Medicare Advantage Plans Explained

Visit for more: medigapseminars.org/new-to-me... | Call us 800-847-9680
medigapseminars.org/contact-us/
Medicare Advantage Plans Explained
Also see Medicare Advantage vs Medicare Supplement Plans • Medicare Advantage vs ...
Medicare Advantage Plans Explained What is Medicare Advantage?
If you’re researching Medicare and looking for a video to help you understand Medicare Advantage plans and if they are the right choice for you, this is the video you need to see. Stay tuned.
Hi, I’m Matthew Claassen with Medigap Seminars Insurance Agency. We are an independent insurance broker helping people with their Medicare and retirement needs from Hawaii to Virginia and Alaska down to the Florida Keys. We represent our client’s best interest, not that of an insurance company, and our services are free to you the consumer. All you need to do, is ask.
This video is different than other videos you may have seen on Medicare Advantage Plans. I am not going to simply describe a Medicare Advantage Plan. Rather, the intent of this video is to give you the information you need to decide for yourself if a Medicare Advantage plan is right for you.
Check out our video on Medicare supplement plans and insurance companies: • Medicare Supplement Pl...
Medicare Supplement Plan G • Medicare Supplement Pl...
Medicare Supplement Plan N • Medicare Supplement Pl...
If you want to limit you’re your financial risk, you can either purchase additional coverage via a Medicare supplement plan or replace your Original Medicare with a Privatized version of Medicare Part A and Part B managed by a private, for profit insurance company. That is a Medicare Advantage Plan.
Now, there are many different types of Medicare Advantage plans. But literally 98% of all Medicare Advantage plans are constructed as either an HMO or a PPO. In this video we will just be discussing HMOs and PPOs and not other types of Medicare Advantage plans.
To be clear, a Medicare Advantage Plan is not a Medicare supplement. It does not supplement your Original Medicare, it replaces it. You still must pay your Medicare Part B monthly premium to Medicare, but you are no longer using Original Medicare. You don’t use your red, white and blue Medicare card. The insurance company you choose for a Medicare Advantage plan will issue you their own insurance card for the plan you enrolled in.
As you may know Original Medicare has a lot of copays and deductibles. Each Medicare Advantage Plan has its own copays and deductibles and by law must be designed as an Actuarial Equivalent to Original Medicare. Actuarial Equivalent. It’s an interesting term. What exactly does it mean? It means that the average person on any Medicare Advantage plan must have roughly the same annual out-of-pocket expense as they would have if they had simply kept their Original Medicare Part A and Part B and NOT added a Medicare supplement.
Unlike a Medicare supplement, every Medicare Advantage plan is different. Each has different coverage, uses different doctors and hospitals and every Medicare Advantage plan can change its benefits and costs each calendar year. But, by law, they must remain an actuarial equivalent to Original Medicare.
However, as I mentioned earlier, Medicare Advantage plans have maximum limit on a policy holder’s annual financial risk, also called your maximum out-of-pocket expense.
www.kff.org/medicare/press-re...
www.kff.org/medicare/issue-br...
www.kff.org/health-reform/iss...
www.kff.org/medicare/press-re...
www.kff.org/health-reform/iss...
www.kff.org/medicare/fact-she...
themighty.com/2018/02/aetna-m...
medigapseminars.org/ig-report...
khn.org/news/when-medicare-ad...
khn.org/news/proposed-medicar...
oig.hhs.gov/oei/reports/oei-0...
#MedicareAdvantagePlansExplained #MedicareAdvantage #MedigapSeminars #MedicareExplained #NewToMedicare #Medicare2022 #Medicaresupplements #MedicarePartC #Medicare

Пікірлер: 1 100

  • @debrakettler6077
    @debrakettler60774 жыл бұрын

    Absolutely great KZread video. My husband and I just spent an hour and a half with an insurance agent yesterday and all he wanted to talk about was an Aetna Medicare solutions plan at zero cost. I told my husband that there is something wrong with the situation ...if it’s too good to be true, it can’t be true. I have worked in skilled nursing home for the past 12 years in admissions and definitely have seen the outcomes to people having a Medicare replacement policy compared to traditional Medicare. My husband turns 65 this year and we have been trying to find the options for him. This video certainly gave me a better way to explain it to him. I knew that insurance agent yesterday was trying to add some money to his pocket. I’m sure he’s good at what he does, he had tons of awards all over his office. But as you stated, doing your homework is the best thing anyone can do. Thanks for your videos I will watch more.

  • @ut561
    @ut5614 жыл бұрын

    wow, what an eye opener about them denying health care. you are the 1st video that mentioned this, thanks so much. i'd give this 2 thumbs up if possible :)

  • @atthrower01

    @atthrower01

    3 жыл бұрын

    who is denying?--- medicare doesnt----- unless there is renal fail

  • @leealexander3507

    @leealexander3507

    2 жыл бұрын

    All for profit health insurance makes their money by denying care when it's expensive and badly needed.

