Medicare Advantage Plans Explained

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Medicare Advantage Plans Explained
Also see Medicare Advantage vs Medicare Supplement Plans kzbin.info/www/bejne/rqiadpx-Ypqcn80
Medicare Advantage Plans Explained What is Medicare Advantage?
If you’re researching Medicare and looking for a video to help you understand Medicare Advantage plans and if they are the right choice for you, this is the video you need to see. Stay tuned.
Hi, I’m Matthew Claassen with Medigap Seminars Insurance Agency. We are an independent insurance broker helping people with their Medicare and retirement needs from Hawaii to Virginia and Alaska down to the Florida Keys. We represent our client’s best interest, not that of an insurance company, and our services are free to you the consumer. All you need to do, is ask.
This video is different than other videos you may have seen on Medicare Advantage Plans. I am not going to simply describe a Medicare Advantage Plan. Rather, the intent of this video is to give you the information you need to decide for yourself if a Medicare Advantage plan is right for you.
Check out our video on Medicare supplement plans and insurance companies: kzbin.info/www/bejne/n5fRiHScZ6yBiLM
Medicare Supplement Plan G kzbin.info/www/bejne/o5-QiaehqMycf5o
Medicare Supplement Plan N kzbin.info/www/bejne/iJPQdn6Fpc2ooNU
If you want to limit you’re your financial risk, you can either purchase additional coverage via a Medicare supplement plan or replace your Original Medicare with a Privatized version of Medicare Part A and Part B managed by a private, for profit insurance company. That is a Medicare Advantage Plan.
Now, there are many different types of Medicare Advantage plans. But literally 98% of all Medicare Advantage plans are constructed as either an HMO or a PPO. In this video we will just be discussing HMOs and PPOs and not other types of Medicare Advantage plans.
To be clear, a Medicare Advantage Plan is not a Medicare supplement. It does not supplement your Original Medicare, it replaces it. You still must pay your Medicare Part B monthly premium to Medicare, but you are no longer using Original Medicare. You don’t use your red, white and blue Medicare card. The insurance company you choose for a Medicare Advantage plan will issue you their own insurance card for the plan you enrolled in.
As you may know Original Medicare has a lot of copays and deductibles. Each Medicare Advantage Plan has its own copays and deductibles and by law must be designed as an Actuarial Equivalent to Original Medicare. Actuarial Equivalent. It’s an interesting term. What exactly does it mean? It means that the average person on any Medicare Advantage plan must have roughly the same annual out-of-pocket expense as they would have if they had simply kept their Original Medicare Part A and Part B and NOT added a Medicare supplement.
Unlike a Medicare supplement, every Medicare Advantage plan is different. Each has different coverage, uses different doctors and hospitals and every Medicare Advantage plan can change its benefits and costs each calendar year. But, by law, they must remain an actuarial equivalent to Original Medicare.
However, as I mentioned earlier, Medicare Advantage plans have maximum limit on a policy holder’s annual financial risk, also called your maximum out-of-pocket expense.
www.kff.org/medicare/press-release/less-than-one-third-of-new-medicare-beneficiaries-enrolled-in-medicare-advantage-during-their-first-year-on-medicare/
www.kff.org/medicare/issue-brief/a-dozen-facts-about-medicare-advantage/
www.kff.org/health-reform/issue-brief/medicare-now-and-in-the-future/
www.kff.org/medicare/press-release/medicare-advantage-networks-included-46-percent-of-physicians-in-a-county-on-average/
www.kff.org/health-reform/issue-brief/data-note-prescription-drugs-and-older-adults/
www.kff.org/medicare/fact-sheet/medicare-advantage/
themighty.com/2018/02/aetna-medical-director-patient-records-insurance-investigation/
medigapseminars.org/ig-report-on-medicare-advantage-denial-of-service/
khn.org/news/when-medicare-advantage-drops-doctors-some-members-can-switch-plans-2/
khn.org/news/proposed-medicare-advantage-rules-on-dropping-doctors/
oig.hhs.gov/oei/reports/oei-09-16-00410.asp
#MedicareAdvantagePlansExplained #MedicareAdvantage #MedigapSeminars #MedicareExplained #NewToMedicare #Medicare2022 #Medicaresupplements #MedicarePartC #Medicare

