Instead of Medicare Advantage, as you enroll on 10-1-2014, or 11-01-14, consider getting a high end plan like Plan F or Plan N. You pay a higher premium but it covers all deductibles and all co-pays such that you have zero out of pocket other than the higher premiums.
In my case the Lupron and Xgeva gross out at about
$170 K per year, and a co-pay on that would be expensive. With the Plan F, I pay nothing adiditonal, just the premium that varies by what zip code you live in, in your case in TN.
During your initial enrollment you have the option of choosing whatever plan you desire. As of January 1, actually a lot earleir than that before you even know how good the plan you choose in OCt/Nov is, you will have to re-enroll for 2015.Not sure how easy or difficult it may be to upgrade to Plan F or Plan N if you elect the cheaper Medicare Advantage now, ie as of 10-1-14.
The other reason for choosing Plan F or Plan N in October is that it would take most of the rest of 2014 to max out on your deductible so you are paying out of pocket until then, whereas Plan F or Plan N would pay them from day 1.
65 - DX 64 2/13 PSA 3.68 (6 mo doubling) Gleason 9 (4+5)
T1CN0M1B stage IV w. 7 of 12 cores worst ones 70% right PNI
oligometastatic 5 tumors 1 right sacroiliac, 2 on
T4 & T9.
1st Lupron 4 month 3-28-13, 2nd Aug 1
PSA down was 3.68, 0.68 on 08-08-13
PSA 0.12 02-11-14, T<3,freeT<0.048
Prostate shrunk from 50.4 to 31.6
UF & Shands treating w curative intent, not just palliative.
Post Edited (LupronJim) : 4/17/2014 7:04:25 AM (GMT-6)