Re: WHY? (Re: One-pot dish)

Cindy Hamilton wrote:

On 2024-11-22, Carol <cshenk@virginia-beach.com> wrote:

 
The problem here is they try to tie you to a provider then if the
provider doesn't have that specialty, you are SOL with no coverage.

 
Sounds like an HMO.  My Advantage plan is a PPO.  If I see a provider
in the organization, my co-pay is lower.  If I see a provider outside
the organization, my co-pay is slightly higher.  Either way, the
Advantage plan pays.

That's good then for you!

My plan is through the largest insurance company in Michigan.  I would
have to work hard to find a provider who isn't in the PPO.

Grin, double good!

TFL (Tricare for life) for us kicks into 'free' for life.  They require
we use Medicare part B and no substitute.  So Part A is free, Part B
costs me more than my current Tricare Prime (I'm just under 65 still)
and the part D for drugs is already free/heavily subsidised with
'express scripts' and costs me 1.49 every 3 months.  Not a bad deal.

When I was recently hospitalized, Tricare prime (still under 65) picked
up all but 49$.  Don (74, Medicare and TFL) gets no bill and never has.

LOL, I wish I could get Dental like that!  Ah well, can't have
everything.