[@debrakettler6077]

Absolutely great KZbin video. My husband and I just spent an hour and a half with an insurance agent yesterday and all he wanted to talk about was an Aetna Medicare solutions plan at zero cost. I told my husband that there is something wrong with the situation ...if it’s too good to be true, it can’t be true. I have worked in skilled nursing home for the past 12 years in admissions and definitely have seen the outcomes to people having a Medicare replacement policy compared to traditional Medicare. My husband turns 65 this year and we have been trying to find the options for him. This video certainly gave me a better way to explain it to him. I knew that insurance agent yesterday was trying to add some money to his pocket. I’m sure he’s good at what he does, he had tons of awards all over his office. But as you stated, doing your homework is the best thing anyone can do. Thanks for your videos I will watch more.

[@almitraprice6248]

I recommend your channel to all my new Medicare eligible patients. Thank you

[@ruthpettis8800]

This is the best explanation I have found for the pitfalls of the Advantage plans. The examples of problems individuals had encountered helped me understand the problems one can encounter with Advantage. I've been searching to understand better the differences, and this video confirmed my concerns. Thanks so very much!

[@sheilakelly9116]

Absolutely excellent information. I worked with the Medicare and Medicare Advantage system as an RN for many years. I was aghast at the unscrupulous behavior of some HMOs particularly in the Southern CA area both in their lack of coverage as well as their marketing practices. I am glad that you are out there providing great clarity to these issues. Sheila, Retired RN

[@debrafollmer6129]

Definitely worth the time to watch this video! With the benefit my husband has had with his supplemental insurance, watching this video scared me right out of the idea of considering a Medicare advantage policy! I’ve seen the “advantage” of choosing a supplemental insurance policy! Thank you for making it perfectly clear!

[@nancydelathouwer9919]

I'm sure glad that I listened to you before my husband and I signed up for medicare. Our plan N supplement saved his life when he needed heart surgery. Mayo Clinic accepted it and we are so grateful. Thank you for the good advice. I had a feeling Advantage plans weren't a good idea, but they sound even worse than I imagined. How awful to have necessary care denied when it is most needed.

[@maydawson2843]

I have been on Medicare for 16 years I have learned more in the last hour than the 16 prior years. Thank you for these videos

[@williamevans7882]

I thank you so very much for taking the time to help me understand the complex turns found in Medicare for Seniors.! I am 82 years old and needed THIS ! God Bless you !!! Look me up in HEAVEN!!!!!

[@shelley2861955]

You have saved me hours of research and decision making trying to understand the medicare advantage plans. I have been overwhelmed with the amount of mail and calls and couldn't understand the FREE premiums. I have a friend in a doctors office who told me, stick with medicare and now I'm sure that is what I'm going to do.

[@chrissmith7078]

Thank you for a very clear video on the Medicare Advantage plans. I will stick with my supplementals now that I understand this Medicare situation better.

[@crochetnut1114]

While my state is under a “Stay at Home” order due to COVID-19, I have had plenty of time to do my homework and devour any information I can find between original Medicare and Medicare advantage plans. My cousin found one of your videos and sent it to me. I have watched three or four in a row and I am continuing to watch more. Thank you for speaking so clearly and making everything understandable. At this point I think I know which Choice to make. Although it is pleasant not to be interrupted by commercials while watching your KZbin videos, you might consider monetization because you definitely deserve it!

[@alicehardy1668]

Thank you. Very well explained and easy to understand. I keep receiving 5-6 solicitations each day trying to sell me more insurance with premiums "sometimes as low as $0.00!". I may be old and disabled, but I still maintain a healthy skepticism when someone offers me "much better coverage, including dental and vision" for "sometimes as low as $0.00!" Thanks again!

[@ut561]

wow, what an eye opener about them denying health care. you are the 1st video that mentioned this, thanks so much. i'd give this 2 thumbs up if possible :)

[@atthrower01]

who is denying?--- medicare doesnt----- unless there is renal fail

[@leealexander3507]

All for profit health insurance makes their money by denying care when it's expensive and badly needed.

