Advantage vs. Original Medicare.
"Place your bet."
(Whether or not receiving benefits from or
subsidized by HP or HPE.)
Advice and reference info from
members.
(Updated Nov 14,
2022.)
Website operated by volunteers. Not officially endorsed or supported. Comments:
info@hpalumni.org
The major decision is between Medicare
Advantage vs. Original Medicare + Medigap + Drug.
"With an Advantage plan, they make
more money if they give you less care. You are betting against
the house. With Original Medicare + Medigap + a drug plan, they
make more money if they give you more care. Your risk is paying
higher prices for more care than necessary." --member
The primary source on this issue is the official
"Medicare & You 2023" book. It is well done.
Even if you are only interested in
Advantage or Medigap plans, go through the sections in
order.
You can download the "Medicare
& You 2023" book from the
official Medicare.gov site.
https://www.medicare.gov/Pubs/pdf/10050-Medicare-and-You.pdf
Even if you have a paper copy,
download the current file and use Adobe Reader's search feature to find specific
words or phrases. (Press "Ctrl" and "F" together on a PC -- or "Command"
and "F" on a Mac.) The pdf file is very well done --terms,
phrases, and issues are hotlinked to sections in the book or
to other articles on the site.
Official
Medicare articles on Advantage vs. Original Medicare:
"Things to know about Medicare Advantage Plans"
https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/things-to-know-about-medicare-advantage-plans
Medigap:
"How Medicare works with other insurance" COBRA, "4
things to find out about your retiree coverage" "Buy a
policy when you're first eligible" "Medigap & travel"
https://www.medicare.gov/supplements-other-insurance/how-medicare-works-with-other-insurance
"Guaranteed issue rights" -- when
insurance companies "...must sell you a Medigap policy, must cover
all your pre-existing health conditions, and can't charge you
more because of past or present health problems."
https://www.medicare.gov/supplements-other-insurance/when-can-i-buy-medigap/guaranteed-issue-rights
Changing between Medigap and
Advantage plans
https://www.medicare.gov/supplements-other-insurance/whats-medicare-supplement-insurance-medigap/medigap-medicare-advantage-plans
AARP article: "The Big Choice: Original Medicare
vs. Medicare Advantage"
https://www.aarp.org/health/medicare-insurance/info-2020/original-medicare-vs-advantage.html
[AARP membership not required.]
Consumer Reports article Nov 3,
2022: "Popular Advantage plans come with some risks. Here’s how
to weigh your options."
https://www.consumerreports.org/medicare/pros-and-cons-of-medicare-advantage-a6834167849/
[Consumer Reports subscription not required.]
Note that the references to "Kaiser" in the article are to the
KFF, the nonprofit healthcare research foundation endowed by
heirs of industrialist Henry J. Kaiser. (No connection with
Kaiser Permanente. Often criticizes Kaiser's current practices
as not being in line with the founder's intentions.)
Member advice
Original Medicare + Part D:
"For Part D plans, do your research on the official Medicare
site:
https://www.medicare.gov/plan-compare/ -- and on the web
sites of the plans that interest you. Always generate a drug
cost for the pharmacy that you prefer to use. Take Aon's drug
costs with a grain of salt. If they happen to agree with
Medicare and the plan, then trust them. Otherwise, ignore them.
If you run the numbers early in the enrollment period, consider
rerunning them later, because things can change."
If you have found an especially
helpful article on the medicare.gov site, please pass the
word to
info@hpalumni.org
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