  • @gauravipal9518

    @gauravipal9518

    2 жыл бұрын

    @@atthrower01 The Medicare Advantage plan is a for profit plan that replaces Medicare. Medicare does not deny service but Medicare Advantage plans can and do deny service.

  • @nancydelathouwer9919
    @nancydelathouwer99192 жыл бұрын

    I'm sure glad that I listened to you before my husband and I signed up for medicare. Our plan N supplement saved his life when he needed heart surgery. Mayo Clinic accepted it and we are so grateful. Thank you for the good advice. I had a feeling Advantage plans weren't a good idea, but they sound even worse than I imagined. How awful to have necessary care denied when it is most needed.

  • @donnakelley1202
    @donnakelley12023 жыл бұрын

    Thanks for helping me understand this. I have to admit I'm totally overwhelmed by all of the information out there. Your videos are clear and concise and I am grateful for the information you provided here. I need to watch all of your videos. Please keep them coming.

  • @MedigapSeminars

    @MedigapSeminars

    3 жыл бұрын

    Thank you Donna. I will have more soon. In the meantime, I have licensed assistants here in the office that will be happy to help. 800-847-9680

  • @jerrygreene2154
    @jerrygreene21544 жыл бұрын

    What a great explanation of Medicare Advantage plans. I am so tired of the commercials on this topic. They say what I want to hear instead of what I need to hear. Thanks so much for the information.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    You are welcome. Some of those Medicare Advantage Plan commercials seem to push the boundary of honesty.

  • @denisd.budnik7803
    @denisd.budnik78034 жыл бұрын

    Great video on Medicare Advantage Plan... thank you Matthew. I fall into the poverty level, were the Advantage plan is really my only choice... I'm a Medi Medi. I'm a Multiple Sclerosis patient, at the time I was an undiagnosed MS patient and had Scan a HMO Advantage Plan. SCAN continually denied a referral to see a Neurologist, I was walking with a cane at the time. I can no longer walk, and have to use a powerchair. Had Scan allowed me to see a Neurologist, chances are I'd still be walking as I'd have scene treatment for my MS. I switched Advantage plans and was allowed to see a Neurologist who diagnosed me with MS. I'm now on Anthem Blue Cross an HMO Advantage plan. I cannot say enough good things about Anthem. They have never once denied a referral -- unlike SCAN, I call them "SCAM."

  • @sheilakelly9116
    @sheilakelly91164 жыл бұрын

    Absolutely excellent information. I worked with the Medicare and Medicare Advantage system as an RN for many years. I was aghast at the unscrupulous behavior of some HMOs particularly in the Southern CA area both in their lack of coverage as well as their marketing practices. I am glad that you are out there providing great clarity to these issues. Sheila, Retired RN

  • @shelley2861955
    @shelley28619553 жыл бұрын

    You have saved me hours of research and decision making trying to understand the medicare advantage plans. I have been overwhelmed with the amount of mail and calls and couldn't understand the FREE premiums. I have a friend in a doctors office who told me, stick with medicare and now I'm sure that is what I'm going to do.

  • @johngarnergarner6724
    @johngarnergarner67244 жыл бұрын

    Excellent stuff. I am a medicare agent in North Carolina and this mirrors exactly what I tell my customers. I've been doing this a long time and, as you can imagine, I've run into about everything you can think of. I remember a situation just a couple of years ago. I was working with a gentleman who was turning 65 and instead of buying a supplement from me he went with medicare advantage. He gets cancer ----and I think he was diagnosed at the end of September--- hits his out of pocket limits and then the clock re-sets in January. He calls me and I have to inform him that he can no longer get a supplement. The most difficult client I have is the person who says to me, " I don't get sick, I never get sick." Well, the answer is simple. You don't get sick until you get sick

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Re: "The most difficult client I have is the person who says to me, " I don't get sick, I never get sick." Well, the answer is simple. You don't get sick until you get sick" EXACTLY This is why I tell people to get the insurance plan they will want to have when they are seriously sick or injured, not based on their health today. Thanks for your input John.

  • @hcadambi1

    @hcadambi1

    Жыл бұрын

    I have type 2 diabetes. Live in Madison Wisconsin. They are r3fusing to accept me for medigap since I am on insulin (long acting insulin). Then how can I get affordable medigap?. I like all the advantages of medigap but I feel out of luck unless you can provide remedial plan. Currently in 5 star Medicare Advantage plan which seem to coincide with your opinions in this context. I making every effort to keep A1c levels and stay healthy

  • @johngarnergarner6724

    @johngarnergarner6724

    Жыл бұрын

    @@hcadambi1 Hello Harry, happy thanksgiving from the Tarheel state. Just read your comments. Couple of things: As I mentioned, I am in the medicare insurance business and have been for many years. I'm also about to turn 65 so I'm right therewith you. Typically, when someone buys a medicare supplement----and they are past their initial turning 65 period, they must qualify for the supplement through underwriting. I represent ten different insurance companies and they all ask pretty much the same health questions. For instance, if an applicant has diabetes and is taking more than 50 units of insulin a day, that typically would exclude them from purchasing a supplement. Other things would be breathing issues such as COPD, cancer, etc. Regarding medicare advantage, I'd say that if you go that route they are not all created equal. So go with the largest providers. Blue cross for example. They tend to have the largest and most extensive networks and in general you'll have less trouble getting the coverage you need. And while as an agent I clearly prefer the supplements, I certainly admit that you're paying more for them. Yet there are some nice things about the advantage plans beyond the premiums, like, for example dental coverage, small co-pays for Dr. visits. One of the things that I recommend for people on medicare advantage is that they consider a hospital indemnity policy. They tend to be inexpensive and would protect you from some of the high out of pocket costs from medicare advantage should you get sick. That's something you might ask your agent about

  • @shandraloggins5468
    @shandraloggins54684 жыл бұрын

    Fascinating, thank you for speaking so clearly to us.

