NY TIMES Reveals Shocking Comparison in Medicare Plans
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𝗡𝗲𝘄 𝘁𝗼 𝗣𝗮𝗿𝘁 𝗕 𝗼𝗳 𝗠𝗲𝗱𝗶𝗰𝗮𝗿𝗲 (𝘁𝘂𝗿𝗻𝗶𝗻𝗴 𝟲𝟱 𝗼𝗿 𝘀𝘁𝗮𝗿𝘁𝗶𝗻𝗴 𝗹𝗮𝘁𝗲𝗿)?
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Chapters in the Video:
00:00 Introduction
00:35 Medicare Advantage Commission
02:15 Medicare Supplement Commission
03:05 Advantage Costs Going Up in 2024
05:40 Congress pressuring CMS on Prior Auth
09:34 Prior Authorization on Medicare Advantage
11:44 Prior Authorization Dangers
15:49 Which is better? Medicare Advantage or Medicare?
20:06 Which Medicare plan is best for Cancer?
23:54 Difference between Medicare and Medicare Advantage
30:47 How to contact Chris Westfall on Medicare
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𝐂𝐡𝐫𝐢𝐬, 𝐇𝐨𝐰 𝐃𝐨 𝐘𝐨𝐮 𝐆𝐞𝐭 𝐏𝐚𝐢𝐝?
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If you know anyone with a plan decision, please have them 𝗰𝗮𝗹𝗹 𝗺𝘆 𝗼𝗳𝗳𝗶𝗰𝗲.
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We can't help everyone, but we certainly try!
Thank you!
Christopher Westfall
#medicare #medicaresupplement #medicareadvantage
The video is a detailed discussion by Christopher Westfall about the recent changes in Medicare and Medicare Advantage plans. Here are the key points:
1. **Agent Compensation**: Insurance agents focusing on Medicare Advantage plans are going to earn more in the upcoming year 2024. The rate of pay for someone new to a Medicare Advantage plan is increasing. For instance, in California and New Jersey, the rate for an agent is going up to $762 for getting someone to sign up for a Medicare Advantage plan. This is significantly higher than the commission on a Medicare Supplement Plan, which is about 20 to 22 percent.
2. **Medicare Advantage vs. Medicare Supplement**: Medicare Advantage plans are being pushed by many insurance agencies due to the higher commissions. However, these plans change every year and may reduce benefits over time. On the other hand, Medicare Supplement plans, which supplement original Medicare, do not change and do not require prior authorization or referrals. They also do not have a network restriction.
3. **Pressure on Medicare Advantage Benefits**: United Healthcare and Humana have indicated that the cost of delivering Medicare Advantage Care is increasing due to more people seeking elective surgeries post-pandemic. This could lead to pressure on benefits, meaning less benefits for the same amount of money from the U.S. government.
4. **Prior Authorization Issues**: Medicare Advantage plans require prior authorization for many procedures, drugs, or facilities. This can delay or deny medically necessary care and negatively impact patient outcomes. A group of congressmen and senators are trying to get CMS to implement parts of a bill to streamline prior authorization processes in Medicare Advantage.
5. **Access to High-Quality Hospitals**: A study found that traditional Medicare beneficiaries experienced fewer cost problems than Advantage beneficiaries if they had supplementary Medigap policies. Traditional Medicare also provides somewhat better access to high-quality hospitals and nursing homes.
6. **Consumer Feedback**: Some consumers have reported issues with Medicare Advantage plans, including denial of services, delays in care, and lack of clarity about options. Others have reported being forced to switch from traditional Medicare with a supplement to Medicare Advantage, leading to issues with accessing needed care.
7. **Recommendation**: Westfall recommends considering one's health needs, travel needs, and other considerations before choosing between Medicare Advantage and Medicare Supplement. He suggests that individuals should seek help from brokers who can provide independent advice.
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