Retiree...Medical Benefit question for Spouse

Discussion in 'AstraZeneca' started by anonymous, Nov 9, 2018 at 7:04 PM.

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  1. anonymous

    anonymous Guest

    Ok...I AZ retire medical plan I turn 65 this year. But my spouse is only 64. What will happen to my spouse's Ins. coverage?

    Thanks for your help.
     

  2. anonymous

    anonymous Guest

    His coverage will expire and you’ll both stop doing man on man anal as aids meds norvir won’t be covered.
     
  3. anonymous

    anonymous Guest

    Will have to pay for both Medicare and AZ for that year, but covered until Medicare kicks in.
     
  4. anonymous

    anonymous Guest

    Once your medicare kicks in my advice would be to search for an independent supplemental plan or go with a medicare advantage plan. The AZ supplemental has a lifetime benefit cap of $25K and AZ will drop you immediately once you reach your cap. That can leave you uncovered in the middle of a medical crisis and you will be left holding the bag. Trust me, it happened to a peer of mine. AZ does not care about its employees and even less about the retired ones.
     
  5. Airborne Medic

    Airborne Medic new user

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    Running head: HEALTHCARE WORK FORCE COST










    Healthcare Workforce Cost
    Jasser A. Gonzalez
    University of Phoenix (Online)


    Healthcare Workforce Cost
    This article will evaluate the cost of the healthcare workforce and identify three key drivers of labors costs within medical treatment facilities. In addition, industry solutions will be evaluated to address labor costs associated with medical treatment facilities. Finally, a prediction will be made concerning future changes that may accelerate the proposed solutions.

    Three Key Drivers of Labor Costs in Medical Treatment Facilities

    According to Becker’s Hospital CFO Report (2014), in 2012 costs associated with health were around $9,000 per individual in the US with total spending capping at $2.8 trillion; in comparison from 2007 where healthcare costs per individual was around $7,600. The increase from 2007 until 2012 was partially due to increased labor costs for services, products, and administrative requirements (Operating Expenses). Becker’s Hospital CFP Report (2014), provided the following three of a grand total of nine labor cost drives in medical treatment facilities:

    1. Expensive technological services- In the US it is common practice for the most expensive available procedure for diagnosing and treating to be the principle course of action rather than considering alternative more cost effective measures. For example, the US has almost double the usage of MRI services than other first world countries.

    2. Provider, facility, and prescription costs- The US has the highest unit costs for physicians, hospitals/facilities, and drugs in the world and this is documented by the Organization for Economic Cooperation and Development (OECD).

    3. Lack of patient education- In the US there is a massive misconception that the more expensive the service the better the quality or outcomes. However, there is no empirical data supporting this and costs have no correlation with quality.

    Industry Solutions Addressing Labor Costs

    As mentioned previously, operating costs are a significant driver in increased costs associated with the labor force of medical treatment facilities. While currently it would appear that cost problems are spiraling out of control, healthcare systems can take advantage of new approaches to their operational, clinical, and financial businesses. Brown & Hansmann (n.d.), provide the following techniques and measures to control operating expenses:

    1. Hospitals can increase productivity by refocusing the labor force. By matching resource demands, and ensuring that right staff with the right skills are employed.

    2. Managing the physician staff to maximize productivity and reduce redundancy. By providing the right amount of support staff, costs can be reduced and money saved through a reduction of unrequired ancillary staff.

    3. Taking advantage of cost effective technological advances. For example, the patient encounter environment can be one of telemedicine which is cost effective, convenient, and can be used for less serious consultations.

    4. Reducing variation in services and standardizing practices and procedures has shown to significantly impact clinical care delivery costs.

