Real Medicare Versus Private Medicare
I would like to ask you a very simple question that will help you decide how you will receive and pay for your health care for the rest of your life.
Which of the following two goals is most important for you and your family:
1) To be able to get the best health care possible from the doctors or hospitals I believe give me the best chance for the best health outcome with little or no unplanned cost.
2) To help make a big insurance company like Humana more profit and their executives richer even if it means cutting back on my health care and reducing my chances of getting well if I have a serious health problem.
I don’t believe anyone is going to select #2.
However, if you permanently sign over your Medicare benefits to a private Medicare plan such as Kaiser or Humana, you are potentially placing your health care for the rest of your life in the control of a company who will ration your health care if you become sick to maximize their profits – even if doing so reduces your chance for the best health outcome.
This happens because a private, for-profit Medicare Advantage plan operates under a much more restrictive set of guidelines when it determines what tests, treatments or surgeries it will approve.
There are many times real Medicare – also called regular Medicare or original Medicare – will approve an expensive procedure such as an MRI or a new, expensive cancer treatment when a private Medicare Advantage plan will say “no” in order to save money.
When you opt-out of real Medicare and enroll in a private Medicare plan, Medicare no longer pays your medical bills. Instead, the federal government sends your Medicare dollars to the private company who somehow convinced you it was a good idea to let them make your health care decisions instead of you and your doctor.
Every time a private Medicare Advantage plan says “no” to an expensive medical procedure when real Medicare would have said “yes”, the private plan increases their income while decreasing your chance for the best health outcome.
Sadly, if you opt-out of real Medicare for a private Medicare plan, your opportunity to change your mind later will be either extremely limited or possibly non-existent. This is because leaving a private Medicare plan and returning to real Medicare with a Medicare Supplement that pays your share of Medicare almost always requires you to answer a lengthy list of health questions and verify you are in good health.
Fortunately, if you have not yet started Medicare, you can stay with real Medicare and enroll in a Medicare Supplement that takes effect when your Medicare starts without answering health questions. You will be approved for this wonderful coverage that allows you to choose any doctor or hospital anywhere in the country that accepts Medicare – as almost all do – regardless of your health and you will always be able to keep this coverage regardless of any health conditions you develop in the future.
If you have already opted out of real Medicare and assigned your Medicare benefits to a private, for-profit, restricted access Medicare Advantage plan, you can choose to return to Real Medicare prior to February 14, 2018. However, in order to qualify for a Medicare Supplement that will pay your share of Medicare, you will likely have to answer health questions and be in fairly good health.
I would appreciate the chance to help you understand your Medicare options so you can choose the right Medicare plan for you both now and in the future.
Simply click the following link to schedule a free, no-obligation 30-minute Medicare consultation.
I look forward to talking with you soon.