; how good is he and how safe is "profit making" with him.?

[@vilasaojose6703]

That's interesting, any way to connect with him? I have to get started.

[@KathySingleton-ff8fy]

Excellent presentation and 100% accuracy! What is not mentioned is if the initial hospitalization is Observation (out patient designation) and the costs associated with that type of hospital related service(s). That’s part B.

[@HarishPatelks]

You did not take into account the prescription, dental, and eye coverage costs and benefits.

[@BlueRidgerMike]

As another commenter noted, you postulated 10 specialist visits @ $50, which would be $500 total, but you wrote $50 (kzbin.info/www/bejne/eHTPq2aMaJ6do5Y). That would make the total cost $4,050 instead of $3,600 for this MA hypothetical. Throw in a couple "surprise" bills from out-of-network providers, and you'd be even more in-the-hole.

[@jeffreyschmidt3786]

I will turn 65 next year. Which plan is best. I require prescription drug care. I heard an Advantage plan is difficult to leave for a Supplemental plan. Thanks for your help.

[@MedicareSchool]

Give us a call at 800-864-8890 or schedule an appointment at www.medicareschool.com

[@rustynail3630]

I have a UH MA PPO. My hospital bills were over $105,000 and my out of pocket was $1,5000. So it was almost break even compared to the G plan yet I get vision, dental, hearing, gym membership, and $700 in healthcare products like toothpaste. You can’t beat that.

[@thegratefulEd]

Marvin, you are a natural at teaching folks about medicare, thank-you for what you do. But, please know that saying (at 12:09) that a Plan G policy will cost about $125 can be misleading. Many about to go on Medicare live in Florida, as I do, and i just had a call with one of your representatives, and a G plan was quoted at between $190 and $227 - that's a far cry from $125. At $125, i'd take a G plan all day long, but at $200 or so, i have to consider the N plans as well.

[@MedicareSchool]

Thank you for this, while the numbers we use in our videos are based on averages asides from the few states that have much higher premiums such as CA, NY and FL. We do appreciate this feedback and will take into consideration.

[@joeysocks5718]

Thank you, great information 🙏🏼

[@info3496]

Notice how he does not add in the price of part B premium you pay monthly to the amount you pay for plan G . So 174 for part B then 125 or more especially if you are a man , that's 299 times 12 months 3,588 and then your deductible of 240. If you are going to show numbers show all the numbers.

[@bobhaare4576]

That's because the $174 is basically a "fixed cost", meaning that everyone pays that amount monthly. regardless of their choice of A,B only, Medicare Advantage or Plan G Supplement.

[@info3496]

@@bobhaare4576 I know that but he added it to the advantage plan and not the plan G in order to make the supplement plan look better. He needs to show the full monthly cost of both plans. He did not. That is like me adding the tax on to one item and comparing its price to another item without the tax and that is what he did in order to make the supplement plan look better.

[@camillerobinson3417]

You're golden with MA until, God forbid, you get really sick. Pay now, or pay later. It's unavoidable. Senior healthcare in America. Sigh.

[@jackycane8238]

I have a plan C PPO way more inexpensive than your presentation. Only $35 per visit my oncologist, $150 per MRI, way less per year than the plan G premium + deductible.

[@pamelahenkel4407]

I had plan N my 1st year on Medicare. $200.00 a month plus $50.00 for dental, plus $25.00 for eye examines and $8.00 for prescription. Almost $3,600.00 a year for health insurance. I switched to advantage plan. Save a lot of money that's for sure, and never been denied any medical procedure.

[@patriciayohn6136]

My Husband and I both have plan G supplements and trust me it is worth the money!!! We love it!

[@MedicareSchool]

That is awesome!

[@patriciayohn6136]

Thank you, unfortunately too many people buy into tha Advantage BS, there is NO SUCH THING AS A FREE LUNCH and Medicare Advantage Programs prey on the uneducated people who do not understand that "you only get what you pay for" SAD!!! Thank you for trying to educate the uneducated!

