Posted 2/24/2016 7:54 AM (GMT -5)
First, don't confuse Medicare with Medicaid. They are entirely different. Most docs do not take Medicaid, but that is not what seniors are on. Most providers do take Medicare, which is what we go on at age 65. Next, the local insurance agent is anecdotal and I don't really see his point of trying to scare you about Medicare. His insurance doesn't solve the situation.
Simply put, Medicare C, called Medicare Advantage, is private insurance funded by Medicare and is subject to specific networks and can have quite high out of pocket maximums in return for lower premiums. Your other option is to use Medicare A,B, and D and also purchase a Medicare supplement insurance plan. The network for the insurance plan is defined as any provider that accepts Medicare A and/or B.
All of my providers accept Medicare, so I have experienced no changes going from my employer sponsored plan. When I compared Medicare C versus A, B, D and a supplement; I found network limitations with C and the out of pocket costs projected much higher than the supplement plan due to ongoing treatments my wife has. Thus I am using Medicare A,B and D with supplemental insurance. For me it is better coverage and less cost.
As to the Medicare supplement plans, F is the most comprehensive, but I suggest that you should also look at G. G is essentially F, except you pay the Medicare B deductible of $166.00 per year. My plan G premium is about $350 less per year then F would have been. So I took G and will pay the Medicare B deductible and save about $200 per year which pays most of my Plan D rx coverage.
Northern Lights, the ACA had nothing to do with improving delivery and lowering costs. That was not the intention. That was just some of the hype that was circulated. If you read the bill, you will see that costs would have to rise due to the increased coverage, regulation and resulting bureaucracy. Moderators, that is not a political opinion but a factual statement that has been proven in practice. I believe more needs to be done to improve delivery and reduce costs, but it simply is not in the ACA. Also the ACA had very little to do with Medicare. The main thing is that it improved the Part D catastrophic coverage after one passes through the "donut hole". But, for example, in many instances Medicare supplement plans can be underwritten based on health conditions. This was eliminated for insurance plans for those under age 65.