Homesteading Forum banner
21 - 40 of 105 Posts

· Registered
Joined
·
406 Posts
This is all good to know. I never planned to sign up for Medicare, but I did expect that I would collect social security down the road. I'd rather experience this sting now, than later, while my working life can adapt to the new datum that everything taken out of my check from an employer, for social security, I will never see again.
 

· Registered
Joined
·
2,688 Posts
I'm not talking about a Medicare Advantage plan. I am talking about basic Medicare that is provided directly by the govt.
You don't have to sign up for extras which is what Advantage plans are. That is an extra $ amount on top of what you
pay through SS for Medicare. They may let you pay monthly, but the gov't. does not.
Yes, they do. $170 each month comes out of my SS check. For Part B. Advantage Plans don't necessarily mean you pay more than $170 out of your SS. But choose one of the other plans and it could cost more.

Medicare is a complicated convoluted mess. We're at an age where things are more of a challenge when it comes to dealing with stuff like this and the government hasn't helped with all their never ending alphabet of plans.
 

· Registered
Joined
·
697 Posts
It was quite a surprise. Not happy about the whole situation, but....

They do take it out monthly from SS. I was talking about if you aren't getting SS and have to pay out of pocket.
He didn't want to start his SS until his full retirement age, which is NOT 65. Therefore, in order to sign up for Medicare and NOT get the penalty later, we would get billed for Part B.
Which the gov't. does not let you pay for monthly if you are not getting SS as well.l
 

· Registered
Joined
·
2,688 Posts
When you first turn 65, you must sign up for Medicare Part A.
You don't have to use it, however.
I did not retire until age 67.5, at that point I began using Part A and activated Part B.
However, that is not enough to save you from bankruptcy if you have a catastrophic illness or injury.
That is where a supplemental policy from a non-government becomes essential. HOWEVER, you MUST do your research and get a good one.
So, the government charges $200/month for Part B, plus I pay $300/month for my supplemental. NOT an Advantage Plan, they suck.
As ex-military I am eligible for USAA insurance. I have their Medicare Supplemental Plan F, and my recent total knee replacement was completely covered. Just the hospital part alone was $138,000!!!
I could have gotten it done by the VA, but there is no way in hell I would let a VA doctor do something that extreme.
Exactly. I wish I could afford the coverage you have but that alone could bankrupt me. My hubs had it a couple of months after he was diagnosed with cancer. Just in the three months before the DX and the two months he didn't have the plan like yours our out of pocket was in the thousands with our Advantage Plan.
 

· Registered
Joined
·
2,688 Posts
It was quite a surprise. Not happy about the whole situation, but....

They do take it out monthly from SS. I was talking about if you aren't getting SS and have to pay out of pocket.
He didn't want to start his SS until his full retirement age, which is NOT 65. Therefore, in order to sign up for Medicare and NOT get the penalty later, we would get billed for Part B.
Which the gov't. does not let you pay for monthly if you are not getting SS as well.l
Someone already mentioned this. This subject is moving so fast it's hard to keep up.

I think it was Danus that said if her hubs could prove he had insurance through his employer he didn't have to pay the penalty. If your hubs does not have health insurance then he would pay the penalty.
 

· Registered
Joined
·
567 Posts
Exactly. I wish I could afford the coverage you have but that alone could bankrupt me. My hubs had it a couple of months after he was diagnosed with cancer. Just in the three months before the DX and the two months he didn't have the plan like yours our out of pocket was in the thousands with our Advantage Plan.
At first i had a Medicare Advantage plan through Humana.
It did not cost anything extra beyond what was already being deducted from my SS. But, it had high co-pays and high out of pocket.
And then I had a stomach ulcer, that went undiagnosed for months, until I just about bled to death.
Three days in the hospital, 4 units of blood, and other medications. A colonoscopy and an endoscopy to find the site of the ulcer.
Bottom line was very extreme. Luckily the hospital wrote off over $20,000. But I still had to pay $100/month for almost two years to pay off the bill.

Lesson learned - cheaper is not always better.
 

