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

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