I'm retired and on Medicare so I'll just leave this here...
- Thread starter JAS-SH
- Start date
Question for those in the know :
I'm 66.5 ,haven't signed up for Medicare yet.....how much they gonna fine me when I do? I'm " self insured " self employed ,never had health insurance.
Haven't sign up for SS either....waiting to draw max ,but my understanding is that was changed last Nov. in congress.......correct?
I'm 66.5 ,haven't signed up for Medicare yet.....how much they gonna fine me when I do? I'm " self insured " self employed ,never had health insurance.
Haven't sign up for SS either....waiting to draw max ,but my understanding is that was changed last Nov. in congress.......correct?
Yeah, I mean a lot of us knew it was bad, but didn’t know how bad. Someone plz tell me why the hell we are paying taxes? I’m so pissed about all this I can’t even see straight and I’m nowhere near retirement age.
Sign up when you are illegible for the maximum "initial" monthly amount it goes up from there every year. If you haven't paid SS security taxes ever, then it's not good.
In my case it was 65, But then it takes about 4-months to be processed before you get your first check.
Need to sign up for SS ASAP. No SS, no Medicare. Reason for that is that depending on your income according to SS records, they will TAX your medicare check! In my case it's about 11% tax. So, no SS no Medicare...
They don't fine you. In fact, Jan to March is the sign up time. You want Medicare A & B. B is insurance and you will pay a premium. If you sign up today, it should be active for you July 1, 2025. You don't have to be retired but you will pay the Medicare B premium.
If you retire and start collecting your SSA benefits, they will deduct the premium from your deposit, which they send to your account by ACH from the treasury.
Ask me how I know.
Fine, I will tell. My wife lives in a skilled nursing facility. She is 69 and is collecting the SSA benefits and has Medicare A & B. They deduct 187 from her money and send that by ACH into her account. Then, I write a check to myself from her account. Then I pay her Medicaid co-pay to the facility.
By the way, Medicaid is a state thing. So, what governs her Medicaid is Texas HHS.
Her payment to the facility is her ACH deposit minus 75 dollars. Right now, we are paying a little more because she had a tooth extracted.
In some states at certain times, you have to recertify eligibility for Medicaid. At the time when I had some money, I paid a law firm that specializes in it. Then, after COVID was officially, over, I had to pay another 750 to have the attorney work the recert.
The conditions are that she can have no assets or other annuities or funds and that her bank balance is below $2,000.
As I have learned the hard way, I watch her account like a hawk and get the funds out of there as soon as possible.
If you go to the hospital, your Medicare A pays for most of everything. That Medicare A rolls on for 100 days, then it stops.
And it must be at least 60 days before you can make another Medicare A claim.
Long story short, get your Medicare started and the only thing you are paying for is Medicare B, which you will need.
I have also heard it said that if you want a good supplement, Part G is the way to go.
Truly astounding given SS took back the last payment they made when my Step-dad died shortly after.
Oh ,I've paid into SS fo sho , Half of my working career that good ole 15%.
Will never fully " retire" unless I'm unable to get into a combine seat .........which pays pretty damn good, for no more hours that are put in, a year.
I've been blessed with good health all my life....hope that continues to be the case.
All true. That said I pay taxes too because I still make 6 figures while drawing SSA funds, which is my right because I contributed to SSA all my life. The tax is levied on 4 or 8 months (I forget now) out of the 12 months of SS payments I get at my IRS tax rate. Tax over tax I guess...
And I hope you haven't forgotten part D. That covers Meds and you have like a year after you qualify for SS and Medicare to get it. And, if you don't register for part D before the deadline, after that they will fine you (extra deduction from SS) for every year that you don't have it when you finally get it. And that extra charge never goes away.
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Take your SS now....... If you wait you'll have to live to about 90 to break even.
Still working and took SS when I reached full retirement age. You are automatically enrolled in Part A once you start receiving SS. The company I work for has a very good benefits and covered by BC/BS but will need to enroll in other plans within 8 months following retirement. The thing that sucks is the the tax on SS benefits which cost me over 12K last year and probably the same next this year.
2.7 over how many years?
FY2024 Medicaid spent about $950B. That's 54 states and territories with 54 different plans. I was talking with a coworker today who shares a state with me. Because of the way the programs are setup, you have money flowing from Treasury-State HHS-State sub agency-Contracted charter agency-insurance company- hospital group - provider - patient. Everyone takes their nut at each level.
