Originally Posted by Bop Bop
Fox,
Needless to say your health is fact number 1!!! You are correct, the market open to people 65 and over is very limited. If the numbers are doable than the plan you selected sounds great. See if there is an option will let you increase your Co-pays and/or Deductibles for a lower Premium. Depending on the increases and premium cuts it may be worth it.
Sorry, there are not any different options available under this plan. I am a bit limited, because my retirement pays for a portion of the cost of the plan, and they only offer a limited selection of plans for medicare retirees.
Originally Posted by Bop Bop
Also, with Rx's are there any kinds of Caps (Annual Max's, Lifetime Max's, etc)? Heart meds are not cheap and you can eat into a $1,000 or so Annual Cap (which is not uncommon in Medicare Supplement and/or replacement Plans) very quickly. Also, see if you can get your Rx's through a Maintance Plan (usually a Mail Order option, where you can order multiple months (usually up to 90 days) for less than what 3 months would cost you at the Pharmacy. Some plans even have it through a Pharmacy. Check if Rx's have multiple Co-pays (usually 2 or 3 tiers, 1 for Brand Names, 1 for Single Source (meds with no Generic subsitute) and 1 for Generics). If yes, check with the Doc to see where your meds fit and if there is a Generic for each Rx.
The RX's have no cap, either annual or lifetime, which is one of the reasons we selected it.
Yes, there are 3 levels of copay, as you describe.
My problem right now is that I am switching medications regularly, and until I see if the cardioversion works, I may be doing that - even IF the CV works, I may be trying new meds to see what is best. Therefore, it makes no sense to get a 90 day mail-order supply right now, but it is available when things, hopefully, settle down.
I also have a number of years of experience selling and analyzing mm plans.