    5. Improving patient management services in efforts to reduce length of stays and visits to the ER.

    Prediction of Changes that may Accelerate Solutions

    I would predict that the usage of technology and statistics would become more important as costs associated with the workforce of healthcare and healthcare in general are concerned. Methods such as predictive analytics (PA) will become common applications in efforts to control the spiking costs associated with medical treatment facilities as operations and staffing is concerned. Winters-Miner (2014), provides the following benefits of the usage of PA for reducing associated costs of the healthcare and the labor force:

    · Predictions are based on individuals not groups

    · There is no bell curve involved when using PA

    · Increased accuracy of diagnosis

    · PA will enhance preventative medicine and public health

    · PA provides answers for doctors for a specific patient not a trend of patients

    · PA can reduce costs associated with insurance products

    · Increases empirical accuracy through collection of data

    · PA can aid in meeting the needs of the public for medications

    · PA allows for better patient care and aligning proper needs of services and required staff, thus reducing associated costs.



    References
    Becker’s Hospital CFO Report. (2014). 9 Drivers of High Healthcare Costs in the US. Retrieved

    from https://www.beckershospitalreview.com/finance/9-drivers-of-high-healthcare-costs-in-the-u-s.html

    Brown, B., & Hansmann, J. (n.d.). Five Soulutions to Controlling Healthcare’s Cost Problem.

    Retrieved from https://www.healthcatalyst.com/healthcare-cost-problem-how-to-control-it

    Winters-Miner, L.A. (2014). Seven Ways Predictive Analytics can Improve Healthcare.

    Retrieved from https://www.elsevier.com/connect/seven-ways-predictive-analytics-can-improve-healthcare
     
  6. anonymous

    anonymous Guest

    Still no direct answer to my first post. I'm 65 first AZ employee...my wife is 15 months younger.

    Can she stay on the plan, while I'm on Medicare? Until she reaches 65?

    Sorry if I was not clear
     
  7. anonymous

    anonymous Guest

    The simple answer is yes. The $25K maximum only applies once you are on Medicare and each of you is measured separately. If you are on any expensive meds or have one hosptial visit you will easily max out your supplemental benefit and AZ will immediately drop you. They will drop you without notice even if you are still hospitalized leaving you owing the difference. You can get better supplemental coverage with a lower deductible, no cap, and a similar or lower premium. Shop around as soon as your wife turns 65.
     
  8. anonymous

    anonymous Guest

    So my wife will on AZ until she reaches 65...she will have one premium while I have another?

    Thanks for your help...this is driving me a little crazy....
     
  9. anonymous

    anonymous Guest

    Your wife will have her primary coverage under the AZ plan and will pay as a single. You will be covered under the AZ supplemental and pay a lower premium but the coverage really sucks and leaves you at great risk if you reach the $25K maximum during a health crisis.
    My financial adviser said that he had never seen a company plan that did that and advised me to drop the AZ and purchase my own supplemental plan. Best advice I ever got.
     
  10. anonymous

    anonymous Guest

    You will go on Medicare Part A as soon as you apply. You should then apply for Medicare Part B at the same time. You should also go out and get a Medicare Supplemental Plan. That will cover your drugs and maybe your dental. Several plans have decreased their dental premiums for 2019 as well as some of the co-pays. As far as your wife is concerned, you are screwed until she turns 65 (that's what you get for marrying a younger woman!!) She can still be covered under the AZ plan until she turns 65 but the premium will be a lot more. You will have to pay her premium until she turns 65. Once she turns 65 get the hell out of the AZ retiree plan. The coverage blows and many of the doctors don't accept it which means she will have to find a new doctor (so much for keeping your doctor eh?) If your wife is a lot younger than you are, plan to pay the huge premiums until she turns 65.
     
  11. anonymous

    anonymous Guest

    Thanks for the last 2 posts. My wife is 15 years younger than me. She is in good health, but you never know.
    We will pay $580/month starting in 2019...right.
    So I wonder what the single coverage cost is?

    Oh, well, I think health care is going to sink this country, as many pts. not doing the right thing, and many pts. just show up with NO coverage to ER. Plus many late stage cancer drugs are really $$$$$ and the pt only lives a short time. But thanks again.
     
  12. anonymous

    anonymous Guest

    Thanks for the last 2 post. That cleared it up. For 2019 we will pay $580/month which includes dental.

    So I wonder what a single person pays? Any idea?

    You any of you like to share the good plan post AZ on what they have and the approx. cost per month.

    Thanks again.