[@susanstewart7663]

Why can't a person on Medicare from a stroke disability purchase a supplemental plan before 65. ?

[@hleigh842]

Brilliant comparison.....your message is clear. I have plan F and obviously need to consider going to a plan G. Excellent information.

[@wayneguy6043]

How much is your F plan a month?

[@hleigh842]

@@wayneguy6043 I am 82 and my wife is 81 and we pay approx $292 and $276 a month each, respectively. The reason for moving from Plan F to Plan G is that the pool of Plan F people is diminishing each year which will cause the costs per individual to increase. If I am wrong on that issue please correct me.

[@colleenwolf8014]

I just read they are ending the "F" plan for anyone who was not eligible in 2020 or earlier.

[@VivaciousOM]

If you have plan F, keep it. It’s so generous that new to Medicare people cannot even get it. My 95 year old mother in law has Plan F. What a godsend when she fell and had to have surgery. Tiny copays. Because of when I was born Plans G and N are best I can do.

[@Jody-kt9ev]

Great Video. Your videos plus the experience people I know on MA plans make me glad that my wife and I are on original Medicare and a G supplement. I just had a minor skin cancer treated. No pre-approvals, denials, networks or any crap like that. Just went and had it done. A while back I read a story of a man on MA who had deadly malignant Melanoma. With all the pre-approval delays, it was 7 months before he was treated. This is not what you want when facing cancer.

[@MerryTrader]

Brilliant comment. Advantage is a trade-off. You may save a couple of thousand $$ per year. The cost may be your life, due to your reduced freedom of choice. You decide.

[@Jody-kt9ev]

@@MerryTrader Pretty much the truth. One commentor said that with original Medicare, you and your doctor make the decisions about your health. With Medicare Advantage, the insurance company makes the decisions about your health.

[@Sushi2735]

Been there done that in January. Almost two weeks in ICU before stable enough to be transferred for surgery to a heart center for surgery. I don’t remember any of this. De stabilized on transfer and back to the ICU in new hospital. Was there 10 days and had surgery. 1 week in ICU, 3 days in step down. Surgery alone $100,000. Moved to rebab for another 2 weeks. Home healthcare for three months. I have Supplemental Plan ❤ Cost to me……..drumroll----ZERO, YUP ZERO!!!! $000,000,000 OPP’s……..Plan “G”. $174.00 a month

[@nmandowa]

I keep seeing these low costs for plan g in these videos. But why is my supplemental plan in Florida over $200, and that's for planN?

[@williamrogers1219]

Costs are a function of domicile state, age, and how large the pool of retirees is for a given insurance company.

[@g0989]

Supplement premiums vary depending on State/geographic location. Premiums in Florida are higher than average.

[@tioswift3676]

Thank the republicans

[@mikepiper6077]

I have G high deductible. 366 for the year.. it would be More if i paid it monthly. Like car ot house insurance paying monthly payments they charge 5 dollar service fees . Service fees add up. Does take discipline to save up and avoid those fees . I just pay in full . Well worth the trouble.

[@g0989]

@@tioswift3676 Top five states that had the highest Supplement premiums in 2023: New York, Connecticut, Washington, Florida, California.

[@johnscott2746]

I was watching the part about A and B only and I don’t think it’s accurate. The co-insurance is 20% but for doctor’s visits Medicare limits the amount they can charge. It’s usually $20. Also, when you talked about the amount that you have to pay the 20% copay on, that amount should be reduced by Medicares approved amounts. For a normal hospital stay with surgery , original Medicare would be sufficient. The only reason to get a supplement is for the unforeseen risks that could happen. I’m probably going to go with a plan N just because I get most of my medical care from the Indian health service.

