I guess I worded that wrong. I know there aren't a lot of costs involved with 'treating' als, as there is no cure. Sure wish there was. How much could 20% of the durable medical equipment and 20% of doctors visits cost? I don't want to waste money on a supplement plan, but they also pay the deductible for Medicare, almost 1200 a year. Supplement F is about 135 a month for us, and medicare's deductible is about 100 a month. Sorta sounded like a no brainer for me, but I might be missing something. Doesn't look like Medicare gives you a lot of second chances, you have one open enrollment per year, and for the supplements I think you have to enroll in one of them at the first 6 months of becoming elegible for medicare, unless you leave a ppo or hmo plan. But then again, you'll have to wait until the end of the calendar year to get into that. Am I making any sense? Wouldn't it be easier if the medicare system were set up differently?