Penelope
Diamond Member
- Jul 15, 2014
- 60,265
- 15,791
I have MA here in Nj and the fee Medicare usually automatically deducts from my SS is paid to my MA provider instead, so it is actually my SS that pays for my MA.Your Medicare fee is deducted from your SS benefit every month even when you choose Medicare Advantage, so they are interconnected even if you don't know it.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!
No the Fed government is reimbursing the MA company for everyone they sign up. I started a new post here:
Why Medicare Advantage costs taxpayers billions more than it should
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?
When Bush signed the Medicare act of 2003 it was said the expansion of MAPD's would save Medicare money, instead it's cost them roughly 13% more than if all of us would have had just original Medicare. Under Obamacare the money paid from Medicare to plan sponsor's was suppose to be less but because of the up roar with certain plan sponsor's he raised it I am thinking the amount was around 4%. The higher the star rating of plan is the more they get paid.
Yes I had no idea that MA plans got reimburse so much from the Feds. These insurance companies are subsidized from our tax money, and we even get to pay premiums so they can make millions. From what I've read a lot of the costs are fraud.