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This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....

 
PhennommennonnModerator  (OP)
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11/20/2023 11:30 AM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
I'm not signing up for shit! I'm paying cash, fuck the Gov. They will not be involved in my "health care" in anyway whatsoever. The freaking HOOPS you people jump through omg! JUST DON'T PAY IT!
 Quoting: Feathery


How long will that cash last ..if you get mashed in a car accident. Do you have any concept of medical costs
 Quoting: Anonymous Coward 86546770


here in pa if u get in car accident bc of no fault shit, u gotta go thru ur pvt health insurance 1st
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
Anonymous Coward
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United States
11/20/2023 11:30 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
I am retired..and healthy…so just stick with Medicare insurance?
 Quoting: Anonymous Coward 86542165


can you afford private insurance?
 Quoting: Phennommennonn


Not really, no heath issues at all. I would hope the occasional visit would be covered through Medicare.

Right now I have an advantage plan that takes $150 monthly


Should go back to Medicare alone?
 Quoting: Anonymous Coward 86542165


the red/white/blue card doesn't have parts c+d .
only A+B. drs n hosp.
 Quoting: Phennommennonn


Am in Florida..it is a bit hard to make a choice on which one to choose, so I guess c+b is only through advantage plan?
PhennommennonnModerator  (OP)
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11/20/2023 11:31 AM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
the US government administrators who approve these schemes go on to work for those companies

I am not advocating anything bad should happen to them.

ok yes I am
 Quoting: Anonymous Coward 84211546


John Q Taxpayer gets reemed again w/a reach-around
 Quoting: Phennommennonn


The USA debt Phenn is well over 40 quadrillion. Taxpayers can.t even cover the Interest on that. Stop the taxpayer pays crap already
 Quoting: Anonymous Coward 86546770


let's not 4get the billions sent to Ukraine n Israel. oh and recently IRAN!
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
PhennommennonnModerator  (OP)
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11/20/2023 11:31 AM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
...


can you afford private insurance?
 Quoting: Phennommennonn


Not really, no heath issues at all. I would hope the occasional visit would be covered through Medicare.

Right now I have an advantage plan that takes $150 monthly


Should go back to Medicare alone?
 Quoting: Anonymous Coward 86542165


the red/white/blue card doesn't have parts c+d .
only A+B. drs n hosp.
 Quoting: Phennommennonn


Am in Florida..it is a bit hard to make a choice on which one to choose, so I guess c+b is only through advantage plan?
 Quoting: Anonymous Coward 86542165

c+d yes is thru advantage.
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
IAFphantom

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United States
11/20/2023 11:34 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Did deeper.

Jews must be at the root of the fuckery since money is involved
 Quoting: Anonymous Coward 86544442


Yeah no one else except Jews can be corrupt.
936432979

User ID: 76832232
United States
11/20/2023 11:36 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
I know that Medicare supplement plans are a waste of money for most

I got bullied by family members into getting one for my mom -- it was a "Plan G" (or whatever) with a $175 a month premium and a big deductible -- that she never met

after a couple of years I dropped it

she recently had a cancer surgery where her portion of the bill was like $1300

same family members are hassling me about her not having had a supplement plan for 10 years now -- and how that's "killing" her with expenses

I try to explain it's better to pay $1300 than to have paid over $20,000 for the supplement plan these past 10 years -- but still they hassle me how it's "wasting money to not have a supplement"

maybe it's worth it for those who have assets to protect and the monthly payments are no big deal , but not for someone who only gets $800 a month from SS
 Quoting: Anonymous Coward 81035941


Correct. Patient responsibility is limited to a percentage of what Medicare approves, not what the charges are, and Medicare approved is a fraction of the original charges and anything done that was not approved and paid by Medicare won’t be covered by the Supplemental either. so there is no huge out of pocket liability for the balance after Medicare. Probably less than the supplement premiums for most people.
Anonymous Coward
User ID: 86382416
United States
11/20/2023 11:36 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
As a licensed health and life producer.. I do NOT like Advantage.. Hospitals and doctors don’t like Advantage. Plan C needs federal reform badly imo.
 Quoting: 762hillboy



This is very true. I almost lost my doctor over Humana Advantage. They make you get approvals for everything and I mean everything and make the doctor jump through hoops every time.

They wound up costing me an extra 3000 dollars in only three months before I dropped them and went back to straight Medicare.

