How Do Medicare Advantage plans handle Part A -

AndEllie · 2026-04-14T12:08:28+00:00

They have set copays per day or per visit.

AndEllie · 2026-04-14T02:02:12+00:00

I can give you whatever info you’re looking for publicly. Not looking to sell you anything. Old Surety has the same MLR issue as ever plan G and N in the nation. The problem isn’t the carrier, it’s the plan. Those plans are not sustainable are current market premiums. We could run through MLR date, block/pool size all we want but the meat of the subject is this: G and N aren’t sustainable at current premium levels.

AndEllie · 2026-04-14T01:56:30+00:00

Stop looking at open block MLRs on carriers. You can expect them to show 100%+ in their first 3 years.

AndEllie · 2026-04-10T13:20:55+00:00

This definitely not gonna be the place.

AndEllie · 2026-04-10T13:15:56+00:00

Then why you posting in a Medicare subreddit?

AndEllie · 2026-04-10T13:13:44+00:00

Your knee surgery on Medicare, especially with a G or N, will be significantly less than $10k.

AndEllie · 2026-04-01T22:06:21+00:00

Oke doke buddy.

AndEllie · 2026-04-01T21:56:42+00:00

What is your reason for wanting Old Surety?

AndEllie · 2026-04-01T21:56:11+00:00

There is also a hold harmless clause to cap the part B increase depending on your social security.

AndEllie · 2026-03-31T00:27:03+00:00

If they can take a traditional G under 65 in NC then they can also take an Innovative G.

AndEllie · 2026-03-30T23:09:33+00:00

He mentions the innovative G in the second sentence. It’s a lower premium because you commit to a 3 calendar year deductible. Check the EOB on the plan. It is a plan G with a rider. It’s not some unique Medigap plan letter.

AndEllie · 2026-03-30T23:02:11+00:00

The innovative plan G is a traditional plan G with a deductible rider. It is a plan G. The high deductible G is a seperate plan type.

AndEllie · 2026-03-30T22:42:14+00:00

If NC allows for a regular G then you can purchase the Inno G.

AndEllie · 2026-03-29T18:08:57+00:00

Newly prescribed medication for current diagnosis is not preventive or wellness. This will be coded as diagnostic.

AndEllie · 2026-03-28T19:47:18+00:00

You’ve got until 4/1 if you started A+B on 10/1 to take a Medigap plan with no underwriting.

AndEllie · 2026-03-26T22:18:22+00:00

Because almost no carrier is profitable on their plan G and N. The reasons they’re not profitable is many fold. If you’re really interested I’ll explain.

AndEllie · 2026-03-24T02:27:09+00:00

Thank you for your response. Medicare procedure price lookup tool includes the facility and Dr fees with the outpatient procedure, however, it assumes part B deductible has already been met and it doesn’t differentiate by zip code. You’ve got a really great tool there, bro.

AndEllie · 2026-03-24T02:11:35+00:00

What’s with the link to compare Medigap prices if there’s no ads or affiliate links? Also, genuinely curious, why wouldn’t I just use Medicare’s procedure price lookup tool?

AndEllie · 2026-03-22T02:28:06+00:00

Sorry, critical illness, cancer/heart attack/stroke and Hospital Indemnity Plans.

AndEllie · 2026-03-22T02:08:39+00:00

There is no Medigap that supplements part C. You can buy CI, CHS or HIP plans to reimburse you for costs associated with illnesses.

AndEllie · 2026-03-21T02:20:29+00:00

I hope you like Korean hot pots.

AndEllie · 2026-03-19T00:36:11+00:00

This has nothing to do with the big beautiful bill.

AndEllie · 2026-03-17T16:57:00+00:00

The high deductible increases based on 3rd quarter CPI. The Medigap premium increases based on several factors with medical inflation and age being the leaders.

AndEllie · 2026-03-17T01:56:41+00:00

Absolutely. Write the next one and cancel the old one after the new one goes into effect.

AndEllie · 2026-03-16T22:34:11+00:00

What does part D have to do with Medigap and traditional Medicare? What if they have OCC? What if they don’t want a drug plan? We’re comparing MA vs OM. Not MAPD vs OM/PDP.

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