[@gauravipal9518]

@@atthrower01 The Medicare Advantage plan is a for profit plan that replaces Medicare. Medicare does not deny service but Medicare Advantage plans can and do deny service.

[@donnakelley1202]

Thanks for helping me understand this. I have to admit I'm totally overwhelmed by all of the information out there. Your videos are clear and concise and I am grateful for the information you provided here. I need to watch all of your videos. Please keep them coming.

[@MedigapSeminars]

Thank you Donna. I will have more soon. In the meantime, I have licensed assistants here in the office that will be happy to help. 800-847-9680

[@door2416]

THE BEST EXPLANATION OUT THERE. I went with Matthew last year and am so glad I found this video. I went with original medicare and a supplement (N) and added a part D drug plan. My supplement is $95 per month and my drug plan is 11.00. I think the insurance companies rely on the uninformed to sell their advantage plans to.

[@Sparkernp]

I'm turning 65 in 2020 and have been exploring my MC options. Thank you for convincing me that I want a supplemental plan, not an advantage plan! Also, I thought your "Breaking Bad" analogy was a good one. Loved that show!

[@auntielsllc5606]

Thank you for the information. I was so confused and overwhelmed. With the clarification you provide, I feel many people will benefit. Thank you!

[@MedigapSeminars]

you are very welcome.

[@shandraloggins5468]

Fascinating, thank you for speaking so clearly to us.

[@1shakasean]

I am newly Health licensed in the state of Florida. I am thankful and impressed with your videos. I was focused on MA-PD plans and you have opened my eyes. I will learn about Medical Supplement plans and make sure my priority is to introduce this first, if it does not meet their needs, then help them make an informed decision with Medicare Advantage plans.

[@timsatterfield9752]

I am a new independent agent, and this was extremely helpful to me!! I will now be able to inform my clients so much better!!!

[@denisd.budnik7803]

Great video on Medicare Advantage Plan... thank you Matthew. I fall into the poverty level, were the Advantage plan is really my only choice... I'm a Medi Medi. I'm a Multiple Sclerosis patient, at the time I was an undiagnosed MS patient and had Scan a HMO Advantage Plan. SCAN continually denied a referral to see a Neurologist, I was walking with a cane at the time. I can no longer walk, and have to use a powerchair. Had Scan allowed me to see a Neurologist, chances are I'd still be walking as I'd have scene treatment for my MS. I switched Advantage plans and was allowed to see a Neurologist who diagnosed me with MS. I'm now on Anthem Blue Cross an HMO Advantage plan. I cannot say enough good things about Anthem. They have never once denied a referral -- unlike SCAN, I call them "SCAM."

[@richardbrunelle4305]

Great videos! There is so much detail missing in the promotional material we are given and expected to make an "informed" decision. Thank you for making these details available.

[@joemagryan]

Thank you Matthew for sharing the truth about Medicare Advantage (DisAdvantage) I can only add from my wife's illness we went through 4 months of Delay, Deny, and ultimately Death . Keep spreading the word to counter all these TV ads pushing Advantage policies

[@firedmyboss]

Very informative.... at 67, I am blessed with good health. Like so many of the rest of the general working public, all I have ever known was company medical insurance, or the exorbitant cost of COBRA when ever there was a change or termination. There is much more that I need to learn, know, and understand.

[@spmartinez79]

I work in the medical field, very good explanation. Thank you.

[@jerrygreene2154]

What a great explanation of Medicare Advantage plans. I am so tired of the commercials on this topic. They say what I want to hear instead of what I need to hear. Thanks so much for the information.

[@MedigapSeminars]

You are welcome. Some of those Medicare Advantage Plan commercials seem to push the boundary of honesty.

[@petesheppard1709]

Thank you. My 65th is in January, and my ignorance is nearly total. I'm binge-watching videos, and your's are very helpful!

[@JP-gv9sb]

Fantastic! Don’t even think about choosing a Medicare plan without first watching this video.

[@jamesthompson3336]

All I can say is thank you for this message.

[@barbaram5787]

Wow, I had already decided against an Advantage plan because of one of your prior videos I watched but this video reinforces that decision even more. I'll be sharing your videos and information.