[@solareclipsetimer]

Good presentation but you are missing a couple of things about Medicare A and B allowing procedures. They will pay for surgeries that are "approved" by Medicare. But not all are approved. So, in my case, I am a board-certified plastic surgeon that does a lot of breast reduction surgeries for patients with huge breasts. It's a life-changing procedure. Medicare will NOT do pre-authorizations for this procedure, and if you do the procedure, they may or may not pay for it. So, I can't tell the patient whether or not it will be covered for sure. We won't know until we submit the bill. And they don't post the requirements for coverage so we are guessing. When I do a reduction case Medicare (only the really big breasts) will always deny the payment at first and then my office has to appeal it. and it takes me 8 to 10 months to get aid for the case. However, Blue Cross of Alabama has published criteria for paying for a reduction and will pre-authorize it, so using a Part C plan overseen by Blue Cross is easy to work with and the patient knows it will be covered. I have a similar issue with the procedure to remove excess upper lid skin to improve blocked vision. Very difficult to work with Medicare. They are tough with the procedure that are in the "gray area" of being absolutely medically necessary. Thanks for your hard work.

[@lilblackduc7312]

I promise everyone: It's better to learn all this BEFORE an event, than try to learn it after. I promise. 🇺🇸 👍☕

[@ShelleyNickson-ws8in]

Excellent information. Thank you

[@Leslie-ow6ht]

I want to make an appointment. Can you please help me with that?

[@MedicareSchool]

Absolutely you can either call our office at 1-800-864-8890 and someone on our team can get that scheduled. Or you can schedule an appointment here: medicareschool.com/talk-to-a-guide/?

[@robertc7896]

Are the services they're providing, while requiring advance skills and knowledge and sometimes expensive equipment, really worth $3000 a day? Does that sound like a fair price for what they're providing?

[@douglassorge6235]

This guy presents the gospel truth regarding Medicare insurance. Only a fool would disregard his lessons

[@bernardberry3824]

Just had hernia surgery . Hospital cost $15,687 my cost $797. I have HDG plan. Love it.

[@scotsmuscle]

I'm interested in the same, but can't get a straight answer on costs

[@jennifermonical6865]

What is HDG

[@bernardberry3824]

@@jennifermonical6865 High deductible plan G

[@pperdion]

you would have figure in how many years you were paying the supplement plan premium while were healthy to get a fair comparison

[@bigdog6440]

You wrote down $50 when it should have been $500 so the total was $450 low.

[@CarlaCase-sp4qu]

I have Never paid more then $350 for any stay or out patient surgery. Knee Surgery was $100, a 4 day stay for pneumonia.

[@dianafessenden7361]

My senior medical advantage plan with Kaiser Plan covers everything.

[@judyhannah5811]

Also worth noting, I am pretty sure you need a part D (drugs) to go along with your Medigap plan G.many are inexpensive I already have plans to switch from my advantage plan to the G plan and a D, drug plan

[@mypphh97]

Interesting that you are planning to switch from Advantage to original medicare. It’s my understanding that you are going to go an underwriting to see if you qualify. After a year in Advantage is almost impossibly to switch back

[@judyhannah5811]

@@mypphh97 I was told that since I am leaving an employer sponsored group plan there would be no underwriting if I switched to a Medigap plan. I will find out next month when I apply for plan G to start in January.🤞🤞

[@kathyholt3516]

Have an F plan since I eventually will need a 2nd heart valve replacement. My insurance would not let me change to the G plan due to the cost of this surgery. Don’t want to change to advantage plan since I want to choose my doctor & hospital.

[@nbrown5907]

Hmm I am on an Advantage HMO, low income and my maximum out of pocket cost in 2024 is $2,500 dollars. I like my insurance agent. I get $7,500 in Dental with no copay!

[@Direct.injection212]

Authorizations will be a headache

[@CarmenOlson-r9x]

I have Humana Gold Plus HMO is that going up in 2025 any changes to it

[@KimberlyGriffin-v4l]

Just got the plan g before I retire I went to complete physical check up.

[@ChevelleU24]

Does anyone know about AMAC? I’m assuming it’s a Medicare supplement.