· Registered
Joined
·
19 Posts
Part "A" is free, you do need to sign up for part "B" if you don't have altenative insurance,otherwise you will get dinged with a penalty, Same thing with Part "D" which is a drug plan. My wife being on SS for years due to disability was signed up for part "A" which was free, I had a qualifiying medical and prescription plan through my work, so she didn't have to sign up for that until I retired B" which we pay for, now for prescription we signed up for the cheapest plan they had which is about $8 a month, we found out that by using GOODRX.com we save more than what insurance covers. We still get some savings, but my advice is look up your drug on GOODRX and see what it cost is compared to whatever you have, CVS is the most expensive drug store out there. Now I also signed up for PART"G" which is a supplement and so far have been very happy with that. So far all I had to pay is the Medicare Deductible which is a bit over $200 each and they have been covering everything else. So yes medical is expensive, but both Part "B" and Part "D" are coming down a bit for 2023, it is better than the plan I had while working. So I'm paying about $170 a month for each of us for part "B", $8 a month for Part "D" prescription and another $221 a month for both my wife and I supplemental Insurance. Which I get through AARP United Healthcare. If anyone needs a good agent to talk to I can reccomend someone who I deal with. He should be able to help or at least answer questions, I know he can work in both OHIO and PA, and some other states too. His name is Mike Yost and his phone number is 330-518-8876, tell him David Rissel sent you.
 

· SM Entrepreneuraholic
Joined
·
18,531 Posts
Exactly. I wish I could afford the coverage you have but that alone could bankrupt me. My hubs had it a couple of months after he was diagnosed with cancer. Just in the three months before the DX and the two months he didn't have the plan like yours our out of pocket was in the thousands with our Advantage Plan.
Plan F which has been replaced by Plan G and I think Plan N allow you to see any doctor in the country that accepts Medicare, no referral required. When I had my aortic valve replaced, everything was covered. I think my plan costs about $200/month.

I went to Duke University Hospital and didn't feel comfortable with what I was told so called Wake Forest Baptist Hospital and switched to them without having to get approval from insurance, Medicare, or doctor.

If I was to be diagnosed with cancer, I could go to any specialist I choose anywhere in the country. I just hope it never gets priced beyond what I can afford.
 

· Registered
Joined
·
697 Posts
This is all well and good and I know it is a good idea to have health insurance. However, there are some people
who do not have it and never have had it. Nice that the gov't "offers" insurance when you get old, but I do not
appreciate having it forced on us. It is like age mandated insurance. Which, unless everyone is mandated insurance,
why does someone who is turning 65 get made to purchase it? That was pretty much my whole issue with the whole
thing. Yeah, I would love to have great insurance, but I don't like the gov't telling me that just because I hit a certain
age I HAVE to have it.
Off the top of my head there isn't anything else that has an age requirement where suddenly you are forced to pay
for something whether you want it or not.
 

· Premium Member
Joined
·
4,074 Posts
If you draw a check you are signed up for Medicare. Yes you can get just part A but there is a catch. If at any time later on you want to get part B or D(prescription) you will be penalized. The penalty gets larger the longer you go. That penalty means that your monthly premium will be higher.....forever. I know people that are paying double what their premium would have been had they signed up at the beginning.
 

· I calls em like I sees em
Joined
·
14,173 Posts
If you don’t sign up when you are eligible, and choose to sign up later, as life’s circumstances change, there are financial penalties. (My understanding from a few years ago.)
This. My dad didn't sign up timely and his Medicare costs more for the rest of his life.
 
  • Like
Reactions: TxGypsy

· Premium Member
Joined
·
34,830 Posts
I am in that situation right now. I have been on disability a few years and already negotiated the Medicare mess.

Once you turn 65, or you have been on disability long enough to get Medicare you must sign up for part A. When I had to do it I was able to find the part where part A is required but I don't have that in front of me right now. Part A doesn't cost anything but it automatically becomes your primary HOSPITALIZATION coverage.

Part B, C, D and whatever other letters they use is not mandatory as long as you have equitable coverage. If you have insurance through your employer, a severance package or a spouse's employer you do not need to sign up for other Medicare letters. If you do not have other equitable coverage after you become eligible for part B and a prescription plan, you will be penalized according to however long you have gone without coverage. You will pay the penalty forever after. If you are hospitalized after becoming Medicare eligible, part A is your primary insurance. Anything not covered will be submitted to your other insurance which is your secondary insurance.

I'll see if I can find the information later.
 