[@teripittam6640]

I’m so happy I’ve been watching your videos. You make it easier to understand this complicated information. I made the right choice for me, and that wouldn’t have happened if I hadn’t watched these videos!!! Thank you

[@isaavedra3267]

This video was extremely helpful. My family has a senior over 65 and another who will turn 65 in February 2020. The older senior is enrolled in Part C supplement and Part D. Thanks to this video I learned that each of them will have to be managed differently and more likely at different costs. I will continue to watch the other videos in the coming day, but this was a great start.

[@MedigapSeminars]

FYI If a person is healthy enough to qualify, you can move out of a Medicare Advantage Plan and back to original Medicare from January 01 through March 31 of each year. Please reach out to my office for details if you wish.

[@reedsawyer5704]

Matthew, thank you for these videos. I am studying for my insurance certification, and these videos are invaluable. Great job!

[@maurylee5239]

Nice to find an honest broker. How refreshing to get an honest opinion. I wondered why I get so many mailings trying to get me to switch to an Advantage plan. Easy to see that if they can deny coverage at some clerk's whim, it really IS an ADVANTAGE to the insurance companies.

[@MedigapSeminars]

Bullseye!

[@rebeccalee4898]

You are the best in explaining between Regular Medicare and Medical Advantage planz. Thanks

[@leealexander3507]

I shared this to Facebook where my friends are family nearing Medicare age will see it and make an informed decision. Thank you for helping people to be able to do that.

[@MedigapSeminars]

Thank you Lee. Have you seen my latest that compares Medicare Advantage Plans to Medicare Supplements? kzbin.info/www/bejne/rqiadpx-Ypqcn80

[@janicefoundas9163]

This is the best video on choices for medicare and advantage plans. Hes right on about Advantage plans just think about how many times your regular ins denied a request for DME or medication when u were working!

[@steverosengren1492]

This guy/company is amazing. He and his videos guided me through the enrollment process last year. I made a great decision with his help! Matt, I’ll be calling you again in a year or so for help in getting my wife enrolled. Thanks for being you!

[@MedigapSeminars]

Thank you Steve!

[@esc447]

My husband is a state retired employee and enrolled in medicare advantage PPO plan. He was turned down by one doctor because they only accept original medicare. It was a blessing because he found a better and compassionate doctor that listens to his patient. Never had a problem with any procedure etc. He was in Israel and had to go to the emergency department. The whole ED treatment, meds, doctors have been paid by the PPO insurance. It took 2 months but they paid it all. Thank you for your information. I will keep your information in mind when it is my turn to apply for medicare.

[@elizabethjurski5439]

I have learned a lot from your seminars. Thank you for this detailed and very informative videos.

[@karenpeters2433]

My husband got his insurance through your agency last year, and you’ve been great. Got the plan F-HD and an annuity. I would definitely recommend that combination to anybody looking to save money on their insurance plan.

[@MedigapSeminars]

Hi Karen. I am so glad you like your coverage. The FHD with annuity savings account are a great combination. The Plan F-HD is a great value in states that mandate all policies be issued as either Community Rated or Issue Age, like Florida, CT, NY, Washington State and others.

[@rgkeen7315]

This has been the best explanation of Medicare Advantage. Thank you!

[@MedigapSeminars]

You are welcome. #MedigapSeminars < Click here to see my other videos

[@debbiehagan7848]

First time someone has clearly explained the difference between Medicare original plan and the Medicare Advantage plan. I learned a lot. Thinking the Medicare Part A & B works for me., plus a supplement. Thank you!!!!!

[@yolandaharold2792]

Wow! This video is a MUST SEE for anyone who is confused about the Medicare advantage plans vs Medicare supplement. While I am not of Medicare age my parents(who are 83 soon to be 84 and 88 soon to be 89) are and will be moving from California where they had SCAN to northern Virginia to be near me so I have the responsibility of trying to help them figure out health care for them when they move here. It was driving me crazy trying to figure out Medicare advantage plans and you’re right insurance agents are definitely not pushing for supplement plans. I will definitely be checking out more of your videos, your website, and hopefully also be able to speak to someone. Thank you so much for this.

