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So, Paul Ryan wants to "privatize" Medicare and S.S. and V.A.?

Screwed up Ayn Rand followers must have never read a book on history. For example, as the thread's title states, Ryan wants to privatize all those "evil" government programs, to let the "free market" take care of us all since the free market is so damn altruistic, right?

Why not take a look at what happened in Russia once all that country's government assets were turned over to a handful of entrepreneurs. Prior to Putin's Mafia, the average Russian boasted an income of about $16,000 per year......now, that income is less than $9,000.

The above may seem like a situation much less drastic than what is happening in the U.S., but giving our government programs to private outfits will result in the same situation if fucked up Ryan-Rand has his way.
Chile privatized, Venezuela nationalized. Any questions?
 
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??
I notice he never answered your question!

I know and I've been waiting.
 
Screwed up Ayn Rand followers must have never read a book on history. For example, as the thread's title states, Ryan wants to privatize all those "evil" government programs, to let the "free market" take care of us all since the free market is so damn altruistic, right?

Why not take a look at what happened in Russia once all that country's government assets were turned over to a handful of entrepreneurs. Prior to Putin's Mafia, the average Russian boasted an income of about $16,000 per year......now, that income is less than $9,000.

The above may seem like a situation much less drastic than what is happening in the U.S., but giving our government programs to private outfits will result in the same situation if fucked up Ryan-Rand has his way.

The benefit of privatization, as long as government oversight is maintained is that any company running said program or system for the government has to provide quality service, or at the end of the term they lose the contract to someone else. Government would still own the infrastructure and goals of the program, they would just let someone else run it for them, someone that could be held accountable.

We are seeing something that could be solved similarly here in NYC, with the whole Rikers Island thing. The issue with Rikers isn't the facility, its with the PEOPLE WORKING THERE AND RUNNING IT. However they are all civil servants and city employees, so the Public Unions would never allow the real solution to the issue which is fire everyone and start over.

Privatization of the labor needed for these programs and local control allows government to "start over" if the company with the contract doesn't perform, because unlike civil servants, the people working there know their jobs depend on their performance.
 
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??


I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!
 
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??


I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?
 
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??






I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?


ZERO! Nada! ZILCH!
My Medicare advantage plan ALSO pays my Part B premium of $121 /month that most of you on SS that have Medicare get's deducted from your SS check.
I DON"T! My MA plan pays the $121.00/month. Do you understand?
This is one of many Medicare Advantage plan ADVANTAGES that my MA one of 674 plans has. It's called "competition"! My plan decides they can compete on
prices! I pay NOTHING for my drugs, my co-pays,etc... plus I get $50/month in OTC. Again just using the internet !
 
Screwed up Ayn Rand followers must have never read a book on history. For example, as the thread's title states, Ryan wants to privatize all those "evil" government programs, to let the "free market" take care of us all since the free market is so damn altruistic, right?

Why not take a look at what happened in Russia once all that country's government assets were turned over to a handful of entrepreneurs. Prior to Putin's Mafia, the average Russian boasted an income of about $16,000 per year......now, that income is less than $9,000.

The above may seem like a situation much less drastic than what is happening in the U.S., but giving our government programs to private outfits will result in the same situation if fucked up Ryan-Rand has his way.
Try the VA system once and you would change your mind.
 
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??






I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?


ZERO! Nada! ZILCH!
My Medicare advantage plan ALSO pays my Part B premium of $121 /month that most of you on SS that have Medicare get's deducted from your SS check.
I DON"T! My MA plan pays the $121.00/month. Do you understand?
This is one of many Medicare Advantage plan ADVANTAGES that my MA one of 674 plans has. It's called "competition"! My plan decides they can compete on
prices! I pay NOTHING for my drugs, my co-pays,etc... plus I get $50/month in OTC. Again just using the internet !

That is your plan in Fl. We do not have that kind of plan in MI. MA in MI one needs to pay their Part B premium, and also has OOP and copays. We have several here and even the hosp HMO's here one needs to pay the Part B premium.

Competition is good, till there is no competition anymore and that is what its becoming. Every big fish is eating the small fry.

With healthcare we can't depend on the goodness of insurance companies.
 
