Forum Discussion

DallasSteve's avatar
Oct 13, 2022

Medicare For Full Timers

I'm planning to full time in an RV again starting next Spring and I am covered by Medicare now. Last time I had no health insurance (I've usually been healthy and I've been 'naked' before). I've been on a Medicare Advantage plan (MA) which reduced my Part B premium by about $79 a month. They've canceled that plan so next year (now, starting Oct 15) I need to find a new one. I see some other MA plans that give me a Part B refund and I would like to start off with one of those. I plan to hit the road at the end of March and I don't know what to do then.

Will an MA plan offer any coverage while I'm traveling? I've heard that regular Medicare would cover me anywhere in the US. If I go MA would HMO or PPO work better? I will probably spend the Summer in one general area up North and then travel back South in the Fall, so I think I could switch my MA plan to a different zip code in the Summer and then again in the Winter, but part of the time I will be on the road traveling. How would you do this?
  • If you are healthy and relatively young, the need for really good medical insurance coverage might seem not worth the cost. I am 76 and actually pretty healthy for my age. Even so the medical costs can be out of sight. In the past year I have had a bunch of doctor visits, including specialists, also lab work and a bunch of testing and other procedures. I was seen by a rheumatologist a couple of times which also included lots of lab work. I had a couple of sessions with a neurology specialist which included some extensive EMG testing. I had a couple sessions of afib following my Covid shot. That means several cardiologist visits including an implant for a monitoring my heart. The monitoring is done by a cardiac specialist on an ongoing basis. I just finished a cardiac cath with a couple of stents. A few weeks ago, I had routine endo/colonscopy testing. I have mild emphysema so next month I am getting a complete pulmonary workup with ultrasound, echo, CT scans and pulmonary function testing.

    I have paid absolutely no out of pocket costs for these many tens of thousands of dollars worth of testing and care. In addition I have no restrictions on physicians or providers. I have been able to find the best and replace any doc that does not seem to meet my expectations.

    I highly recommend you look and pay for the most flexible and comprehensive coverage you can find. Sooner or later you will need it.
  • JimK-NY wrote:
    If you are healthy and relatively young, the need for really good medical insurance coverage might seem not worth the cost. I am 76 and actually pretty healthy for my age. Even so the medical costs can be out of sight. In the past year I have had a bunch of doctor visits, including specialists, also lab work and a bunch of testing and other procedures. I was seen by a rheumatologist a couple of times which also included lots of lab work. I had a couple of sessions with a neurology specialist which included some extensive EMG testing. I had a couple sessions of afib following my Covid shot. That means several cardiologist visits including an implant for a monitoring my heart. The monitoring is done by a cardiac specialist on an ongoing basis. I just finished a cardiac cath with a couple of stents. A few weeks ago, I had routine endo/colonscopy testing. I have mild emphysema so next month I am getting a complete pulmonary workup with ultrasound, echo, CT scans and pulmonary function testing.

    I have paid absolutely no out of pocket costs for these many tens of thousands of dollars worth of testing and care. In addition I have no restrictions on physicians or providers. I have been able to find the best and replace any doc that does not seem to meet my expectations.

    I highly recommend you look and pay for the most flexible and comprehensive coverage you can find. Sooner or later you will need it.

    We have different definitions of "pretty healthy". If I was your level of pretty healthy I would choose a different plan. The good thing is that every year I can re-evaluate what I need and choose a different plan. If I fall apart 6 months from now I'll have to absorb some out of pocket costs in 2023 (which I can) and then I can pick a more expensive plan for 2024.
  • DallasSteve wrote:

    We have different definitions of "pretty healthy". If I was your level of pretty healthy I would choose a different plan. The good thing is that every year I can re-evaluate what I need and choose a different plan. If I fall apart 6 months from now I'll have to absorb some out of pocket costs in 2023 (which I can) and then I can pick a more expensive plan for 2024.


    You may have less ability to change plans than you think. My insurance though AARP/United Healthcare is defined by the Medicare Plan F. It was very comprehensive. It is no longer available except for those of us who had it previously and are "grandfathered in". With the high cost of healthcare, I suspect we are going to see Medicare and supplemental coverage under more control with more of the costs transferred to the user.
  • That's why I do have to pay some deductible. The C and F plans that covered those are no longer available to us youngsters!
  • We had United thru AARP for 3 years but dropped them last year as they would not sign contracts with 3 of the major hospitals in our area and also kicked our Dr's out of network. We have Humana Advantage now and it has been much better. Lower co pays and more benefits.