Welcome to DU! The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards. Join the community: Create a free account Support DU (and get rid of ads!): Become a Star Member Latest Breaking News General Discussion The DU Lounge All Forums Issue Forums Culture Forums Alliance Forums Region Forums Support Forums Help & Search

crosinski

(414 posts)
35. Advantage plans are offered by private companies.
Mon Jul 3, 2017, 01:07 PM
Jul 2017

Last edited Mon Jul 3, 2017, 01:40 PM - Edit history (1)

There's no question about that.

There's no question that when I was ready to apply for Medicare and doing so online, I was asked to fill out brief questionnaires about myself and then was offered $0 cost Advantage Plans. I'm healthy. When it was my husbands turn, who is a diabetic and overweight, he wasn't so lucky. He was priced out of the market. I did this over and over again at so many different sites I lost count. As a matter of fact, they're all built about the same. So, I think that's a pretty good example of how a healthy person is 'funneled' toward a Advantage plan, and someone with health problems toward regular Medicare by default.

How many thousands of times do you think this happens a day? So, insurance companies get to cherry pick healthy seniors and Medicare gets the unhealthy seniors. Wealthy repugs get to line their pockets and Medicare takes a hit. Business as usual.

"In fact, the government actually pays the advantage plan a little more to take the sickest beneficiaries and develop management programs for them."

I'm not sure when an Advantage plan would get a chance to take these sicker patients you mention, unless they're well off. I don't think poorer sicker seniors are given subsidies to help pay for a private plan. Yet. :::Edit::: Medicare Advantage Special Needs Plans (SNPs) Ah - I see they do. Well then. It's a done deal, isn't it.

"Further, the government monitors the quality of care of Advantage Plans much closer than the do the open Medicare program that will continue to pay doctors until they do something awful to a patient."

Now, that's just silly. I don't think Medicare is the only one in charge of 'its doctors.' If a doctor causes harm, the whole system he or she works in has failed.

My MIL is entering the nursing home club right now rurallib Jul 2017 #1
Medicare or Medicare Advantage will not cover long-term nursing home care, enough Jul 2017 #2
They'll be in very bad shape when Medicaid is cut. Hieronymus Jul 2017 #8
Yep - and we live in a state with "filial responsibility" rurallib Jul 2017 #20
Yours is the kind of story that deserves to be told my the MSM. Ligyron Jul 2017 #21
Not just "Mom and Dad are broke beforehand" DBoon Jul 2017 #26
That information is important. But the fact 19 million beneficiaries have voluntarily signed up and Hoyt Jul 2017 #3
I see medicare advantage much like PPO vs HMO airplaneman Jul 2017 #4
The Medicare Advantage Plan doesn't cover Hospice, but traditional Medicare takes over Hoyt Jul 2017 #9
see my edit n/t. airplaneman Jul 2017 #14
Thanks. Let's just say for a moment that MAdvantage costs a bit more, does that make it bad or good Hoyt Jul 2017 #18
These plans cherry pick healthy seniors by offering them low cost plans. crosinski Jul 2017 #29
Every one of those seniors can sign up for a Medicare Advantage Plan, there is nothing to keep them Hoyt Jul 2017 #30
Advantage plans are offered by private companies. crosinski Jul 2017 #35
Sounds like your husband didn't sign up for an Advantage plan during open enrollment. Hoyt Jul 2017 #36
My husband signed up during open enrollment. crosinski Jul 2017 #37
Anyone, including your husband, is guaranteed the right to enroll in any Medicare Part C plan Hoyt Jul 2017 #38
If you get sick, your premiums will raise, and so will your copays. crosinski Jul 2017 #39
Your Part B Medicare premiums increase each year, as do your supplemental and Drug policies. Hoyt Jul 2017 #40
Hold it Hoyt - this report would tell us both what we want to know. crosinski Jul 2017 #41
Probably because it isn't finished. You can look up similar reports that have been done in the past. Hoyt Jul 2017 #42
I found one, and it's not so good. crosinski Jul 2017 #43
Go look up what traditional Medicare loses every year in fraud and abuse. It's a lot more than Hoyt Jul 2017 #44
I think your PPO verses HMO assessment is pretty much on target. still_one Jul 2017 #23
There were some people in our community radical noodle Jul 2017 #5
My husband had BCBS Freedom Blue PPO Marthe48 Jul 2017 #6
Does Medicare include emergency room visits? angstlessk Jul 2017 #7
Yes. PennyK Jul 2017 #10
Medicare is great,and Hieronymus Jul 2017 #13
My goodness, you had a run of bad luck, there! Glad to know you're doing well, now, tho. nt Honeycombe8 Jul 2017 #17
In my experience, yes. Delmette2.0 Jul 2017 #11
I ask, because I broke my shoulder angstlessk Jul 2017 #12
Hmm, never knew you couldn't fix a broken shoulder. Thanks for the info! Deuce Jul 2017 #15
Sorry, it was my collar bone angstlessk Jul 2017 #25
I don't know how you'd determine what "over charging" is, though. Honeycombe8 Jul 2017 #16
Yes, Plan F is the best PennyK Jul 2017 #22
You are right Penny, Supplemental Plan F is the most flexible for choice. You aren't limited still_one Jul 2017 #24
I'm going to do my best to be able to pay for that, when I get Medicare. Honeycombe8 Jul 2017 #28
Just because it gets confusing, Medigap and Advantage Plans are not the same. crosinski Jul 2017 #32
Interesting. I did not know that about Advantage. nt Honeycombe8 Jul 2017 #45
Employer Covered Medicare Advantage LarryNM Jul 2017 #19
Medicare Advantage good for area you live in voteearlyvoteoften Jul 2017 #27
Love original Medicare Desert grandma Jul 2017 #31
Wouldn't this violate HIPAA? Bayard Jul 2017 #33
I have original Medicare and I'm really happy with it. Vinca Jul 2017 #34
Latest Discussions»Latest Breaking News»Medicare Halts Release Of...»Reply #35