Be very leary of this company and probably others.
Anonymous Coward
User ID: 85899241
United States
11/20/2023 11:37 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Thanks for such an informative post. What about if someone has VA healthcare. What type of Medicare am I required to enroll in? What should I enroll in? And what penalties for what Medicare a,b,or c? I really don't understand Medicare, a,b,c. Could you do a quick summary.

My objective is to pay little or nothing as I rarely use healthcare.
Anonymous Coward
User ID: 80192385
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11/20/2023 11:39 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
if you have assets you want f not c
PhennommennonnModerator  (OP)
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11/20/2023 11:40 AM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
I know that Medicare supplement plans are a waste of money for most

I got bullied by family members into getting one for my mom -- it was a "Plan G" (or whatever) with a $175 a month premium and a big deductible -- that she never met

after a couple of years I dropped it

she recently had a cancer surgery where her portion of the bill was like $1300

same family members are hassling me about her not having had a supplement plan for 10 years now -- and how that's "killing" her with expenses

I try to explain it's better to pay $1300 than to have paid over $20,000 for the supplement plan these past 10 years -- but still they hassle me how it's "wasting money to not have a supplement"

maybe it's worth it for those who have assets to protect and the monthly payments are no big deal , but not for someone who only gets $800 a month from SS
 Quoting: Anonymous Coward 81035941


Correct. Patient responsibility is limited to a percentage of what Medicare approves, not what the charges are, and Medicare approved is a fraction of the original charges and anything done that was not approved and paid by Medicare won’t be covered by the Supplemental either. so there is no huge out of pocket liability for the balance after Medicare. Probably less than the supplement premiums for most people.
 Quoting: 936432979


80/20 ratio
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
Anonymous Coward
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United States
11/20/2023 11:41 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Summary
Medicare Part C, or Medicare Advantage, provides equivalent coverage to Original Medicare with some additional benefits.

Some people find that a Medicare Advantage plan works out cheaper for them than Original Medicare.

To enroll in a Medicare Advantage Plan, people must live in the insurance company service area and already have Medicare Parts A and B.
Anonymous Coward
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United States
11/20/2023 11:47 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Interesting thread. I still have my employer insurance, and Medicare part B which I had to start nearly 3 years ago. I have never accepted any offers to add C,D, coverage as I do not need those with my regular insurance--also the fact that my wife cant use Medicare for another 2 years.

As normal for this time of the year, I am being flooded with mailings, and some calls, offering added insurances at no cost. I can't help but to assume they are liars and I will be ripped off one way or another.

Asking Medicare Advantage people what I will lose is akin to pissing into the wind. At some point I will have to have a one on one meeting with an insurance rep. The mass meeting/sales pitch BS is going on now too--not for me.

I'll follow this thread.
PhennommennonnModerator  (OP)
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11/20/2023 11:49 AM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
As a licensed health and life producer.. I do NOT like Advantage.. Hospitals and doctors don’t like Advantage. Plan C needs federal reform badly imo.
 Quoting: 762hillboy



This is very true. I almost lost my doctor over Humana Advantage. They make you get approvals for everything and I mean everything and make the doctor jump through hoops every time.

They wound up costing me an extra 3000 dollars in only three months before I dropped them and went back to straight Medicare.

Be very leary of this company and probably others.
 Quoting: Anonymous Coward 86382416


humana are cunts. I literally fucked their shit up here. I'm advocating for this old man n his pmts to hospital, he had the hmo thing, long story short, we're at hearing, they sent this punk ass genZ tard n I made his outie an innie. he looked like he was gonna cry. arbitrator was like "why're u here if u can't present or answer questions? ".. little pfh@ggit responds "bc they sent me sir".... no joke. we won. humana appealed. their atty got bitchslapped with a tiny sentence in the state law & the insured contract. Int the interim, they hadda pay.
oceans-dannyOMG

Last Edited by Phennommennonn on 11/20/2023 11:49 AM
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
Terrebonne

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11/20/2023 11:52 AM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
good

.
INFJ; We are the protectors.
936432979

User ID: 76832232
United States
11/20/2023 11:54 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Medicare Advantage have Copays large and small for things like office visits, diagnostic procedures and surgery, so that needs to be considered. Compare the plans. Medicare Advantage is not free after you sign up, far from it.
When reviewing and comparing plans, also look for whether there is an out of pocket max on chemotherapy. If not, you will pay a lot more out of pocket. than you would under straight Medicare.
Anonymous Coward
User ID: 86542165
United States
11/20/2023 11:55 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
...


