• Ep.718 - Drug plan search results: WellCare at $0 for the year or..... $1760???
    Oct 18 2024

    If your agent doesn't perform a scientific search for the best Part D drug plan for you, don't believe his recommendations!

    Wellcare plan cost $0 while a Humana plan cost $1,760!

    Same guy, same generic drug, same little town in Missouri produced dramatically different results:

    In the Medicare Advantage Minute, some insurance companies say they are "shrugging off the headwinds" of the current MA turmoil that has the big firms dropping hundreds of thousands of current clients!

    Wikipedia page "Medicare" discusses the ACA (Obamacare) in very sterile terms.

    How are injections covered under Medicare?

    Finally, the story of two new MLM clients:

    One is a renowned Medical doctor whose MA plan refused his prior authorization request then booted him out.

    The other wonders whether her husband should stay on her employer plan or should he get the boot?

    Contact me at: DBJ@MLMMailbag.com

    (Most severe critic: A+)

    Inspired by:

    "MEDICARE FOR THE LAZY MAN 2024; 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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    37 mins
  • Ep. 717 - DARA: Your $4 HDG increase was 12.9%/In Washington it was 0%
    Oct 16 2024

    In the Medicare Advantage Minute we learn about a survey: 50% do not know the difference between original Medicare and MA plans.

    Wikipedia page on "Medicare" addresses legislation and reforms.

    Next we present a couple of sad stories illustrating the fact that, while the VA can be a valuable health resource, veterans should not avoid enrolling in Medicare and a supplement.

    Finally, one political party is attempting to spend $20 billion in an effort to dodge the ire of Medicare participants as their misguided edicts dramatically increase the pressure on drug plans!

    Contact me at: DBJ@MLMMailbag.com

    (Most severe critic: A+)

    Inspired by:

    "MEDICARE FOR THE LAZY MAN 2024; 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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    35 mins
  • Ep. 716 Expensive medications? Listen for special sources that may help!
    Oct 15 2024

    Medicare Advantage Minute article: Changing to a Medicate Advantage plan can be stressful!

    Medicare Wikipedia page: Hospital accreditation and where the cost of residency training comes from.

    Finally, enjoy some interesting correspondence and questions submitted by prospects and actual clients.

    Contact me at: DBJ@MLMMailbag.com

    (Most severe critic: A+)

    Inspired by:

    "MEDICARE FOR THE LAZY MAN 2024; 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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    35 mins
  • Ep. 715 - Prescription Drug Plans: pick the absolute best one for you - DIY!
    Oct 11 2024

    The entire episode is a discussion of the process for selecting the best Part D prescription drug plan (PDP) for you.

    Master this skill without any annoying insurance agents pestering you.

    Contact me at: DBJ@MLMMailbag.com

    (Most severe critic: A+)

    Inspired by:

    "MEDICARE FOR THE LAZY MAN 2024; 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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    40 mins
  • Ep. 714 - MA prior authorization rules impose barriers & delays in needed treatment!
    Oct 9 2024

    Medicare Advantage Minute consists of an article decrying the increase in prior authorization denials. Of 46 million prior authorization requests, over 3 million (7+%) were denied in 2022.

    "Medicare" on the Wikipedia page discusses criticisms of Medicare and the principles behind having participants of various ages contribute to the cost of the program.

    Finally several clients write in with questions related to drug plans and Medicare supplement plans offering discount gym memberships.

    Spoiler alert: the gym membership deal through an AARP sponsored plan did not work out so well!

    Contact me at: DBJ@MLMMailbag.com

    (Most severe critic: A+)

    Inspired by:

    "MEDICARE FOR THE LAZY MAN 2024; 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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    36 mins
  • Ep. 713 - Bob has a million questions about his upcoming Medicare enrollment!
    Oct 7 2024

    Medicare Advantage Minute: Prior authorization denials have been more numerous in recent years. Only 10% of those denials are formally appealed but of that number, 83% are reversed.

    According to Wikipedia, only 5% of Medicare claims are audited so there is plenty of opportunity for fraud, waste and abuse.

    Finally, Bob from Arizona will be turning 65 and enrolling in Medicare in about six months. He had many questions about the procedure. These were clearly stated and almost seemed designed to make yours truly look like an intellectual giant!

    Contact me at: DBJ@MLMMailbag.com

    (Most severe critic: A+)

    Inspired by:

    "MEDICARE FOR THE LAZY MAN 2024; 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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    33 mins
  • Ep. 712 - Is your company insurance better than Medicare? Are you sure??
    Oct 4 2024

    Medicare Advantage Minute: Prior authorization requests are increasing and so are denials. For those with the moxie to file official appeals, the success rate approaches 83%!

    Wikipedia "Medicare" page: More on funding projections. Actuaries find it impossible to predict future solvency without the assumption that current laws will be followed.

    How does one decide whether Medicare is better than the company plan? Look at contribution vs. premium cost, match deductible and cost sharing and finally consider drug coverage.

    Finally, an article from AMAC: Understanding Medicare coverage; what is and is not included.

    Contact me at: DBJ@MLMMailbag.com

    (Most severe critic: A+)

    Inspired by:

    "MEDICARE FOR THE LAZY MAN 2024; 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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    31 mins
  • Episode 711 - Typical of High Deductible Plan G: a very tiny rate bump of $1.26!
    Oct 2 2024

    We begin this episode with advice about staying safe while planting a lip lock on the Blarney Stone.

    In the Medicare Advantage Minute article, we learn that giant MA purveyor Aetna has had three downward earnings projection adjustments lately. This has cost the CEO his job.

    In the Medicare Wikipedia page, the Feds spend a lot of time projecting the solvency or insolvency of Medicare.

    Finally, Toni King fields a question from a liver transplant candidate: how will Medicare pay for the necessary home care post surgery?

    Toni's answer: they will pay nothing.

    Contact me at: DBJ@MLMMailbag.com

    (Most severe critic: A+)

    Inspired by:

    "MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers.

    Official website: https://www.MedicareForTheLazyMan.com.

    Show more Show less
    33 mins