  • @Stratneck
    @Stratneck2 жыл бұрын

    Wish I had all this information 2 months ago before I switched to an Medicare Advantage plan. I’m trying to get back to independent Medicare again !!!…I hope I can 🤞 !!! Thank You for this eye opening video 👏👏👏 !!!

  • @MedigapSeminars

    @MedigapSeminars

    2 жыл бұрын

    You may be eligible for a trial right to get your supplement back as a Guarantee Issue. you can certainly use the Medicare Open enrollment (Jan 01- march 31) to get back to Original Medicare and apply for a supplement. Go here: medigapseminars.org/resources/ Check out the second Trial right listed on page 23 of the 2021 Guide To choosing a Medigap Policy".

  • @barbaram5787
    @barbaram57873 жыл бұрын

    Wow, I had already decided against an Advantage plan because of one of your prior videos I watched but this video reinforces that decision even more. I'll be sharing your videos and information.

  • @christinerhiner7318
    @christinerhiner73184 жыл бұрын

    Too bad many Seniors will never learn to use KZread. So informative! Thank you.

  • @forgodsolovedyou
    @forgodsolovedyou4 жыл бұрын

    I’ve never had one problem with my Advantage Plan. Sometimes the insurance company wanted a pre authorization. But I’ve never been turned down.

  • @bbhihoney

    @bbhihoney

    4 жыл бұрын

    Yet. Key word missing.

  • @Stongray67

    @Stongray67

    4 жыл бұрын

    You will have problems 100%

  • @rodolfositon8102

    @rodolfositon8102

    3 жыл бұрын

    @@Stongray67 n

  • @maydawson2843
    @maydawson28433 жыл бұрын

    I have been on Medicare for 16 years I have learned more in the last hour than the 16 prior years. Thank you for these videos

  • @chrissmith7078
    @chrissmith70784 жыл бұрын

    Thank you for a very clear video on the Medicare Advantage plans. I will stick with my supplementals now that I understand this Medicare situation better.

  • @gwingatetx
    @gwingatetx3 жыл бұрын

    I've watched several of Matt's videos and became very knowledgable very fast. I ended up doing a Plan N and Part D with a total out of pocket of $287/month including the Part B premium, plus the $198 annual deductible and $36 in annual drug cost. This was my last video to understand why I do NOT want an Advantage plan. I do not want my insurance company involved in what they will pay for and who I will go to any more!

  • @tylertaylor9855
    @tylertaylor98553 жыл бұрын

    I leaned more about advantage plans from this than 4 years of pharmacy school and 10 years of working in a pharmacy.

  • @MedigapSeminars

    @MedigapSeminars

    3 жыл бұрын

    Thank you Tyler. I'll bet you'll like my Part D videos too! #Medigapseminars

  • @mingziquan4799

    @mingziquan4799

    3 жыл бұрын

    @@MedigapSeminars 1qqqqqq

  • @emilystevens6335

    @emilystevens6335

    3 жыл бұрын

    yes he is better than the other speakers

  • @TK-cl1jm

    @TK-cl1jm

    2 жыл бұрын

    LOL, completely different industry.

  • @aulii11
    @aulii114 жыл бұрын

    Great information, thanks! By 11:50 I had decided that an advantage plan wasn't right for me and clicked on your supplement plans video!

  • @reedsawyer5704
    @reedsawyer57044 жыл бұрын

    Matthew, thank you for these videos. I am studying for my insurance certification, and these videos are invaluable. Great job!

  • @janicecentrello1555
    @janicecentrello15554 жыл бұрын

    Can’t thank you enough for this video. Yes it has made up my mind for me.

  • @richardbrunelle4305
    @richardbrunelle43054 жыл бұрын

    Great videos! There is so much detail missing in the promotional material we are given and expected to make an "informed" decision. Thank you for making these details available.

  • @elizabethjurski5439
    @elizabethjurski54393 жыл бұрын

    I have learned a lot from your seminars. Thank you for this detailed and very informative videos.

  • @crochetnut1114
    @crochetnut11144 жыл бұрын

    While my state is under a “Stay at Home” order due to COVID-19, I have had plenty of time to do my homework and devour any information I can find between original Medicare and Medicare advantage plans. My cousin found one of your videos and sent it to me. I have watched three or four in a row and I am continuing to watch more. Thank you for speaking so clearly and making everything understandable. At this point I think I know which Choice to make. Although it is pleasant not to be interrupted by commercials while watching your KZread videos, you might consider monetization because you definitely deserve it!

