Medicare Advantage Is A Massive Scam: The Program Rips Off The Tax Payers And It's Own Enrollees

Costs to whom? Medicare recipients? Of course. That's the whole POINT.
Don't even need to read the OP for that. Here, I've broken the title into three segments just for you:
  1. Medicare Advantage Is A Massive Scam
  2. The Program Rips Off The Tax Payers
  3. And It's Own Enrollees
Take it slow.. Giving each bit a healthy chance to settle in..
 
Don't even need to read the OP for that. Here, I've broken the title into three segments just for you:
  1. Medicare Advantage Is A Massive Scam
  2. The Program Rips Off The Tax Payers
  3. And It's Own Enrollees
Take it slow.. Giving each bit a healthy chance to settle in..
Three opinions. You do know the difference between fact and opinion, right?

Now, go ahead provide FACTS that BACK UP your OPINIONS.

Go ahead. Or, stop humping my leg. Arrogant ignorance bores me.
 
Three opinions. You do know the difference between fact and opinion, right?

Now, go ahead provide FACTS that BACK UP your OPINIONS.

Go ahead. Or, stop humping my leg. Arrogant ignorance bores me.
Go ahead. Read THE HISTORY (you know, pertinent FACTS) provided in the OP and also by me in this thread. Or, stop humping my leg and PISS OFF. YOUR ARROGANCE doesn't just bore me..
 
If you’ve ever watched cable news, where the average viewer is in their late sixties, you’ve probably seen an advertisement for a Medicare Advantage plan. They usually star some washed-up celebrity whose career peaked right around when today’s retirees were young adults (think Jimmy Walker or Joe Namath). And they always make a lot of big promises about how great Medicare Advantage coverage is.

There’s just one problem: The sales pitch is an abject lie. Medicare Advantage is much worse than traditional Medicare for people on the program and costs a great deal more to boot. But unless the Biden administration changes course, private companies will soon devour the rest of the program.

Medicare Advantage plans are typically a combination of “Medigap” plans, which cover services not included in the government plan like vision and dental, plus a privatized version of traditional Medicare. About 28 million American seniors are now on Advantage plans, or about 40 percent of the whole program. As Barbara Caress explains in the Prospect, it was set up back in the late 1990s as a way for those wonderful private insurance companies we all know and love to work their free-market magic on one corner of the system America carved out as publicly run. Once we got business involved, surely the quality of coverage would improve and costs would go down, right?

Medadvatage plans are a good option for those who are healthy with minor health problems associated with aging. However, as one ages, typically the number of doctors one sees increases, as does the number of medications, tests, and out patient procedures. One day you will likely get a letter, that says that all of your doctors, your hospital, and other healthcare providers you use are no longer part of their plan. This happened to me twice. The second time, I was able to joint a Medicare Supplement Program. You normally can only get a Medicare Supplement Plan during a 6 month open enrollment when you become eligible for Medicare or when certain events happen such as being dropped by your health insurance.

What is a Medicare Supplement? It is everything a Medadvattage plan is not. It's coverage documented in law, not at the whim of an insurance company. That means the plan stays the same no matter what company you get if from. Also the coverage does not change from year to year unlike Med Advantage plans. It pays what Medicare does not pay. You can go to any doctor, hospital, or other healthcare provider that accepts Medicare anywhere in the country and the benefits are the same. There are no copays, no co-insurance, do deductibles, no networks, no, referrals, and generally no bills. I have had a Medicare Supplement for 7 years. I have never had to call Medicare with a problem or the Medicare Supplement Insurance company. The only bill I get is for my eye glasses.

So what's the catch. First off, Supplement premiums are almost always higher than Advantage plans and no one is going to be hounding you to sign up. Second, Supplement plans do no cover drugs, so you will probably need to buy a Medicare part d plan. Generally these plans run from $10 to $30 a month. Lastly, there are some perks that Supplements typically do not offer such as payment for eye exams, discounts on eye glasses and sometimes hearing aids.
 
