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appalachiablue

(42,793 posts)
Sun Aug 7, 2022, 12:23 AM Aug 2022

Stop the Medicare "Advantage" Scam Before Medicare Is Dead

Daily Kos, by Thom Hartmann, Aug. 5, 2022.

Congress must pass a law to stop the deceptive advertising of Medicare Advantage plans. Only Medicare should be able to call itself Medicare. Unless you’ve been out of the country for the past few years, you’ve seen the ads on TV featuring Joe Namath, Jimmy Walker, or William Shatner hawking so-called “Medicare Advantage” plans.

Medicare Advantage is not Medicare.

It’s private health insurance being offered to people over 65, with the bill paid for by Medicare. Once you get on an Advantage plan it’s very difficult to get off, and if you’ve been on for more than a year you may not be able to go back to regular Medicare with a Medigap plan at all. It’s also one of the most effective ways that insurance companies are using to kill Medicare for All before its even birthed, since almost half of all people who think they’re on Medicare are actually on these privatized plans instead.

Nearly from its beginning, Medicare has allowed private companies to offer plans to seniors that essentially compete with it, but they were an obscure corner of the market and didn't really take off until the Bush administration and Republicans in Congress rolled out the "Medicare Modernization Act of 2003."

This was the GOP's (and a few corporatist Democrats') big chance to finally privatize Medicare, one bite at a time. Bush's law authorized giant insurance companies to offer for - profit health insurance to people over 65 that competes directly with Medicare and - most egregiously - it let's those companies pretend that they're offering Medicare by using the brand name "Medicare Advantage."... More + 454 Comments,
https://www.dailykos.com/stories/2022/8/5/2114705/-Stop-the-Medicare-Advantage-Scam-Before-Medicare-is-Dead

43 replies = new reply since forum marked as read
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Stop the Medicare "Advantage" Scam Before Medicare Is Dead (Original Post) appalachiablue Aug 2022 OP
Sounds like a good idea. elleng Aug 2022 #1
Thom Hartmann has been educating us Deuxcents Aug 2022 #2
Designed to foster confusion, increase profits and privatize. appalachiablue Aug 2022 #3
Read the whole article if you can. yorkster Aug 2022 #4
cue the people who will comment they just love it Skittles Aug 2022 #5
And if Medicare is gone notinkansas Aug 2022 #9
they actually already are Skittles Aug 2022 #19
Medicare Advantage Plans are doing nothing but ripping people off! William769 Aug 2022 #6
Wrong! lark Aug 2022 #25
You have my pity. NT William769 Aug 2022 #27
??? lark Aug 2022 #28
Stay on Medicare Advantage. I like it better than Medicare at140 Aug 2022 #33
We like Medicare Advantage at140 Aug 2022 #7
I have been on Medicare advantage True Blue American Aug 2022 #8
Ha. I *used to* like private insurance...but just wait. They are fattening public up for the kill. lostnfound Aug 2022 #22
I am not worried about long term! at140 Aug 2022 #31
May you both enjoy a healthy and very long life in these golden years lostnfound Aug 2022 #32
From Thom Hartmann: Medicare Advantage's For Profit Assault On Medicare Exposed Rhiannon12866 Aug 2022 #10
I have a Medicare Advantage plan and it's been very good to me. PoindexterOglethorpe Aug 2022 #11
Read the article. ShazzieB Aug 2022 #14
I did. PoindexterOglethorpe Aug 2022 #26
It aint bullshit. notinkansas Aug 2022 #29
Shall I tell you about my hospitalization a year and a half ago PoindexterOglethorpe Aug 2022 #41
I think some people hate Medicare Advantage because at140 Aug 2022 #34
This article was very informative, thanks. ShazzieB Aug 2022 #12
Check out Medicare.gov Demobrat Aug 2022 #18
Will do, thanks! ShazzieB Aug 2022 #24
If you do decide to get check to see if your Dr or medical group takes. Historic NY Aug 2022 #13
Doctors and medical groups all need to make money. PoindexterOglethorpe Aug 2022 #16
Difference -- Medicare runs on 3% margin. 3Hotdogs Aug 2022 #23
Medicare Advantage save me out of pocket money at140 Aug 2022 #35
You should care because we would all be better if 7% 3Hotdogs Aug 2022 #37
What is wasteful is at140 Aug 2022 #38
I honestly don't know much about it BradAllison Aug 2022 #15
The Corporate Plan to Murder Medicare Runs Through Medicare Advantage - Thom Hartmann Rhiannon12866 Aug 2022 #17
The increase expected next year will probably even more William769 Aug 2022 #30
There's not going to be a Medicare increase next year. PoindexterOglethorpe Oct 2022 #43
Pros and Cons of Medicare Advantage by Consumer Reports mnhtnbb Aug 2022 #20
THIS ... KPN Aug 2022 #21
When single payer comes in play, I will be happy. But right now at140 Aug 2022 #36
It is a scam StopDesantis Aug 2022 #39
Medicare Disadvantage- perfect! appalachiablue Aug 2022 #40
But the "Gap" plans are basically good though, right? Mr.Mystery Oct 2022 #42

