Yes. I have a colleague who is self insured as you described. It has worked well for him. Even when he had a serious medical emergency with hospitalization and many months of follow up care.Yes, I self-insure for what seems to me low probability risk, and it has kept me out of the weeds of medicare supplement plans and Part D, which has its own monetary value. However, I have no chronic conditions and no extensive or expensive prescription use.If I am understanding you and Kaintucke correctly, you are stating that you have Medicare Parts A and B, no Medigap, no Medicare Advantage, no VA, no other secondary insurance of any kind, and no Rx insurance (until recently for you)?"approach has freed me from having to deal with a private health insurance company - an extra plus."Have had original Medicare Part B for 3-4 years. No supplement, no part D, so no headaches/bureaucracy. Have had a joint replacement and cataracts done, but with Medicare negotiated rate and only 20% under part B, it hasn't seemed too onerous. This approach has freed me from having to deal with a private health insurance company - an extra plus.
Me too. But ten years. Just signed up part D this year.
Since this isn't discussed much, if you don't mind sharing, in light of earlier posts about the risks of outpatient and hospital "observation" stays, do you then self-insure for any risk of large out of pocket costs, or is there another way you mitigate such risk?
“we will never receive the service that we gave.”[quote=hvaclorax post_id=7762035 time=<a href="tel:1710205135">1710205135</a> user_id=114477]
My big takeaway from this thread is the part about Medicare part D. The pharmacy I worked with to get my brand only medication tried every trick in the book. They relented when I told them I was an MD. The method the company used was unconscionable. And unprofessional, and unethical for the pharmacist who tried to talk me out of my prescription and substitute something cheaper.
Someone here pointed out that the fine print in my Part D plan allows them to pressure the subscriber. How can any health care professional work under these conditions?
We have a retired internist friend who says “we will never receive the service that we gave.”
Probably true of all of life. Why we need our own money and not depend on others?
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Sadly it may be so. Personally I expect improved medical care over time. Oh well.
Statistics: Posted by hvaclorax — Sat Apr 13, 2024 3:15 pm — Replies 157 — Views 11208