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Real members of MyLungCancerTeam have posted questions and answers that support our community guidelines, and should not be taken as medical advice. Looking for the latest medically reviewed content by doctors and experts? Visit our resource section.

Right now I have just plain Medicare A&B. It's been paying real well, but I would like to get my part B premiums and deductibles paid for. I know, I should just call. But, I don't want to listen to a bunch of salesman bull, and I think I can get better honest opinions from the good people here. Thanks.

October 29, 2023
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Answer Summary

Members strongly advised caution when considering Medicare Advantage plans for out-of-state care, with the overwhelming consensus being to... Read more

Members strongly advised caution when considering Medicare Advantage plans for out-of-state care, with the overwhelming consensus being to verify that preferred doctors and hospitals accept the specific plan before enrolling, as Advantage plans often restrict provider networks to specific areas. Several members shared their personal experiences with supplemental coverage, explaining that traditional Medicare with a Medigap or supplemental plan typically offers broader provider choice and better catastrophic coverage, while Advantage plans may offer appealing perks like dental and vision but can limit where you receive care and require higher out-of-pocket costs for serious illness. A recurring theme was the value of working with a senior insurance advisor who can explain the complex differences between plans at no charge, helping navigate questions about premiums, deductibles, prescription coverage, and out-of-pocket maximums based on individual health needs and preferred providers.

A MyLungCancerTeam Member

Jerry, every plan is a little different. Rather than having to deal with multiple sales people, maybe try talking to your provider(s) in Georgia and ask them what plans that they accept. Good luck! .

October 29, 2023
A MyLungCancerTeam Member

Think about getting a supplemental policy. Compare it with the Advantage program.

November 1, 2023
A MyLungCancerTeam Member

Yes the Part D program is highly variable in cost and benefits. I suggest you buy the best you can afford. Drugs delivered in clinics can be covered but prescriptions are $$$$. I buy the best I can afford.

October 30, 2023
A MyLungCancerTeam Member

It appears that most who responded have a Medigap Plan, which pays the 20% that Medicare does not pay.

If you're interested in having your Medicare premium and deductibles paid, you would have to qualify for Medicaid, or whatever it's called in your state. To qualify for Medicaid, your monthly income must be below a certain amount.

The other choice, Medicare Advantage plans, vary in their monthly cost. The Medicare premium you pay usually pays for these plans and they cover more than Medicare, such as dental, vision, prescriptions, etc. Based upon the research I've done on 2024 Advantage plans, they are usually for your State only and may not cover your doctors - they have their own list of doctors who you must see.

It's open enrollment time until Dec. 7, so if you go to
https://www.medicare.gov/
and click on "check plans", they do give quite a bit of information on the various Drug plans, Medigap plans, and Medicare Advantage plans.

Good luck and I hope that this helps.
Patty

October 30, 2023
A MyLungCancerTeam Member

I agree with you Edna,check everything out before you decide.,Jerry4

November 21, 2023

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