[@MedigapSeminars]

Thank you for your comments. We are here if you need us. 800-847-9680

[@christinerhiner7318]

Too bad many Seniors will never learn to use KZbin. So informative! Thank you.

[@janicecentrello1555]

Can’t thank you enough for this video. Yes it has made up my mind for me.

[@aulii11]

Great information, thanks! By 11:50 I had decided that an advantage plan wasn't right for me and clicked on your supplement plans video!

[@tonystark-gz5no]

wow! thank you! im a new call center agent handling Part C plan...just on my 3rd week taking in calls...this is truly helpfuk...thank you for sharing your expertise!!! keep it up!!!

[@stellabella8224]

Thank you for great information. This is what seniors really need to make good choices.

[@MedigapSeminars]

You are welcome Stella

[@KS-xb3cg]

Helping my parents understand the options. Thanks!

[@davidelliott4018]

I've been watching other videos on this subject, I have found things none of the others have even mentioned. Thank you!

[@mariofuentes4090]

You are simply a phenomenal person for providing the explanations the way you do, sincerely, thank you.

[@MedigapSeminars]

You are welcome

[@regina5818]

Thank you I’m finding out about this the hard way

[@grammytina373]

Thank you, now I'll watch your video on the supplemental programs.😊

[@kaiyune472]

Thank you. You helped me understand that the medicare advantage plan I had enrolled in was a problem, before open enrollment was over, so I was able to go back to regular medicate with no penalty. Loved Breaking Bad!

[@leealexander3507]

This is the best video I've seen on Medicare Advantage.

[@gwingatetx]

I've watched several of Matt's videos and became very knowledgable very fast. I ended up doing a Plan N and Part D with a total out of pocket of $287/month including the Part B premium, plus the $198 annual deductible and $36 in annual drug cost. This was my last video to understand why I do NOT want an Advantage plan. I do not want my insurance company involved in what they will pay for and who I will go to any more!

[@scentofthesun6672]

Excellent! I am so happy I was given this information when I needed to make this decision.

[@MedigapSeminars]

Glad to have helped!

[@G.G.8GG]

You cant imagine how deeply I appreciate this frank and factual look at advantage plans. My sister was in one. Low premiums but a two day stay in hospital just to check out some issues cost her many thousands. I don't have many thousands so this is vital to know. I'll be calling you soon.

[@MedigapSeminars]

Thank you for your comment Esther.

[@riceski]

Paid for reply I bet

[@MedigapSeminars]

@@riceski I feel sorry for you Gary if you think that a person can't say something nice without being paid. Esther is not paid to make that comment and, for what it is worth, I have not yet heard from her. If you were just a little observant you would note that I have many comments like that in most all of my videos. You would also notice that more people comment and like my videos than any other KZbin channel. Maybe I just explain things better than others.

[@amy3388]

Thank you for your professional integrity.

[@peterbarnes7118]

I was interested in going to an advantage plan until I saw this video, thank you. Oh and I see my provider is charging me $127 instead of the listed $119, now I know why thanks to another video of yours that I watched! Thanks,Pete

[@MedigapSeminars]

Amazing what happens when you have all the facts :-) If yu would like my recommendations feel free to call us 800-847-9680 or request information by email medigapseminars.org/medicare-supplement-specialist-independent-medicare-insurance-broker/m-quote-request/

[@John-ys7zz]

I am glad I found you. I was about ready to sign up for an advantage plan. Thanks for this information.

[@MedigapSeminars]

You are welcome John. I hope you let us compete for your business: medigapseminars.org/medicare-supplement-specialist-independent-medicare-insurance-broker/m-quote-request/

[@KarlaJoblin-ez8id]

Thank you so much for this information. I have watched many of these videos. Some of the others mention that some agents recommend MA plans because of the higher commissions, but you are the ONLY one who told us how much higher they are and that MA commissions are 2 to 5 times higher and increase each year and last for as long as the client keeps the plan. That should be illegal. It almost ensures that most agents will push the MA plans even though they are rarely in the best interests of the client. Greed is a powerful motivator and I would imagine that most agents can't resist that temptation. Thank you for putting the best interests of your clients above your financial gain. God bless you (and the few other agents who do this)!