  • @auntielsllc5606
    @auntielsllc56064 жыл бұрын

    Thank you for the information. I was so confused and overwhelmed. With the clarification you provide, I feel many people will benefit. Thank you!

  • @MedigapSeminars

    @MedigapSeminars

    2 жыл бұрын

    you are very welcome.

  • @jamesthompson3336
    @jamesthompson33364 жыл бұрын

    All I can say is thank you for this message.

  • @davidelliott4018
    @davidelliott40182 жыл бұрын

    I've been watching other videos on this subject, I have found things none of the others have even mentioned. Thank you!

  • @Sparkernp
    @Sparkernp4 жыл бұрын

    I'm turning 65 in 2020 and have been exploring my MC options. Thank you for convincing me that I want a supplemental plan, not an advantage plan! Also, I thought your "Breaking Bad" analogy was a good one. Loved that show!

  • @regina5818
    @regina58184 жыл бұрын

    Thank you I’m finding out about this the hard way

  • @maurylee5239
    @maurylee52394 жыл бұрын

    Nice to find an honest broker. How refreshing to get an honest opinion. I wondered why I get so many mailings trying to get me to switch to an Advantage plan. Easy to see that if they can deny coverage at some clerk's whim, it really IS an ADVANTAGE to the insurance companies.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Bullseye!

  • @grammytina373
    @grammytina3734 жыл бұрын

    Thank you, now I'll watch your video on the supplemental programs.😊

  • @thomasjacobson7616
    @thomasjacobson76164 жыл бұрын

    Thank you for a great video. I didn’t realize the difference between a PPO and HMO. Thanks for that info.

  • @almitraprice6248
    @almitraprice62484 жыл бұрын

    I recommend your channel to all my new Medicare eligible patients. Thank you

  • @debrafollmer6129
    @debrafollmer61294 жыл бұрын

    Definitely worth the time to watch this video! With the benefit my husband has had with his supplemental insurance, watching this video scared me right out of the idea of considering a Medicare advantage policy! I’ve seen the “advantage” of choosing a supplemental insurance policy! Thank you for making it perfectly clear!

  • @yolandaharold2792
    @yolandaharold27922 жыл бұрын

    Wow! This video is a MUST SEE for anyone who is confused about the Medicare advantage plans vs Medicare supplement. While I am not of Medicare age my parents(who are 83 soon to be 84 and 88 soon to be 89) are and will be moving from California where they had SCAN to northern Virginia to be near me so I have the responsibility of trying to help them figure out health care for them when they move here. It was driving me crazy trying to figure out Medicare advantage plans and you’re right insurance agents are definitely not pushing for supplement plans. I will definitely be checking out more of your videos, your website, and hopefully also be able to speak to someone. Thank you so much for this.

  • @MedigapSeminars

    @MedigapSeminars

    2 жыл бұрын

    Thank you for your comments. We are here if you need us. 800-847-9680

  • @margiekurtzman950
    @margiekurtzman9503 жыл бұрын

    Thank you very much for making these great videos, Matthew. I was seriously considering switching from our high deductible BC/BS Plan F to an HMO-POS. The ads on tv every 10 min. are so tempting. I appreciate all the I have just learned from you. And, yes, I watched Breaking Bad, each and every episode.

  • @John-ys7zz
    @John-ys7zz4 жыл бұрын

    I am glad I found you. I was about ready to sign up for an advantage plan. Thanks for this information.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    You are welcome John. I hope you let us compete for your business: medigapseminars.org/medicare-supplement-specialist-independent-medicare-insurance-broker/m-quote-request/

  • @bethnewton7964
    @bethnewton79644 жыл бұрын

    Thank you. I never fully understood Medicare Advantage. I do now -- and know that I don't want it! Also, "Breaking Bad" is the best show that has EVER been made. :) And yes, I do understand your analogy.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Thanks Lizzy! 😃

  • @sharonadcock5041

    @sharonadcock5041

    2 жыл бұрын

    I’ve been on a blue advantage plan since 2016, (disability) I turned 65 oct and changed filled form out for bcbs supplemental plan and was excepted, (without health ?) however even after requesting blue advantage with bcbs say that I want be switched back to original Medicare until jan1,2022 I’m showing to have both PFFS advantage plan and plan g supplemental plan both active My agent says they have to disenroll me in advantage plan for original Medicare to kick in with my supplemental plan? No one seems to know I have two insurance cards that are both active but can’t get an understanding of why I’m not back on original Medicare? Can you give me some insight please? Thanks

  • @kaiyune472
    @kaiyune4724 жыл бұрын

    Thank you. You helped me understand that the medicare advantage plan I had enrolled in was a problem, before open enrollment was over, so I was able to go back to regular medicate with no penalty. Loved Breaking Bad!

