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About 1 in 3 people 65 and older in the U.S. enroll in Medicare Advantage, the private insurance alternative to traditional Medicare. It’s not hard to see why: Medicare Advantage plans often cover stuff that Medicare doesn’t, and most people don’t pay extra for it.But Medicare Advantage can be more expensive if you get sick because copays and other costs can be higher, says Katy Votava, president of Goodcare.com, a health care consultant for financial advisors and consumers.Unhappy customers who want to switch back to traditional Medicare may find they no longer qualify for the supplemental policies to help pay their medical bills, or that they would face prohibitively high premiums.“These are complicated products,” says Votava, author of “Making the Most of Medicare.” “They’re like nothing else, no other insurance that people encounter anywhere until they get to Medicare.”Medicare’s alphabet soupThe first hurdle many people face when deciding about Medicare coverage is simply understanding how the various parts fit together. Traditional Medicare, also known as original Medicare, has two parts:Part A covers hospitalization and is typically premium-free.Part B covers outpatient care, including doctor visits, and has a standard monthly premium of 4.60 for 2020, although higher-income people pay more.You can choose any doctor who accepts Medicare, and most do. The government pays health care providers directly.Part D is prescription drug coverage, which is provided by private insurers. The drugs that are covered and the amounts you pay out of pocket vary widely. Monthly premiums vary as well but average .74 in 2020.Traditional Medicare has deductibles, copays and coinsurance that can quickly add up. To cover these gaps, private insurers also offer supplemental plans known as Medigap. The average monthly Medigap premium in 2019 was 2, according to health insurance marketplace eHealth.com, but it can be lower or much higher depending on the plan, the insurer and the area where you live. The plans are known by letters A through N. As with traditional Medicare, you can choose any doctor who accepts Medicare.If you apply for a Medigap policy when you’re first eligible for Medicare, the insurer has to accept you and can’t charge more for preexisting conditions.How Medicare Advantage is differentMedicare Part C is Medicare Advantage. Rather than add to the other parts of Medicare, however, Medicare Advantage plans replace them. Insurers that offer Medicare Advantage are required to provide all the benefits of Part A and Part B, and most plans include Part D drug coverage as well. In addition, the plans typically cover certain expenses that Medicare doesn’t, such as hearing, vision and dental care.Most Medicare Advantage enrollees in 2020 paid no additional premiums for their coverage, other than their regular Part B premiums, according to the Kaiser Family Foundation, a health research group.How Medicare Advantage manages costsMedicare Advantage plans are similar to employer-provided group health insurance: To be covered, you typically must choose health care providers in the insurance company’s network. The network may be relatively narrow if the plan is a health maintenance organization (HMO) or somewhat broader if it’s a preferred provider organization (PPO). You may need preapproval for certain types of care or referrals to see specialists. If you go out of network, your costs may not be covered or may not apply to your out-of-pocket limits. Even if your doctor is in-network now, that could change and you might not get much notice.Also, Medicare Advantage plans are typically regional. If you move out of the area or travel to other states, you may not be covered.The devil’s in the details, and Medicare Advantage plans have many, many details. The average Medicare beneficiary has access to 28 Medicare Advantage options, with varying networks, coverage, deductibles, copays and co-insurance, according to the Kaiser Family Foundation. In general, though, Medicare Advantage costs less upfront and potentially more overall if you need lots of medical care. Many Medigap plans have higher upfront costs but cover most if not all of your expenses when you need care.If you want to switch from one Medicare Advantage plan to another, you can do so during annual enrollment periods. But if you want to switch from Medicare Advantage to traditional Medicare, you often won’t have guaranteed access to a Medigap policy. That means the insurer may charge you more, exclude preexisting conditions for a time or not issue you a policy at all.That doesn’t mean Medicare Advantage plans are a poor choice — just a complicated one, says Tatiana Fassieux, a training specialist with California Health Advocates, a Medicare advocacy nonprofit. She recommends people contact their state health insurance assistance program, which can provide free, unbiased one-on-one counseling. Links to these programs can be found by visiting the SHIP National Technical Assistance Center.“People should not rely exclusively on television commercials,” Fassieux says. “That’s when people get stuck and sometimes make the wrong decision.”This article was written by NerdWallet and was originally published by the Associated Press.More From NerdWalletSmart Money Podcast: Fake Reviews and Saving ‘Too Much’Is Moving Now Your Best Financial Move?When Debt Relief Does More Harm Than GoodLiz Weston is a writer at NerdWallet. Email: lweston@nerdwallet.com. Twitter: @lizweston. 5523

After 20 seasons, "Keeping Up With the Kardashians" is coming to an end.Reality TV star Kim Kardashian made the surprise announcement on her social media accounts on Tuesday."It is with heavy hearts that we say goodbye to Keeping Up with the Kardashians," Kim's post said. "After what will be 14 years, 20 seasons, hundreds of episodes and several spin-off shows, we've decided as a family to end this very special journey," the family shared on social media. "We are beyond grateful to all of you who've watched us for all of these years—through the good times, the bad times, the happiness, the tears, and the many relationships and children. We'll forever cherish the wonderful memories and countless people we've met along the way." 744