[@sharon3756]

Thank you for explaining each plan clearly. I selected plan G with Medicare A & B, D

[@johngarnergarner6724]

Excellent stuff. I am a medicare agent in North Carolina and this mirrors exactly what I tell my customers. I've been doing this a long time and, as you can imagine, I've run into about everything you can think of. I remember a situation just a couple of years ago. I was working with a gentleman who was turning 65 and instead of buying a supplement from me he went with medicare advantage. He gets cancer ----and I think he was diagnosed at the end of September--- hits his out of pocket limits and then the clock re-sets in January. He calls me and I have to inform him that he can no longer get a supplement. The most difficult client I have is the person who says to me, " I don't get sick, I never get sick." Well, the answer is simple. You don't get sick until you get sick

[@MedigapSeminars]

Re: "The most difficult client I have is the person who says to me, " I don't get sick, I never get sick." Well, the answer is simple. You don't get sick until you get sick" EXACTLY This is why I tell people to get the insurance plan they will want to have when they are seriously sick or injured, not based on their health today. Thanks for your input John.

[@hcadambi1]

I have type 2 diabetes. Live in Madison Wisconsin. They are r3fusing to accept me for medigap since I am on insulin (long acting insulin). Then how can I get affordable medigap?. I like all the advantages of medigap but I feel out of luck unless you can provide remedial plan. Currently in 5 star Medicare Advantage plan which seem to coincide with your opinions in this context. I making every effort to keep A1c levels and stay healthy

[@johngarnergarner6724]

@@hcadambi1 Hello Harry, happy thanksgiving from the Tarheel state. Just read your comments. Couple of things: As I mentioned, I am in the medicare insurance business and have been for many years. I'm also about to turn 65 so I'm right therewith you. Typically, when someone buys a medicare supplement----and they are past their initial turning 65 period, they must qualify for the supplement through underwriting. I represent ten different insurance companies and they all ask pretty much the same health questions. For instance, if an applicant has diabetes and is taking more than 50 units of insulin a day, that typically would exclude them from purchasing a supplement. Other things would be breathing issues such as COPD, cancer, etc. Regarding medicare advantage, I'd say that if you go that route they are not all created equal. So go with the largest providers. Blue cross for example. They tend to have the largest and most extensive networks and in general you'll have less trouble getting the coverage you need. And while as an agent I clearly prefer the supplements, I certainly admit that you're paying more for them. Yet there are some nice things about the advantage plans beyond the premiums, like, for example dental coverage, small co-pays for Dr. visits. One of the things that I recommend for people on medicare advantage is that they consider a hospital indemnity policy. They tend to be inexpensive and would protect you from some of the high out of pocket costs from medicare advantage should you get sick. That's something you might ask your agent about

[@fourftr]

I just subscribed and thanks for looking out for us The advantaged plans, you have scared the poop out of me

[@MedigapSeminars]

I didn't mean to scare people. But I do believe everyone has a right to be fully informed about their healthcare, so that they make the right choice for their specific situation. As it stands right now, the Kaiser Family Foundation is suing CMS (Medicare) to get them to release audit results that show the amount of abuse these plans have been found to do on a regular basis. This includes over billing the government (our $) for literally $Billions. So, no sugar coating from me.

[@Stratneck]

Wish I had all this information 2 months ago before I switched to an Medicare Advantage plan. I’m trying to get back to independent Medicare again !!!…I hope I can 🤞 !!! Thank You for this eye opening video 👏👏👏 !!!

[@MedigapSeminars]

You may be eligible for a trial right to get your supplement back as a Guarantee Issue. you can certainly use the Medicare Open enrollment (Jan 01- march 31) to get back to Original Medicare and apply for a supplement. Go here: medigapseminars.org/resources/ Check out the second Trial right listed on page 23 of the 2021 Guide To choosing a Medigap Policy".

[@martinpham1304]

Great video sir. Very informative. I'm 29 yrs old and doing research for my dad that is turning 65. And this video confirms my doubt of choosing a medicare advantage plans. Thank you again

[@Roscoe_B]

Caught me off guard with the Breaking Bad analogy...spot on. Thanks for a great presentation !