  • @w9fcc
    @w9fcc3 жыл бұрын

    Excellent! The analogy from “Breaking Bad” was very good and a good example. My local hospital is pushing their HMO Advantage plan in mailers and TV advertising. A rule of the thumb I’ve adopted is: If a company is spending millions on advertising for something, you can bet it’s not to your “advantage”, but their profit.

  • @Mary-vk1go

    @Mary-vk1go

    Жыл бұрын

    Very True

  • @scentofthesun6672
    @scentofthesun66724 жыл бұрын

    Excellent! I am so happy I was given this information when I needed to make this decision.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Glad to have helped!

  • @Remember_when
    @Remember_when3 жыл бұрын

    The advantage plan sounds exactly like the insurance we have already through my husband's work. United Health Care PPO. Any time I need a procedure we have to get approval first. Never been denied so far and it's approved in a day or two. If we were to get the wrong advantage plan that might change.

  • @ntxmt
    @ntxmt4 жыл бұрын

    THANK YOU for this information. I will be watching the other videos listed here.

  • @ruthpettis8800
    @ruthpettis88002 жыл бұрын

    This is the best explanation I have found for the pitfalls of the Advantage plans. The examples of problems individuals had encountered helped me understand the problems one can encounter with Advantage. I've been searching to understand better the differences, and this video confirmed my concerns. Thanks so very much!

  • @spmartinez79
    @spmartinez794 жыл бұрын

    I work in the medical field, very good explanation. Thank you.

  • @stellabella8224
    @stellabella82244 жыл бұрын

    Thank you for great information. This is what seniors really need to make good choices.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    You are welcome Stella

  • @markvoelker6620
    @markvoelker66204 жыл бұрын

    Thank you for this valuable information about what these insurance plans truly provide the patient.

  • @teripittam6640
    @teripittam6640 Жыл бұрын

    I’m so happy I’ve been watching your videos. You make it easier to understand this complicated information. I made the right choice for me, and that wouldn’t have happened if I hadn’t watched these videos!!! Thank you

  • @janicefoundas9163
    @janicefoundas91634 жыл бұрын

    This is the best video on choices for medicare and advantage plans. Hes right on about Advantage plans just think about how many times your regular ins denied a request for DME or medication when u were working!

  • @steverosengren1492
    @steverosengren14924 жыл бұрын

    This guy/company is amazing. He and his videos guided me through the enrollment process last year. I made a great decision with his help! Matt, I’ll be calling you again in a year or so for help in getting my wife enrolled. Thanks for being you!

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Thank you Steve!

  • @andykober2283
    @andykober22834 жыл бұрын

    Just studying options and found your video awesome! Thank you.

  • @petesheppard1709
    @petesheppard17093 жыл бұрын

    Thank you. My 65th is in January, and my ignorance is nearly total. I'm binge-watching videos, and your's are very helpful!

  • @KS-xb3cg
    @KS-xb3cg4 жыл бұрын

    Helping my parents understand the options. Thanks!

  • @cindychurch925
    @cindychurch9254 жыл бұрын

    Very informative and well presented! You present the information in a very easy way to understand, process and compare the different options. You have a knack for modulating your voice and cadence. Helps to follow what you are saying! New subscriber. Looking forward to watching the other videos. I work as a registrar at a hospital in the ER. So many patients have no understanding of the different options available to them. Thanks again. Oh. I didn't watch Breaking Bad but think the analogy was a good one

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Thank you Cindy. That is a very nice comment and I appreciate it.

  • @dbi1036
    @dbi10363 жыл бұрын

    man thank you so much for your help, I am new to selling insurance and working on my AHIP and this has helped me understand it so that I can pass on the knowledge in a Easy fashion ...thank u

  • @Bashymade
    @Bashymade4 жыл бұрын

    Thank you! You made it seem so not confusing.

  • @fourftr
    @fourftr4 жыл бұрын

    I just subscribed and thanks for looking out for us The advantaged plans, you have scared the poop out of me

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    I didn't mean to scare people. But I do believe everyone has a right to be fully informed about their healthcare, so that they make the right choice for their specific situation. As it stands right now, the Kaiser Family Foundation is suing CMS (Medicare) to get them to release audit results that show the amount of abuse these plans have been found to do on a regular basis. This includes over billing the government (our $) for literally $Billions. So, no sugar coating from me.

  • @rgkeen7315
    @rgkeen73154 жыл бұрын

    This has been the best explanation of Medicare Advantage. Thank you!

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    You are welcome. #MedigapSeminars < Click here to see my other videos

  • @alicehardy1668
    @alicehardy16684 жыл бұрын

    Thank you. Very well explained and easy to understand. I keep receiving 5-6 solicitations each day trying to sell me more insurance with premiums "sometimes as low as $0.00!". I may be old and disabled, but I still maintain a healthy skepticism when someone offers me "much better coverage, including dental and vision" for "sometimes as low as $0.00!" Thanks again!

  • @door2416
    @door24164 жыл бұрын

    THE BEST EXPLANATION OUT THERE. I went with Matthew last year and am so glad I found this video. I went with original medicare and a supplement (N) and added a part D drug plan. My supplement is $95 per month and my drug plan is 11.00. I think the insurance companies rely on the uninformed to sell their advantage plans to.

