Medicare OR Medicare Advantage What's BEST for YOU?

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In this episode Dr. Justin Stiver discusses some of the key differences between Traditional Medicare and Medicare Advantage plans. He shares his personal opinions after years of feedback from his patients at Total Therapy Florida. Is Traditional Medicare or Medicare Advantage right for you?

The Active Adult

Hip & Core System

Stroops Bands

00:00 - Intro
01:07 - Key Elements Of Traditional Vs. Advantage
02:44 - What Our Patients Say
03:18 - 2024 Medicare Cost Breakdown
03:41 - Medicare Advantage Part C
05:59 - Huge Problem With Medicare Advantage
06:58 - Justin's Opinion
  1. The Active Adult
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  3. pt
  4. physio
  5. exercises for seniors
  6. senior wellness
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$6250 annual premium cost as shown as an example in this video for original Medicare + Supplement + Part D drug plan, would be comparable (or even more, in some cases) to the maximum annual out-of-pocket copay liability for many Advantage plans, which would still have the annual Medicare Part B premium cost of $2100.

So in the example above, the Medicare Advantage enrollee will spend $2100 annually, if they do not use any medical services in a given year, whereas the Original/Plan G Supplement/Part D enrollee will spend $6250 if they use no medical services during the year. In a bad year, assuming an average max out-of-pocket of $6000 for the Advantage enrollee, their out-of-pocket cost exposure for the year would be $8100 (Part B premium + out-of-pocket copay cap). The Medicare/Plan G Supplement/Part D enrollee would have a maximum cost exposure of $6490 (adding the Part B annual deductible). So the difference in maximum annual cost exposure in this example would be the Advantage enrollee is exposed to $1610 more cost.

So I think it demonstrates why, despite the drawbacks and limitations, someone might choose Advantage over the original Medicare route. I believe the experience relayed in this video is from Florida, which has some of the highest-cost Medicare Supplements in the country. What is best for the enrollee really boils down to personal situation and geographic location. There is no one-size-fits-all.

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