medicare advantage entyvio coverage

You can look up EnjoyGolf's posts toward the end of 2022 because he was facing an issue of Medicare/M.Advantage/Employer's retiree coverage while on Entyvio, and got many replies here on the forum. / Old Hat (40 yrs with left-sided UC; in remission taking Colazal)

I am not understanding how you are being forced to go with an Advantage Plan, those plans are not affiliated with Medicare.

Why not apply for regular Medicare & pick up a supplemental plan that pays the 20% that Medicare doesn't.

Off topic, but wow--your insurance covers a gym membership?! Thats awesome.

Flowers -- I was looking at Plan G supplements and not all the prices are the same. They ranged in price from around $100/month to about $400/month. I don't know what the difference is between the plans.

Killjoy -- I am not understanding how you are being forced to go to an Advantage plan either. Like Straydog said -- those are a choice instead of Medicare. You have the right to Medicare plus a supplement, If this is somehow related to your employer insurance you should still be able to have the right to Medicare and drop your work insurance entirely.

Also OT: yes some Medicare supplements include a Silver Sneaker program. Not all gyms accept it nor do all the plans cover it. I know blue shield does and I think AARP also. And my gym accepts it so yes it’s a great added benefit!

I just read an article about NYC workers & the Advantage Plans & none of it sounds good. The plans are denying treatment to individuals that Medicare covers. No where did I read that an employee had to switch.

In all honesty I do not know how anyone can be forced off of Medicare onto an Advantage Plan. Does your employer pay for any of your Medicare premiums? When my husband retired he was offered an Advantage Plan through his employer with cheaper rates. We opted for him to go with regular Medicare with a Supplement Plan. Both he & I have regular Medicare with United Healthcare for a supplemental. United HealthCare writes policies across the country.

By the way, your Medicare premiums come out of your Social Security check every month. I suggest that you contact an independent insurance broker, I think your employer is trying to pull something over on you.

So you are retired, but NYC still pays insurance as part of your retiree benefits? Is it possible to opt out of them paying and you just get your own medicare and supplements?

I have done a lot of research on this and I would suggest going to a person that specializes in Medicare plan selections. They will be able to go over the plan you are being offered and compare the cost vs Medicare plus a Supplemental Plan. There are so many plans being offered now it can be confusing. Concerning Entyvio -They will be able to see what the cost will be for the Advantage Plan including MOOB compared to the cost of the Supplemental Plan (Including any deductible plus CO-Pay). Do you know what the Maximum Out Of Pocket is on the advantage plan you are being offered. Like everyone said it is your decision. Hope this helps.

Plan G is the one to pick. Yes, the supplemental plans costs money, however, with Medicare & a good supplemental your treatment options are much greater. Advantage plans can be problematic for people with health issues. Every person I know that went that route had one headache after another in getting care, some were denied.

My husband & I both have quite a bit of health problems & not once have we been denied care or had a medical bill denied.

Good luck.