  • @karenpeters2433
    @karenpeters24334 жыл бұрын

    My husband got his insurance through your agency last year, and you’ve been great. Got the plan F-HD and an annuity. I would definitely recommend that combination to anybody looking to save money on their insurance plan.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Hi Karen. I am so glad you like your coverage. The FHD with annuity savings account are a great combination. The Plan F-HD is a great value in states that mandate all policies be issued as either Community Rated or Issue Age, like Florida, CT, NY, Washington State and others.

  • @sharonb.campbell2934
    @sharonb.campbell29344 жыл бұрын

    I need to switch back to original medicare plus a supplement! I can't believe I switched to an advantage plan!

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    We will help. Thank you for calling today.

  • @HandmadeByLinanne

    @HandmadeByLinanne

    4 жыл бұрын

    I hear you, Advantage plans are the worst IMHO!

  • @brendavartenisiand.6393

    @brendavartenisiand.6393

    4 жыл бұрын

    Thank you sir and all the rest of you for your input. Each year my Original Medicare increases in premiums and/or deductibles while paying less for services. My separately paid prescription plan, putting it plainly, is nothing but a joke and as we all know, prescription prices have skyrocketed! Greed has reached its highest levels in today’s world. 😞 I intended on changing plans this year in hopes of taking care of my swiftly declining health, which includes a life threatening untreated lung disease that has now entered a more advanced stage, but I’m completely at a loss as to which plan is best and affordable for me. I must say that I’m feeling completely defeated at this point and My life is certainly looking much shorter. God bless you all🙏🏻

  • @oveidasinclair982

    @oveidasinclair982

    4 жыл бұрын

    Look at United American and their High Deductible plan G, a lot of agents will not talk to clients about them because the commissions are low. Don't let the words high deductible scare you, get your head wrapped around the plan details and you'll see that you can't beat it with a rubber stick.

  • @tonystark-gz5no
    @tonystark-gz5no3 жыл бұрын

    wow! thank you! im a new call center agent handling Part C plan...just on my 3rd week taking in calls...this is truly helpfuk...thank you for sharing your expertise!!! keep it up!!!

  • @firedmyboss
    @firedmyboss4 жыл бұрын

    Very informative.... at 67, I am blessed with good health. Like so many of the rest of the general working public, all I have ever known was company medical insurance, or the exorbitant cost of COBRA when ever there was a change or termination. There is much more that I need to learn, know, and understand.

  • @peterbarnes7118
    @peterbarnes71184 жыл бұрын

    I was interested in going to an advantage plan until I saw this video, thank you. Oh and I see my provider is charging me $127 instead of the listed $119, now I know why thanks to another video of yours that I watched! Thanks,Pete

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Amazing what happens when you have all the facts :-) If yu would like my recommendations feel free to call us 800-847-9680 or request information by email medigapseminars.org/medicare-supplement-specialist-independent-medicare-insurance-broker/m-quote-request/

  • @Roscoe_B
    @Roscoe_B4 жыл бұрын

    Caught me off guard with the Breaking Bad analogy...spot on. Thanks for a great presentation !

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Thanks SunKing. I am glad to see that people get it. It was a great show too!

  • @dentra1274
    @dentra12744 жыл бұрын

    Thanks so much for post this make me understand more about Medicare plans and clearly to understand .

  • @1shakasean
    @1shakasean3 жыл бұрын

    I am newly Health licensed in the state of Florida. I am thankful and impressed with your videos. I was focused on MA-PD plans and you have opened my eyes. I will learn about Medical Supplement plans and make sure my priority is to introduce this first, if it does not meet their needs, then help them make an informed decision with Medicare Advantage plans.

  • @jayc3110
    @jayc31104 жыл бұрын

    Thank you for another excellent Video! - i watched Breaking Bad.... It is an excellent analogy for what you explain.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    You are welcome Jay C

  • @kkoleclaw1146
    @kkoleclaw11464 жыл бұрын

    Extremely informative as usual.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Thank you

  • @larrybogue9251
    @larrybogue92514 жыл бұрын

    Thanks for this video. I finally understand Medicare Advantage plan vs Medigap.

  • @rebeccalee4898
    @rebeccalee48983 жыл бұрын

    You are the best in explaining between Regular Medicare and Medical Advantage planz. Thanks

  • @abishop5628
    @abishop56284 жыл бұрын

    Thanks for the terrific info. After hours of research on a Advantage plan I decided to stay with my supplement company and Medicare. I never had a problem with the supplement paying for any service. I was just trying to keep the monthly premium down.

  • @MedigapSeminars
    @MedigapSeminars4 жыл бұрын

    #MedigapSeminars < Click here to see my other videos This video has information on Medicare Advantage plans you will not find elsewhere on KZread. All of what I have to say is backed up by links in the description. Just click "show more" above. What do you think? #MedigapSeminars

  • @sharon3756
    @sharon37564 жыл бұрын

    Thank you for explaining each plan clearly. I selected plan G with Medicare A & B, D

  • @debbiehagan7848
    @debbiehagan78483 жыл бұрын

    First time someone has clearly explained the difference between Medicare original plan and the Medicare Advantage plan. I learned a lot. Thinking the Medicare Part A & B works for me., plus a supplement. Thank you!!!!!