Last edited:
Screwed up Ayn Rand followers must have never read a book on history. For example, as the thread's title states, Ryan wants to privatize all those "evil" government programs, to let the "free market" take care of us all since the free market is so damn altruistic, right?

Why not take a look at what happened in Russia once all that country's government assets were turned over to a handful of entrepreneurs. Prior to Putin's Mafia, the average Russian boasted an income of about $16,000 per year......now, that income is less than $9,000.

The above may seem like a situation much less drastic than what is happening in the U.S., but giving our government programs to private outfits will result in the same situation if fucked up Ryan-Rand has his way.

The benefit of privatization, as long as government oversight is maintained is that any company running said program or system for the government has to provide quality service, or at the end of the term they lose the contract to someone else. Government would still own the infrastructure and goals of the program, they would just let someone else run it for them, someone that could be held accountable.

We are seeing something that could be solved similarly here in NYC, with the whole Rikers Island thing. The issue with Rikers isn't the facility, its with the PEOPLE WORKING THERE AND RUNNING IT. However they are all civil servants and city employees, so the Public Unions would never allow the real solution to the issue which is fire everyone and start over.

Privatization of the labor needed for these programs and local control allows government to "start over" if the company with the contract doesn't perform, because unlike civil servants, the people working there know their jobs depend on their performance.

Lets face it, we are screwed with all the corruption in the government and private companies are out to make money. We have a health secretary who while a senator has done what amounts to insider trading. Its not even hid anymore with Trump. Everything is going to go private, our schools will be all private as well. There is no unity across the states. A family divided will not stand, which is true. Only a huge attack like Pearl Harbor or 911 will unite us.

An alien invasion would unite the people of earth, just like in Independence Day 2.
 
The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??








I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?


ZERO! Nada! ZILCH!
My Medicare advantage plan ALSO pays my Part B premium of $121 /month that most of you on SS that have Medicare get's deducted from your SS check.
I DON"T! My MA plan pays the $121.00/month. Do you understand?
This is one of many Medicare Advantage plan ADVANTAGES that my MA one of 674 plans has. It's called "competition"! My plan decides they can compete on
prices! I pay NOTHING for my drugs, my co-pays,etc... plus I get $50/month in OTC. Again just using the internet !

That is your plan in Fl. We do not have that kind of plan in MI. MA in MI one needs to pay their Part B premium, and also has OOP and copays. We have several here and even the hosp HMO's here one needs to pay the Part B premium.

Competition is good, till there is no competition anymore and that is what its becoming. Every big fish is eating the small fry.

With healthcare we can't depend on the goodness of insurance companies.


You are right. That's an advantage in living in a state with NO INCOME TAX as is in FL!
That and the population is older if FL.
Now remember though all these plans are regulated by states. As a result an advantage of selling insurance across state lines is what is needed to increase
competition in MI and hence open up plans. For example. It is also actuarially valid from MI point of view more healthy retired people in MI hence there would be
then not just 49,000 in my plan but say 100,000 if with you! But right now that's not possible..again unless we are able to buy MA plans across state lines.
So it's not greedy evil capitalists preventing this... it is regulations!
 
What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??








I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?


ZERO! Nada! ZILCH!
My Medicare advantage plan ALSO pays my Part B premium of $121 /month that most of you on SS that have Medicare get's deducted from your SS check.
I DON"T! My MA plan pays the $121.00/month. Do you understand?
This is one of many Medicare Advantage plan ADVANTAGES that my MA one of 674 plans has. It's called "competition"! My plan decides they can compete on
prices! I pay NOTHING for my drugs, my co-pays,etc... plus I get $50/month in OTC. Again just using the internet !

That is your plan in Fl. We do not have that kind of plan in MI. MA in MI one needs to pay their Part B premium, and also has OOP and copays. We have several here and even the hosp HMO's here one needs to pay the Part B premium.

Competition is good, till there is no competition anymore and that is what its becoming. Every big fish is eating the small fry.

With healthcare we can't depend on the goodness of insurance companies.