[@tioswift3676]

They support the democrats

[@masterlee4370]

We are all healthy until we are not. We all do not use insurance until we do. I've watched numerous videos, so many you would think I get tired of watching them. But no, I so look forward to them and watch from beginning to end. Just so grateful for all the awesome easy to understand explanations on how it all works. I will never get tired of them and even after I go on Medicare I will continue to watch. 65 and 4 months, still working, not collecting yet but the time will come. I absolutely love the "G" Plan and I would tell anyone if they can afford it to get it, or even look at the "N" Plan. But I will never ever recommend the Advantage Plan. I have a friend on an Advantage Plan. He had an appointment 60 miles away from home with a specialist and when he got their the lady at the desk told him they do not take his Humana Insurance anymore. Too many stories like this one. maybe it will change one day but I am not taking any chances with my health in the insurance companies hands. Awesome Video!

[@gracebe235]

@@BJ-kv4zg…..Yeah, that worked for my mother-in-law….until it didn’t. She thought she was so smart having Cigna Medicare Advantage, because she was one of those very active, healthy seniors. But shortly after she turned 92, she had the typical ‘fallen and hurt my hip’, situations. That was last year….she is still haggling with her insurance to get an MRI approved so that she can get help from a pain management center……still waiting! My husband had neck surgery on four vertebra, bill was over $216,000.00. But he only had to pay the deductible of $226.00, plus his monthly premiums, and his Plan G supplement took care of the rest, along with Original Medicare. Oh, and we both had MRI’s last year….never needed prior approval, just went and had them done! If we had been on an ‘Advantage’ plan, we would both STILL be waiting.

[@BrittMFH]

I agree with you. Just started Medicare and got Supplement. No pre-approvals, no worry about whether a doctor may or may not accept you.

[@masterlee4370]

He went there before and they took his insurance. They decided not to anymore. He shouldn't have to call every time and ask if they still take it. Plan "G" for me.@@BJ-kv4zg

[@beoz658]

So strange here in Sacramento County some Hospitals are not accepting Original Medicare g supplement. But Sutter Health Care will accept UHC Advantage HMO

[@JohnJohn-wr1jo]

BJ, read what u posted. "Nothing wrong with the Advantage plan if your healthy".. You've already developed a serious case of denial and need treatment before it's terminal and drains your savings. Advantage Plans cost more out of pocket every year. Your setting yourself up for huge bills and subpar care when your going to need it the most.

[@steveambrose2349]

Do I need a D plan if I have A,B and G?

[@MedicareSchool]

If you have Medicare Parts A, B, and G, it's advisable to consider enrolling in a Medicare Part D prescription drug plan for comprehensive coverage of prescription medications and to avoid potential late enrollment penalties. www.medicare.gov/

[@supergg07]

I’ve had a supplement insurance with my Medicare for 21 years. I would not give it up for anything. I’ve had hospital stays and never had to pay a dime any time ago to Specialist doctor anything I don’t pay anything I just walk out the door. Local State Farm agency is who I use

[@disneyxmandy9846]

You do pay- monthly. Your premium is paying up front.

[@jumpinjehoshaphat1951]

Love to see this typical Advantage plan pitted against an HD G supplement in the same set of circumstances.

[@youdan5940]

The hdG bill would be the same as the G other than this years $2800 deductible. A lot of that would be made up with the monthly premium difference. Here in Florida G is $186 and hdG is about $60 a month, at this time if you had to pay the deductible every other year it would be about a break-even proposition. As long as you are reasonably healthy the hdG could save you a lot of money. Who knows what the future holds? Once you sign onto a plan it's difficult to switch plans in most states.

[@bobd5119]

Thanks! It is beyond merely helpful to have comparisons gathered together.

[@CarmenOlson-r9x]

Is medicare premiums going up in 2025

[@MedicareSchool]

We project them to, but we will keep you all updated as information is released.

[@geraldinesutor6453]

Good information. Finally I listened to someone who gave a good explanation.

[@MedicareSchool]

Wonderful to hear! If you have any questions you can contact our office for help as well at 1-800-864-8890!

[@irfanhaque1749]

Well I have an PPO Advantage plan and pay insurance premium of $160 pm and everything is covered.

