I have a brother who lives in St Charles.
Silver script $63 a month in 2024 with $525 deductible. Best silver script $116 a month
- Thread starter DonP
- Start date
I have a brother who lives in St Charles.
But that's $50 a month of slot $$
Oh damn, I just took $600 a year away from your slots. BAHAHAHAHA
This MAPD vs Med Supp argument is BORING. Who cares? No one is going to change anyone's mind on this one.
Is it regional? YES. Cost differential between TX and Florida or Connecticut is astronomical. On the other hand, CT has guaranteed issue.
Is the Provider issue regional? To some extent. Not as much as it is in Under 65 (individual or group). Georgia is still very conservative, so gov't control is an issue. TX is the same. The difference between TX and GA is that Top Tier providers in TX do not take HMO's. They are starting to take the MAPD PPO's, but its still not widespread.
Duals in TX have to make less than $1100 a month with less than $7K in assets. They are fine with the limited network and reality is that they can't afford to drive to a top tier provider, anyway. That's brutal, but accurate.
Those who make to much to be on Medicaid but don't have a lot of savings? Those are the ones that I really to see on Plan N. By definition, they can't save money. A $1500 hip replacement is going to be a problem, a $125 premium for N and D is not. And if it increases too much, they can move back to MAPD. But that's a TX answer. It doesn't work in every state.
Anyway...move on...
Is it regional? YES. Cost differential between TX and Florida or Connecticut is astronomical. On the other hand, CT has guaranteed issue.
Is the Provider issue regional? To some extent. Not as much as it is in Under 65 (individual or group). Georgia is still very conservative, so gov't control is an issue. TX is the same. The difference between TX and GA is that Top Tier providers in TX do not take HMO's. They are starting to take the MAPD PPO's, but its still not widespread.
Duals in TX have to make less than $1100 a month with less than $7K in assets. They are fine with the limited network and reality is that they can't afford to drive to a top tier provider, anyway. That's brutal, but accurate.
Those who make to much to be on Medicaid but don't have a lot of savings? Those are the ones that I really to see on Plan N. By definition, they can't save money. A $1500 hip replacement is going to be a problem, a $125 premium for N and D is not. And if it increases too much, they can move back to MAPD. But that's a TX answer. It doesn't work in every state.
Anyway...move on...
- 2,238
So what can we argue about?
selfgen
Super Genius
thanks for your insight! I like your attitude. it’s ridiculous the way some people refuse to admit that MAPDs work!
there’s only 25 million people enrolled in them ya know. I’m sure those 25 million people are just miserable and not getting the care they need. .
selfgen
Super Genius
I have a client moving to Leander , TX sometime later this year. Is MAPD not a good idea? Or if so, go PPO instead of HMO?
What’s the MAPD market penetration in TX?
Looks like a little over 45% penetration in the two counties associated with Leander, TX (Travis and Williamson County).
Call me when he can’t find a doc in Leander or Austin
I'm not the one with the client moving there
Do ya think the gov't is cherry picking 2024 PDP numbers ?
[EXTERNAL LINK] - CMS Releases 2024 Projected Medicare Part D Premium and Bid Information | CMS
[EXTERNAL LINK] - CMS Releases 2024 Projected Medicare Part D Premium and Bid Information | CMS
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