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Queen Méabh's avatar

If you can afford it, my advice is to get Medicare Part B ($170/mo) and a Plan N Medicare Supplement. Plan N pays the 20% that Medicare doesn't, plus deductibles, but it has small copays for doctor's visits and lab work. I pay $15 copays, which is OK because I don't go to the doctor very often.

Anthem Blue Cross has a very reasonably priced Plan N at $133/mo where I live. That means I'm paying $300/mo total for health insurance, which seems like a lot for anyone whose primary source of income is Social Security (and it's $100/mo more than I was paying for group health insurance at my last job!).

I also have a $30/mo Part D prescription plan from Silverscript which has copays for every prescription based on how expensive they are. For example, when I was prescribed a medication that cost $500/mo, they said it was on "Tier 4" and they wouldn't pay for it. When I am prescribed a medication that costs $20/mo, I have to pay a $3 copay because it's on "Tier 1". Part D prescription plans are a huge ripoff and I don't know why I bother sometimes, which is why if you can qualify for TriCare prescription coverage, you should grab it with both hands.

There are so many procedures these days which are performed as an outpatient that people can't afford to go without Medicare Part B anymore. I know Part A paid every penny of my inpatient cervical discectomy surgery costs, but most people don't go to the hospital very often, they usually have some kind of outpatient treatment. A colonoscopy, for example, is a common outpatient treatment. You need Part B to pay for the colonoscopy.

However, I think the premiums for Part B are too high, and the premiums for supplements are much too high, and the prescription coverage is ludicrously inadequate and complicated. There is nothing any of us can do about this except scream at our Congress Critters. Since my senators are Josh Hawley and Eric Schmitt, both of whom are evil to the core, I don't even bother.

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Brad Granath's avatar

Do, uh, Mr. Praeger's kids home for Christmas?

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