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And compared to Bernie's or Jayapal's Medicare for All proposals.. is all "Medicare Advantage" not simply an ongoing scam imposed upon us mainly via Big Insurance, Pharma, and Hospital corruption of original Medicare?
The Medicare for All Act builds upon and expands Medicare to provide comprehensive benefits to every person in the United States. This includes primary care, vision, dental, prescription drugs, mental health, substance abuse, long-term services and supports, reproductive health care, and more. The Medicare for All Act of 2021 also includes universal coverage of long-term care with no cost-sharing for older Americans and individuals with disabilities, and prioritizes home and community-based care over institutional care. Additionally, patients have the freedom to choose the doctors, hospitals, and other providers they wish to see without worrying about whether a provider is in-network. Importantly, the legislation streamlines the health care system to negotiate drug prices and reduce exorbitant administrative waste.
 
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Medadvatage plans are a good option for those who are healthy with minor health problems associated with aging.
Disagree, firstly because
One day you will likely get a letter, that says that all of your doctors, your hospital, and other healthcare providers you use are no longer part of their plan.
Secondly because
You normally can only get a Medicare Supplement Plan during a 6 month open enrollment when you become eligible for Medicare or when certain events happen such as being dropped by your health insurance.
And whose idea do you suppose that last bit was? Do you think CMS would impose such restrictions upon its own services or did they most likely result from congress members being threatened and bribed by the Big Insurance cabal. Do you suppose CMS staff wrote that language, congressional aids, or Big Insurance lobbyists?

Thirdly because, given one is "healthy with minor health problems associated with aging," then one can just save their money and afford to pay some extra charges now and then should Medicare A & B not fully cover everything. That way, you know the government is not being coerced into just handing these insurance scammers any of our tax dollars in your name,.. as Obamacare has been "set up" (by the Big Insurance lobbyists who wrote it all) to do with a vengeance. Bear in mind that really poor people remain eligible for Medicaid as well which covers everything, within reason.
 
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Go ahead. Read THE HISTORY (you know, pertinent FACTS) provided in the OP and also by me in this thread. Or, stop humping my leg and PISS OFF. YOUR ARROGANCE doesn't just bore me..
I can sure see that you don't like Medicare as it works today.

So, are you arguing for Single Payer? Can't you just say that? It sure would save a lot of bandwidth.

Maybe you can be clear and concise on this.
 
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{eta: Mac removed or edited his post that earlier just said "I tried"}
Tried? Not being arrogant? Try harder.
As I've said, 98% of people don't understand how the full system works. You're clearly one of them.
Opinion or fact? Arrogance or humility? Should Medicare be that complex? Who made it that way?
We know the system. The history of it is irrelevant right now.
Arrogance? Facts? Why would the history be irrelevant right now? Because it's the actual topic?
How does one go about dealing with a scam without delving into its history? Stupidly?
Three opinions. You do know the difference between fact and opinion, right?

Now, go ahead provide FACTS that BACK UP your OPINIONS.
My opinions? The title? "Swing and a miss" So in your OPINION the OP didn't BACK UP his own OPINIONS as expressed in his title WITH FACTS? And you're not just a shameless, dissembling turd?
The 3 of us know more about Medicare than anyone will ever know in this thread.
Would that be pertinent fact or opinion? Arrogance or humility?
BTW where's your link that everyone at the inception of Medicare thought it was going to cover drugs and it was blocked for years by private insurance?
Already supplied, but from within and specifically, for example:
The need to cover outpatient prescription drugs was evident soon after Medicare was implemented. It was not inevitable that nearly four decades later, beneficiaries would still lack adequate coverage for this crucial component of modern medical care.
This certainly comes as no news to me. What rock have all you self-declared experts been hiding under?
 
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I can sure see that you don't like Medicare as it works today.
Yeah, the person who posted the topic didn't either. Noticed that yet?
So, are you arguing for Single Payer? Can't you just say that? It sure would save a lot of bandwidth.
I noticed you stupidly asking that before.. after I'd already promoted actual "Medicare for All" like crazy. Are you on drugs?
Maybe you can be clear and concise on this.
Maybe you can go suck an egg.

The worst medical care in the industrialized world at twice the cost.. and all you've got to say is:
Medicare recipients save a lot of money with these plans. And, these plans are very popular.
No. Medicare for All is popular, you putz.
 
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Yeah, the person who posted the topic didn't either. Noticed that yet?

I noticed you stupidly asking that before.. after I'd already promoted actual "Medicare for All" like crazy. Are you on drugs?

Maybe you can go suck an egg.