· Registered
Joined
·
238 Posts
At first i had a Medicare Advantage plan through Humana.
It did not cost anything extra beyond what was already being deducted from my SS. But, it had high co-pays and high out of pocket.
And then I had a stomach ulcer, that went undiagnosed for months, until I just about bled to death.
Three days in the hospital, 4 units of blood, and other medications. A colonoscopy and an endoscopy to find the site of the ulcer.
Bottom line was very extreme. Luckily the hospital wrote off over $20,000. But I still had to pay $100/month for almost two years to pay off the bill.

Lesson learned - cheaper is not always better.
2400 out of pocket for something that severe. You’re blessed.
 

· Premium Member
Joined
·
34,830 Posts
Ok, I found the Medicare site. Part A is not madatory (they said it was when I got stuck with it). COBRA or an ACA plan is not equitable coverage.

Here is the site.


I am still covered by hubby's employer. His HR representative had to contact their underwtiter's department to see if I would still be eligible for their insurance. They said yes so I am covered that way.
 

· Registered
Joined
·
3,970 Posts
Very timely discussion as this is coming up for me in 2023. I retired from a Fortune 100 company and kept my insurance through the retiree benefits, both DH and I have good coverage at a reasonable cost. As I am beginning this discussion for our situation - I will turn 65 first and my retiree insurance can no longer be my primary insurance - I must go to Medicare but, if I do, then my retiree insurance has the option to become my Part B and Rx coverage - DH can remain on my retiree insurance until he also turns 65 and then it starts for him. I have not investigated costs yet and we do not yet draw SS.
 

· Registered
Joined
·
1,168 Posts
I am in that situation right now. I have been on disability a few years and already negotiated the Medicare mess.

Once you turn 65, or you have been on disability long enough to get Medicare you must sign up for part A. When I had to do it I was able to find the part where part A is required but I don't have that in front of me right now. Part A doesn't cost anything but it automatically becomes your primary HOSPITALIZATION coverage.

Part B, C, D and whatever other letters they use is not mandatory as long as you have equitable coverage. If you have insurance through your employer, a severance package or a spouse's employer you do not need to sign up for other Medicare letters. If you do not have other equitable coverage after you become eligible for part B and a prescription plan, you will be penalized according to however long you have gone without coverage. You will pay the penalty forever after. If you are hospitalized after becoming Medicare eligible, part A is your primary insurance. Anything not covered will be submitted to your other insurance which is your secondary insurance.

I'll see if I can find the information later.
Penalized as in they send you a bill in the mail which you have to pay on threat of further action? Freeze your accounts, put a lien on your house, auction it off and leave you homeless in the street?


PS; OK I did some research because there seems to be some confusion here. You are not mandated to sign up for any part of medicare according to what I read. If you LATER attempt to sign up, you will have to pay a penalty [ I E a higher premium ].

If you collect social security, they may automatically enroll you in part A and if there is a premium, they'll take it out of your monthly check.
 

· Registered
Joined
·
2,688 Posts
I am in that situation right now. I have been on disability a few years and already negotiated the Medicare mess.

Once you turn 65, or you have been on disability long enough to get Medicare you must sign up for part A. When I had to do it I was able to find the part where part A is required but I don't have that in front of me right now. Part A doesn't cost anything but it automatically becomes your primary HOSPITALIZATION coverage.

Part B, C, D and whatever other letters they use is not mandatory as long as you have equitable coverage. If you have insurance through your employer, a severance package or a spouse's employer you do not need to sign up for other Medicare letters. If you do not have other equitable coverage after you become eligible for part B and a prescription plan, you will be penalized according to however long you have gone without coverage. You will pay the penalty forever after. If you are hospitalized after becoming Medicare eligible, part A is your primary insurance. Anything not covered will be submitted to your other insurance which is your secondary insurance.

I'll see if I can find the information later.
OK, someone highlight @Danaus29. This is spot on and so well explained that most of us that hate dealing with this stuff can understand.
 

· Registered
Joined
·
2,688 Posts
Penalized as in they send you a bill in the mail which you have to pay on threat of further action? Freeze your accounts, put a lien on your house, auction it off and leave you homeless in the street?
No. They take it out of your SS check. Part B is deducted from your check normally if you're Part B or on an Advantage Plan. Right now it's 170 per month. If you fail to sign up the first year you're eligible then they will tack on a 10% penalty to that 170. And take it straight from your SS check.
 
21 - 40 of 105 Posts
Top