As a retiree from high school teaching in NYC, we have Medicare (80%) and supplemental insurance (20%). Effective Jan. 1, our insurance will be NYC Medicare Advantage Plus Plan and will be administered by Emblem Health and by Blue Shield, not by the troika of Medicare, Emblem Health, and Blue Shield as is presently the case. All medical bills will go to the new plan. The plan in turn will pay the doctors and hospital. There is a $253 deductible for each person and a $300 deductible for hospital admission. My experience is that we are already moving toward Medicare...