Modelworks
Lifer
- Feb 22, 2007
- 16,240
- 7
- 76
No medicare does not pay it all. My dad is 81 this year and on oxygen with copd. I went yesterday and had his drugs refilled and the actual cost for some of them like inhalers were about $180 , medicare paid all but $62 of that. Now some may think that medicare paid $118, but not so fast. Each month my dad also gets a statement from his medicare provider showing what they were willing to pay the pharmacy for the drug. Their limit was $89 for this one so they paid $27.
I think some think medicare is a government insurance plan where the government pays the pharmacy, not so. Every so many months/years seniors get to choose a medicare provider. The provider is the one paid by the government. In return the senior pays a premium to that provider, my dads is $118 per month. My dads provider paid out about $126 last month, so my dads benefit for having paid into medicare for 60 years is $8 a month. If during the year he happens to reach the preset limit for the provider they will make him pay everything out of pocket, how is this better than other insurance ?
I think some think medicare is a government insurance plan where the government pays the pharmacy, not so. Every so many months/years seniors get to choose a medicare provider. The provider is the one paid by the government. In return the senior pays a premium to that provider, my dads is $118 per month. My dads provider paid out about $126 last month, so my dads benefit for having paid into medicare for 60 years is $8 a month. If during the year he happens to reach the preset limit for the provider they will make him pay everything out of pocket, how is this better than other insurance ?