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Seniors with Medicare, is Mayo worth the hassle?

Visiting Mayo Clinic | Last Active: Sep 23 11:47am | Replies (42)

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@vic83

My Minnesota BCBS plan is Senior Gold. I got it before they stopped covering the Part B deductible and was grandfathered in....but that deductible is only about $240. Check out the Medicare site to compare Medigap plans and their costs in your area. It is an excellent tool. Each plan has a letter so that one can compare "apples to apples".
I would never change my Senior Gold plan now, I was so happy I had it when all my health issues started. But each year I check my Part D drug plans to see which is cheaper. It is an easy thing to do. One puts in one's drugs and it pulls up all the plans one is eligible for and gives costs for each plan. I am used to computer tools because of my previous work...and Medicare has a great tool. They also answer the phone calls promptly.

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Replies to "My Minnesota BCBS plan is Senior Gold. I got it before they stopped covering the Part..."

Facts.... Traditional Medicare "supplemental" plan coverage is all the same regardless of provider or the "sexy name" they apply to them. "Medigap" plans are dictated by CMS and simply put "if medicare covers it, the supplemental plan covers it. Deductibles are based on criterial set by CMS. There is no "grandfather" plans, just the plan you signed up for that was available from CMS at your time of eligibility.

Plan F (no longer available) had no Part B deductible. Plan F is no longer an option. Plans G and N are now the most popular and both have high deductible options for those who are are disciplined enough to before need "self fund" the short fall.

If there was a discernable difference between insurance companies providing medigap plans its rates. Some start all low and gradually ramp up year over year....its the get you in the door plan. Others have higher initial rates but their historical year over year increases average lower and ultimately over time end up less expensive. Again, all medigap policies provide the same "CMS Dictated" coverage. Ask you broker to provide you a 10 or 20 year history of rate increases of all providers you are considering. The math doesn't lie...brokers do.

As to the "never change my senior gold plan"... unless you wish to have to go through a rating process with another provider, you can never leave the plan you have.

The entire "I am about to hit 65...Mcdicare" exercise is a decision that cannot be taken lightly. Your decisions are pretty much cast for the rest of your life.....so chose wisely. While "advantage plans" may look very attractive (Joe Nemeth driving you to bingo, get money back for "stuff" and more), advantage plans are not Medicare and shouldn't even be allowed to use the Medicare name. They are private insurance plans in which the government (ie CMS) pays for someone else, at a lower cost to CMS to provide your health care...you are not on Medicare.

Advantage plan providers can and do change the terms and conditions of their plans every year, up to and including removal of certain coverages that the bean counters may deem to be excess exposure... Insurance companies for the most part are "for profit" entities and regardless of some of the short comings and slightly higher cost for traditional Medicare, Advantage Plans are only for the advantage of the insurance company, not your health. Yes, there are some (few) reasonably good Advantage Plans out there but they are few and can change course at any time.

As I noted early on, this is a "once in a lifetime" decision so you must take the time to sort it out, as daunting as it is and get it right. Oh, brokers make more money selling Advantage Plans than traditional medigap plans. Some insurers (big brand) bonus their agents for pushing their medigap plans while there may be more "cost effect" option available. You have the right to ask the questions..... Is the agent paid more to sell one plan over another? Is the agent on a quota system with their firm?.....I could go on but suffice to say the field is by no means "level".

Different states have differing laws governing how you are rated (there are three types of "groupings" that can determine your rates. Also rates and availability can change literally by the Zip Code you live in...

Sorry for the long missive. I spent 6 months investigating my "65" medical transition. As a business owner with large numbers of employees across many states, I had to deal with the nuances of every flavor of insurance and how to best equitably provide for my employee without breaking the bank. I found dealing with my own Medicare transition in some cases more daunting due to the "once and done" nature as well as the exaggerated and false claims by agents, providers and insurers. Too much media and marketing setting false expectations of "everything is covered and it's cheap" was a common theme

One piece of anecdotal data... I queried nearly 100 "Smart" people I knew were of Medicare age and all but 7 were on traditional Medicare....there's a message in there somewhere.....