Deuxcents

(19,401 posts)
2. Thom Hartmann has been educating us
Sun Aug 7, 2022, 12:42 AM
Aug 2022

On the difference n just what any confusion could be answered. I’ve listened to him about this issue for a few years n even now, I stop to read more. Enrollment coming up soon so be careful n know your options.

yorkster

(2,307 posts)
4. Read the whole article if you can.
Sun Aug 7, 2022, 12:57 AM
Aug 2022

Saw this yesterday, but couldn't link it.

This article by Thom Hartmann is the most in-depth
exploration of Medicare Advantage that I have seen so far.

The comments are also well worth reading.

notinkansas

(1,107 posts)
9. And if Medicare is gone
Sun Aug 7, 2022, 02:41 AM
Aug 2022

they will surely not like being at the 'tender mercy' of giant for PROFIT! insurance companies.

lark

(24,041 posts)
25. Wrong!
Sun Aug 7, 2022, 08:53 AM
Aug 2022

I have a Medicare Advantage plan and I plan to stay on the HMO's as long as they stay true HMO's. I had major neck surgery and PT for months afterwards and only paid $250 for the surgery, then a $20 copay for the PT days. It would have been many thousands of dollars if I had regular Medicare. I had a supplement for a year, but I didn't use it and I paid a ton of money for it and the rx plan - not worth it at all. If you have sufficient low level problems, a supplement is good - but if you have ever had any major issues they won't cover you. I know they would never take me back because of my past cancer issues, so it's Part C for me for the forseeable future. I have saved many thousands of dollars with this over the past 4 years and plan to continue doing the same unless the terms change - which will probably happen if R's steal the presidency in 2024.

lark

(24,041 posts)
28. ???
Sun Aug 7, 2022, 10:15 AM
Aug 2022

Not sure what you are trying to say, if you are being insulting or trying to be kind? I don't feel I need any pity for what I wrote. I had two accidents and that was how I was able to recover successfully without dying or being paralyzed or going bankrupt. I feel lucky that none of those happened due to my extra vigilance.

at140

(6,118 posts)
33. Stay on Medicare Advantage. I like it better than Medicare
Mon Aug 8, 2022, 09:45 AM
Aug 2022

for same reasons you detailed. It is cheaper out of pocket!!!!
And Medicare advantage has never denied paying for anything my doctor ordered.

at140

(6,118 posts)
7. We like Medicare Advantage
Sun Aug 7, 2022, 02:23 AM
Aug 2022

I have no health issues, need no prescriptions and not been in a hospital since 1990. I have zero medical bills in my 80's. I wish I could opt out of health insurance but Medicare won't allow it.

On the other hand my spouse has $40k medical bills every month to treat her cancer. She pays the out of pocket max for the year and Medicare Advantage pays everything above that. She has not faced any denials of payments whatever her doctor orders.

True Blue American

(18,133 posts)
8. I have been on Medicare advantage
Sun Aug 7, 2022, 02:29 AM
Aug 2022

Had several treatments, laser eye surgery. It has saved me a fortune over the years. I know it is private insurance but also

know
they had to adjust to putting 90% of their profits into patient care. A life saver for millions.

lostnfound

(16,544 posts)
22. Ha. I *used to* like private insurance...but just wait. They are fattening public up for the kill.
Sun Aug 7, 2022, 06:24 AM
Aug 2022

It’s a long term strategy. Maybe it will be fine for you but someday they will have so much power and clout they’ll rewrite the fine print. Many will be on chopping block, sacrificed on altar of corporate greed. You — healthy, no prescriptions — are their cherry-picking strategy and people like your spouse falls in a bucket that will get smaller over the years.

at140

(6,118 posts)
31. I am not worried about long term!
Sun Aug 7, 2022, 03:07 PM
Aug 2022

Life expectancy after stage-4 diagnosis is 6months to 5 years. My spouse has already fought cancer successfully for 4.5 years. But as we know cancer is never cured, it can only be placed in remission. As for me, in my 80's I stopped worrying about long term on my 80th birth day.

lostnfound

(16,544 posts)
32. May you both enjoy a healthy and very long life in these golden years
Sun Aug 7, 2022, 09:55 PM
Aug 2022

This morning I had a dream of someone I loved who died in his late 80s. I woke up sad but grateful, for the dream. I said “thank you” as I woke. A dream is better than nothing. In his last year I often told him that he was our treasure. I would have given a million dollars for him to live another ten years. He is missed, deeply. We were lucky to know him and to keep him for as long as we did.