  • @spectator1123
    @spectator11234 жыл бұрын

    This is a very clear and concise explanation of Medicare Advantage Plans. I hope you have the same videos on Medicare Supplement Plans and the MOOP vs. Original Medicare. Does one need a stand-alone PART D for Original Medicare? Thanks for the informative video. I didn't realize the decision making part of these Advantage plans until now.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Hi, actually I do have a video on exactly what you are describing. I have shot the video and it is in editing now. I expect it to be published by the weekend. Ir will be titled "Medicare Supplement Plans Explained".

  • @bryanmason850
    @bryanmason8504 жыл бұрын

    You did a great job. Loved Breaking Bad. I am an accountant and also licensed in Life and Health. However, I do not offer any Medicare Preferred Plan. Several companies are requesting that I take the AHIP test and offer plans through them. I am still on the fence and don't know if I need to go down that path. My goal is to take care of my clients and do what is right for them. I wrote my Master Theses on the Great American Fraud called Life Insurance. The medical insurance field seems to be the same. Thanks for your information.

  • @my1stchance
    @my1stchance2 жыл бұрын

    This video was so informative and is helping me understand the information to get my health insurance license. Thank you!!!

  • @boatman222345
    @boatman222345 Жыл бұрын

    If they gave Nobel Prizes in explaining Medicare insurance options I'd nominate you for one! This and other of your videos are simply far and away the best I've seen in terms of explaining the lambrinth complexities of Medicare insurance. Despite having spent a lifetime researching a wide variety of highly complex technical matters I found choosing a Medicare insurance plan a bewildering experience. After many days of research I eventually sought guidance from a local Medicare volunteer group. Imagine how I felt when 10 minutes into my session the adviser told me that I obviously knew more about Medicare options than he did. Eventually I turned to a local insurance broker who talked me into selecting a Medicare Advantage plan. I suspected at the time that he was motivated more by his commission than by my best interests and after watching your video I now understand why. Sadly as I have suffered from Type 1 diabetes, rheumatoid arthritis, and other chronic illnesses for 50 years it looks to me like I am headed to disaster as more serious medical consequences of those diseases appear. Is there anyway I can switch to traditional Medicare at this point in time after being on Medicare Advantage for more than 10 years?

  • @MedigapSeminars

    @MedigapSeminars

    Жыл бұрын

    thank you

  • @49oldmachinist43
    @49oldmachinist434 жыл бұрын

    i learned more on this one video than all the years since I've retired, thank you, I now have all my medical in the VA system, that do you think about the VA system?

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Hi OldMachinist, If you had enough service to qualify for TrciCareforLife, that would be ideal. With the VA there can be some issues. Many Veterans will get a high deductible Medigap plan so that if they want to seek care outside of the VA they can with limited financial risk. I have a video on F-HD. The premiums are very, very minimal.

  • @erinpeacexo1854

    @erinpeacexo1854

    4 жыл бұрын

    @@MedigapSeminars Hi. My husband is covered with the VA system as well. Everything is covered as long as you go to VA doctors and hospitals. Drugs are covered as well. He recently enrolled in medicare but does he need to get anything else? What is TrciCarefor Life?

  • @freethot333
    @freethot3334 жыл бұрын

    Thank you Matthew! :) Extremely informative and clear. I'll be watching many more of your clear and honest presentations, That's for certain! :) I'm 71 and currently in good health, but cataracts are beginning to be an issue and I'm interested in finding out what would be the best plan to cover that. I'm currently on UPMC for Life simply because the premiums were pretty low and they include YMCA membership.. probably NOT the smartest reason to choose a plan, huh? :/

  • @mnizet1

    @mnizet1

    4 жыл бұрын

    Under what circumstances would you recommend a m.a. plan to a post kidney transplant patient?

  • @Paula-po9kx
    @Paula-po9kx4 жыл бұрын

    I know now I need to do some more research , thank you so very much. New subscriber to your channel

  • @bwsling8654
    @bwsling86543 жыл бұрын

    Another great video. Information presented in a clear, concise manner that achieves the goal. Thanks!

  • @green1way
    @green1way4 жыл бұрын

    Nice breaking bad analogy! And another great video.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Thank you Jeff. You were the first person to comment on the Breaking Bad analogy!

  • @jackmccoy9431

    @jackmccoy9431

    4 жыл бұрын

    Walter portrayed that role excellently.

  • @bluesky5587
    @bluesky55874 жыл бұрын

    Great information ..thank u

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    You are welcome, Cinque Terra

  • @timsatterfield9752
    @timsatterfield97523 жыл бұрын

    I am a new independent agent, and this was extremely helpful to me!! I will now be able to inform my clients so much better!!!

  • @Saveroomforyourlove
    @Saveroomforyourlove2 жыл бұрын

    I have been looking for answer's and this is the best I have found.