I estimated about 50% of the actual expenditures reaching the patient. At every layer there is overhead/administrative cost. Statutorily it's limited to 10% but they work around that. You have people getting rich off these programs instead of the majority of funds being used for actual purpose. Entire industries and workforces who do nothing but add cost and inefficiency to the process. And because the admin caps, the more a state spends ( they can essentially spend as much as possible since it's a cost share. Depending on state and category of service the Fed pays between 60-100% of the cost, with the state paying the remainder) the more they can take in admin. So it's in their best interest to spend as much money as possible and really not looking to hard at waste fraud and abuse.
My more senior coworker estimates it's closer to 20% actually getting to patients. So conservatively we are pissing away $500b if not more a year. And that's ONE gov agency.
It's and easy fix. Every state needs to be on the same plan. Not 54+ different plans that require 54 different teams of feds to administer them, monitor, audit and ensure compliance. Simplify the services. There are thousands of pages of rules and regulations that need to disappear. Illegals should not get any government services short of jail and deportation.
Hopefully JFK JR and Dr OZ can unfuck some of this, but I have a feeling their attention will be on more pressing matters ( food, drugs, cdc ,ect). Everyone is too scared to touch SSA, Medicaid and Medicare because of elections.
FY2024 Medicaid spent about $950B. That's 54 states and territories with 54 different plans. I was talking with a coworker today who shares a state with me. Because of the way the programs are setup, you have money flowing from Treasury-State HHS-State sub agency-Contracted charter agency-insurance company- hospital group - provider - patient. Everyone takes their nut at each level.
I estimated about 50% of the actual expenditures reaching the patient. At every layer there is overhead/administrative cost. Statutorily it's limited to 10% but they work around that. You have people getting rich off these programs instead of the majority of funds being used for actual purpose. Entire industries and workforces who do nothing but add cost and inefficiency to the process. And because the admin caps, the more a state spends ( they can essentially spend as much as possible since it's a cost share. Depending on state and category of service the Fed pays between 60-100% of the cost, with the state paying the remainder) the more they can take in admin. So it's in their best interest to spend as much money as possible and really not looking to hard at waste fraud and abuse.
My more senior coworker estimates it's closer to 20% actually getting to patients. So conservatively we are pissing away $500b if not more a year. And that's ONE gov agency.
It's and easy fix. Every state needs to be on the same plan. Not 54+ different plans that require 54 different teams of feds to administer them, monitor, audit and ensure compliance. Simplify the services. There are thousands of pages of rules and regulations that need to disappear. Illegals should not get any government services short of jail and deportation.
Hopefully JFK JR and Dr OZ can unfuck some of this, but I have a feeling their attention will be on more pressing matters ( food, drugs, cdc ,ect). Everyone is too scared to touch SSA, Medicaid and Medicare because of elections.
Prior to signing up for Medicare, establish yourself with the doctors you might want to see in the future. If you are an established patient, they will continue to see you and accept Medicare. Some doctors don't accept Medicare and will refuse service if you are not established.
This has saved me already and I'm in my first year of Medicare.
This has saved me already and I'm in my first year of Medicare.
I worked for years overseas never working a day in the US for much of that and payed upwards of $50,000 a year in income tax.
I'm wondering how hard I will be fucked as result of that.
Should have said fuck it and retired In the Philippines and found me a LBFM.
I'm wondering how hard I will be fucked as result of that.
Should have said fuck it and retired In the Philippines and found me a LBFM.
Since you are still working, and haven't signed up, you are ok.
The issue though is when you say that you don't have health insurance. That unfortunately is a law now, and they will use this to fine you a percentage based on your income when you do sign up for medicare part B/D, and that fine is forever. I think, but don't know for sure that say a year before you "retire" you may want to get a policy to show that you have Health insurance before you sign up so you wouldn't have to pay this fine.
You really need to talk with an health insurance expert and ask your questions to him/her. Don't bother speaking with the guys on the TV, they are only hawking for part C. Of course if you never get sick those plans might be the cheapest as they are treated as an HMO/PPO.
WASHINGTON—Subcommittee on Delivering on Government Efficiency (DOGE) Chairwoman Majorie Taylor Greene today announced the Subcommittee’s first hearing will be held on Wednesday, February 12, 2025, and be titled “The War on Waste: Stamping Out the Scourge of Improper Payments and Fraud.” Since 2003, a staggering $2.7 trillion taxpayer dollars have been lost to fraudulent and improper payments. Democrats, aided by the Biden-Harris Administration, exacerbated this fraud by massively expanding Medicaid spending and rushing pandemic-era funding out the door without proper oversight mechanisms in place. President Trump has been given a mandate by the American people to address waste, fraud, and abuse, including by auditing outdated federal payment systems. DOGE Subcommittee Members will work with expert witnesses to examine how Congress can assist the President in the effort to stamp out improper payments and fraud.
oversight.house.gov
DOGE Subcommittee Chairwoman Greene Announces First Hearing to Launch the “War on Waste" - United States House Committee on Oversight and Accountability
United States House Committee on Oversight and Accountability
I'm well past the initial sign up age but still working and still insured with a company that has more than 20 employees so the company is my primary insurer.