[@MedigapSeminars]

Thanks SunKing. I am glad to see that people get it. It was a great show too!

[@cindychurch925]

Very informative and well presented! You present the information in a very easy way to understand, process and compare the different options. You have a knack for modulating your voice and cadence. Helps to follow what you are saying! New subscriber. Looking forward to watching the other videos. I work as a registrar at a hospital in the ER. So many patients have no understanding of the different options available to them. Thanks again. Oh. I didn't watch Breaking Bad but think the analogy was a good one

[@MedigapSeminars]

Thank you Cindy. That is a very nice comment and I appreciate it.

[@Saveroomforyourlove]

I have been looking for answer's and this is the best I have found.

[@andykober2283]

Just studying options and found your video awesome! Thank you.

[@forgodsolovedyou]

I’ve never had one problem with my Advantage Plan. Sometimes the insurance company wanted a pre authorization. But I’ve never been turned down.

[@bbhihoney]

Yet. Key word missing.

[@Stongray67]

You will have problems 100%

[@rodolfositon8102]

@@Stongray67 n

[@bethnewton7964]

Thank you. I never fully understood Medicare Advantage. I do now -- and know that I don't want it! Also, "Breaking Bad" is the best show that has EVER been made. :) And yes, I do understand your analogy.

[@MedigapSeminars]

Thanks Lizzy! 😃

[@sharonadcock5041]

I’ve been on a blue advantage plan since 2016, (disability) I turned 65 oct and changed filled form out for bcbs supplemental plan and was excepted, (without health ?) however even after requesting blue advantage with bcbs say that I want be switched back to original Medicare until jan1,2022 I’m showing to have both PFFS advantage plan and plan g supplemental plan both active My agent says they have to disenroll me in advantage plan for original Medicare to kick in with my supplemental plan? No one seems to know I have two insurance cards that are both active but can’t get an understanding of why I’m not back on original Medicare? Can you give me some insight please? Thanks

[@CatsNests]

Thank you so much for your videos! I have a disability that makes it difficult to read documents and your videos are so helpful!

[@tonypedulla7191]

Matthew, Thank you for your honesty.

[@Remember_when]

The advantage plan sounds exactly like the insurance we have already through my husband's work. United Health Care PPO. Any time I need a procedure we have to get approval first. Never been denied so far and it's approved in a day or two. If we were to get the wrong advantage plan that might change.

[@tylertaylor9855]

I leaned more about advantage plans from this than 4 years of pharmacy school and 10 years of working in a pharmacy.

[@MedigapSeminars]

Thank you Tyler. I'll bet you'll like my Part D videos too! #Medigapseminars

[@mingziquan4799]

@@MedigapSeminars 1qqqqqq

[@emilystevens6335]

yes he is better than the other speakers

[@TK-cl1jm]

LOL, completely different industry.

[@roxanneholt-abernathy3698]

This has been so very helpful for me to understand the Medicare nightmare confusion. Now I'm able to make a good decision in my Medicare.

[@MedigapSeminars]

I am glad my videos have helped.

[@charlesrichardson8635]

Thanks for the numbers for insurers rejecting necessary medical procedures! WOW! Your two major points are succinct and clear!

[@MedigapSeminars]

Thank you Charles. It's frightening that these facts are skipped over when other agents present Medicare Advantage to their potential customers.

[@kkoleclaw1146]

Extremely informative as usual.

[@MedigapSeminars]

Thank you

[@spectator1123]

This is a very clear and concise explanation of Medicare Advantage Plans. I hope you have the same videos on Medicare Supplement Plans and the MOOP vs. Original Medicare. Does one need a stand-alone PART D for Original Medicare? Thanks for the informative video. I didn't realize the decision making part of these Advantage plans until now.

[@MedigapSeminars]

Hi, actually I do have a video on exactly what you are describing. I have shot the video and it is in editing now. I expect it to be published by the weekend. Ir will be titled "Medicare Supplement Plans Explained".

[@haroldrosenthal8572]

Thank you. I did not know about the 3 month open enrollment if you find your plan inadequate. That was very helpful.

