Deductible vs. Maximum Out-Of-Pocket | What's the Difference?

Medicare Advantage plans have a lot of moving parts. Deductible vs. Maximum Out-of-Pocket vs. Medigap deductible. Then you throw in some insurance lingo and technical terms, and it can get really confusing. In this video, we will explain the difference between a Medicare deductible and maximum out-of-pocket.

Start (0:00)
Deductible definition (0:35)
Medicare Advantage and Part D (1:46)
Maximum out-of-pocket explanation (2:47)
2021 Maximum out-of-pocket limit (3:33)

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#DeductiblevsOutofPocket #MedicareDeductible #MaximumOutofPocket

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[tonystark-gzno]

in advantage plan....if the plan has a deductible of $1000... hasnt been met any...and they will have OP surgery for $270 ... according to the plan DED will be applied for surgery...so does the member will pay the $1270 initially?..how would the billing will look like? does the deductible be applied in full right away?? thanks!

[beckyhuntsman]

What are the deductibles and out of pocket limits for services with a Medicare and a medigap plan?

[shilohmiller]

Need gallbladder surgery but not sure what coverage Ihave. Medicare a and b and tfl. Do I need another supplement? This is way too confusing!!

[DebbieCanada]

I am a 59 yr. Old that was diagnosed with stage 2 breast cancer in 2020. I only have Medicaid for insurance, will be approved for medicare.

[jmsiii]

I'm currently overseas and turn 65 in 3 months. I'm trying to go to your website for information and quotes, but it won't allow me access. I'm a USA citizen. How do I get help from you?

[arnkriegbaum]

so, coverage is different in urban versus rural areas for seniors? wow. terrible

[eyeglasslady]

I would work until drop to avoid Medicare at all but that is not possible due to an aging body. What a nightmare! All when illness is most likely due to age. I suppose single payer would erase all this complicated stuff. Note: I am not advocating for that but expressing angst at so that is way too complicated.