You are right. That's an advantage in living in a state with NO INCOME TAX as is in FL!
That and the population is older if FL.
Now remember though all these plans are regulated by states. As a result an advantage of selling insurance across state lines is what is needed to increase
competition in MI and hence open up plans. For example. It is also actuarially valid from MI point of view more healthy retired people in MI hence there would be
then not just 49,000 in my plan but say 100,000 if with you! But right now that's not possible..again unless we are able to buy MA plans across state lines.
So it's not greedy evil capitalists preventing this... it is regulations!

You can go across state lines now, the problem is the network of providers and the state regulations. I believe the ACA had the essential health services a health insurance plan should have. So the Fed gov would once again have to take power away from the states and say no state can regulate insurance companies in their state. How can one take care of networks , that is why BCBS is in every state, or most every state. As it is BCBS in MI is divided by the counties.
 
I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?


ZERO! Nada! ZILCH!
My Medicare advantage plan ALSO pays my Part B premium of $121 /month that most of you on SS that have Medicare get's deducted from your SS check.
I DON"T! My MA plan pays the $121.00/month. Do you understand?
This is one of many Medicare Advantage plan ADVANTAGES that my MA one of 674 plans has. It's called "competition"! My plan decides they can compete on
prices! I pay NOTHING for my drugs, my co-pays,etc... plus I get $50/month in OTC. Again just using the internet !

That is your plan in Fl. We do not have that kind of plan in MI. MA in MI one needs to pay their Part B premium, and also has OOP and copays. We have several here and even the hosp HMO's here one needs to pay the Part B premium.

Competition is good, till there is no competition anymore and that is what its becoming. Every big fish is eating the small fry.

With healthcare we can't depend on the goodness of insurance companies.


You are right. That's an advantage in living in a state with NO INCOME TAX as is in FL!
That and the population is older if FL.
Now remember though all these plans are regulated by states. As a result an advantage of selling insurance across state lines is what is needed to increase
competition in MI and hence open up plans. For example. It is also actuarially valid from MI point of view more healthy retired people in MI hence there would be
then not just 49,000 in my plan but say 100,000 if with you! But right now that's not possible..again unless we are able to buy MA plans across state lines.
So it's not greedy evil capitalists preventing this... it is regulations!

You can go across state lines now, the problem is the network of providers and the state regulations. I believe the ACA had the essential health services a health insurance plan should have. So the Fed gov would once again have to take power away from the states and say no state can regulate insurance companies in their state. How can one take care of networks , that is why BCBS is in every state, or most every state. As it is BCBS in MI is divided by the counties.

No you can't go across state lines to buy Medicare Advantage plans.
You have very little knowledge about health insurance it appears.
BCBS is a for profit organization started in 1930s in Texas.
I know health plans considerable better then you as I've worked as network connectivity advisor to health care providers nationally for over 20 years.
Health insurance plans are REGISTERED in each state where they wish to sell.
And for cause is to assure there are claim reserves.

Now "networks" which you are again ill-informed are set up by the insurance companies NOT the state regulators.
They are done so for more efficient administration of claim management.

Please do a little research as all this information is available on the internet.

Now for BCBS in Michigan. Our History – Blue Cross Blue Shield of Michigan
As far as Medicare: ...
Here is a list of Medicare Advantage plan for MI.
Screen Shot 2017-04-10 at 2.23.23 PM.png
 
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??


I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?
$800 per month taken from his SS.
 
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??


I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?
$800 per month taken from his SS.

So we all pay taxes, and the sweet government pays the private insurance companies. We need universal coverage and the health insurance companies can quit being the middle man. What a nightmare.


While the new Medicare beneficiary realizes a savings, the cost of the insurance doesn’t go away. Medicare funds a large portion of the insurance cost when they select a Medicare Advantage Plan or a stand alone PDP. There are costs associated with just Original Medicare but my interest was trying to find a hard dollar figures for the MA-PD and PDP plans.
Read more at How much does the Federal government pay Medicare Advantage and Part D Prescription Drug Plans?



Second: How does the Federal government pay private insurance companies for individuals enrolled in a MA-PD or PDP?

Medicare pays the Medicare Advantage Plan or Part D plan for each beneficiary who enrolls a monthly amount based on a complicated formula. The Centers for Medicare and Medicaid Services takes vast amounts actuarial data, enrollment, local cost numbers and crunches it in a formula to create capitation rates or the average amounts they reimburse plans by county.

