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#11 | ||
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Senior Member
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sounds exactly like teenagers....
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Jane Cleverly disguised as a responsible adult! |
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#12 | ||
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Senior Member
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I was mistaken, I am getting the Quickie 2 Lite (still customized).
Saying regular prayers and doing frequent raindances that MA plan approves it with no drama ![]() ![]() ![]()
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Jane Cleverly disguised as a responsible adult! |
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"Thanks for this!" says: | AfterMyNap (06-11-2009), SallyC (06-11-2009) |
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#13 | |||
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Grand Magnate
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jprinz,
Did your plan cover 100% ? I had a DME (Durable Medical Equipment ceiling of $3500.00 - which meant I colud not get all the bells and whistles I wanted. Went to health insurance provider to save$$$$ - HA! They stank. Next time - NO!!!
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Kicker PPMS, DXed 2002 Queen of Maryland Wise Elder no matter what my count is. |
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#14 | ||
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Senior Member
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I specifically chose a more expensive MA plan that includes Rx (even though it cost more in monthly premiums) because it covers (In Network):
100% of my DME 100% of Prosthetics/Orthotics 100% outpatient and labs, MRIs etc It covers 80% if I go Out of Network providers. No limits really as after I reach $3000.00 out of pocket (including my medication co-pays) everything is covered at 100%. My plan cost $116.00/mo and I am in Virginia. DH and I went to insurance counselor (free)b & did the "guess-timates" of my medical expenses yearly. Spending more on a top level MA plan would atually cost me less than going with a cheaper MA plan or traditional Medicare with a PArt D. So far I have had no problems with my Optima Medicare Premium Plus plan at all. Only negative is Tier IV drugs are a 20-30% cost share which I cannot afford. I will say they assigned me a Nurse Manager since I have "...serious, chronic medical needs". I was iffy about this at first, but she has been great so far. Caveat: she did first set me up with thier DME company who wanted to bring me a stock chair (I told them I already had a lightweight Invacare 9000SL which no longer worked for my needs!). All thier DME wanted to do get my weight/height; even told me there is no such thing as a fitting or evaluation!! She didn't sound like the sharpest crayon in the box ![]() sorry this was so long
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Jane Cleverly disguised as a responsible adult! |
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