[@dbi1036]

man thank you so much for your help, I am new to selling insurance and working on my AHIP and this has helped me understand it so that I can pass on the knowledge in a Easy fashion ...thank u

[@bryanmason850]

You did a great job. Loved Breaking Bad. I am an accountant and also licensed in Life and Health. However, I do not offer any Medicare Preferred Plan. Several companies are requesting that I take the AHIP test and offer plans through them. I am still on the fence and don't know if I need to go down that path. My goal is to take care of my clients and do what is right for them. I wrote my Master Theses on the Great American Fraud called Life Insurance. The medical insurance field seems to be the same. Thanks for your information.

[@gregorypreston4500]

Great info in a confusing minefield of costs for seniors that need as much help as they can get. Thank you.

[@MedigapSeminars]

You are welcome Gregory. If you haven't already, please subscribe so you can see my other Medicare videos (40+)

[@thomasjacobson7616]

Thank you for a great video. I didn’t realize the difference between a PPO and HMO. Thanks for that info.

[@07sadie25]

Thank you for this very informative video. I have done a lot of research on Medicare. I have really wondered why the Government is pushing so hard for people to join the Advantage plans. Now I get it. I almost fell for this, this year. " Possible no monthly premiums and no copays or deductibles " the ads are yelling at us. I thought how can this be? Now I get it, just don't cover anything !!

[@jayc3110]

Thank you for another excellent Video! - i watched Breaking Bad.... It is an excellent analogy for what you explain.

[@MedigapSeminars]

You are welcome Jay C

[@abishop5628]

Thanks for the terrific info. After hours of research on a Advantage plan I decided to stay with my supplement company and Medicare. I never had a problem with the supplement paying for any service. I was just trying to keep the monthly premium down.

[@larrybogue9251]

Thanks for this video. I finally understand Medicare Advantage plan vs Medigap.

[@margiekurtzman950]

Thank you very much for making these great videos, Matthew. I was seriously considering switching from our high deductible BC/BS Plan F to an HMO-POS. The ads on tv every 10 min. are so tempting. I appreciate all the I have just learned from you. And, yes, I watched Breaking Bad, each and every episode.

[@49oldmachinist43]

i learned more on this one video than all the years since I've retired, thank you, I now have all my medical in the VA system, that do you think about the VA system?

[@MedigapSeminars]

Hi OldMachinist, If you had enough service to qualify for TrciCareforLife, that would be ideal. With the VA there can be some issues. Many Veterans will get a high deductible Medigap plan so that if they want to seek care outside of the VA they can with limited financial risk. I have a video on F-HD. The premiums are very, very minimal.

[@erinpeacexo1854]

@@MedigapSeminars Hi. My husband is covered with the VA system as well. Everything is covered as long as you go to VA doctors and hospitals. Drugs are covered as well. He recently enrolled in medicare but does he need to get anything else? What is TrciCarefor Life?

[@gpcode3827]

Thank you for taking the time and effort to share this, much appreciated!

[@markvoelker6620]

Thank you for this valuable information about what these insurance plans truly provide the patient.

[@cherribell4932]

Great explanation of Medicare Advantage Plans especially commenting on what is covered and what is not. Will share this video with others. Thank you for sharing CB Cherri Bell

[@bluesky5587]

Great information ..thank u

[@MedigapSeminars]

You are welcome, Cinque Terra

[@freethot333]

Thank you Matthew! :) Extremely informative and clear. I'll be watching many more of your clear and honest presentations, That's for certain! :) I'm 71 and currently in good health, but cataracts are beginning to be an issue and I'm interested in finding out what would be the best plan to cover that. I'm currently on UPMC for Life simply because the premiums were pretty low and they include YMCA membership.. probably NOT the smartest reason to choose a plan, huh? :/

[@mnizet1]

Under what circumstances would you recommend a m.a. plan to a post kidney transplant patient?

[@johnbhim-rao3503]

A very good rendition on how Medicare works along wit it’s pitfalls. Thumbs up on the Braking Bad scenarios...... fits

[@cliffordfarrior9679]

Thanks for your explanation on the different things to consider before deciding whether to sign up for Medicare Advantage Plan