Warning! Medicare is not what you think it is



I’d rather have a Medicare team of experts, wouldn’t you?


You know you have to sign up.

You spend a few minutes looking at the price.

Oh, and you want to make sure your doctor is in your plan.

But do you look any further? NO?????????????????????

It would be foolish not to.  What we in the medical profession know should make you rethink your Medicare insurance. Read on…


There are certain things you need to know before you make this decision.


Do you know there are 223 Medicare Advantage plans? Do they tell you how wonderful their specialists, surgeons, treatment plans, and medications are?  Do they tell you they will send you to the top medical centers in the country to give you care?


Oh, you mean they only tell you the price? They don’t mention specialists when they push these plans?

Do you understand that if you or your loved one is diagnosed with cancer, heart disease, or back disorders, not all top medical centers take Advantage plans? Your plan says you can be seen, but only by a few.

For example, we know that the Mayo Clinic does not take Advantage plans as of February 2022.

Johns Hopkins, one of the top foremost medical centers in our country takes only a few Advantage plans.

And the third cream-off-the-crop medical center is the Cleveland Clinic.
They also do not take all the Advantage plans.

Please note that this article may contain affiliate links.  You can read my full disclosure at the bottom of the page.


These facts leave you without the best medical care.


You’re a smart patient.

You like to advocate for yourself or your loved one, so you want that second opinion. You ask around.

Any of the top three above is where you want to go.

You call one of these top three.

Most of them have satellite offices within your area. If not, you’ll go to the main campus.

They tell you that your plan is considered out of network. This means that you and your loved one will have to carry the cost of consultation, possible surgeries, hospitalizations, and treatment. Even the better medications aren’t covered and you can’t afford them.

This can be up to 50% and you will be required to pay it before you can be seen.


When you realize your Medicare insurance is garbage. 


It hurts to see so many people frustrated when they realize that their insurance doesn’t give them the choice to get the best second opinion, the best surgeon, or the best treatment.

How is this good medicine?

Shouldn’t you have the right to go where you want to go when you’re diagnosed with cancer, a heart problem, or a spinal disorder?

Are you surprised when I tell you, “It’s what doctors do?”

They run to top medical centers.”

They seek out the best. And they know who the best is.

While there are over 223 Medicare Advantage plans, there’s only one Medicare original plan and a few supplemental plans to cover the 20% not covered by Medicare Original.  And some of these supplemental plans also limit you as to where you can go.

And yes, Medicare Original is the most expensive but it’s the BEST! You can get the BEST treatments, surgeons, doctors, and second opinions without worry. You have the freedom to choose your own medical care. Isn’t this what we all want?

But no, insurance companies do not want you to understand that you get what you pay for.

So, make sure your decision is based on your knowledge, your chances, and your health, and not just on cost.


How poor medical treatment is worse than no medical treatment.


One study showed that more people die in a poor quality health care system than those who had no healthcare system. This was a pretty shocking claim.

We know physicians spend over 11,000 hours getting trained, while Nurse Practitioners and Physician Assistants (myself included) have 400 – 2000 hours of clinical training. Misdiagnosis is now rampant in our country. A misdiagnosis prolongs correct treatment and a possible life saved.

But it’s not the fault of the physicians, NPs, or PAs. We all know that our many Healthcare Systems dictate how and where their employed physicians and secondary providers will see you.

Also, most doctors and secondary providers are told they only have 6 minutes to spend with you.

And yet we know that you have so much more to tell us!

Do you think the Mayo Clinic, The Cleveland Clinic, or Johns Hopkins spend 6 minutes with you?
No way.

Here are 2 true examples…

1 – I have a friend whose husband had cancer.
He was going to a local cancer specialist.
I suggested that she convince her husband to go two hours north to the incredible Moffett Cancer Center in Tampa.

The next time I saw her she told me they went and could not believe the difference in the quality of care. They spent 2 days with him. His treatment plan was all wrong.
They changed it and they saw hope when no one else did.
And yes he did beat his cancer.

2 – Another time, I had a mother of three come into my urgent care. She was on Medicaid. I asked her who the kids’ pediatrician was. And she started to cry. She said he was two hours away in Tampa Florida.

Because there just weren’t enough pediatricians in the area who took Medicaid, her access to care was bumped to Tampa. This is why she was coming into the urgent care.

I am not surprised.
I see the frustration.


Do you want the best Medicare or is the second best good enough?


You may have health insurance, but do you have access to choose the care you want?  Hmmm.

I wrote a book, “Overcoming the Chronic Pain of Healthcare”.  It’s on Amazon. It’s all about the many mistakes I’ve seen and how to get through a poor healthcare system without making them.

Whichever Medicare plan you or your loved one decides to buy, just understand that the quality of medicine you will have access to is determined by the plan you buy. 

About the Author

Do you feel frustrated with your medical care? Do doctors spend 5 minutes with you, push you out of the office, with you wondering what's going to happen? Does your insurance deny paying? You're not alone. I'm frustrated, too. This is a growing trend in healthcare. Having seen pre-insurance medicine (yes, my dad was an old country doctor), I grew up watching him spend time with his patients, giving them the best care he had to offer. I saw families trust him to help them through hospitalizations and the next crisis. As a patient advocate, my job is to see that you get the right diagnosis, the right treatment plans, and the right supplies and education to make good decisions about your health. More importantly, I will teach you the tricks of the healthcare trade. We need more healthcare consumer protection, especially for chronic illnesses like diabetes. This is what I am passionate about. I make it happen every day with thousands of patients who now know what I know about beating the healthcare system and getting the best patient care...Patient Best.

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This blog provides general information and discussions about health and related subjects. The information and other content provided in this blog, or in any linked materials, are not intended and should not be construed as medical advice, nor is the information a substitute for professional medical expertise or treatment. If you or any other person has a medical concern, you should consult with your healthcare provider or seek other professional medical treatment. Never disregard professional medical advice or delay in seeking it because of something that has been read on this blog or in any linked materials. If you think you may have a medical emergency, call your doctor or emergency services immediately. The opinions and views expressed on this blog and website have no relation to those of any academic, hospital, health practice or other institution. Nor does this material constitute a provider-patient relationship between the reader and the author.