Dear Dr. R.V. Shrink:
We retired early and took our Social Security at 62. We have been on the road full-time for four years. This year we both have to decide how to take Medicare. It is driving my husband crazy. He says it is more complicated than a corn maze. He has been online studying and stewing about it for two months now and still hasn’t come to a decision. Time is running out to make that decision and I can’t seem to get him to pull the trigger on one plan or another. Should I lock him in the trailer and refuse to let him out until he decides, or is that too harsh? He doesn’t appreciate my input because I haven’t studied it at all and have no idea how to proceed. I look to him to make this decision and I don’t know how to get him to jump.
--Medinuts in Medford
The way insurance works is simple. Most companies have a very uncomplicated business plan--Confuse and Conquer. Medicare works the same way. Instead of having basic coverage that just kicks in when you reach 65, they have multiple choice plans, with multiple choice plans within the plans. I can see how your husband is totally confused. The problem is, he has to make his choices.
Everyone has a different set of circumstances, so it takes a bit of homework to figure out which combination of options work best for you. It sounds like he has done his due diligence.
Here is how I decided. This may not be your solution, but it may give you some guidance as to how to attack the problem.
I found a copy of the Medicare guide book and read it a couple times. Then I called a local Medicare facility and asked questions on things I found totally confusing. Once things started to focus more, it was not all that confusing for me.
I am highly suspect of insurance companies. So when my mailbox started filling up with bazillions of offers to buy into a Medicare Advantage Plan I personally became suspicious. When I called about Medigap Plans I was always being routed to the Advantage cubical of sales people. This was another red flag for me.
As a full-timer, I decided I did not want a network plan. With Original Medicare I can go anywhere I want that accepts it. I also found that with an Advantage Plan I would have to go see doctors A and B before I could see doctor C. If I want to go to doctor C, I would rather go direct.
If you want to go with an Advantage Plan, pick one and get it over with, but read the fine print.
If you don't want to go with an Advantage Plan, and you stick with Original Medicare, here is a starting point for your husband. You get Medicare A, and Medicare B will come out of your Social Security. Easy so far, right? Now you hit Medicare Plan C. It has a whole alphabet full of sub-plans. You will notice that Plan F is the most expensive because it covers 100% of deductibles and co-pays. What many people miss is that Plan F has a high deductible option (HD). It is a very reasonable premium and tops your cost out at just over $2,100. Out of all the alphabet soup deals I studied, this looked like the best deal for the least dollars.
Then we get to Plan D, which stands for DRUGS. By this time you need drugs just to focus and make a decision. If you are in need of regular drugs, you are going to deal with the donut hole for several more years. It won’t matter if you are in an Advantage Plan or Original.
Most communities have a Senior Help Center that will sit down with you and give you a step-by-step walk-through plan options.
Another thought for Veterans is the VA can be part or all of your plan, if you so choose.
I wouldn’t lock your husband in the trailer unless you are in there with him. This decision will affect you as much as him. You should be studying this labyrinth of lunacy as hard as he is. Together you can help each other make the best decision that will cover your personal situations.
--Keep Smilin’, Dr. R.V. Shrink