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Medicare induced dementia
Medicare Madness
I believe I have found the explanation for forgetfulness
in our aging population. Medicare.
Like most people, I didn't give a flip
about understanding Medicare and thought old people were just being senile by
not understanding it. After all, it's just insurance. How difficult can it
be?
Now I'm suffering from Medicare induced dementia myself.
I had
occasion this past month to try and bone up and get an idea of what is going on
with Medicare -- not that I will ever turn 65 myself, of course. I have never
seen such a confusing way to get insurance in my entire life.
First of
all, I was under the impression that Medicare and Social Security sort of came
together since both are administered by Social Security. Wrong! We are talking
about the government here. Everything must be as confusing as
possible.
You reach Medicare age at 65. You reach full retirement age for
Social Security at various ages, depending on when you were born. For those
reaching 65 this year, it is age 65 and 10 months, and it becomes a bit older
for each succeeding generation.
Of course, you can retire as early as 62,
with reduced Social Security benefits, but the amount you can earn after
retirement is limited. At full retirement age, you can receive Social Security
and also earn as much as you want, presuming you want to work instead of
rock.
Before we become totally confused, lets talk about
Medicare.
Medicare has many parts and each part covers something
different. The parts are creatively named A, B, C, and D. A is hospitalization,
B is medical and doctors, D is drug coverage. C once was Medicare Choice (C, get
it?), but is now called Medicare Advantage (still C, or MA) C is optional
private insurance instead of the original Medicare plan.
Simple? Good,
lets move on. If you have A and B, there are large deductibles, and you need yet
another plan to fill these gaps. This is imaginatively called a "Medigap" plan
or Medicare Supplement (not part G). Actually, these plans might as well be
called Greek since nobody is exactly sure what they cover.
Part C
sometimes includes D, but not always. D's vary greatly, so you have to be sure
to find a plan that covers your needs. If you are not retiring when you reach
65, you need A but not B until you stop working, provided you have employee
insurance. If you have either A or B, D is optional. A is free for most people,
but the rest of the alphabet has a premium attached.
Seniors age 65 are
informed that they must decide NOW as the premiums will increase if they wait.
They are bombarded with information, mail falling out of the box, and a phone
ringing off the hook. Various insurance companies, including AARP, all claim to
have the best plan, most popular plan, or a number of different plans to fit
your budget. No wonder people are confused!
One insurance plan runs
commercials on TV showing seniors dancing and claims to have everything covered,
even extras that are not covered under other plans, such as eyeglasses. Maybe
extras should be called part E? Soon we will have so many parts we will run out
of alphabet and need to use the Greek letters, like naming hurricanes.
We
have merely scratched the surface of an explanation here. Suffice it to say that
if you do not have to figure this mess out for your job, aging parents, or
yourself -- enjoy your liberty. One of these days, time will catch up with all
of us. Of course, there is probably no need to worry about it now as it will be
completely different by the time you reach retirement age anyhow.
As I
said before, it isn't dementia that is driving seniors over the edge - it's
Medicare.
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