K.W. Goff is writing a series of books about Medicare.
MOOPing Medicare
The Trilogy
Book 1: The Medicare Decision Tree ©
Reduce uncertainty by understanding how to "pick fruit" from the Medicare Decision Tree.
Book 2: The Attempted Murder of Freedom For Service ©
Institutional stakeholders (Government, Insurance Companies & Healthcare Systems) affect Medicare Beneficiary's options. For the last couple of decades institutional stake holders have favored Managed Care over Original Medicare's Fee For Service structure.
Book 3: MOOPing and Specialized Topics ©
Examples: Traveling Outside the USA, Non-Emergency Medical Transport, Coverage Appeals, etc.
Links to get each book will be available on this page as they are published.
Messages on this page are Copyrighted.
"MOOP" is What?
M aximum
O ut
O f
P ocket
Original Medicare Parts A and B do not have Maximum Out Of Pocket limits. However, you can "MOOP" your Medicare by choosing to use a Medigap Supplement or a Medicare Advantage plan. That is MOOPing Medicare.
Your MOOP is the limit, the "Maximum", of your annual "out of pocket" exposure to cost with Doctors and Hospitals. A technical definition of your cost exposure limit, your MOOP, is measured as your limit on "cost-sharing" with your insurance plan: in the form of... Deductibles and Fixed Dollar Co-pays or Co-insurance Percentages.
However, your real Max Out of Pocket expense should also factor in the Premiums you pay to have your health insurance coverage. (If you use a $0 Premium Medicare Advantage plan you still have a Part B Premium.)
MOOPing your Medicare involves finding the sweet spot which balances Premiums & Cost Sharing with your preferred health insurance construct.
If MOOPing were so simple that this webpage answered your questions, further explanation would not be needed. However details are needed, that's why I'm writing these books.