It is privilege to know people with so much experience.

Rhiannon12866

(220,583 posts)
10. From Thom Hartmann: Medicare Advantage's For Profit Assault On Medicare Exposed
Sun Aug 7, 2022, 02:41 AM
Aug 2022
Medicare Advantage's For Profit Assault On Medicare Exposed



For Profit Companies are stealing from Medicare through Medicare Advantage. Thom Hartmann breaks down the latest assault on Medicare by Medicare Advantage.

Why are private companies allowed to steal from Medicare? - 06/06/2022.




How Medicare Advantage Scams You & The Country



Medicare Advantage is a disadvantage for people who think they are getting real Medicare from the Government. The only advantage is to the the people who want tp profit off you and exploit the entire country.

Why is a private company allowed to profit off exploiting people? - 06/14/2022.



PoindexterOglethorpe

(26,544 posts)
11. I have a Medicare Advantage plan and it's been very good to me.
Sun Aug 7, 2022, 02:53 AM
Aug 2022

Why exactly is it a scam?

I am seriously tired of this bullshit about Medicare Advantage plans.

ShazzieB

(18,444 posts)
14. Read the article.
Sun Aug 7, 2022, 03:01 AM
Aug 2022

I don't completely understand the whole thing myself, but I think that would be a good place to start.

PoindexterOglethorpe

(26,544 posts)
26. I did.
Sun Aug 7, 2022, 09:45 AM
Aug 2022

And it simply doesn't match my actual experience with my Advantage Plan.

I have found it to be better than the employer-based coverage I used to have.

PoindexterOglethorpe

(26,544 posts)
41. Shall I tell you about my hospitalization a year and a half ago
Sun Aug 21, 2022, 09:34 PM
Aug 2022

when I had a heart attack and I paid under $600 for an $80,000 plus bill? I suspect I'd have paid a whole lot more without an Advantage Plan.

at140

(6,118 posts)
34. I think some people hate Medicare Advantage because
Mon Aug 8, 2022, 09:48 AM
Aug 2022

it is run by profit making private corporations.
I have seen nothing but savings from Medicare advantage.
They even cover my yearly eye glasses and dental maintenance.

ShazzieB

(18,444 posts)
12. This article was very informative, thanks.
Sun Aug 7, 2022, 02:59 AM
Aug 2022

I'll admit to still being confused as hell about a lot of things (because the whole Medicare thing IS overly complex and confusing as hell, in general, imo). But thanks to this, I am now a lot clearer on exactly how Medicare Advantage plans actually work and what pitfalls exist with at least some of them.

My husband will be retiring in a year or so, and we will have to make some critical decisions about health care at that time, which I am not looking forward to. (Until then, we have coverage through his employer.) One of my biggest concerns is prescription drug coverage, because we are on multiple ones (especially him). The last thing we need is for our drug costs to suddenly shoot up at the same time our income takes a nose dive, so we will need to be very careful to make the right choices when the time comes. Every bit of information helps.

Demobrat

(9,705 posts)
18. Check out Medicare.gov
Sun Aug 7, 2022, 03:21 AM
Aug 2022

There’s a very good tool that shows you the Medigap and Medicare Advantage plans available in your zip code. You can enter your drugs and see which plans cover them. You can enter the doctors and facilities you prefer, and see what networks they’re in and what plans they accept. And you can compare costs. IMO it’s well worth spending some time with.

3Hotdogs

(13,314 posts)
23. Difference -- Medicare runs on 3% margin.
Sun Aug 7, 2022, 07:35 AM
Aug 2022

Advantage plans run on 10%. Remember the articles on the president of AARP's plan with his own helicopter and salary of - I believe it was $20 million?

Biden runs Medicare. Does he make $20m? Trump may have made $20 m through grift.

at140

(6,118 posts)
35. Medicare Advantage save me out of pocket money
Mon Aug 8, 2022, 09:50 AM
Aug 2022

So why should I care if they run on 10%?
May be they are more efficient in handling bills and payments.

3Hotdogs

(13,314 posts)
37. You should care because we would all be better if 7%
Mon Aug 8, 2022, 10:50 AM
Aug 2022

Of premium wasn’t wasted on overhead.

Co- pays could be lowered. Coverage could be expanded to those 50 and over.