[@mattmathai]

Thanks. Pre-authorizations + network requirements make Advantage plans useless unless you absolutely can't afford the monthly premiums. Of course, you end up paying more for an Advantage plan and you're at the mercy of insurance companies who exist to under-serve you and maximize their profits. Also, Plan G prices rise a LOT faster than the rates for Plan N - also something to consider

[@leonrawls892]

125.00 for plan G? I'm a 64 year old male in Florida and I'm getting prices of 190.00 for G and 142.00 for N

[@lisaveta8565]

My husband had a knee replacement with plan N. We pay before surgery $20 consultation, $20 cardiologist release, $20 primary physician clearance, $20 visit before surgery with nurse practician. I am not sure how much we need to pay for staying him in a hospital for 2 days ( they billed part B for anesthesiologist job, for surgeon visiting him next day and some other pt visits in a hospital. Right now we paying 3 times per week $20 for his pt ( 3 month). If you put all this copay together it is a lot more than difference between plan G and plan N premium.

[@nancysatkinson1568]

" These other Insurances will let you know " if" they will decline or pay for medical Services, their call!

[@MollyT-zk4ch]

It’s ridiculous what doctors charge you, and their procedures are still iffy. They need to put a cap on their charges.

[@pbinnj3250]

I live in the northeast. Please do a similar video using numbers from New York City numbers. An MRI around here starts at $1000. Outpatient surgeries probably in the multi 10s of thousands. That $300 outpatient figure must be for a pet with a vet.

[@bruceeigsti5274]

never get an adv plan ...like never

[@kr5289]

The G plan sounds good, but i didn't hear you say how much if any that it pays on medication.

[@MedicareSchool]

If you have a Supplemental plan, you'll need to purchase a separate Part D drug plan. Supplemental plans typically don't offer drug coverage.

[@kr5289]

@@MedicareSchool thanks

[@chipset2900]

We think his hypothetetical guesstimate figures for Part C out-of- pocket are way too high.

[@deesjourney213]

Can you change to a different G plan during open enrollment or do you have to stay with the same company?

[@janicelloyd3215]

Medicare part A pays all of a hospital bill with a $1600 + deductible.

[@ssnydess6787]

i have Tri-Care for life and recently changed to an advantage plan after consulting with your councelors. I like the additional benefits that the advantage plan has over conventional medicare. Will my tri-care for life cover those copays you refer to? Thank you!

[@sctexan5392]

One thing that bugs me about this type of analysis is it's based on a point in time cost comparison. Do a 5 or 10 year comparison. Also the ever increasing cost of the supplement plan is ignored. As someone who had a spouse who had cancer, the year of the cancer, you are correct, we paid a few hundred dollars, but for the years prior and the years since, the supplement plan has cost us somewhere around $15,000 dollars. So an advantage plan would have saved us many thousands of dollars.

[@thomaspfizenmaier1400]

Exactly. My supplement plan has gone up, to where now it is almost $400.00 a month for both of us.

[@Jody-kt9ev]

From watching these types of videos, this is why you should get an advisor to help choose your supplement insurance company. Some are much worse than others at increasing your supplement insurance cost as you age. I have had part G since I was 65 and am now 70. It has gone up, but not near as much as I have seen mentioned on the internet.

[@billsmith5593]

Just to review the c plan often you are in a region ppo. If your income is stretched then this is a correct choice. I use g plan as I travel a lot and don't want to be restricted to a single plan

[@OB1_CanOBeans]

@@Jody-kt9ev This is one topic I wish was discussed a bit more. He talked about how a G Plan could cost around $125/mo, AT AGE 65. That's great, but how about at 75? 85? If someone is going to do a comparative analysis, or even just plan a budget for the future, they need to know how quickly the rates increase.

