Should You Ditch Your Medicare Advantage Plan?

somarco

GA Medicare Expert
5000 Post Club
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Atlanta
If you're tempted to ditch your Medicare Advantage plan, you're not alone. Here's when it's a good idea and how to go about it.

While Advantage Plans seem like a good alternative, a substantial number of older Americans who sign up for them don't stick with them. In fact, among those who signed up between 2011 and 2022, around half left their plans within five years.
Many are opting out of their Advantage Plan during open enrollment, either by switching to a different Part C plan or by returning to traditional Medicare instead. Advantage plans are less likely to attract beneficiaries over the long term, the study warns that such plans will likely have less incentive to cater to participants with chronic conditions.

Instead, most people who disenrolled did so because of difficulty accessing care as well as concerns about the quality of their care.


 
As of 2024, more than half (54%) of eligible Medicare beneficiaries—that's 32.8 million out of 61.2 million with both Part A and Part B—are enrolled in Medicare Advantage (MA) plans .

That means roughly 46% remain in Original Medicare, either alone or with a standalone Part D drug plan.
 
Of course half of them have switched! This article ignores that the plans themselves change every year as do beneficiaries needs.

I recommend med supp to everyone I talk to who is new to medicare as long as it is within their means but this article is a little misleading I think for arguably the biggest reasons people change
 
Of course half of them have switched! This article ignores that the plans themselves change every year as do beneficiaries needs.

I recommend med supp to everyone I talk to who is new to medicare as long as it is within their means but this article is a little misleading I think for arguably the biggest reasons people change
Many are opting out of their Advantage Plan during open enrollment, either by switching to a different Part C plan or by returning to traditional Medicare instead

article and somarco bassically say that
 
Many are opting out of their Advantage Plan during open enrollment, either by switching to a different Part C plan or by returning to traditional Medicare instead

article and somarco bassically say that
I hear you, just think it's being framed as if everyone is switching because they are unsatisfied when that is not always the case
 
If you're tempted to ditch your Medicare Advantage plan, you're not alone. Here's when it's a good idea and how to go about it.

While Advantage Plans seem like a good alternative, a substantial number of older Americans who sign up for them don't stick with them. In fact, among those who signed up between 2011 and 2022, around half left their plans within five years.
Many are opting out of their Advantage Plan during open enrollment, either by switching to a different Part C plan or by returning to traditional Medicare instead. Advantage plans are less likely to attract beneficiaries over the long term, the study warns that such plans will likely have less incentive to cater to participants with chronic conditions.

Instead, most people who disenrolled did so because of difficulty accessing care as well as concerns about the quality of their care.


Not sure what study they are using. Almost everyone of my clients who left supplement have never regretted it. I rarely have someone come to me and ask to go back to OM.
 
Of course half of them have switched! This article ignores that the plans themselves change every year as do beneficiaries needs.

I recommend med supp to everyone I talk to who is new to medicare as long as it is within their means but this article is a little misleading I think for arguably the biggest reasons people change
You are not setting your clients up for the long term then. Only a few reason's why I would push med sup to someone new to Medicare. 1. They are on dialysis. 2. They are getting infusions or transfusions on a consistent basis. 3. They are currently going through cancer.

All of the rest I get them set up on a $0 MA plan plus add cancer, HI and a nursing home rider, and they are looking at $60 a month. And getting more out of the benefits.
 
You are not setting your clients up for the long term then. Only a few reason's why I would push med sup to someone new to Medicare. 1. They are on dialysis. 2. They are getting infusions or transfusions on a consistent basis. 3. They are currently going through cancer.

All of the rest I get them set up on a $0 MA plan plus add cancer, HI and a nursing home rider, and they are looking at $60 a month. And getting more out of the benefits.
What happens when they get cancer 2 years later and their preferred cancer center in out of network? Or they don't want to deal with the pre authorizations of MA and all the other MA inconsistencies? From a purely financial perspective you can make MA look great by adding ancillary policies but you're ignoring how the plans actually function
 
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