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

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In today's video, Marvin Musick from Medicare School gives scenarios of what it would look like for hospital stays and surgeries. With healthcare expenses skyrocketing, Marvin gives insight into what Medicare covers and doesn't, making it easier to understand your potential out-of-pocket costs. There are stark differences between choosing Medicare Parts A and B only, opting for a Supplemental (Medigap) Plan, or going with a Medicare Advantage Plan. By the end of the video, you will grasp the financial implications of each choice, ensuring you're better prepared for those hefty hospital bills should you ever find yourself looking at these.
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[@MedicareSchool]

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[@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.

[@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.

[@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.

[@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

[@pbinnj3250]

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

[@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.

[@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!

[@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.😢

[@topplacetoLive]

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

[@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.

[@bobd5119]

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

[@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.

[@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.

[@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

[@user-bz9ut2lo3d]

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

[@ShelleyNickson-ws8in]

Excellent information. Thank you

[@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.

[@joeysocks5718]

Thank you, great information 🙏🏼

[@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.

[@simba001ly]

Great video! Easy to understand . Thank you

[@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.

[@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 !!!

[@dianavanderclute4322]

Awesome way to lay it out!!!!

[@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.

[@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.

[@David-jm6yo]

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

[@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.

[@67daltonknox]

I had problems swallowing requiring a CT scan and a barium swallow. Subsequently I underwent surgery with an overnight stay. My total cost $55. No Medicare D payments, no supplemental insurance payments. Thank you Kaiser Advantage.

[@JohnJohn-wr1jo]

BS

[@user-ow8tk5nk5y]

Not likely, I’ve had Kaiser for multiple years prior to Medicare, they took care of all my needs. Now on Med Adv with Kaiser and the only thing that’s changed is the annual deductible is no longer an issue, and my MOOP is 5k less than before.

[@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.

[@harlowpinson5678]

Very helpful presentation. Thank you.

[@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.

[@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

[@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.

[@NatashaYancey]

Building a good investment portfolio is more complex so I would recommend New investors to seek Ricky Wen's support. This way you can get strategies designed to address your unique long/short-term goals and financial dreams...

[@ShariqAmin-g1z]

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.?

[@thumper823]

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

[@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.

[@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.

[@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.

[@colleenwolf8014]

You missed on the "specialist", you said probably 10 visits, which would be $500, so the total would be approx $4,100 (at 18:01 on your video timer)

[@colleenwolf8014]

If we opt for a MediGap plan Parts A&B then Part G, I presume we would also need Part D for Rx coverage, correct? You did not mention Rx coverage in this video of comparing MediGap v Advantage plans. Would you share some information regarding the Part D "ballpark" premium as well? Thank you

[@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.

[@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!

[@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.

[@dees.journey]

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

[@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

[@47retta]

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

[@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.

[@pperdion]

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

[@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.

[@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?

[@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

[@colleenwolf8014]

I have a 2nd question. Because I will not be eligible for Medicare at the same time as my husband, I will not be covered for 14mos with any insurance. Can Medicare Part D penalize me because I did not have prescription coverage before applying?

[@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.

[@mellocello187]

FYI: it’s stent, not stint. Carotid artery stent.

[@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.

[@47retta]

I wish you would talk about the other supplement plans, besides G and N. I get that they're your favorite, but the other plans may suit some people better.

[@MedicareSchool]

G and N are the most comprehensive and available plans in the country, however if you give us a call we would be happy to discuss the other supplemental plans with you. 800-864-8890

[@raygunsforronnie847]

Several, like F, are not available to people who turned 65 on or after Jan 1, 2020.

[@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

[@susanstewart7663]

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

[@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

[@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.

[@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.

[@ChevelleU24]

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

[@tioswift3676]

They support the democrats

[@Savannah-ed4rv]

When I began my nursing career, the charges for a stay on a med-surg non ICU floor was $300 per day, and ICU wad $500 per day. This was back in the '80's. Crazy inflation!!

[@lilblackduc7312]

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

[@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

[@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/

[@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.

[@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

[@robertbelar5341]

Tricare is my supplement.

[@nealthompson1252]

You missed specialist co-pay by 450.00

[@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.

[@Rusty6507]

Part D neglected

[@selenian0255]

If I just signed up for an advantage plan the other day, can I change to a plan G next year? Thank you

[@michaelsd284]

I believe you have a grace period and can switch this year.

[@selenian0255]

@@michaelsd284 Thank you

[@user-nm1rv2bh7k]

You dont just do a plan G you will drop advantage get medicare A and B again plus plan G. Everything I hear is advantage is great as long as you dont get really sick. Also on “regular” medicare you can go to any doctor anywhere in the U.S. No in network doctors etc. No pre-approvals needed. where as with an advantage an insurance company is deciding on your health care not your doctor.

[@MedicareSchool]

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

[@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.

[@DillyDahlia]

Carotid artery stent, not stint

[@bigdog6440]

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

[@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

[@chipset2900]

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

[@bruceeigsti5274]

never get an adv plan ...like never

[@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.

[@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.

[@NicoleMorter]

Who paid the other 15k in confused?

[@douglassorge6235]

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

[@johnsonpaul1914]

wife and I have had zero premium advantage policies for 12 years. We are both 77 years old. I have had a 3x heart bypass 8 years ago with a total billing of a quarter million and I paid $1600, Wife had knee replacement out of pocket was 300. We both have had cataract surgery with total cost of 300 each. I have had laser surgery and glaucoma valve implant in an eye, 300 total charge. Wife just had carotid clean out, total charge $370. office call is zero charge, specialist is $35. First of all on social security only, we simply cant afford anything other than the advantage plan but we are extremely satisfied. In addition glasses and hearing aides have been free. We also get $160 per year each to spend on otc products such as diabetes test strips, electrolytes, vitamins etc

[@sharonkhalilian4359]

@johnsonpaul1914 . That sounds great....may I ask which Medicare Advantage plan you have?

[@johnsonpaul1914]

@@sharonkhalilian4359 United Health Care thru AARP. It is not zero premium in all areas

[@JohnJohn-wr1jo]

I understand that your focus is on the financial comparison but the bigger concern should be quality of care between the two. Ask any independent provider which plan is more restrictive as far as treatments and quality of overall care and seniors would avoid medicare advantage like the plague. Throw in their stalling tactics and denial of claims and they are truly killing people on a daily basis. Advantage Plans are the biggest fraud perpetuated on our senior citizens to date.

[@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

[@NicoleMorter]

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

[@crazyworldoccupant7386]

I work in a hospital in NYC. The hospital isn’t a “city” / “public” hospital. The amounts your listing for hospital stays and the number of days you are to remain don’t reflect NYC at all. Every hospital stay you listed is a worst case scenarios. With Medicare, the hospital can charge $50k per day, but Medicare caps charges and the hospital doesn’t balance bill, just the 20% if you’re Medicare only w/o supplement coverage or Medicare advantage co-pays. Please disclaim these items. You’re scaring the elderly.

[@johnscott2746]

The hospital charges are covered by Part A with just a single deductible for the first 60 days. The 20% copays are for part B and Medicare has approved charges for every cost incurred. Usually about 17 to 18 cents on the dollar.

[@barrywein2185]

Dude your videos are too long. Write a script. Give it to Chat GPT. Ask Chat GPT to make your point more succinctly and then follow the script. To be fair, I have learned a lot from your videos though.

[@NicoleMorter]

I love how long they are. It’s all about personal preference I guess

[@akita96th]

You have ZERO advantge on a Advantage Plan. I cal them disAdvantage Plans