[@Jody-kt9ev]

Not necessarily true. Chemo and other cancer treatments can go on for years. Diabetes, which many seniors get, is a chronic illness that also can be expensive over many years. Supplement plan costs are based on age, insurance company and zip code. Do you not think that MA plans do things to cope with increasing costs due to your aging and medical inflation? I personally think the recent complaints about pre-approval time, care denials, and delayed and low pay to providers, is part of this adjusting. Depending of circumstances, MA may or may not be cheaper over time. However, with original Medicare, and a supplement, your care will probably be much better as your network is nationwide, and you. very little chance of pre-approval delays, or denials. In fact, I have seen an article stating that, with some rare cancers, you are more likely to die on MA than original Medicare.

[@timdaniels6060]

Please don't use inflated hospital/medical charges as anything close to what Medicare pays. My experience with Medicare Advantage has been that medicare negotiates with the hospital or medical provider and pays (in conjunction with) the insurance carrier. For example, I was helicoptered from the N.Calif coast 120 miles to a hospital in Sonoma County. The bill was $42,000 . Medicare/Ins.Carrier paid $12,500. I paid $0. That was in 2012. I find a real advantage having qualified negotiators deal with extraordinary charges. Please don't blur your salesman wording.

[@Nicolelmnop]

Who paid the other 15k in confused?

[@rickbruceroche2038]

My expenses on a $200K hospital bill would be a little above $9.16/day. Depends upon drugs used. January 2023, I had. Right carotid artery stent emplaced. My cost was ZERO.

[@potranco999]

The bottom line (talking about cost) is you always pay. Choose to pay when the big medical issue is performed with Advantage.. or up front in manageable budgeted monthly premiums under A,B & Supplement G. Now… the topic of freedom of where and which doctor & hospital, or having to get pre approved, having to have your primary doctor refer to specialists.. is also an issue between the plan options.

[@mypphh97]

I have been enrolled in original medicare + supply for 2 years but still check all information regarding medicare as often as I have time. Original medicare still beats advantage plans most of the time. Good information. Thanks

[@MedicareSchool]

Thanks for sharing, we're happy to help!

[@diceportz7107]

Friend of mine had a stroke. # different hospitals, 2 week stay with 5 days in intensive care, his estates portion of the bill? $0, because he had an F Plan. Too bad they discontinued them.

[@wileyhardwick3719]

They haven’t discontinued plan F. If you were born before 1955 you can still get plan F

[@skydancerforever]

Thanks for the video. I turn 65 in May of 2025. Can you cover or explain N or F medicare supplements? better or worse the G?

[@MedicareSchool]

Of course, here is a video comparing all the supplements kzbin.info/www/bejne/a3jdYZWcl9mEncU

[@CountryTenn1365]

Does anyone here have supplement N

[@MedicareSchool]

If you have any questions about Plan N we're happy to help answer them! You can contact our office at 1-800-864-8890!

[@mey7579]

My late fiancé was in intensive care for three weeks before he died from a stroke. Ten years ago the final cost for that stay was $400,000. I cannot imagine what it would be today, probably over $1 million. His work insurance paid for all of it except $1200. If you have only Medicare your cost for a stay that cost $ 1 million would be $200,000. I have Plan F and have paid nothing for any services I’ve used in the 6 years other than the Plan F premium. I had physical therapy for eight weeks in the fall and the charge was $2500 of which I paid nothing.

[@candicethompson703]

I have had plan F for 12 years. Love it.

[@dotcodan]

Plan F is great but new Medicare beneficuaries can't purchase it. That will drive up the premiums for Plan F to where you can no longer afford it. Enjoy it while you can.

[@surfrunnerd8457]

I believe we are headed very soon where an average surgery and hospital stay will be 1 million dollars.

[@johnscott2746]

If your stay was billed at one million dollars then Medicares approved rates would reduce that to about $190,000. 3/4 of this would be hospital charges which is paid with Part A after the deductible of $1632. The other 1/4 would be part B and your 20% would be about $9,000. So, about $10,600 not $200,000.

[@mey7579]

@@johnscott2746 I had no idea Medicare would only pay about 20% of the $1 million dollar charge. That seems like a really drastic discount but I just researched it a little and read that Medicare pays a lot less to hospitals than commercial insurance companies do, so my fiancé’s bill was higher because he was covered through his employer. Thank you for the clarification.

