$0 MAPD a Better Plan Than a Med Supp....

[myinsurebiz]

And if they can find one that gives back some of the Part B premium, it's like they're being paid to be a member! Winner, winner, chicken dinner.

Unless they wind up in the hospital for a week with no wrap around . . .

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Agent told me today she never sales MS because a $0 MAPD is a much better deal for the client.........I didn't bother with any follow up questions, but it's the 2nd time in a month I heard that comment made.........thoughts?

Only if they can't afford a Med Sup in my opinion . . .

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Or a $0 MAPD plan that gives back $75/mo with a strong network (as most have around here) and has $0 copays for Doctors, Specialists, Outpatient hospital, Inpatient hospital, and a $50 copay for ER. AND has a MOOP of $3,400 (and this is NOT a medi/medi plan)

Pretty strong. Who is that with? In Duval County by chance?

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Out of curiosity, on Medicare.gov, I clicked health plans with drug coverage. 3 of his brand name drugs on Part D only, were tier 2 generics with AETNA PPO in my area. So they are like $5 and to top it off, they are $5 in the donut hole!

I learned that yesterday about a few MAPD's - their Tier 1 and 2 are $2 and $5 all the way through . . .

But dang - the hospital was $285 for first 7 days . . .

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Like others have said, it's good to offer both.
Saturday I sold two Plan F's. I recommended G or N, but they were the type where "its worth it for convenience" even though logic says dont buy F.

Today a $0 MAPD. He would have loved a Supp but at 89 yrs old we were limited. And, frankly, we have some really good 0 premium PPO's in central OH.

All 3 clients happy.

That is awesome. I envision most clients cross sold from FE direct mail leads will be MA / MAPD writes and most clients from online marketing sources will be Med Sup. Just based on the data targeted . . .

Walking away from MAPD is walking away from a lot of money once you have a good sized book of business.

Yep. $429 or $222 initial per write + $222 annual renewal for life of the deal . . . That is a lot of money . . . 200 renewals is waking up every month to about 37 $100 bills . . .

 

[somarco]

it's getting tough to feed my family on less than 5 per year Bob.

Tell them to eat less. It's healthier for them.

 

[goillini52]

Chazm, $181k at Wally World? WTH? Did you run that again and come up with the same answer?

Sometimes when I rerun these things I get something completely different.

https://www.youtube.com/watch?v=K2P86C-1x3o

Great show.,that and Benny Hill.

 

[somarco]

Benny Hill had topless chicks. Who could ask for more?

 

[goillini52]

Benny Hill had topless chicks. Who could ask for more?

Yep, I thought about posting one of those clips...but I don't want to get banned again.

 

[agentjhc]

It's true...........if they never get sick or never have to use it.

I spoke with a lady recently that says she gets Remicaid treatment in a hospital outpatient setting. Says they are $10K per month. Med Supp picks it up.

 

[sman]

I spoke with a lady recently that says she gets Remicaid treatment in a hospital outpatient setting. Says they are $10K per month. Med Supp picks it up.

As a person who was formally on Remicade, the infusion is typically given once every 8 weeks and not once per month. Secondly, she must be a really heavy woman if it's 10k for each infusion. They billed my insurance company $5k and if memory serves me correctly the contractual rate was in the $3k-$3.5k range. I'm willing to bet the Medicare reimbursement amount is less than what my insurance reimbursement rate was.

Also, her Med Supp picks up the 20%. Medicare pays the other 80%. This would be the case with almost any medication administered by a medical professional.

 

[Chazm]

List and zip??? Thats not right. At all. Unless they are on epipens

Ran it a few times. I told her that the Lupron in my opinion would usually be injected at the doctors office and his med supp should pick that up. She said she will check on it but she currently does it for him.

 

[TriciaS]

There are advantages and disadvantages to everything. What bothers me are blanket statements something is always better. MAPD has it's place. I wish my in laws would get one, but they won't. They don't want to pay another cent towards healthcare, but don't go to the Dr because they can't afford the deductible, etc. Meanwhile my mother, in great health, but she travels and has a not so great family history, I've gotten her a traditional supp so she can go anywhere she wants (being near Philly, NJ networks don't let us cross the bridge) if she is diagnosed with something. Because you can switch until (with underwriting) up until that moment you need to. The entire concept of insurance. Pay now while you are healthy and not using it so when you need it, it is there.

 

[kgmom219]

Ran it a few times. I told her that the Lupron in my opinion would usually be injected at the doctors office and his med supp should pick that up. She said she will check on it but she currently does it for him.

So I did a quick glance....

Lupron, Xgena and Xtina are all Part B covered meds. I Have ZERO idea how that works with an MAPD, but on F, its covered at 100% and on G, its 100% after the deductible. They shouldn't be picked up at the pharmacy, in any case. He's probably already going to the doc multiple times a month, have them do the Lupron at the doc's office.

Hope this helps!