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To: Kirk © who wrote (115179)8/19/2021 2:04:07 PM
From: John Koligman2 Recommendations

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Kirk ©

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Just another comment on Medicare - what Rarebird says makes sense, but my wife and I have a Humana Advantage plan. We live right outside Chicago and the plan we have includes the largest medical group in the state, which we used and liked prior to Medicare. It has a zero dollar monthly cost, and the kicker is that the plan's out of pocket max is $2650, so even if you were really sick and hit the max you still would be saving money over the $200/month for a supplemental. They also throw in 2k of yearly dental benefits, $300 for glasses, and a membership at a very nice local gym (which we enjoyed and have not used lately, for obvious reasons). So, I think it boils down to access and how many docs are in your area and are 'in network'. There are copays, you can see your primary at no cost, but a specialist visit is $25. I recently had a stress test and echocardiogram, both were $25 each out of pocket (you don't want to know what the provider billed though <ng>).

If the Biden plan passes they are talking about adding the dental/vision/hearing benefits to regular medicare, so that would be a plus, but my assumption is that perhaps the Advantage plans would then increase them.

Also, there are a whole range of Advantage plans out there, the HMO types generally are low/no cost with lower out of pocket max amounts, and the PPO types are more expensive with higher out of pocket max amounts.


Edit - One VERY important thing I forgot to mention is you need to carefully research the ability to switch from regular Medicare to an Advantage plan and vice versa in your state. The general rule is you have a year to pick a type of plan and then switch from one type of Medicare to another. After that, you might be subject to 'pre-existing' condition checks by an issuer of a Medicare supplemental plan if you decide to switch from an Advantage plan back to regular Medicare.
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