Sign-up for coverage that starts on January 1, 2025 TODAY on the ACA.
Every state will have the open enrollment period for 1/1/25 go through at least 11:59:59 local time on December 15th.
This week about 40% of all ACA sign-ups happen so please don’t wait to the last minute as bad things can happen. Give yourself an extra day to navigate a complex and at times opaque system.
And then give yourself grace. Picking insurance is hard, so look for good enough instead of optimal. Good enough is, like most pizza, good enough.
Raven
I’m just glad those fucking Medicare advantage ads are over!
sab
@Raven: Me too. My new mantra is friends don’t let friends sign up for medicare advantage. (Unless they live in MA.)
I only just realized this year that Medicare Advantage is designed to dismantle Medicare. Separating us from access to the medigap insurance policies. Without medigap we hate medicare. Those right wingers are very good at playing a long game.
Raven
@sab: My sis’s husband died just at her enrollment time and she let it slide. She’s in LA and has Kaiser MA and it’s ok there but they still can give her the boot if they want to.
jame
What do you do if you’re already on Medicare Advantage, and seemingly can’t get off?
Raven
@jame: This guy is good at explaining it. https://youtube.com/shorts/raHLaw-zmUE?si=Hp_bjZHGh_G-RdWh
sab
@Raven: Yikes. I am in regular medicare with a supplemental. My husband is in Medicare Advantage. He has a lot of prexisting conditions so if he opts out of medicare advantage he won’t be able to get a supplemental. And his Medicare Advantage insurance is linked to a hospital chain that decided to go for profit. So all of their younger doctors and nurses with student loans have gone elsewhere. Including all of his doctors.
Raven
@sab: Yea, we are fortunate to have had guidance from the local council on aging and we both get $ from my work to buy supplemental. My MS infusions were 30k and didn’t cost me a dime.
Gin & Tonic
@sab: I am lucky to have a good MA plan provided through the company I retired from, and have the option to switch to Medicare/medigap any year. The MA plan saw my dear wife and me through some significant health issues in recent years with no issues, and no cost.
Ohio Mom
Most all of the people I know on Medicare Advantage plans didn’t make much money and don’t have savings. They lived hand-to-mouth and continue to do so. Paying the up front costs of traditional Medicare looked too expensive to them.
I get why they went the Advantage route and can only hope for their sakes it works out for them.
I don’t know if Ohio Dad and I completely understood why traditional Medicare was a better choice, somehow we stumbled into it.
Ohio Mom
@sab: MA is also designed to siphon off tax dollars into health insurance companies’ pockets. You gotta hand it to the Right-wing, they really are evil geniuses.
Sometimes I think I oughta be researching local MA choices now in case we are all forced into Advantage plans.
Since we are retirees, Ohio Son gets Medicare as a disabled adult, as well as Medicaid. He will probably be the first in the family forced into some sort of managed care as a result of future cuts to traditional Medicare and Medicaid. Not that these cuts would actually save the government money but they will increase the graft and kickback opportunities.
frosty
@Ohio Mom: If I’m forced into Medicare Advantage I’m screwed. All of my providers are in Maryland and MA doesn’t cross state lines. That’s why we’re on Medigap.
sab
I can see my breathe in my bedroom. 48°. I blame Biden (//) for my new boiler not working.
sab
@Gin & Tonic: You are in New England aren’t you? NE states (except CN) tend to be better on regulating insurance companies. Ohio has a lot of insurance companies based in Columbus, so our government won’t regulate them at all. So no late enrollment in medigap.
Gin & Tonic
@sab: Yes, I’m in RI.
sab
@Gin & Tonic: I advised my Ohio/ California sister to go for regular medicare and a medigap plan and my Massachusetts sister to go for Medicare Advantage. What state you are in really matters.
jame
@Raven: That explains switching from Medicare to Medicare advantage; I was thinking about the opposite, and wanted to find out if there are penalties. Thanks for the link, though, there are several other topics of interest there.