Do you have some sort of special private insurance? 85k /yr is unbelievable to me.
Yes, both of us are over 65.
The insurance was a high end PPO with no lifetime max and $20 copay. My wife is a cancer survivor, and I take drugs to minimize my cancer risk.
Additionally, the premium growth rate accelerated considerably after 65.
We did not actually pay $85k for a year but that was going to be the price. We were told what the new premiums would be, and instead of paying the $85k (paid monthly in installments), I switched immediately to the MA plan and told my wife, let's see how this works out. She held on for six months, then ran into the stalling, and then it took her another six months before she could get on the same MA plan.
The reason our MA plan works is that it's offered by the same medical center we happened to use 100% of the time on our previous insurance. So we didn't need to switch any physicians.
Regarding predatory MA's, my wife's surgeon, who was trying to get the approval for her surgery, told her, "This isn't going anywhere, you're past the time to switch to medicare, get an MA. However, be sure you avoid these companies."
Yes, we switched to medicare late, and we are reminded of that every month when we pay the penalty.
(I should mention our current MA plan is a HMO, not a PPO -- my typo.)
Doesn't the high-end PPO count as creditable coverage to avoid the penalty?
It was that, after 65, you're supposed to be on Medicare. Period. And they way they enforce it is they charge you extra when you do finally get on it (presumably after your private insurance becomes just too expensive...)
I'd be delighted to be proven wrong, but we were told repeatedly, including by Medicare itself, we Shall Be Penalized.
https://www.medicare.gov/basics/costs/medicare-costs/avoid-p...
https://www.medicare.gov/basics/costs/medicare-costs/avoid-p...
"It’s important to sign up for Medicare coverage during your Initial Enrollment Period, unless you have other coverage that’s similar in value to Medicare (like from an employer). If you don’t, you may have to pay an extra amount, called a late enrollment penalty."
The penalty is intended to stop people from saving money by forgoing insurance entirely, then hopping on when they get sick. Ask your insurer if they can provide a certificate of creditable coverage for the period. I wonder if a quick consult with a lawyer with relevant experience would be of use.
What is this about?
I take laetrile via raw bitter apricot seeds, and generally avoid sugar and avoid many carbohydrates.
If so, I can see someone with chronic ailments with high probability of things like heart attack, stroke, and other high cost events cause a premium that high.
85K per year is unbelievable and the OP isn't responding.
A gold plated plan where I live for a 65 year old couple who smoke and have a child is about US$10k for a year.