medicare

This website was created after looking at the www.medicare.gov website and realizing whoever (or whatever) created that simple 2.5 page home page had no interest in explaining accurately and transparenly what the US Government promises to 400 million citizens for their retirement health care coverage.

Below is an accurate description of what Medicare is and is not. The other pages on this website will be created to help you realize just "how bad" those that are controlling our Government Services and Medicare want to create confusion for reasons that we can all try to figure out together.

The US Government's use of "gypsy gism" or "legal linguini" in place of transparent text is not an accident. It is something everyone needs to learn how to identify, learn how to get angry about when they see it, and learn how to ban together for a strategically savvy opposition strategy before the plug gets pulled.

I'm 53 years old. We've been sold out by those older than us. I'm not talking about a small sold out. I'm talking GINORMOUS. They consumed all our money in a FED fueled stupor, AND they threw us to the commercial wolves. I'm going to show you just one of hundreds of places where that is really easy to figure out. Everyone aged 40-60 in the US should now have enough life experience to realize some level of concern with health care costs. Raise the lid a little on this and an easy ugly is simple to see.

For purposes of this conversation, please break down the Medical Needs of someone 65 or older into 4 items...

Hospitalization Coverage (Inpatient Care and Emergency Care)
Medical Care (Outpatient Care and Emergency Care)
Pharmaceutical Coverage
Gap Insurance/Supplemental Insurance . This is supplemental insurance needed to help cover deductibles, up to 20% of medical bills with no cap and treatments not covered by Medicare.

Items 1 and 2, are available from US Government. They are subject to deductibles and copays with no out of pocket maximum.

With any large medical bill, the majority of the US Population may need to file bankruptcy if they do not buy Gap Insurance, which is only offerred by private insurance companies.

The Medicare system provided by the US Government ONLY COVERS items 1 and 2 above

The Item 1 and Item 2 coverage has a required subscription cost of $165/month (aka a monthly insurance premium) . While $165/month. may sound "okay" or even good to some, when you realize what you are and are not getting and realize what you have to buy to avoid living in fear of bankruptcy, on top of what you have already contributed to "their system" your opinion may change.

The Item 1 coverage has an annual deductible of almost $1800 per year. You will need to spend $1800/year out of your pocket before the insurance starts paying 80% of your bills with no out of pocket maximum to protect you.
The Item 2 coverage has an annual deductible of $270 per year. You will need to spend $1800/year out of your pocket before the insurance starts paying 80% of your bills with no out of pocket maximum to protect you.

Items 3 and 4 , which most people would assume the Government provides an option for at some level, especially the way the market item 3, are only non-Government offerings which you will have to pay for in addition to your $165...

The Medicare system provided by the US Government DOES NOT have any offerings that cover items 3 and 4 above (pharmaceutical coverage and gap insurance)

If you want any coverage for item 3 , pharmaceuticals, you will have to buy that from PRIVATE INSURANCE CARRIERS. We are currently researching costs on that for now. If you do NOT purchase a plan from a private company, you may NOT get medicare negotiated rates. We need to check on that...
If you want any coverage for item 4 , gap insurance, you will have to buy that from PRIVATE INSURANCE CARRIERS. We are currently researching the cost at this time.

Items 1, 2, 3 and 4 restated...

Restating this by item, with a little more detail:

Item 1 - The US Government Medicare system provides Hospitalization coverage. The amount you have to pay before you start getting support with payments is almost $2000. There is no out of pocket maximum.

Item 2 - The US Government Medicare system provides Medical coverage but it's not great coverage. The amount you have to pay before you start getting support with payments is about $300. After that they cover 80% of additional fees with no out of pocket maximum.

The government Medicare system provides NO PHARMACEUTICAL COVERAGE. If you would like pharmaceutical coverage you will need to contract with a private insurance carrier.

The government provide NO GAP INSURANCE COVERAGE OPTION. If you would like pharmaceutical coverage you will need to contract with a private insurance carrier.

Restating this by item, with yet a little more detail:

The US Government Medicare system provides Hospitalization Coverage.
1. 1. You will pay a monthly premium for this in addition to a life time of contributions you made to the system.
  2. You will have to pay out a LARGE amount of money before Medicare starts to pay 80% of your bills
  3. You have no maximum out of pocket protection with this coverage. If you got a $1 Million bill for something, you would be on the hook for $200,000.
The government Medicare system provides Medical Coverage.
1. 1. You will pay a monthly premium for this in addition to a life time of contributions you made to the system.
  2. You will have to pay out a LARGE amount of money before Medicare starts to pay 80% of your bills
  3. You have no maximum out of pocket protection with this coverage. If you get a $2,000 bill for something, you would be on the hook for $400 for that.
The government Medicare system provides NO PHARMACEUTICAL COVERAGE. If you would like pharmaceutical coverage you will need to contract with a private insurance carrier.
The government provide NO GAP INSURANCE COVERAGE OPTION. If you would like pharmaceutical coverage you will need to contract with a private insurance carrier.

Medicare from the Government Covers Items 1 and 2 only, with MONTHLY PREMIUMS, subject to ANNUAL DEDUCTIBLES, and with NO MAXIMUM OUT OF POCKET PROTECTION.

Monthly Premium

$165 monthly premium - The Medicare system provided by the US Government ONLY COVERS item 1 and item 2 above. The maximum current cost for coverage for items 1 and 2 is $165/month. If you make low to no income it is less or free. This equates to $1980/year AND that is in addition to a lifetime of contributions you made when you worked.

Annual Deductibles which must be exceed for partial insurance coverage to "chip in...

$1600 deductible for Item 1, Hospitalization - The amount of money you will need to spend on Hospital bills BEFORE you get any support from Medicare is $1600.
$233 deductible for Item 2, Medical Care - The amount of money you will need to spend on Medial care BEFORE you get any support from Medicare is $233.

80/20 Coverage

Medicare will cover 80% of your bills as long as you are making your monthly premium payments and AFTER you pay the required deductibles for part 1 and part 2 each year.

No Annual Out of Pocket Maximum

Medicare has NO OUT OF POCKET MAXIMUM.
If you got a $1 Million medical bill, you would be on the hook for $200,000