Not really, no heath issues at all. I would hope the occasional visit would be covered through Medicare.

Right now I have an advantage plan that takes $150 monthly


Should go back to Medicare alone?
 Quoting: Anonymous Coward 86542165


the red/white/blue card doesn't have parts c+d .
only A+B. drs n hosp.
 Quoting: Phennommennonn


Am in Florida..it is a bit hard to make a choice on which one to choose, so I guess c+b is only through advantage plan?
 Quoting: Anonymous Coward 86542165

c+d yes is thru advantage.
 Quoting: Phennommennonn


Thanks for posting this thread, I will go a and b for next year.
Anonymous Coward
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11/20/2023 11:56 AM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
I know that Medicare supplement plans are a waste of money for most

I got bullied by family members into getting one for my mom -- it was a "Plan G" (or whatever) with a $175 a month premium and a big deductible -- that she never met

after a couple of years I dropped it

she recently had a cancer surgery where her portion of the bill was like $1300

same family members are hassling me about her not having had a supplement plan for 10 years now -- and how that's "killing" her with expenses

I try to explain it's better to pay $1300 than to have paid over $20,000 for the supplement plan these past 10 years -- but still they hassle me how it's "wasting money to not have a supplement"

maybe it's worth it for those who have assets to protect and the monthly payments are no big deal , but not for someone who only gets $800 a month from SS
 Quoting: Anonymous Coward 81035941


Correct. Patient responsibility is limited to a percentage of what Medicare approves, not what the charges are, and Medicare approved is a fraction of the original charges and anything done that was not approved and paid by Medicare won’t be covered by the Supplemental either. so there is no huge out of pocket liability for the balance after Medicare. Probably less than the supplement premiums for most people.
 Quoting: 936432979


if IIRC, the hospital charged $82,000 or so for her treatment, with a much smaller amount approved by Medicare, and her share of that was $1300

last time she was hospitalized at the same hospital her portion of the bill was around $1200 , and I applied for "charity care" and the bills just stopped

"Supplement plans" seem like a scam to terrify old people into buying expensive "supplements" they don't really need

and many of those are so poor they could apply for and get financial assistance or "charity care" (although when the system gets more overwhelmed with 'asylum seekers' that might become harder to get)
ElleMira

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11/20/2023 11:57 AM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
fivestars

and bump to follow

My husband will be signing up next year, even though he has Tricare (he was supposed to have free medical for life through military service). For some reason, when he goes to Medicare, I'll still be on his Tricare because I'm younger.

I don't understand this racket.
Anonymous Coward
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11/20/2023 12:01 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Advantage can be fine if you're not prone to issues. But some companies will make you jump through hoops to get treated. If you choose a Medicare supplement plan instead, you will pay more but you'll get the best treatment. They can't refuse treatment and you won't jump through hoops.
 Quoting: Skorpio



This is what I keep telling my husband. Sure, the supplement plan costs but if you get ill, you don't have to fight the insurance company to see specialists.
Anonymous Coward
User ID: 86545249
United States
11/20/2023 12:14 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
With Part C Medicare Advantage, the government pays the insurance carrier a lump sum amount every month for each member they have, and that money is paid to them for each enrollee whether any visits or services or used or not.

And if the doctors can find a medical problem, then the government pays more based on the person’s diagnosis.

So the doctors are motivated to not call anyone well and healthy but to find high cholesterol, hypertension, pre diabetic, anything they can use to raise the monthly amount for that person.

Once I found that out , I dis enrolled fromPart C and went back to straight Medicare because I don’t want to cost unnecessary money to the government for no reason.
 Quoting: 936432979

That sounds good for the patient. Sounds like you get maximum health care that way.
PhennommennonnModerator  (OP)
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11/20/2023 12:17 PM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
check my thread out on Medicaid

Thread: GLP AFTER DARK - Discussion - Medicaids Dark Secrets
political correctness is a doctrine.... fostered by a delusional, illogical minority...... and rabidly promoted by an unscrupulous mainstream media; which holds forth the proposition that it is entirely possible to pick up a turd by the clean end.
936432979

User ID: 76832232
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11/20/2023 12:21 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
With Part C Medicare Advantage, the government pays the insurance carrier a lump sum amount every month for each member they have, and that money is paid to them for each enrollee whether any visits or services or used or not.