Medicare Advantage Monthly Capitation Rates for 2012 for All Plans except PACE Plans [download id=”20″] showed Medicare Advantage Plans were paid $838 per month in Sacramento and $850 in Placer counties for plans with 4.0 STAR rating. In an effort to reward customer satisfaction and efficiency, reimbursement rates are also adjusted based upon the plan’s STAR rating. There are also other plans and special circumstances that would have CMS paying more per month on behalf of the beneficiary.


Read more at How much does the Federal government pay Medicare Advantage and Part D Prescription Drug Plans?

How much does the Federal government pay Medicare Advantage and Part D Prescription Drug Plans?
 
Last edited:
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??


I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?
$800 per month taken from his SS.

It piped my curiosity, so I checked and yes the MA receive money from Medicare for each person it signs up. How is this any different than Medicaid, or the subsidizes for the ACA?
 
The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??


I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?
$800 per month taken from his SS.

It piped my curiosity, so I checked and yes the MA receive money from Medicare for each person it signs up. How is this any different than Medicaid, or the subsidizes for the ACA?


A) MA plans have to be submitted to Medicare before approval. Their services that they offer, how they market the plan is even closely scrutinized.
For example a MA salesperson can NOT pro-actively contact you! You have to make the request first!

https://www.cms.gov/Medicare/Health...ownloads/2017MedicareMarketingGuidelines2.pdf


So the process of becoming a MA is far far more laborious then the Medicaid WHICH by the way there is NO MA equivalent. All Medicaid is administered by the states.

B) Once a MA is approved then they must comply with all the contractual agreements, i.e. the MA must make their proactive calls to remind me of having a checkup..(something traditional FISS doesn't do by the way!!)
C) THEN the MA must register with each state for each county they want to sell in and the STATE determines whether the MA will be able to sell.

So again your really limited knowledge Medicare/Medicare Advantage plans is painfully obvious!
Please do your own research as I've done and do NOT ignorantly equate MAs with Medicaid or traditional FISS Medicare!
 
Last edited:
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??


I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?
$800 per month taken from his SS.

NO you dummy!
Where in the hell do you come up with this stupid ass comment?
A) SS is entirely different then Medicare! Don't you know that?
B) The $800/month is a contract between my MA and Medicare. I have nothing to do with it.

GEEZ truly sad how dumb some people are!
 
The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!

What Medicare Advantage plan do you have and how much is it? Why is Medicare sending them 800 a month??


I have Optimum Health plan out of Tampa FL.
Here is a directory freely available from Medicare of ALL the MA plans.
CMS1211780 - Centers for Medicare & Medicaid Services
Down load and you can for yourself.

Now to answer your really DUMB question? Why is Medicare sending them $800/month???
GEEZ! My MA plan signed a contract after Medicare investigated their proposal that my MA plan could pay ALL my health claims now and in the future
with $800/month payment from Medicare. That's it!
Now Medicare doesn't have to worry about processing claims. Fraud. They simply write a check for $800/month and my MA administers my Medicare needs.
That's it!
Now if you look at the above directory you will see there are 49,637 other plan members like me.
In total there are 19,631,352+ members in all the nearly 674 plans.
So there are your facts! Deal with them!!!

So what do you pay?
$800 per month taken from his SS.

So we all pay taxes, and the sweet government pays the private insurance companies. We need universal coverage and the health insurance companies can quit being the middle man. What a nightmare.


While the new Medicare beneficiary realizes a savings, the cost of the insurance doesn’t go away. Medicare funds a large portion of the insurance cost when they select a Medicare Advantage Plan or a stand alone PDP. There are costs associated with just Original Medicare but my interest was trying to find a hard dollar figures for the MA-PD and PDP plans.
Read more at How much does the Federal government pay Medicare Advantage and Part D Prescription Drug Plans?



Second: How does the Federal government pay private insurance companies for individuals enrolled in a MA-PD or PDP?

