General Discussion
Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsWhy millions of seniors have suddenly lost health care coverage
Archive: https://archive.ph/jz0Dt
The privatized version of Medicare Medicare Advantage grew rapidly with perks like vision and dental care. In some regions options are dwindling.
At 70, landscape artist Anthony J. Petchkis lives with a host of health problems. There was the heart attack that sent him on an ambulance ride from his home in the mountains of New Hampshire to Portland, Maine, for an arterial stent. His cholesterol is stubbornly high. He has diabetes, gout and rheumatoid arthritis. He takes eight medications a day.
Until this year, he at least felt confident insurance would fully cover his medical bills, which he estimates run to several thousands of dollars a year. Then his Medicare Advantage plan dropped him.
How am I going to pay all these things going into the future? said Petchkis, who lives on about $24,000 a year from Social Security and the sale of the White Mountain landscapes he paints in his Conway studio. Now I seem okay, but six months or a year from now, something really catastrophic could happen.
Petchkis and thousands of other elderly people in New Hampshire lost their insurance and were forced to scramble for alternatives this year, part of a broader phenomenon as Medicare Advantage companies abandoned communities where their plans threatened profits or lost money. Hardest hit were a half-dozen rural states from New England to Idaho.
Are we great enough yet? MAGA!
Lots of personal stories and photos at link. I think I might like to live in a blue state when I'm old and retired.
Norrrm
(5,014 posts)Yes but however comma......
IronLionZion
(51,242 posts)Ms. Toad
(38,611 posts)But that leaves them with the annual deductible (no big deal), and 20% of the remainder of the allowed amount, with no cap on how big that 20% can be. So if you are hit with a 50,000 hospital bill (not too unrealistic) you will owe $10,000. A 1,000,000 bill - $200,000. Those will get written down some by Medicare, since you are only responsible for the allowed Medicare amount - but you get the idea.
You may not be able to get a Medigap/Supplement plan (the other part of traditional Medicare). There is no guaranteed issue past your 65th birthday for most people (so you may not be able to get one), and if they choose to offer one, you may have to pay a small fortune to get it unless you are in perfect health because they can take your personal health into account.
Timewas
(2,739 posts)Are phony as hell, straight Midicare is great, there are add ons that do a lot..Beats the hell out of advantage plans.
PatSeg
(53,210 posts)Those stinking vultures are doing all they can to get their hands on our Medicare funding. Meanwhile, regular Medicare is a very well managed program and I am rarely ever surprised by anything they do. Any additional coverage should be administered by Medicare - they know how to do it and they do it much cheaper.
mountain grammy
(29,020 posts)Im happily back on Medicare with a high deductible supplement ($3000) for $69/month and a free drug plan that I got through Medicare.
leftstreet
(40,598 posts)Last edited Sat Mar 28, 2026, 09:27 PM - Edit history (1)
There should be NO for-profit alternatives to the original Medicare program
Advantage is spending all its profits on fraud lawsuit settlements anyway
Sweet Rosie Red
(79 posts)My friend had a choice: he could go into another MA plan or he could go into a Medigap as a guaranteed issue. Thats mandatory acceptance without regard to medical status. He eventually chose Medigap due to a couple of very expensive health conditions, but it is costing him a very painful $400 a month, in addition to the Part B premium and a Part D plan. Monthly cost in premiums is ~ $650 monthly! Some choice, for all of us Boomers, right?
progree
(12,962 posts)I met the deadline for getting guaranteed issue Medigap without having to answer health questions or get an exam
My premiums this year, per month:
$203 Part B
$320 Medigap
$40 Part D (drug plan)
---------------------------
$563 total (per month)
I'm in Minnesota too.
So yes, Medicare is expensive. A lot of pre-Medicare-age people think it's free or nominal cost.
Going without the Medigap, to me, is river boat gambling (Traditional Medicare has limited hospital coverage, and Part B stuff is only 80% covered).
As we're seeing, Medicare Advantage is a form of river-boat-gambling too.
Norrrm
(5,014 posts)Insurance is meant to spread the risk over a large pool, including good and bad customers.
If you can subdivide into small pools, you can keep the cherries and throw out the pits.
Envirogal
(317 posts)If the powers that be cannot make money on you anymore, your continued existence is inconvenient. As long as you have some money, you are allowed to continue to exist until it runs out.
not fooled
(6,674 posts)implementing a "pilot program" to use AI to screen Medicare claims...in several states now including WA where I live...it's the camel's nose under the tent to start intervening in real Medicare and denying claims.
The idiots who vote puke must have a death wish.
Jacson6
(2,003 posts)I switched to Government Medicare and pray I won't be sick to get flooded with medical bills. He can look into Medicare Gap Insurance if he can afford it.