Medicare For The Lazy Man podcast

36:06

The Medicare Advantage Minute segment once again illustrates the fact that very few appeals were filed by MA victims of prior authorization refusals. However, the majority of those appeals resulted in reversals of the denials! In "Your Medicare Benefits 2025" we learn how Medicare covers insulin, including the newly created $35 monthly out-of-pocket limit! Moments before recording time a plea for assistance arrived from a victim of the barrage of MA plan brutality that happens to everyone who turns age 65. After hearing a radio interview he decided to emerge from hiding and take a chance on Medicare for the Lazy Man. Finally, How can one appeal a Part D lifetime late enrollment penalty? Just listen to find out! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 818 - A potential client asks ,"Doug, what is your fee?" Who knew I could charge a fee? 32:01

3 дні тому32:01

32:01

In the Medicare Advantage Minute we (again) read that Dr. Oz plans to scrutinize Medicare Advantage plans to make sure they don't continue to pursue the underhanded tactics, like "upcoding" that have allowed some of them to loot the US Treasury for year after year. In "Your Medicare Benefits 2025" the topic of the day is Inpatient Rehabilitation Care. The rest of the episode consists of correspondence and questions from clients and soon-to-be clients. Just what the content curator ordered! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 817 - $260,000 bill but only $39 out-of-pocket? The power of Medicare supplement! 35:21

5 днів тому35:21

35:21

In the Medicare Advantage Minute, "Another Health System Scales Back Its MA Plan" which will leave Vermont and surrounding New England states with fewer MA plan options. In "Your Medicare Benefits 2025 we learn how Medicare covers inpatient hospital expenses. Finally, we have a look at the Big Beautiful Bill. In particular we review four elements that, if passed, would directly affect Medicare. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 816 - Dr. Oz has lots of freedom-loving people worried. What will he "scrutinize" first? 32:14

8 днів тому32:14

32:14

In the "Medicare Advantage Minute" segment we learn a little about what Dr. Oz may prioritize when he assumes command of his little corner of the bureaucracy. How about some oxygen? Hyperbaric Oxygen Therapy is the subject of "Your Medicare Benefits 2025". Finally, have you ever needed to visit a hospital emergency room? Did you wind up leaving in disgust with your medical problem untreated? As it turns out, somebody measures these things in all 50 states plus DC! Also, the results are less politically biased than we have seen in many other survey results. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 815 - News story starts: REVEALED: UNITED HEALTHCARE... You'd better strap in! 33:34

9 днів тому33:34

33:34

In the "Medicare Advantage Minute" we have an item detailing a series of accusations about UHC having planted "operatives" in nursing homes. The goal was to dodge big medical claims by manipulating treatment and stopping hospital transfers. Yet to be determined whether there was any collateral damage. On a lighter note, we visit "Your Medicare Benefits 2025" to learn exactly how Medicare might cover humidifiers. A valued client writes in to ask whether a recent disturbing encounter with solidified intestinal contents might drive him to debtor's prison. After detailing the mathematical calculations Medicare will use in covering the medical charges, the excellent protection provided by Medicare and his High Deductible Plan G may surprise you. I was thrilled to receive some correspondence from a happy housewife who requested my best Medicare supplement recommendation for her and her husband. At least I was thrilled until I learned that they live in Massachusetts, the place with the worst Medicare supplement environment in all of the USA. The fun continues in a future episode so be sure to stay tuned. Finally, an old line property & casualty company brings its Medicare supplement offerings to my portfolio. The first notice I was included regarded a planned rate increase in Nevada. True to form, Plan G was in line for a 28% bump in rates while HDG was due for only 11%. Think about what I have been preaching: 28% of a large number would be a much more painful rate increase than 11% of a much smaller one. Give me High Deductible Plan G every time! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 814 - Want to become my most favorite client in the whole wide world? Just listen... 32:14

12 днів тому32:14

32:14

In the Medicare Advantage Minute we hit the high points in an article entitled "Medicare Advantage So Far: Five Things To Know!" The bottom line was a bunch of MA plan representatives whining about what they think was a niggardly increase in their payment schedule from the Treasury. In the "Your Medicare Benefits 2025" segment we have a very short discussion about hospital beds. Further discussions touched on Bass Ale and finally settled on a lengthy description of the best client I could ever want to have! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 813 - Medicare or MA: Which is best? Answer: Medicare + a Medicare supplement! 32:50

15 днів тому32:50

32:50

In the "Medicare Advantage Minute" we go through news article reporting that the majority of MA members are confused. It had some other negatives to report about Medicare Advantage as well In "Your Medicare Benefits 2024 (or maybe 2025)" we learn exactly how Medicare covers in-home hospice care. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 812 - Weight loss drugs: Medicare limits and market demand on a collision course! 31:12