In my particular situation I signed up for Part A (the premium free part) when I was eligible because it doesn't cost me anything and it could cover some stuff even though I'm still insured through my employer.
If you've paid enough medicare taxes (10 or so years worth) into the system Part A is free so the penalty jargon is meaningless assuming I understand it correctly. But, if you don't qualify for free Part A (less than 10 or so years of taxes paid) then Part A is not free and your monthly premium goes up if you sign up late.
The "fines" or penalties are not a one time thing. They are a lifetime increase in monthly premium costs, usually 10% for each year past your "initial enrollment period".
Medicare penalties are talked about here => https://www.medicare.gov/basics/costs/medicare-costs/avoid-penalties
Since I'm still employed and still have insurance through my employer I can wait until I quit or get fired to sign up for the rest of it without penalty.
You, however, said you've never had health insurance so if you didn't sign up in the initial enrollment period I don't know how you can avoid the premium penalties.
If you're in Texas I have a number for a nice lady who knows all this shit backward and forward and can answer your questions in plain English with no bullshit.
I *think* that's only true if he's being covered by an employer group plan while he's working but he said he's self employed and never had health insurance.
When to sign up for Medicare
Most people sign up for Part A (hospital insurance) and Part B (medical insurance) when they're first eligible, typically at age 65.
What Do I Do if I Didn’t Sign Up for Medicare at Age 65?
You have options, but you can’t enroll whenever you want
www.aarp.org
WTF? My head hurts just reading the hoops you have to go to in order to be covered then as I understand it, you do it late or wrong and you are punished for life? This shit needs to change. The only reason I see this stuff being so unnecessarily complicated is because of fraud and corruption. There is zero reason something so easy should be that difficult. At this point I wish we could have the current admin for about 20 more years as that’s how long it’s likely gonna take to unscrew all this mess.
Damn! What were you doing for a living?
What @JAS-SH said for Part A and B
Part D is prescriptions
Part C or Medicare Advantage is essentially Parts A and B together with some additional benefits and sometimes an out-of-pocket spending limit from a private insurance company like Cigna.
I worked as a senior surveyor in the oil and gas industry for oil companies providing regulatory oversite for new build projects in primarily south Korea and Brazil.
You are already late, and the penalty is forever in the way of higher monthly premiums. Info is here:
Avoid late enrollment penalties
If you don't sign up for Medicare during your Initial Enrollment Period, you may have to pay a late enrollment penalty.
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Those thriving no good motherfuckers are no diff rent than the mob. I hope the rats and maggots eat their sorry nasty ass corpses when they die!
Honestly, there is only one way to right this ship! We have to get back to some semblance of law and order. And that means either people need to be prosecuted for all this shit or, well you can figure out the rest. I think people are waking up, albeit too slowly, but at some point the pressure cooker is going to pop. One would hope the powers that be would fix stuff before it got to that point but DOGe is pointing out that instead of doing the right thing they doubled, tripled down on the corruption for decades. I’m afraid the damage has been done and it’s just a slow roll to the inevitable now. How long and how bad it gets falls on to the people.
You are correct. Not many people have the balls or stomach for what needs done
I can tell you I don't like thinking about what needs done and ripping the bandaid off to do it.
My expectations tell me it might be easier and more comfortable for me to simply live out my remaining years with the status quo given my current circumstances.
But mom and dad weathered the depression plus a world war and grandma/grandpa made it through a real
global pandemic and the other world war so I say bring it.I do, and it's dirty and won't shed a fucking tear for those that it falls on.
You can't fuck people over forever and not expect it not to land on your doorstep.
Speaking of pressure cookers.
You keep fucking around with the emojis on the right half and josh is gonna come looking for you.
It's not something we want to see but something that happens as a result of being shit on by the government we were supporting our entire life including military service.
Common man you know it doesn't work like that,
They didn't pick and choose any more than we do.
Burn things down at random and have fun doing it.
Fuck the dems and burn them down with a smile on your face.
Not that much for me. In your situation you have to be really careful though. My younger brother did exactly the same.
I just lost my younger brother last year. He was 66. died from prostate cancer that spread to his bones (he ignored the symptoms).
He was insured through his wife's employer company a TV station with "great" benefits - Their insurance was Humana I think. But, when it comes to cancer the deductibles from those companies will bankrupt you. My brother's chemo was $12K PER SHOT twice a week! Coverage from the company's insurance? Basically none. His wife and daughters tried to quickly change him to Medicare but it was too late. He died before they could get that done.