[@ThumperX9]

Great work...interested in drug plan costs for 2025...any info?

[@David-jm6yo]

For my artery stint, the Hospital bill was 167,000 but was adjusted to 116,000

[@MB-uy5kh]

Unsubscribed. Video length is much too long. Good information, but can certainly be edited to be half the length and still get the same information across

[@Nicolelmnop]

I could hear him talk all day. Maybe if you get bored with it I could see it being a lot. He also repeats some of what he says and that helps it stick

[@47retta]

I have plan K and live in Florida. If i move to another state, will my premium change?

[@tungtung8378]

I am so confusing here. My husband has Kaiser Advantage, and he had 5 surgeries so far, and he paid $10 for co-pay, and medicine like $100 each surgery which I believe that is cheaper if he had the Medicare A+B.

[@MedicareSchool]

Kaiser is separate from advantage plans since they have their own systems. So these comparisons wouldn't be the same for those who go through Kaiser.

[@MollyT-zk4ch]

Always get a approval letter for anything you have done medical before you have your medical issue handled. It became very handy for me when they tried to bill me for something.

[@jimmyamico4713]

It looks like to me the best plan is the G plan I’m 63 I’m wondering what’s the soonest I can apply 64 1/2??

[@MedicareSchool]

It depends on multiple factors like your state, initial part B date. If you are thinking on getting a supplement plan G. Give us a call at 800-864-8890, 6 months before you turn 65. One of our license agents your state would be happy to educate you on Medicare and help you choose the best plan for you.

[@nealthompson1252]

You missed specialist co-pay by 450.00

[@Paysoncougarfan.7885]

As a retired military, I have Tricare for life as a supplemental to my A & B, could you address this situation?

[@MedicareSchool]

Here is a link for a video on Tricare. kzbin.info/www/bejne/gHu8kqiLn52Ajbc Give us a call at 800-864-8890 or schedule an appointment at www.medicareschool.com

[@arthurvandermark5397]

My hospital cost for getting a pacemaker added up close to $200k. They negotiate final bill down dramatically. I think to around $15k. I ended up paying maybe a $20 doctor co-pay only under plan N. I was wondering how much this would have cost under advantage and would they have negotiated the bills down as much?

[@dotcodan]

Correction: You mean Part C not Plan C.

[@steveg6978]

Downside is my Mom's premiums for AB supplement are getting very expensive now thats she is 85

[@jessicawick7816]

Readjust her budget or possibly look at Medicare advantage plan and if she has any chronic conditions consider a chronic med advantage in your area. Their plans structure to allow seniors to have more affordable plans for their chronic conditions

[@candeffect]

G and N plans decrease the incentive to stay healthy. HDG is better than Advantage and increases the incentive to stay healthy to avoid the high deductible. Most people have healthcare insurance to pay the medical industry but most don't have a Strong Health Plan to stay away from the medical industry.

[@johnscott2746]

High deductible plans are a waste of money. Less than 4% of people who have them EVER make use of them. In other words, they pay the premiums and also pay for all of their medical expenses that Medicare doesn’t.

[@leesasamuels]

It's a lot to take in, but he did a great job explaining each option.

[@MedicareSchool]

Thank you!

[@justink87371]

A&B doesn't have a max out of pocket?

[@MedicareSchool]

That's correct. Medicare Part A and Part B have no maximum out-of-pocket costs. Once the 20% coinsurance and any applicable deductibles are paid, the beneficiary is responsible for any remaining costs, regardless of the amount.

[@justink87371]

@@MedicareSchool hmmm. What do you recommend for someone being forced onto Medicare due to being on SSDI?

[@reginalp1997]

If you have just in January accepted an advantage plan, can you change back to a regular Medicare plan with the g.

[@MedicareSchool]

Give us a call at 800-864-8890 or schedule an appointment at www.medicareschool.com