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46. I had Aetna Advantage for 20 years. I'm using SCAN now.
Sun May 25, 2025, 06:07 AM
May 25

I've had both knees, hips and shoulders replaced. The out-of-pocket cost was $0 for each operation and following hospital stay. My annual meds were less than $150 under Aetna and projected to be $0 under SCAN.

Quality of care has been excellent, although that may be because I live in the Palm Springs, CA, area, which features the Eisenhower Medical Center and a variety of top specialists (although than may be partly due to the 100 championship-level golf courses in the area).

My first major operation -- a hip replacement -- was done by a leading orthopedic surgeon (Dr. Douglas Roger in Palm Springs) who completed the procedure in 28 minutes, operating through a four inch incision in the side of my hip. I think it was a procedure he had personally developed, because he was giddy about the results, which is not what I expected from a doctor who had zero bedside manner. That afternoon I walked 100 yards without a walker, cane or pain. Five stars.

Unfortunately, his medical group dropped out of the medical group Aetna uses, and my second procedure was done using the "normal" technique, which led to a longer operation and recovery time. The end results were the same; I would have preferred the former, but I didn't have the money to pay the 20% Medicare doesn't cover.

Overall, I was satisfied with Aetna's MA. I started SCAN on Jan 1, so we'll see what happens. They both use the same medical group (Desert Oasis Healthcare), so I've kept my primary care doctor.

One thing I've found interesting is that pharmacists don't seem to understand that MA isn't Medicare, but a private medical insurance policy.

Not having a reasonable dental benefit is a bummer, but when I wanted implants I just drove to Tijuana and got the procedure done for half of the U.S. rate.

Recommendations

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

That's the most informative and clearest explanation I've heard. She's really smart. Walleye May 24 #1
There are so many commercials for Medicare Advantage that it made me wonder who had the advantage. patphil May 24 #2
The first clue there is something wrong with Medicare Advantage is the way the insurance companies push it dflprincess May 24 #20
I hope she explained that most of the 53% who choose MA do so because they cannot afford the up front premiums Silent Type May 24 #3
The savings the Congresswoman advocates could go towards lowering rates Auggie May 24 #4
Sounds like typical "you are being fooled and we know what is best for you." I'd just as soon MA didn't exist. Silent Type May 24 #7
I had cancer. Medicare paid for everything, Auggie May 24 #11
Friend died with cancer after a 8 week stay in hospital, hospice, tests and more test, surgeries, etc. MA paid everythin Silent Type May 24 #14
Always been a scam. Envirogal May 24 #5
Congress created ACA and Part D, both use private insurers as the basis for coverage. Do we want to repeal those too? Silent Type May 24 #8
also the supplemental plans under Medicare are through private insurers, which cover those costs that JohnSJ May 25 #47
Simple calculus: If it wasn't a windfall misanthrope May 24 #12
Windfall to insurers AND to the majority of beneficiaries who believe the "extras" are better for them. Silent Type May 24 #15
I see so many people scammed out of their Medicare and Social Security cadoman May 24 #41
Congress COULD improve Medicare, but Republicans are too invested in their own "government doesn't work" myth. n/t Beartracks May 24 #28
This has been going on for 50+ years. Not sure we can pin it totally on Republicans. Silent Type May 24 #30
Medicare COULD be improved Skittles May 24 #33
I agree & am so tired DownriverDem May 24 #36
I have a Part C plan, and my wife will be going on it at the end of the year HuskiesHowls May 24 #37
My understanding has always been Medicare A and B, regular Medicare, pays 80% of hospital bills and you... brush May 24 #6
You need to buy a supplement policy to cover the 20% traditional Medicare doesn't cover dflprincess May 24 #23
My supplemental plan covers dental, hearing and vision. MIButterfly May 24 #27
I had Aetna Advantage for 20 years. I'm using SCAN now. LastLiberal in PalmSprings May 25 #46
I am not sure what kind of supplemental plan you are on, but Medigap plans are supplemental polices that JohnSJ May 25 #48
Blue Cross. MIButterfly May 25 #52
Thanks MIButterfly. I have a supplemental F through United Healthcare, but I have separate dental insurance. JohnSJ May 25 #53
Yeah, it's a dilemna and MA plans with their constant advertising purposely confuse people. brush May 24 #34
I am on the GM UAW advantage plan KentuckyWoman May 24 #9
Exactly. Yet all we do is gripe about MA and want to take it away from people who did their own assessment. Silent Type May 24 #31
People forget about the MA MOOP (maximum out of pocket) and vision and dental gulliver May 25 #54
UAW Humana does not include vision/dental/hearing BUT KentuckyWoman May 25 #55
That's good imo. gulliver May 25 #57
Did the Amendment pass? JMCKUSICK May 24 #10
Probably not Warpy May 24 #16
Aged out? When do they stop accepting? moonscape May 24 #24
I don't think they want anyone over 75 Warpy May 25 #58
To anyone who's even thinking of buying Medicare advantage, remember, there is no free lunch! ashredux May 24 #13
When my wife and I got free professional help from retired professionals to guide us through the medicare sign up Martin68 May 24 #17
NPR says Advantage costs taxpayers more than traditional Medicare. surfered May 24 #18
Over a decade ago I ignorantly subscribed to MA. Jacson6 May 24 #38
And yet.... Quanto Magnus May 24 #19
Bravo ..... Than you Rep. OC Hotler May 24 #21
just subbed her utube channel AllaN01Bear May 24 #22
AOC seems to be one of the few Congressmembers determined to defend the greater good. calimary May 24 #25
The whole point to Advantage soldierant May 24 #26
ACA, Part D, and Part C (signed by Clinton) are all privatized like every major healthcare change in last 30 years. Silent Type May 24 #32
That's exactly what Walmart did. Dark n Stormy Knight May 25 #43
Amen! soldierant May 25 #44
Thank you, Rep. AOC! BoRaGard May 24 #29
Loved her presentation. Buddyzbuddy May 24 #35
I have an Advantage plan. It pay all but $10.00 of part B, There is 0 premium... Demsrule86 May 24 #39
That is the issue that many don't consider. The premiums for the best Medigap plan F or G can run JohnSJ May 25 #49
Regular Medicare with a Medicare Supplement wolfie001 May 24 #40
This is why the Democratic platform for 2026 & 2028 needs to eliminate all MA plans MichMan May 25 #42
Feds killed plan to curb Medicare Advantage overbilling after industry opposition Celerity May 25 #45
Why do we play uinto Trump's hands by attacking medicare? Progressive dog May 25 #50
K & R Emile May 25 #51
National health support services should be Medicare Advantage for All plus nutrition and exercise gulliver May 25 #56
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