The worst medical care in the industrialized world at twice the cost.. and all you've got to say is:

No. Medicare for All is popular, you putz.
My goodness, you can't just make a clear, concise point.

You are for Single Payer, is that correct?
 
My goodness, you can't just make a clear, concise point.
Yes, I can multitask. You just quoted me making several. You, otoh, just keep crying and posting absolutely nothing relevant to the topic.. Why not just make like a tree and..
You are for Single Payer, is that correct?
Again, single payer is what everyone sane wants at a minimum and would obviously be an improvement. Bernie's or Jayapal's Medicare for All is what I'm actually "for"!
How much clearer could anyone possibly be? Will you please stop humping my leg now?
 
Disagree, firstly because

Secondly because

And whose idea do you suppose that last bit was? Do you think CMS would impose such restrictions upon its own services or did they most likely result from congress members being threatened and bribed by the Big Insurance cabal. Do you suppose CMS staff wrote that language, congressional aids, or Big Insurance lobbyists?

Thirdly because, given one is "healthy with minor health problems associated with aging," then one can just save their money and afford to pay some extra charges now and then should Medicare A & B not fully cover everything. That way, you know the government is not being coerced into just handing these insurance scammers any of our tax dollars in your name,.. as Obamacare has been "set up" (by the Big Insurance lobbyists who wrote it all) to do with a vengeance. Bear in mind that really poor people remain eligible for Medicaid as well which covers everything, within reason.
Medadvantage exist because law makers were anxious to reduce the cost of Medicare. The golden rule was the cost to Medicare of reimbursement for all services paid by the insurance company would be less than the cost if Original Medicare would had paid for the services. Those reimbursement fees to insurance companies were a fixed percentage lower than the Medicare reimbursement rate. So the less the insurance companies paid hospitals and doctors the more they made. The problem is that insurance companies were free do just about anything to reduce cost. The more they reduced reimbursement to healthcare providers the more they made, Reimbursement fees were lowered by forming networks of the cheapest hospitals, doctor, and other providers, keeping the number of costly specialist down, eliminating areas from the network where fees are the highest such as in rural areas. Premiums paid by the insured covered cost of operations and deductibles and copays were pure profit. This is why the MediAdvatage market place has been a goldmine for insurance companies.
 
If you’ve ever watched cable news, where the average viewer is in their late sixties, you’ve probably seen an advertisement for a Medicare Advantage plan. They usually star some washed-up celebrity whose career peaked right around when today’s retirees were young adults (think Jimmy Walker or Joe Namath). And they always make a lot of big promises about how great Medicare Advantage coverage is.

There’s just one problem: The sales pitch is an abject lie. Medicare Advantage is much worse than traditional Medicare for people on the program and costs a great deal more to boot. But unless the Biden administration changes course, private companies will soon devour the rest of the program.

Medicare Advantage plans are typically a combination of “Medigap” plans, which cover services not included in the government plan like vision and dental, plus a privatized version of traditional Medicare. About 28 million American seniors are now on Advantage plans, or about 40 percent of the whole program. As Barbara Caress explains in the Prospect, it was set up back in the late 1990s as a way for those wonderful private insurance companies we all know and love to work their free-market magic on one corner of the system America carved out as publicly run. Once we got business involved, surely the quality of coverage would improve and costs would go down, right?

Very informative, thanks skew!!
 
Very informative, thanks skew!!
Like your post but there is an error in it. Medigap insurance is jargon for Medicare Supplements. These supplement plans cover only medical services that Medicare covers and Medicare does not cover dental, vision, or hearing exams nor hearing aids or glasses.

Essentially, Medicare supplements pay the beneficiaries cost of covered medical expenses that Medicare does not pay. There are ten types of Medicare supplements. The coverage of each is exactly the same no matter where you purchase the plan. Only the price and service the company offers for the plan differ. Some companies offer perks such as free gym membership or various discounts, however you end up paying for perks in your premium. If you purchase a plan with maximum coverage, you will pay no coinsurance, no deductible, no excess charges a doctor may charge you, plus insurance coverage outside the US, and several other benefits. If you need drug coverage, you need to purchase a part D drug insurance.

Unlike Med Advantage plans you do not get a yearly evidence of coverage document that states all the changes in coverage and changes in doctors and hospitals you use because there are no changes.

