Had to make the big Medicare decision recently.....

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Turning 65 in a few months. Got my Medicare card already but had to decide whether to do the Medigap or Advantage route. It is a real chore to compare the plans and their differences in costs for various services.

Since we have always had Blue Cross insurance I decided to stay with them as they are accepted by everyone around here and I am used to dealing with them. I bought a more expensive plan with a higher monthly payment for my wife due to her many health issues and often hospital stays. I got a cheaper per month plan as my health is pretty good.

These choices should save us a couple hundred a month from what we pay now for my employer retiree insurance which drops as soon as Medicare starts.
 
...and had to start a new thread about it? And didn't post any real info about the fundamental big decision which is whether you chose Medigap or "Advantage".
 
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Remember, if you chose an Advantage plan, you cannot change over to a Supplement Plan in the future without a physical, a health review, etc. You may be turned down.
 
Remember, if you chose an Advantage plan, you cannot change over to a Supplement Plan in the future without a physical, a health review, etc. You may be turned down.
Thanks for the info. I don't forsee us ever changing as we have been with Bcbs my whole working life.
 
I have a form of leukemia that is treated with pills and have some cardiac issues as I had a quad bypass about 20-1/2 years ago. We like to travel and both my wife and I have Medicare Type F supplement. Good ANYWHERE that Medicare is accepted. I never get a bill for any medical or hospital services. There are no copays. Advantage plans can have severe geographical issues that show up when you are on vacation.
 
It has become an annual PITA for us here in NY. I'll leave it at that, I ranted about it in other posts. ;) Enjoy retirement, my only regret about retiring is not being rich enough to retire when I was 30. ;)
 
I recently had to go through the same decision-making process and went with the standard medicare. I'm still employed and my company's plan meets all the requirements for being able to not have to choose any supplement plans for health care or prescription drugs.

My older brother has been in an Advantage plan for many years and always raved about its lower cost. This year their rates grew exponentially and there isn't a darn thing he can do now except pay it. He longer likes the decision made at 65.
 
So many threads on this.

I miss my Advantage plan! It was great but Humana moved out. Even the included dental was excellent. People will talk down Advantage, but the real weakness is: It's TOO GOOD. Something had to give. Price or features. If they cancel or change substantially no physical required.

We had a regular G plan this year. It was OK, but expensive for our needs.

So this year HIGH DEDUCTIBLE G fits the bill for us. Very low premium, we will shoulder the rest. And if something not good changes healthwise, it's a bit of a wash, us coming out a few bucks ahead. If we remain active and healthy, large savings.
 
Remember, if you chose an Advantage plan, you cannot change over to a Supplement Plan in the future without a physical, a health review, etc. You may be turned down.
This is fundamentally correct however there are exceptions. Most should assume once in Advantage always in Advantage unless you meet one of the exceptions below.

1. If new to Medicare and choose an Advantage Plan you can switch back to traditional medicare in your first year without underwriting/guaranteed placement. Its called a trail period.

2. In a limited number of states they allow you to switch back without underwriting and guarantee going back to Medicare

3. If your current Medicare Advantage plan is not going to be offered the following year, you can select another Advantage plan or GO back to Traditional Medicare with guaranteed acceptance.

4. If you move to another area that your Advantage plan is not offered you can chose another or go back to Medicare

Note: Medicare Advantage plans are one year contracts for medical insurance. It will automatically renew at the end of that year if the plan is still offered. Also at that time of year you can switch out to another Advantage plan if you wish.

There is the annual enrollment period of October 15th to Dec 7th of each year.
There is a second period Jan 1st to March 31st of each year that if you are unhappy with the Advantage plan you chose you can switch to another Advantage plan.

To @ZZman - you dont mention your state but BCBSNC offers a deal that if you have one of their Advantage plan they will allow you to switch to a BCBSNC Medigap plan. They market themselves as Blue to Blue. Im sure this is unique to the state of North Carolina. As I know of no other company that allows this.