  • @gregorypreston4500
    @gregorypreston45004 жыл бұрын

    Great info in a confusing minefield of costs for seniors that need as much help as they can get. Thank you.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    You are welcome Gregory. If you haven't already, please subscribe so you can see my other Medicare videos (40+)

  • @joycem8490
    @joycem84904 жыл бұрын

    I and my friends are using Medicare advantage plan but We do not belong to those four groups that you mentioned in your video.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Every rule has its exceptions :-)

  • @D__Lee
    @D__Lee4 жыл бұрын

    Thanks! You saved me from making a big mistake. I started watching one of your videos daily and they have made me an informed consumer.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Great. I hope you give us the opportunity to compete for your business. 800-847-9680

  • @haroldrosenthal8572
    @haroldrosenthal85723 жыл бұрын

    Thank you. I did not know about the 3 month open enrollment if you find your plan inadequate. That was very helpful.

  • @piaquadio1
    @piaquadio14 жыл бұрын

    I wish someone had explained all this to me when I turned 65. I was immediately pushed into an Advantage plan because at that time I couldn't afford a Supplemental plan.

  • @christinerhiner7318

    @christinerhiner7318

    4 жыл бұрын

    An advantage plan is cheaper than supplemental Medicare plans?

  • @piaquadio1

    @piaquadio1

    4 жыл бұрын

    @@christinerhiner7318 Yes--Advantage plans are cheaper, but as the video said, they come with hefty co-pays if you are hospitalized. A $6900 co-pay would throw me into bankruptcy. Also, as was mentioned, insurance companies can decide which test you can have and which you can't. This doesn't happen on a Supplemental plan. For these reasons, I'm going to bite the bullet and pay the monthly fee and have only a $185 co-pay per year plus all other expenses paid for.

  • @commonsense7803

    @commonsense7803

    4 жыл бұрын

    @@christinerhiner7318 Yes, but each Advantage plan is different, and if you're healthy and on no drugs, you'll save a bundle with most Advantage plans. I like mine, have had it for 3 years now, and I've had no problems. Maximum MOOP is only $3,500 or so, and most docs in my area accept my plan. But like the video states, number of stars an Advantage Plan has is VERY important. I wouldn't go with less than 4 or 4 and a half.

  • @gpcode3827
    @gpcode38273 жыл бұрын

    Thank you for taking the time and effort to share this, much appreciated!

  • @jessjulian9458
    @jessjulian94584 жыл бұрын

    Thank you very much for the information. I was going to switch to an M. A. Plan tomorrow. So you can see how thankful I am for you explaining this nightmare. However, I don't think I have a good supplemental plan either. I am going to watch your video on that and hopefully I can correct that issue. I liked and subscribed. Again, thanks for the information.

  • @JP-gv9sb
    @JP-gv9sb Жыл бұрын

    Fantastic! Don’t even think about choosing a Medicare plan without first watching this video.

  • @r.k.bansal1458
    @r.k.bansal14584 жыл бұрын

    Thanks for this educational video. There is one other big problem with both Medicare Adv HMO and PPO plans, If you are ever in a hospital even for a day, you get several bills from different service providers. While the hospital may be in your HMO or PPO plan, many of those service providers are not. Obviously, the insurance company will insist that you pay their bills in full. This actually had happened to me. I live in Texas and wrote to the Texas Department of Insurance and their advise was that I should try to negotiate with service providers. When I was in the hospital, I had no way to know or control who operated on me. But I was stuck with thousands dollars worth of bills.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    Thank you for sharing this. You're right, of course, and I should have mentioned it. This cannot happen with Original Medicare and a supplement

  • @bposkier51
    @bposkier514 жыл бұрын

    This is all new to me due to the fact that I'm still working and have a good private insurance plan. So I need to get serious about my knowledge to move into full Medicare coverage based on wise decisions, great video BTW. I retire soon and have an exception that I can delay using medicare for now without incurring (form 1095-B) a higher cost later. My research continues. Thanks for your work, great job Matt!!

  • @isaavedra3267
    @isaavedra32674 жыл бұрын

    This video was extremely helpful. My family has a senior over 65 and another who will turn 65 in February 2020. The older senior is enrolled in Part C supplement and Part D. Thanks to this video I learned that each of them will have to be managed differently and more likely at different costs. I will continue to watch the other videos in the coming day, but this was a great start.

  • @MedigapSeminars

    @MedigapSeminars

    4 жыл бұрын

    FYI If a person is healthy enough to qualify, you can move out of a Medicare Advantage Plan and back to original Medicare from January 01 through March 31 of each year. Please reach out to my office for details if you wish.

  • @frankmollica7170
    @frankmollica71703 жыл бұрын

    Thank you very much for explaining this important info in a clear and straightforward way.. I really appreciate your help, research, and time involved great job !

  • @MedigapSeminars

    @MedigapSeminars

    3 жыл бұрын

    You are welcome Frank. If you would like more personal guidance please reach out to my office at 800-847-9680. Our services are free to the consumer and we would love to compete for your business.