Medicare pays the Medicare Advantage Plan or Part D plan for each beneficiary who enrolls a monthly amount based on a complicated formula. The Centers for Medicare and Medicaid Services takes vast amounts actuarial data, enrollment, local cost numbers and crunches it in a formula to create capitation rates or the average amounts they reimburse plans by county.

Medicare Advantage Monthly Capitation Rates for 2012 for All Plans except PACE Plans [download id=”20″] showed Medicare Advantage Plans were paid $838 per month in Sacramento and $850 in Placer counties for plans with 4.0 STAR rating. In an effort to reward customer satisfaction and efficiency, reimbursement rates are also adjusted based upon the plan’s STAR rating. There are also other plans and special circumstances that would have CMS paying more per month on behalf of the beneficiary.


Read more at How much does the Federal government pay Medicare Advantage and Part D Prescription Drug Plans?

How much does the Federal government pay Medicare Advantage and Part D Prescription Drug Plans?

By the way... are you grossly unaware as MOST Americans are that their employer matches what is deducted for SS/Medicare from the employee's paycheck?
See most people don't seem to comprehend that their EMPLOYER matches dollar for dollar!
Yet these same ignorant people decry their employers' making any profits! These same ignorant people hate capitalism,i.e.. this single payer bullshit!
Finally you and obviously millions of others that the Obamacare architect called "the stupidity of the American voter" gave us Obamacare were so grossly uninformed
as to the gigantic lie there were as Obama said "46 million uninsured Americans"!
That was a total gross lie!
And here is why:
never46million.png
 
if the government is doing such a great job with medical programs why is Obummercare failing and why is Medicare going broke? and Medicaid is pretty much a joke...

You really should stop parroting Hannity. Its a bit embarrassing, don't you think? LOL

did he say that? guess he and i think alike....

what's really embarrassing for you is you cannot face the truth.....

There was a huge surplus in SS and Medicare when Bill Clinton left office, Bush borrowed from the funds to finance his war. Medicare works fine and always has.
 
What Ryan wants is the ACA for senior Americans.

Such is the hypocrisy of the right.

The ignorance of people like you is astounding given the access to all the information you need.
As a Medicare ADVANTAGE plan (concept alien to you I'm sure!!!) I'm getting the best care Medicare offers and in the process my Medicare Advantage plan MAKES a profit!
Each month under contract with Medicare my MA get's a check for $800.00 from Medicare on my behalf. Out of which I receive so many more benefits then Medicare could offer.
A) Instead of paying out of SS check the $121.80 Part B premium that many of you suckers pay... MY MA pays it!
B) My MA calls me periodically to make sure I'm seeing my doctor.
C) MY MA pays ALL my prescription drugs.
D) MY MA also provides me with up to $50 per month in over the counter products I get from their web site.
E) There are NO physician co-pays.
F) I was in hospital for 3 days ...bill over $30,000 I paid $200.

Oh and did I say my MA makes a profit? Out of which THEY pay taxes!
All courtesy of those evil capitalist privatizing money hungry business.

Also did you know if THEY didn't make a profit.... guess what the states wouldn't let them sell in their states. WHY you dummies ask is that so important???

I'm going to shout! CLAIM RESERVES COME FROM PROFITS. CLAIM RESERVES PAY FUTURE CLAIMS!

Something non-privatized entities like Medicare don't have to be concerned about!

But don't believe me. My case is anecdotal... except my fellow 15 million MA members wouldn't be here if what I was saying wasn't true!
Yep, most seniors like their Medicare Advantage and Medicare Supplement plans.

That's why the system should be expanded to everyone.

An excellent public/private partnership.
.

I have not seen a Medicare Advantage plan that compares with Medicare and a Medigap plan.

Then an agent didn't take the time to explain it properly, but it up to individual choice. With a supplement and stand alone Part D you're paying up front with premium's, with Medicare Advantage you're paying in arrears with co pays and in most cases included your Part D. Some have a premium depending on state and county.

I have a MAPD and mega health problems, have paid out in copays so far this year about $350.00, if I would have had best supplement and part D I would have already paid out a little over $1000.00. Last year my out of pocket with MAPD was $550.00, if I'd chose a supplement and Part D Premiums close to $3800.00.

But it's each persons personal choice.
 

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