It's best to get a Medicare supplemental plan with the lowest deductibles you can find the minute you are eligible. And hopefully, not an "advantage" plan, which is what my brother had.
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You are screwed. You will pay the penalty from the time you turned 65. And it's forever. There are no out's or forgiveness.
B covers all Outpatient services, there's a big list.
A is for acute care, meaning hospital, SNF, etc.
C is their HMO plan, meaning healthy members only,
D is medications.
G is supplemental gap plans
B will cover all sorts of things, but you will have a co pay unless you have a good secondary. Feel free to PM for more specific questions. I run long term care facilities for a living.
Any chance that tax on ss benefits will be done away with? I don’t draw shit and 85% is taxed
You will be fined 10% per year after 65. So you are say 70 and did not sign up well that's 50% permanent increase in monthly payments. Do not try to argue this, it happened to my mother last year. And she was 79 then. My parents were covered under my dads work insurance so why pay for part b right? So my dad died and my mom continued payments on the private insurance but the payments kept increasing. When they hit 400 a month she decided to sign up for Medicare. To keep this short even though she had receipts and proof of coverage it was fuck you. And yeah she hired an attorney to look into this. Appealed it as far as she could and it was fuck you it's 140 percent increase forever. Which still came out cheaper at I think she's paying 380ish for part b than for the private insurance.
Yep, the rules don't make a lot of sense. The only exception to part B enrollment in employer sponsored group plan. And I think there are restrictions on that (size of employer, type of plan, etc).
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OK, here's the deal. Do NOT stay on yours or your spouse's insurance. Do not get an "advantage" plan from insurance companies.
Why? the deductibles will kill you.
Meet with an insurance company that offers "MEDIGAP" plans and pick one from there.
Below is a list of the medigap plans available with all your costs, etc. I was lucky I was able to get an F plan - was discontinued some years ago but I got grandfathered in. Take a look at the F plan below. No longer available so G is the next best bet. AVOID DEDUCTIBLES! When things really go south deductibles will bankrupt you.
The chart below with links working the for extra costs is available here:
www.medicare.gov
Why? the deductibles will kill you.
Meet with an insurance company that offers "MEDIGAP" plans and pick one from there.
Below is a list of the medigap plans available with all your costs, etc. I was lucky I was able to get an F plan - was discontinued some years ago but I got grandfathered in. Take a look at the F plan below. No longer available so G is the next best bet. AVOID DEDUCTIBLES! When things really go south deductibles will bankrupt you.
The chart below with links working the for extra costs is available here:
Find a Medicare plan
Attachments
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I've had Medicare since 2015 or so and have had very little problem with doc's taking it. Just get your own back up insurance for about $80 per month, and not the Advantage which is free. My buddy went with the Advantage and hates it as he is very limited on which physicians he can see, whereas if you pay for the supplemental you see who you want.
He beat me to it but excellent advice. forget the Advantage and pony up for the supplemental. You'll thank us.OK, here's the deal. Do NOT stay on yours or your spouse's insurance. Do not get an "advantage" plan from insurance companies.
Why? the deductibles will kill you.
Meet with an insurance company that offers "MEDIGAP" plans and pick one from there.
Below is a list of the medigap plans available with all your costs, etc. I was lucky I was able to get an F plan - was discontinued some years ago but I got grandfathered in. Take a look at the F plan below. No longer available so G is the next best bet. AVOID DEDUCTIBLES! When things really go south deductibles will bankrupt you.
The chart below with links working the for extra costs is available here:
Find a Medicare plan
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You missed the part of the brochure where after you get done fighting the "enemy" you can spend years afterwards fighting your own Uncle Sam to receive said healthcare. It's a feature not a flaw- and it's built in free of charge.
It's not just Dr's that won't take Advantage Plans, some hospitals won't take it. MD Anderson, top cancer hospital in Houston, won't take Advantage.
And yes Dr's can and will drop you as a medicare patient even if established. My Cardiac Dr dropped me (regular Medicare) after 8 yrs at the last minute. 2 weeks before my annual. Left me hanging at the end of the year.
Correct sentiment- wrong direction.
You can clean it up by enforcing standards to participate, and bill... and then auditing the program. That all takes work though, and runs counter to the globalist agenda in the Age of the Oligarch.
Better to fake-up some snippet- "They're eating the dogs, they're eating the cats!" or "$100 Gorillian for Gaza Condom Bomb- BOOM!" and then blow it all up like al Qaeda.
We produce enough as a nation- and we tax enough- that we don't have to watch other Americans suffer and die without care.
The "parasite class" is the Billionaires themselves- and they would rather blow your tax money going to Mars than spend that money on saving lives/ healing the sick.
Oh... and their own money? Hahahahahaaha!!
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