17 днів тому31:12

31:12

Patients with Medicare Advantage insurance coverage: rural hospitals are asking themselves whether they can afford to keep accepting them! This is the subject of our "Medicare Advantage Minute" today. In "Your Medicare Benefits 2025" we learn how Medicare would cover home infusion therapy services. Then we spot check some rate increase statistics in order to determine whether inflationary trends are still exerting upward pressure on insurance premiums. They are. Medicare is not allowed to provide and pay for drugs whose only function is weight loss. Some of the newly distributed GLP-1 drugs provide weight loss effects as well as beneficial treatment of heart disease and type 2 diabetes. This causes a high demand for these expensive meds. Finally, we learn what some pinko organization thinks are the best states and worst states for overall health care access. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 811 - Stuck in expensive Plan F? Pricey Plan G? Maybe a new Birthday Rule can save you! 33:37

19 днів тому33:37

33:37

In our MA Minute we scan the article: Medicare vs. Medicare Advantage; Ill health often leads to a plan switch! Bottom line: if one gets sick, one begins to see how MA plans can cause misery! In today's "Your Medicare Benefits" we learn how and when Medicare will help with Home Health Services. Client Robert from Virginia is unhappy with the level of Medical inflation that has caused his HDG rates to increase 19%. His home state has just enacted a birthday rule whereby Robert can change companies without having to provide evidence of good health. Birthday rules like this are spreading across the land. Insurance companies say they drive up their costs, leading to premium increases. On the other hand, they can allow overburdened people covered by expensive supplements to have an escape hatch. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 810 - High Deductible Plan G (HDG): the very best Medicare supplement of all! 31:45

22 дні тому31:45

31:45

In the Medicare Advantage Minute" we hear news about seven prior authorization updates from various locations. Since prior authorizations are a big problem with MA plans, this could be good news for the improvements these plans sorely need! In the "Your Medicare Benefits 2024" segment we find out how Medicare might cover HIV screenings. What follows is a short description of shopping for the best Medicare Supplement plan at the lowest cost: SIMPLIFIED! One of my insurance companies is good enough to notify me when clients are scheduled for a rate increase. Some of my clients have the very comprehensive Plan G with this company and I read off a list of the rate increases these clients can expect to receive: shocking compared to the one rate increase scheduled for the client with HDG Plan: a $3.50 monthly increase! I'll take that kind of increase all day every day! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 809 - Serious consideration: Should we invite another Medicare maven to the inner sanctum! 38:22

24 дні тому38:22

38:22

My appearance on a Phoenix radio show led to a brief expression of admiration for another guest's revised professional opinion. That, in turn, confused the hostess who expressed consternation that one would make reference to some other guest. Go figure. I expect an invitation will be issued soon to my new best friend! Meanwhile, in the Medicare Advantage Minute we report on the Department of Justice filing charges against three giant insurance companies. Apparently, they have been paying huge kickbacks to brokerage firms using unscrupulous tactics while pushing victims into MA plans. In the "Your Medicare Benefits 2024" segment we take a peek at how Medicare might over screening and treatment for Hepatitis C. Finally, a radio show caller seeking a free book turned out to be a more interesting conversationalist than one might have expected. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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EP. 808 - Part D drug plans: We take a peek into the future...what is likely to happen to them? 37:27

26 днів тому37:27

37:27

The Medicare Advantage Minute is pre-empted so that we can spend the time examining the current state of Part D Prescription Drug Plans (PDP). We also do some speculation about the economic pressures facing these plans and what changes might be necessary for the year 2026. In the "Your Medicare Benefits 2024" we learn the eligibility requirements and the extent to which Medicare will cover Hepatitis B screening and treatment. Finally, a quiz reveals the healthiest states vs. the unhealthiest states in the USA for older Americans. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep.+807 - Medicare Advantage plans are evil. So why are we increasing their payments? 33:36

29 днів тому33:36

33:36

After a spirited history lesson that finishes our Axis Sally hunk, we enter the "Medicare Advantage Segment". There we learn a little about part of the basis upon which payments by the Federal Government are made to the MA plans. In the "Your Medicare Benefits 2024" segment we are treated to a very complete explanation of precisely how Medicare reimburses the cost of hearing aids. Finally, Randy is challenged with a quiz concerning which of the states are most favorable and which are least favorable for working mothers. He needs to sharpen his guessing skills! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A++) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep.+806 - GOP regretting a creation: Medicare Advantage plans need to be crushed! 38:51

4 weeks тому38:51

38:51

First order of business today is a history lesson: Axis Sally gave her last propaganda broadcast this date in 1945. In the Medicare Advantage Minute we learn good news: Republicans are waking up to the reality that MA plans are turning on Medicare participants like rabid dogs! How will Medicare cover Hearing & Balance exams? Find out in today's segment drawn from the pages of "Your Medicare Benefits 2024". Quiz for the Podcast Producer: Which are the best and worst states for nurses? Finally, we address one dozen FAQs (frequently asked questions) about Medicare. According to the Content Creator, this was an outstanding segment! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers. Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 805 - $queezing billion$$ more from the US Gov't. Gee, who do you suppose would do that? 33:24

5 weeks тому33:24