Originally Posted by Maci
An agent has told me about the Advantage plan that includes the Medical Savings Account. The coverage is good anywhere that Medicare is accepted in the country.
This is correct in theory but not in the real world. Unlike MA PPO/HMO plans, MSA plans do not have a provider network. For non-emergencies, CMS regulations require Medicare participating providers accepting new original Medicare patients to also accept MSA patients. Most MSA's even give the member a form letter indicating this to show providers.
However, most providers see it as just another Medicare Advantage plan and don't take it if they don't take the PPO/HMO plans. CMS is not enforcing the regulation and the member's only recourse is to see if the MSA carrier can convince the provider otherwise. IMHO, MSA plans are not ready for prime time until CMS removes them from the Medicare Advantage umbrella and enforces their regulations on provider acceptance.
You might want to take a look at Medicare supplement (Medigap) Plan G high deductible (G-HD). It has a $2340 (2020) 'deductible' but that term is misleading. It acts more like an out-of-pocket maximum. Original Medicare still pays 80% and you pay 20% of the lower Medicare approved amount until your 20% (and Part B deductible) totals $2340. Then, G-HD starts paying the 20%. Premiums usually start in the $40-$50/month range. You would need to purchase a separate Part D drug plan, as you would with most MSAs.
Originally Posted by REWahoo
Remember, almost everyone can say they were very healthy - until they weren't. And you are buying this policy for when you can no longer say that.