For most people, they have one chance to get a supplement and that is during open enrollment which is the 6 mos. following Medicare eligibility. If you decide later you want a MediAdvantage plan you can switch but going the other way may or may not be possible.

I have had both MedAdvantage plans and supplements. I prefer the supplements because I can go to essential any health provider in the country. I don't have to worry about who is in or out of network, or getting referrals, or paying medical bills. If you go with a supplement, it will likely cost more in premiums. To me it's worth it. To you it may not.
 
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If you’ve ever watched cable news, where the average viewer is in their late sixties, you’ve probably seen an advertisement for a Medicare Advantage plan. They usually star some washed-up celebrity whose career peaked right around when today’s retirees were young adults (think Jimmy Walker or Joe Namath). And they always make a lot of big promises about how great Medicare Advantage coverage is.

There’s just one problem: The sales pitch is an abject lie. Medicare Advantage is much worse than traditional Medicare for people on the program and costs a great deal more to boot. But unless the Biden administration changes course, private companies will soon devour the rest of the program.

Medicare Advantage plans are typically a combination of “Medigap” plans, which cover services not included in the government plan like vision and dental, plus a privatized version of traditional Medicare. About 28 million American seniors are now on Advantage plans, or about 40 percent of the whole program. As Barbara Caress explains in the Prospect, it was set up back in the late 1990s as a way for those wonderful private insurance companies we all know and love to work their free-market magic on one corner of the system America carved out as publicly run. Once we got business involved, surely the quality of coverage would improve and costs would go down, right?

Yawn
 
I have had both MedAdvantage plans and supplements. I prefer the supplements because I can go to essential any health provider in the country. I don't have to worry about who is in or out of network, or getting referrals, or paying medical bills. If you go with a supplement, it will likely cost more in premiums. To me it's worth it. To you it may not.
^^^ This is essentially the difference between the plans here.

In practice, MA plans are very similar to the PPO or HMO plan people have had all along. MediGaps cover almost everything, and you pay more for that.

Medicare participates, private companies compete and innovate under regulations, choice is provided, consumers win.
 
^^^ This is essentially the difference between the plans here.

In practice, MA plans are very similar to the PPO or HMO plan people have had all along. MediGaps cover almost everything, and you pay more for that.

Medicare participates, private companies compete and innovate under regulations, choice is provided, consumers win.
I tell everyone of my prospects/clients when joining a Medicare Advantage plan they have a 12 month trial right and if they do not like it in the first 12 months they have a guaranteed issue right of a Medicare supplement.

If people would just do research and google their questions most always CMS.gov will pop up with the answers. Certain people are quick to come on message boards and spew the shit they think they might no and have not even researched it.



As Flopper mentioned Part D and I see in Washington where they may be cheaper your part D's in other parts of the country can run up well close to $80 or more per month.

As far as single payer or Medicare for All if anyone thinks the insurance companies will not be involved one way or another then they basically have shit for brains.
 
Medicare participates, private companies compete and innovate under regulations, choice is provided, consumers win.
"participants"? "consumers"? Try "recipients" for a healthy change in perspective. If you work for a living here, you pay FICA tax which stands for the Federal Insurance Contributions Act. "Any unused money goes to the Social Security trust funds to help secure today and tomorrow for you and your family." Emphasis on secure. Meanwhile, "private companies compete and innovate" to redirect those "Contributions" into their private coffers for their private fun and profit, aside from their advertising costs, stock buybacks, and lobbyists busy destroying Medicare from the inside.

Okay, so let's say your paid your 1.45% into Medicare for ten years and your employer has chosen to pay another 1.45% to Medicare in your name instead of just handing it to you to give to them. So 2.9% of your earnings total for at least ten years. Now suppose shit happens one day and you get sloppy drunk, deliriously high, mentally deranged, start choking, having a heart attack, become unconscious, whatever,.. and someone.. anyone.. comes along and saves your sorry ass in any way shape or form,.. are you a "consumer" of healthcare? How about "victim of private insurance fraud"?

I know. I know. I'm asking you to think again for a change and that last word was simply redundant :itsok:
 
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As far as single payer or Medicare for All if anyone thinks the insurance companies will not be involved one way or another then they basically have shit for brains.
Of course they're involved! How else could we still not have what 69% of the people have been clamoring for for years? You must have shit for brains!
 

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