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@jenniferhunter

@tmtm4 I have been talking to the insurance reps recently too, and there is no fee for this. You will pay the same amount for Medigap insurance plans as if you had called the companies yourself. An agent will get information about your health issues, prescriptions, and find plans and rates that would apply to you. One concern for me was that my Traditional Medicare and Medigap plans need to be portable and will work in another state. It is really confusing and the plans called "Medicare Advantage" are not traditional Medicare, and your choices will be limited to their networks of providers, and may not work in other states. Make sure to ask these questions when you speak with an agent. I am a Mayo Clinic patient and live in another state, so I wanted to make sure my insurance would work there after retirement if I need further care. I also will be getting a Delta Dental plan because my husband is retiring, so I will loose his employer's spouse provided benefits. The best plan for Delta Dental gives an annual benefit amount of $2500 and pays at 50% if your dentist is out of network with them. They pay at a higher rate if you use one of their in network dentists. Chose the best dentist for you in or out of network because you have a complex condition. If you go to the Delta dental website, so can view the plan details and they spell out specifically what is covered. They did have some coverage for implants, but there is also a waiting period of I think 6 months if major work is to be done. The agent recommended the best Delta Dental plan with the $2500 benefit. The agent can also tell you what your costs will be for payments and deductibles, and it will ease your mind. Lori makes a great recommendation!

You must be proactive in your personal oral care to mitigate further disease as well as more frequent checkups. I know I got myself in some trouble with dental decay because of my limited mobility with a broken ankle, and I didn't brush or floss as soon as I should have because I couldn't walk and was in pain and struggling to get around the house. Since I have just had a procedure to removed some diseased bone near an implant, I now look at myself as the fire department rushing to put out a fire. The sooner I get the brush, floss and water pic going, the sooner I put out that fire and keep it from spreading. If I wait until I'm too tired at the end of the day and have been snoozing on the couch, the more difficult it is to do the job. You will need to be your own volunteer fire department and put out the fire ASAP!

Go ahead and make the call about insurance. Knowledge is power. You also have a 6 month window around your 65th birthday to do this in order the receive the lowest rates for Medicare Part B and Part D (prescription drugs).

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Replies to "@tmtm4 I have been talking to the insurance reps recently too, and there is no fee..."

Thank you!

Just FYI, Medicare Advantage programs do not, necessarily, limit the client to a network. Some do, and are analogous to HMOs. But others are not though have a lower co-pay for PCP and specialists 'in network.' The Medicare Advantage program I'm in includes Cleveland Clinic, Mayo and Sloan-Kettering and other top facilities as 'in network' which was very reassuring last year when I needed one of them.

I pay a $0.00 premium. Had I agreed to an HMO model, the provider, I'd have $0.00 and the program would have paid me $75/month. A friend took that option but I'm not a fan of HMO restrictions.

A long phone call to Medicare led to a very-helpful Medicare representative answering all of my questions and her asking the right questions to help us understand what would be my best option.

One important thing to remember is that, under Medicare regs, one can only change Medicare supplements or Advantage programs during the annual Open Enrollment period, with a few exceptions. So it's important to make a list of one's current doctors and hospital-of-choice and make sure that the coverage includes them. And double-check with the doctors and hospital as these things can change without notice.*

There are a zillion companies offering Medicare supplements and 'advantage' models and the quality varies from excellent to dangerously poor. And, unlike many other commercial transactions, the cost is not necessarily indicative of quality. [A friend has health care aides. We've been able to get 3 of them far better, and cheaper, care by shopping around. It's a strange marketplace, I think relying on peoples' confusion and mis-info.]

I had a convoluted, and ridiculously expensive, path to current good dental health and stability. I empathize with how tricky it can get to avoid one problem while addressing another. And how getting the basics under control first are critical. Kudos to Lori and you both for thoughtful, helpful problem-solving in @tmtm4's situation.

*Some programs are called insurance. E.g., one of the United Healthcare plans offered by AARP. One can pick up, or drop, Medicare insurance at any time during the year without waiting for the Open Enrollment period.