MaryK9842
@jerzeegirl2000.bsky.social
1.2K followers 2.3K following 2.5K posts
Making the best of the Sixth Extinction. Twitter refugee ("I Live in the Un-free State of Florida"). Corgis. Bread. Pizza. The light in me honors the light in you. Slava Ukraini. No DMs.
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jerzeegirl2000.bsky.social
I like that. #TheEpsteinShutdown
jerzeegirl2000.bsky.social
For where I live (Sarasota) the gold standard insurance includes the ability to go to Moffitt Cancer Ctr in Tampa. They used to be in network for my PPO but next year they won't be. Is it worth planning one's whole life about having the ability to going to Moffitt? Many here would say yes.
jerzeegirl2000.bsky.social
On the new PPO my MOOP is $5500. And Medigap+Part D would be $5700 (not including the $185 mo Premium) Like you, my actual spend last & this year were way lower than that. But with health you just never know (& I am 77).
jerzeegirl2000.bsky.social
I compared next year's PPO with their HMO. The HMO is way more advantageous in what they are offering, but w/o the ability to go out of network. Currently ALL my doctors are in network. I have dental & vision from work. But there's that little nagging voice...what if you have a medical disaster?
jerzeegirl2000.bsky.social
Exactly...that is my break point...comparing the out of pocket max to the Medigap premium.Since it's insurance, I think I have to force myself to think that it's in case something bad happens, not that I need to find a cost conscious plan. Tho I hate having to also sign on for the additional Part D.
jerzeegirl2000.bsky.social
I am going to be paying that too in a few months. I actually think what the Republicans are doing is a scandal (how can anyone with a conscious not give people health insurance but instead think the rich need a break?) and I am happy the Dems are challenging them but what if there is an impasse?
jerzeegirl2000.bsky.social
I am currently on Advantage and was worried that I wouldn't be able to switch to Medigap but it turns out that if they eliminate your Advantage plan (which they did to me) you are allowed to switch over without any medical underwriting. It's called "guaranteed issue".
jerzeegirl2000.bsky.social
I have had the same experience. I always tell people my PPO is too good to be true...and I guess it really was because they are pulling it and raising the costs on the new plan. They want people in HMOs.
jerzeegirl2000.bsky.social
I am so glad I found you. I am going to the same thing and was getting ready to do a spreadsheet (lol). They dropped my MA and I need to pick a new one. This year my Specialist copay is $40; next year it's $75. That's just crazy!
jerzeegirl2000.bsky.social
All I am saying is that what is happening w. the ACA is affecting healthcare across the board.I am very sympathetic to those who are losing their subsidy...NO ONE should have to do w/o Health insurance.
jerzeegirl2000.bsky.social
Oh and btw, Medicare isn't free in case you are not familiar and for those elderly people with paltry income it can be difficult to pay the monthly premium.
jerzeegirl2000.bsky.social
It's going to be bad for everyone on health insurance. It's all connected. The ACA market and the Medicare Advantage market will both suffer from the cuts. Maybe I different ways...but the are both affected by that ugly bill. Interesting. hfwcny.org/could-the-on...
Could the One Big Beautiful Bill Mean Cuts to Medicare? - Health Foundation for Western & Central New York
The One Big Beautiful Bill's deficit increase will activate PAYGO, which could lead to $500 billion in automatic Medicare payment reductions.
hfwcny.org
jerzeegirl2000.bsky.social
In other words, there is a "ripple effect".
jerzeegirl2000.bsky.social
I know. But I believe those plans are also being affected by the increases. In fact, my carrier has eliminated all PPOs but one. I think there is a connection between the Medicare market and the regular market.
jerzeegirl2000.bsky.social
Good. That line really bothered me.
jerzeegirl2000.bsky.social
True, and it drives me crazy!
Reposted by MaryK9842
churlayla.bsky.social
Has anyone besides @muellershewrote.com reminded people that the gqp senate killed the filibuster to get mass nominations confirmed just a few weeks ago?

The gqp could end the shutdown if they wanted to.
jerzeegirl2000.bsky.social
Do you know if they are getting the warrant?
jerzeegirl2000.bsky.social
Are the 100 guys with guns going to shoot two senators, one of whom is a double amputee war hero? The guys with guns do seem to be complete fools, but would they go that far?
jerzeegirl2000.bsky.social
Giving in the them and getting a warrant means they have capitulated. I am so tired of Dems capitulating. What needs to happen is some kind of emergency order from a judge saying that whoever prevents them from entering will be arrested.
jerzeegirl2000.bsky.social
They are doing oversight in the name of the people who elected them. They have every authority to enter the facility without a warrant. Those who obstruct them should be arrested.