Maybe people would realize that private health insurance is wasteful.

at140

(6,118 posts)
38. What is wasteful is
Mon Aug 8, 2022, 06:11 PM
Aug 2022

More Money going out of my pocket than necessary. If Medicare costs more for the same treatment, then in my mind it is wasteful. Keep in mind every dollar I save on healthcare I can use for other necessities.

Rhiannon12866

(220,583 posts)
17. The Corporate Plan to Murder Medicare Runs Through Medicare Advantage - Thom Hartmann
Sun Aug 7, 2022, 03:12 AM
Aug 2022
If they can move more than half of Americans off traditional Medicare and onto these corporate plans, it’ll provide the political cover to kill off Medicare altogether—and they're nearly there now.

THOM HARTMANN
November 19, 2021

In 2003, George W Bush set up the destruction and privatization of Medicare. The end of "real Medicare" is getting closer every day, and Congress and Medicare's administrators are doing nothing.

Last Friday the Centers for Medicare Services (CMS) announced a 14.5% increase in Medicare Part B premiums, raising the monthly payments by the lowest-income Medicare recipients from $148.50 a month to $170.10 a month next year.

If you're trying to live on the bottom rung of Social Security (about $365/month), that's consequential. People with Medigap policies are also seeing their policy price rises announced this month

Two months ago I wrote about the Medicare Advantage Scam and how it can screw consumers. This price hike, though, raises the larger issue of what's happening to Medicare itself and whether the entire system may be out of business in a few years, in part because our government is being robbed blind by all these so-called "Advantage" plans.

It all began with George W. Bush, who'd spent most of his life openly and proudly campaigning to privatize Medicare and Social Security.

In 2003 Congress and the Bush administration rolled out a privatization option, allowing private for-profit insurance companies to sell policies branded as "Medicare Advantage" to gullible seniors who think they're buying the actual Medicare Parts A and B. As a result, today companies eager to rip off seniors are flooding the market, particularly with TV advertising.

As I note in considerable detail in The Hidden History of American Healthcare: Why Sickness Bankrupts You and Makes Others Insanely Rich, Medicare Advantage is hurting traditional Medicare, because that system is paying the insurance companies, in most cases, far more than it would be paying to simply cover the costs of its regular Medicare recipients.

Medicare Advantage is also one of the most effective ways that insurance companies can kill a real "Medicare for All" system, since so many people who think they're on Medicare are actually on these privatized plans instead.

Nearly from its beginning, Medicare allowed private companies to offer plans that essentially compete with it, but they were an obscure corner of the market and didn't really take off until the Bush administration and Congress rolled out the Medicare Modernization Act of 2003.


Much more: https://www.commondreams.org/views/2021/11/19/corporate-plan-murder-medicare-runs-through-medicare-advantage

William769

(55,783 posts)
30. The increase expected next year will probably even more
Sun Aug 7, 2022, 01:02 PM
Aug 2022

Because of the expected higher than normal increase to COLA.

They want people on Social Security with no other financial backing to stay at the poverty level, which should be a crime itself.

mnhtnbb

(31,966 posts)
20. Pros and Cons of Medicare Advantage by Consumer Reports
Sun Aug 7, 2022, 04:08 AM
Aug 2022
https://www.consumerreports.org/medicare/pros-and-cons-of-medicare-advantage-a6834167849/

Hartman lays out the problem that Medicare Advantage plans are costing the government MORE per person than traditional Medicare. Duh. The insurance companies that offer the plans are in business to make money and they do it the same way they do it for people not eligible for Medicare: deny or limit coverage.

The Consumer Reports article pretty clearly identifies why or under what circumstances a Medicare Advantage plan would be a good choice--until it's not-- for someone as they become Medicare eligible.

I am--and have been my whole life--an advocate of a single payer health care system. Insurance companies simply provide a barrier to receiving health care services and raise the costs of those services.

People may like their individual Medicare Advantage plans, but choosing them does nothing to move the country away from privatized health care delivered via insurance companies to a single payer system.

at140

(6,118 posts)
36. When single payer comes in play, I will be happy. But right now
Mon Aug 8, 2022, 09:55 AM
Aug 2022

I have only 2 choices, straight Medicare versus Medicare advantage.

I am saving hundreds of dollars out of pocket with Medicare advantage.
Not only that, it is easier to find doctors who will accept new Medicare advantage patients versus doctors who will accept new Medicare patients.

Mr.Mystery

(185 posts)
42. But the "Gap" plans are basically good though, right?
Mon Oct 3, 2022, 03:23 PM
Oct 2022

At least that what I heard.

Not the same as "Advantage" . . .

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