BTW- CONGRATULATIONS Turning 65. It is no secret that I love the Medicare system. Far more protections than any company health insurance. I had an Advantage plans for 3 years. 2 years with UHC and 1 Year with Aetna. Not once did I have a complaint with them. Aetna was not going to offer the plan I had in 2024 for 2025 so with a fresh diagnosis of cancer in late 2024 that Aetna paid all expenses for while being diagnosed without question nor hesitation which included PSMA Pet Scans, hours long meeting with a panel of doctors at Duke Cancer Clinic and gosh a handful of other specialists near the coast where I live. NOT one hold up or question.

I went back to Medigap Plan N for 2025. For 2026 I am going back to Advantage with Humana. The reason I went back to Medicare and Plan N is at the time to change plans from October to Dec 7th I had no idea where I was going to be treated and being new to the area in a new home. I had no clue as the networks here. Plus the cost was similar, paying the extra 150 a month vs the Advantage with MOOP. Im actually excited about having the perks of the Advantage again.
Good luck to you! Best wishes for your wife. Life is precious which becomes more apparent as we get older.
 
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I recently had to go through the same decision-making process and went with the standard medicare. I'm still employed and my company's plan meets all the requirements for being able to not have to choose any supplement plans for health care or prescription drugs.

My older brother has been in an Advantage plan for many years and always raved about its lower cost. This year their rates grew exponentially and there isn't a darn thing he can do now except pay it. He longer likes the decision made at 65.
Your brother has an out if they no longer offer his plan. I do agree everything is getting more expensive though here in our state it is not the monthly cost, many plans are increasing the max out of pocket expenses
However we need to be fair. The costs for Medicare Medigap plans are getting more expensive too. Actually very expensive. The rates are reasonable when you first get coverage but after a few years it can start getting crazy. However you then have the option to go into Advantage if you wish. Like Pablo I have two family member who dumped their Plan N and went to a high deductible and another family member who dumped plan G and went into an Advantage plan and has been more many years now.
 
Remember, if you chose an Advantage plan, you cannot change over to a Supplement Plan in the future without a physical, a health review, etc. You may be turned down.
My GF just switched back and forth. She went from supplement to Advantage plan and just switched back to Supplemental insurance. And she just had a serious illness this past summer.
 
I'm eighty and made the decision to go with Advantage fifteen years ago. Once you go in you can't get out, unless you're healthy enough. I live in St. Louis and my Aetna plan has access to all healthcare systems. I'm currently with SSM which has a middling teaching hospital at St Louis University. If things get more dicey I have access to BJC-Washington U. which is one of the top medical schools. I have a friend whose wife had something so rare that Wash U only saw a handful of cases annually, he took her to Mayo with his Medigap. I think we both made the right decision. No doubt I could come down with a rare cancer that only M.D. Anderson could handle but I'm willing to risk that. My daughter has a slew of autoimmune problems and recently qualified for SS/Medicare (as of next May). There's enough breakthroughs coming out in that field that I'll recommend she go Medigap. Had a fair amount of friends-relatives with serious health problems and Advantage plans and they for the most part have gotten what they needed. I'm sure there are horror stories out there. I'm sure anyone living in a rural area would be pretty constrained by Advantage Plans. Being restricted to every health system in St Louis is a bit different than being restricted to every health system in Paris, Texas.
 
Turning 65 in a few months. Got my Medicare card already but had to decide whether to do the Medigap or Advantage route. It is a real chore to compare the plans and their differences in costs for various services.

Since we have always had Blue Cross insurance I decided to stay with them as they are accepted by everyone around here and I am used to dealing with them. I bought a more expensive plan with a higher monthly payment for my wife due to her many health issues and often hospital stays. I got a cheaper per month plan as my health is pretty good.

These choices should save us a couple hundred a month from what we pay now for my employer retiree insurance which drops as soon as Medicare starts.
I think you'll do well sticking with BC/BS, unfortunately, you can't get an "F" plan any longer. They have treated me well over the last 16 years, with ZERO co-pays and Zero out of pocket.
Yes, it's an expensive plan, but if you can afford it, you won't regret it.

All I ever hear from friends on Medicare Advantage plans is how they can't go to the doctor of their choice, and high co-pays.
 
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