08/27/2026
It's that season, unfortunately.
Call it the season of confusion.
Or misinformation.
With the Medicare Annual Enrollment Period (AEP) coming up (Oct. 15-December 7), the number of social media posts increase with advice from those who "work in healthcare" to "run away from Medicare Advantage ... go back to Original Medicare ..." etc.).
Just like the number of phone calls you'll be receiving from Call Centers trying to get you to switch plans, our best advice is to ignore them.
Mainly because no two people's Medicare situation is the same, from a financial, health and lifestyle point of view.
If you have Medicare questions, find a licensed, local agent who is trained to answer those questions.
Here's why:
When those people in healthcare make a social post, or say "run away from Medicare Advantage, go back to Original Medicare" ... here's what they don't realize they are also telling you: Be ready to take a big financial risk.
If you are on Original Medicare Parts A & B only, along with the required stand-alone Part D prescription plan, Medicare will pick up the tab for 80 percent of your healthcare costs that they cover ... you are on the hook for the other 20 percent.
With no cap. No max out of pocket. No safety net or protection.
Do the scary math.
If you have a $100,000 surgery, you'll owe $20,000 towards that out of your own pocket. If you have $500,000 worth of chemotherapy/radiation treatment, do you have $100,000 waiting around to cover your part of that?
Not to mention the Part A and B deductibles you also must take on with only Original Medicare coverage.
That's where Medicare Supplements and Medicare Advantage plans both provide a safety net for peace of mind.
Going back to Original Medicare and adding a Medicare Supplement (also known as a Medigap plan or Med Supp, most commonly now a Plan G) ... yes, that's a solution that takes away that financial ruin, 20 percent situation we mentioned.
But not everyone can afford the rising monthly MedSupp premiums (and the small Part B deductible), the rising premiums for stand-alone Part D drug plans, and the additional premium of a stand-alone dental/vision/hearing plan if they need that, too.
That's where Advantage plans, good or bad in your mind, serve a definite purpose and fill a need. Are they all perfect? No.
But what they do, and why they are a popular alternative these days, is provide those who can't afford the extra premiums of a Medicare Supplement/Part D plan, or risk of going with just Original Medicare A & B with D, with a financial safety net with a Max Out Of Pocket (MOOP) in case they have that major surgery or, say, face cancer treatment.
They may also want their coverage to be all inclusive in terms of health benefits/drug plan/dental/vision/hearing ... another plus for those looking for that situation.
Bottom line: Find a licensed local agent if you have questions. There are many good ones in the Ozarks. We offer both Medicare Supplements and Advantage plans so you can feel comfortable in your decision, whichever path you choose.
We are paid, and trained, to answer your questions, provide guidance and present your options, at no cost to you.