I have been on Medicare for about 6 years now and it is also my secondary.  
Because my husband still works and we have insurance through there that is 
considered our primary.  At this point I only have part A coverage which has 
paid for nothing.  Part B would not be paying anything now if I did have it so 
it was recommended that I wait until I turn 65 to subscribe.  At that time I 
will start paying at the rate it was when I first became eligible because of 
the fact that I have private insurance now.
Lynne

--- On Thu, 8/6/09, Lori Biehler <[email protected]> wrote:


From: Lori Biehler <[email protected]>
Subject: RE: Fwd: [TMIC] healthcare
To: "'Todd Tarno'" <[email protected]>, [email protected], "'Laurie 
Zissimos'" <[email protected]>
Date: Thursday, August 6, 2009, 3:23 PM








Sorry Todd,
I have been on Medicare for 10 years and it is my secondary. Not sure of your 
circumstance, but it is not ALWAYS primary. I am on SSDI and am not over 65.
Lori
 

From: Todd Tarno [mailto:[email protected]] 
Sent: Thursday, August 06, 2009 3:12 PM
To: [email protected]; Laurie Zissimos
Subject: Re: Fwd: [TMIC] healthcare
 






Hi Laurie,

I found out the hard way that Medicare is ALWAYS primary.

I too, tried to keep my COBRA & Medicare, but when I went to get a MRI, they 
told me that Medicare was primary.  When I tried to get back my COBRA payments, 
they wouldn't return the payments and didn't want to pay for my medications for 
that month.  So, I had to tell them either return my COBRA payments or pay for 
my medications, which are over $3,000 a month.  They paid for the medications.  
Thanks goodness.

I don't remember what Part B is.

I do think you will need Part D for medications.  Since you already using Blue 
Cross and you like them.  I would stay with them with Part D.  I would talk to 
Blue Cross to see they can help you find a plan that works for you.

Hope this helps a little,

Todd in CC, TX

--- On Tue, 8/4/09, Laurie Zissimos <[email protected]> wrote:


From: Laurie Zissimos <[email protected]>
Subject: Fwd: [TMIC] healthcare
To: [email protected]
Date: Tuesday, August 4, 2009, 5:46 PM


see below

 

 
-----Original Message-----
From: Laurie Zissimos <[email protected]>
To: [email protected]
Sent: Tue, Aug 4, 2009 6:31 pm
Subject: Re: [TMIC] healthcare


Maybe you can help me.  I was diagnosed with TM in Dec 2005 and went on SSDI  a 
year and a half later.  This September I have to enroll in Medicare and I don't 
know whether or not to get Part B/D at this time.  I am on my husband's COBRA 
until January unless I file for an extension which I may do since I have that 
option being disabled.  It's pretty expensive, but Its Blue Cross and they have 
covered almost all of my medical exp since the diagnosis.  Our Blue Cross plan 
is a PPO so we don't need precerts/pre auths.  It makes it much easier seeing 
specialists.  He also has another plan through a part time employer but I don't 
think the benies are that great.  My first question is whether or not I should 
sign up for Part B, Part B Advantaged, or Part B and D.  I am trying not to 
lose the BlueCross, but I also don't know which of the new health coverages 
would be primary, secondary! or other.  Is Medicare always considered primary 
or is it
 secondary??  Laurie

 

 
-----Original Message-----
From: [email protected] <[email protected]>
To: [email protected]
Sent: Tue, Aug 4, 2009 6:14 pm
Subject: [TMIC] healthcare







Hi,

   I have been on social security disability since 1996,5 months after getting 
tm.I was 49 (now I'm 63).I have a medicare hmo health plan.I have had this 
since cobra ran out.I pay $173 a month.My dr visits are $10,a specialist $20.I 
have a deductable of $100 per day if hospitalized (for the 1st 8 days).It 
also includes the part d to help pay for meds,but I get many of my meds at 
walmart for $10 for a 90 day supply.The others I get for 90 days through 
express scripts.I'm sure that on Jan 1st the cost will go up and the benefits 
will change.

   I pay out of pocket over $4000 a year for insurance and meds.Thank God I had 
long term disability insurance when tm hit me.I get a total of 60% of what I 
was earning in 1995.

  I live in Mass.,where you must have some type of medical insurance,or you pay 
a penalty when you file taxes.My ex husband paid $600 this year for not having 
health insurance last year. I finally got him to get medicare when he turned 65 
in March.Now if I could convince him to insure his house!

   Well,I don't post often,but I'm sure wordy when I do!

   My best wishes to everyone,

     Cheryl in HOT Easthampton,MA.

   

   
 


      

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