Actor Stoney Westmoreland has been dropped from his recurring role on the Disney Channel show "Andi Mack" after being arrested by police in Salt Lake City, according to a Disney Channel statement.A probable cause affidavit states Westmoreland, 48, used a dating app to chat with someone he believed to be a 13-year-old boy. The affidavit goes on to state the actor used the app to send explicit pictures and to arrange a meeting for sex.When Westmoreland arrived at the arranged spot, he was arrested by Salt Lake City Police and members of the FBI Child Exploitation Task Force. Salt Lake City Police records show Westmoreland was arrested last week for attempting to entice, seduce or lure a minor by internet or text and is facing four counts of dealing in materials harmful to minors."Given the nature of the charges and our responsibility for the welfare of employed minors, we have released him from his recurring role and he will not be returning to work on the series which wraps production on its third season next week," said the Disney Channel statement.CNN was unable to reach Westmoreland for comment Sunday or determine whether he has retained an attorney.Westmoreland had appeared in 38 episodes of "Andi Mack" as Ham Mack, the main character's grandfather. The show, entering its third season, is a coming-of-age comedy-drama following the middle-school adventures of a 13-year-old girl and her friends. The series is filmed in Utah.Westmoreland has also appeared in eight episodes of the show "Scandal" as Secret Service agent Hal Rimbeau, as well as the series "NCIS," "Breaking Bad" and "Better Call Saul," according to IMDB. 1652

Actress Natalie Desselle-Reid, who was known for her roles in the 1997 movie "B.A.P.S." and the UPN sitcom "Eve," has died.She was 53.Desselle-Reid's manager, Dolores Robinson, and actress Holly Robinson Peete confirmed the news of her passing on Twitter." Natalie Desselle, the beautiful, talented actress, passed away this morning," Dolores tweeted. "Natalie was a bright light. She was an amazing actress and comedienne but also an awesome mother & wife. Sending prayers to her family. I had the pleasure of managing her career."Robinson Peete added that she was "absolutely decimated by this news.""Actress Natalie Desselle, a bright shining star passed away this morning," Robinson Peete said. "I got to know her when my mom was managing her. She will be so missed...sending out prayers to her children and husband. Rest In Peace, Sweet Girl."According to TMZ, Desselle-Reid had been privately battling colon cancer.Desselle-Reid's career included starring opposite Halle Berry in the movie "B.A.P.S." She also starred alongside rapper Eve in the UPN sitcom "Eve" from 2003 to 2006. Fans even knew her for her role in Tyler Perry's "Madea's Big Happy Family," Variety reported.The late actress is survived by her husband, Leonard, and her children, Sereno, Summer, and Sasha, The Hollywood Reporter reported. 1325

A wildfire burning in Arizona, just northeast of the Valley, is now the most massive fire actively burning in the country, according to officials.The wildfire has already demolished more than 114,000 acres, and it is just five percent contained, as of Thursday morning.The good news is no homes nor businesses have been destroyed, but some worry it is just a matter of time, as evacuations have been implemented in multiple towns.Fire crews say the wildfire has spread so rapidly and is difficult to contain because of the heat, low humidity, terrain, and high winds.The threat snuck up on Tonto Basin homeowners like Robyn Hill."I really wasn’t prepared for it. I thought the fire was too far away, and you are just kind of in disbelief," said Hill, who got the evacuation order Monday.Hill said she rushed home from her hair salon business in Payson once the alert came across her phone.She packed up the RV with her husband and two dogs, and they quickly left town."So when you got two hours to get your stuff and go. It would help if you were a little more prepared," she said. "I packed the bread and the peanut butter, but forgot the jelly."While the jelly makes for a good joke, leaving home was no laughing matter."You kind of shed a few tears as you leave the house because it’s my home, it’s my little paradise," said Hill, who tells KNXV she had just finished adding a pool and re-doing her garden and yard during the pandemic slowdown.While Hill and others are evacuating their homes, the Red Cross has been setting up shelters."[Monday] we had over a dozen people check-in," said Jim Gilloon, with the Arizona Red Cross. "We don’t just let them walk in. We do a screen test, we take their temperature, and we ask him questions, and then they are clear to come in."At the shelter, the people forced from their homes can get a meal, information, and then the Red Cross helps find them a place to stay for the night."It’s a wildfire season. So we are prepared," said Gilloon. "The fire is spreading, and there is no containment. So we are looking at several days, a week maybe."Many Arizonans from Punkin Center, Sunflower, and Apache Lake are now sleeping in motels.Casie Malinski though, stayed behind in her Tonto Basin home Tuesday to care for her many animals."This morning I took my older children into Payson and dropped them off with their things," said Malinski. "I have full faith in our hotshots and fire crews who are out here."As 440 firefighters desperately try to squelch the inferno, hundreds more are praying for them."I think everybody is just terrified and hoping they will get it out in time before the residences are lost," said Hill. "Let’s stop it on the highway, please. And before the homes."State Route 87, or the Beeline Highway, is closed from Payson to Bush Highway.State Route 188 is also closed from the 87 junctions to Roosevelt.Fire officials say the fire started due to a car issue on the side of the highway.KNXV's Zach Crenshaw first reported this story. 3008

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