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moose65

(3,458 posts)
18. This is my understanding of how Medicare Advantage works:
Sat Mar 14, 2026, 07:23 PM
Mar 14

Instead of paying for medical procedures as they occur (which original Medicare does), Advantage plans are paid a set amount for each enrollee every year, paid from the Medicare trust fund. The amount is something like 12 or 13 thousand dollars per person.

If the enrollee doesn’t use the entire amount during the year, then the insurance company administering the Advantage plan gets to keep the excess amount as profit - that’s part of this 84 billion in overpayments. They toss a few bones to the enrollees, like cash for food, dental coverage, or vision coverage. Enrollees like those benefits, so they get into arguments on social media and defend the plans. That was by design, so people will defend the plans.

Recommendations

1 members have recommended this reply (displayed in chronological order):

(DU member) Thom Hartmann has been posting warnings about Medicare "Advantage" for years Rhiannon12866 Mar 14 #1
They used to concentrate on open enrollment. Demobrat Mar 14 #2
Yeah..but in the fall they run the SCAM that in mid-Dec you will no longer be able Bengus81 Mar 14 #7
I dropped my UHC/AARP plan G because Demobrat Mar 14 #11
Agree with Demobrat BumRushDaShow Mar 14 #3
I guess I misspoke. Thom Hartmann has warned folks for years that the "Advantage" is a ripofff Rhiannon12866 Mar 14 #4
It definitely is BumRushDaShow Mar 14 #5
Wait not somali immigrants but corporate cheaters and lobbyists JT45242 Mar 14 #6
If they could make MA plans cover things properly mdbl Mar 14 #8
I had a MA Plan for a little while. Demobrat Mar 14 #12
I am glad you found what works for you mdbl Mar 14 #14
It's an expense for sure, but I would rather cut back in other areas. Demobrat Mar 14 #15
In case anyone else can't access the article progree Mar 14 #9
And part of that ripoff gets laundered back to republicans as "campaign contributions" PSPS Mar 14 #10
And let's be honest, probably some Democats too. KPN Mar 14 #13
In other words they scammed the US Taypayers...... Historic NY Mar 14 #16
It should be called MD...Medicare Disadvantage. BattleRow Mar 14 #17
This is my understanding of how Medicare Advantage works: moose65 Mar 14 #18
Yes, that is what I understood too. Didn't know the fine details though blue_jay 10 hrs ago #19
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