And if the doctors can find a medical problem, then the government pays more based on the person’s diagnosis.

So the doctors are motivated to not call anyone well and healthy but to find high cholesterol, hypertension, pre diabetic, anything they can use to raise the monthly amount for that person.

Once I found that out , I dis enrolled fromPart C and went back to straight Medicare because I don’t want to cost unnecessary money to the government for no reason.
 Quoting: 936432979

That sounds good for the patient. Sounds like you get maximum health care that way.
 Quoting: Anonymous Coward 86545249


Good point but my goal is to not take medications to correct those normal and natural effects of aging so that I will not also have the problems of their side-effects to deal with.
Example, Medication causes dizziness, now you have to deal with falling and breaking a hip, or Medication causes slower mental process so now you are more prone to making fatal or injurious errors in daily life.
tiger1

User ID: 79267566
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11/20/2023 12:22 PM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Not Medicare related but
Pennsylvania Senior Farmers Market Nutrition Program
The age requirement is 60 years or older, and the older adult must meet income eligibility guidelines. Each eligible older adult receives five $10.00 checks for a total benefit of $50.00 one-time during the program year.

TWS-whoopiedoo
 Quoting: Phennommennonn


They have that here in Northwest Indiana too. They give you three $15 checks that are good at the farmers market or the local grocery store produce section.You have to be 62 and meet the income requirements.
Praise God from Whom all Blessings flow !!!
Anonymous Coward
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11/20/2023 12:28 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....

 Quoting: HAWK-03


ahhh U see that turn the tv off!!!!!
Anonymous Coward
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11/20/2023 12:34 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
bump
tiger1

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11/20/2023 12:39 PM

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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
 Quoting: Phennommennonn


This is why I put my home in a trust almost 2 years ago, to protect it from seizure in case I would have to use medicaid in the future. I have all the necessary paperwork filled out, including a Will. Since my oldest daughter is on SSI because of a heart condition, among other issues, she is on medicaid. She didn't have enough quarters in to get regular disability. I got it all taken care of, where she gets to stay in my house after I kick the bucket, but the house will be in her youngest sisters name. I can't leave the house to her, or anything to her, because of medicaid and SSI. If I have any money to leave her, which there is sure none now, SSI will just not give her a penny until the amount left to her would match what her SSI would be for the duration until the money is used up.
For a simple example, if I left her $9,140 SSI would not give her a penny for 10 months.

Last Edited by tiger1 on 11/20/2023 12:43 PM
Praise God from Whom all Blessings flow !!!
Anonymous Coward
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11/20/2023 12:45 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Joe namath wants to sniff your wallet
 Quoting: Anonymous Coward 85652786


Joe is dead. Show some respect.
Anonymous Coward
User ID: 82941613
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11/20/2023 12:46 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
 Quoting: Phennommennonn


This is why I put my home in a trust almost 2 years ago, to protect it from seizure in case I would have to use medicaid in the future. I have all the necessary paperwork filled out, including a Will. Since my oldest daughter is on SSI because of a heart condition, among other issues, she is on medicaid. She didn't have enough quarters in to get regular disability. I got it all taken care of, where she gets to stay in my house after I kick the bucket, but the house will be in her youngest sisters name. I can't leave the house to her, or anything to her, because of medicaid and SSI. If I have any money to leave her, which there is sure none now, SSI will just not give her a penny until the amount left to her would match what her SSI would be for the duration until the money is used up.
For a simple example, if I left her $9,140 SSI would not give her a penny for 10 months.
 Quoting: tiger1


Crazy!
936432979

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11/20/2023 12:47 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Joe namath wants to sniff your wallet
 Quoting: Anonymous Coward 85652786


Joe is dead. Show some respect.
 Quoting: Anonymous Coward 82941613


He is still alive, so don’t be claiming Mandela effect when someday he does die.
Anonymous Coward
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11/20/2023 12:48 PM
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Re: This Time Of Year, Annually, Is the Medicare Advantage Signup. Did You know....
Joe namath wants to sniff your wallet
 Quoting: Anonymous Coward 85652786


Joe is dead. Show some respect.
 Quoting: Anonymous Coward 82941613


Well, at least he can still vote Democrat.

thanksgraves





GLP