husand and I both have medicare part B and supplemental. Lately on the EOB sent to us, the supplemental only pays very little which makes me wonder if we should drop the supplemental and save around $230 a month. Is this a good idea or bad one. Right now both of us are somewhat healthy-no big issues but I am 65 and my husbad 75 and dont want to do drop it and regret it later. thanks for any help on this
We are only responsible for the 20% that Medicare does not pay so after Medicare reduces the fees to what is amounting to 10% of what was originally charged, the remaining amount isn't so daunting. The insurance broker said we weren't in as bad a position that we originally thought. So, I would encourage anyone to check with an insurance broker (he did not charge us for his service) before making changes.
I just finished chemo yesterday and still have radiation treatments to go. Chemo has been running around $13-15K per session, Medicare reduces those fees to around $1300-1500, and we have been paying around $130-150 per session.
Everyone knows their own financial situation best, but I personally would not go without a supp. But I am one of those individuals that "falls in the crack". I earn too much on disability, to get help, but do not get enough to cover all my basic expenses. So I used up everything I had, including my retirement and then had to file bankruptcy, because my house is not paid. And I do not have an elaborate home. I had also put a line of credit against my home for my cobra insurance. You have to be on disability for 24 months, before you qualify for MEDICARE!!!!
This is not an uncommmon situation!!!!!!! The rules are "goofy"!
The supp covers the 20 % that Medicare does not cover. If you are on costly or could potentially be on costly medication, then I would also recommend a Part D. Because my cousin, not as my insurance rep, but as my cousin, advised me not to go with the advantage plan, due to my many dr's visits and high cost medications. He/she said that I would be "nickeled and dimed" to death, with the advantage plan. So you have to look at each individual situation. There are some "free" senior advisors out there, but if you have family or friends that you trust, then have them help you sort it out.
As far as the new health care, I am not sure that any of us can completely understand it! I know that congress does not. They did not even read it!!!!!!!
And I am a health care professional, on disability. There are some things that will be better for some people, but others will definitely have a disadvantage!
In my "humble" opinion, if we could get rid of lawyers! guess what they write the laws! and the hefty pharmacy prices, life would be a lot easier. But that is just an opinion! Yes, there are people in the medical profession, that no longer see it as a calling, but as a high paying profession. But if you have ever been on their side and see all the paper work that is required, you would be amazed. It is not a wonder that you do not see your health care provider, except for a few minutes.
Which in my opinion, is TERRIBLE. You can not treat someone appropriately, in that short amount of time.
Each one of us should do what we can to help turn this crisis around. One person cannot do it alone. But each time you are able to say something in a polite manner or sterner, if needed, perhaps our message will eventually come through!
Grannysmomma - my dad was a federal employee and had a federal BCBS for our family. My mom was on it until she went on Medicaid (she's in a NH and it get's "suspended" and not ever cancelled because it's federal) and her monthly BCBS rate was about $ 250 & automatically taken out of her SS and paid 100% of whatever Medicare didn't with no limits. Doc's & hospitals love this type of insurance. Most lawmakers are under this type of federal health insurance policy and because of this are totally insulated from understanding the total clusterF* that dealing with the health care system is for average folk. Write your representatives and tell them you want change that needs to be universal and in clear understandable language. Imho this is an issue for all of us, but especially this is a woman's issue (no matter what your political party is) as we are default caretakers, caregivers and do the brunt of the work one way or the other.
If we had the Medicare prescription plan she would not get the Alzheimers medication through a patient assistance program.
Her supplemental just went up to $300.00 a month. It pays the hospital deductible and what medicare covers it will pay the part that the patient is responsible for after the medicare Part B pays. That is $3,600 dollars a year. Due to the stage of her disease and financial position she may be better off without the supplemental. Interested to hear your answers........When I am unable to help her with paying a portion of her assisted living she will have to go on medicaid.