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The more gold stars a Medicare Advantage plan is gifted by the government, the deeper it is allowed to reach into the US Treasury! On the other hand, a Barium enema can lead to early diagnosis of canc…

The more gold stars …

The more gold stars a Medicare Advantage plan is gifted by the government, the deeper it is allowed to reach into the US Treasury! On the other hand, a Barium enema can lead to early diagnosis of Cancer, so I will take the Barium every time! Finally, we present a short tutorial on how arbitrary and petty Medicare supplement rate setters can be. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review &…

In The MA Minute: Medicare Advantage Plans Need More Oversight; Less Overpayment! Do you dream of bariatric surgery? Wonder whether Medicare will pay for it? Apparently it depends on the extent of you…

In The MA Minute: Me…

In The MA Minute: Medicare Advantage Plans Need More Oversight; Less Overpayment! Do you dream of bariatric surgery? Wonder whether Medicare will pay for it? Apparently it depends on the extent of your obesity. We pay a visit to "Your Medicare Benefits 2024" to find out. ACCENDO, an Aetna subsidiary providing Medicare advantage plans, appears to be drastically reducing the number of states in which it will do business in 2025. What might the consequences be? One client needs Evenity injections for a year. Her thought is that she will be writing big cost-sharing checks due to her Plan HDG. My t…

In our Medicare Advantage Minute for today we take it to the enemy with,  "Medicare Advantage Star Ratings Fall Again!" An excerpt  from "Your Medicare Benefits 2024" explains the coverage available…

In our Medicare Adva…

In our Medicare Advantage Minute for today we take it to the enemy with,  "Medicare Advantage Star Ratings Fall Again!" An excerpt  from "Your Medicare Benefits 2024" explains the coverage available for Medicare participants who need artificial eyes or limbs. Evidence of inflation in the health insurance arena: a list of the Medicare plans which have filed for rate increases in various states. Finally, Jim checks in again with advice from his employer's group insurance agent. Good advice, generally speaking! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                 …

We lead off with the Medicare Advantage Minute article: "Senate Report Slams MA Insurers for Using Tech to Deny Claims" Three apparent culprits are: United Healthcare, Humana & CVS! In the "Your M…

We lead off with the…

We lead off with the Medicare Advantage Minute article: "Senate Report Slams MA Insurers for Using Tech to Deny Claims" Three apparent culprits are: United Healthcare, Humana & CVS! In the "Your Medicare Benefits 2024" segment we delve into the exciting world of anesthesia. How is it covered and how much of it is paid for? One of the most confusing and difficult elements of this subject concerns the ability of a disabled person who is under age 65 to deal with the system if they lack knowledgeable advice. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                  …

Medicare Advantage Minute:  Humana's profit prospects dim as star ratings drop off a cliff! Their clients in four+ star rated plans fall from 94% to 25%. The exciting excerpt from "Your Medicare Bene…

Medicare Advantage M…

Medicare Advantage Minute:  Humana's profit prospects dim as star ratings drop off a cliff! Their clients in four+ star rated plans fall from 94% to 25%. The exciting excerpt from "Your Medicare Benefits 2024" addresses Ambulatory Surgical Centers. Finally, a discussion of one source of potential food contamination devolves into a wide-ranging discussion of the state of freedoms in America.  Free association? You be the judge! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2024; Simple…

Ambulance services and, under certain circumstances, even helicopter rides can be provided by Part B of Medicare. This according to the latest government publication: Your Medicare Benefits 2024. In t…

Ambulance services a…

Ambulance services and, under certain circumstances, even helicopter rides can be provided by Part B of Medicare. This according to the latest government publication: Your Medicare Benefits 2024. In the Medicare Advantage Minute we hear sickening reports of the billions of $$ that have been siphoned off by this program as well as the pathetic efforts used to collect overpayments from the miscreants. How about some special enrollment opportunities? Listen to a lengthy, albeit confusing, array of periods in which certain rules of enrollment welcome certain segments of the Medicare eligible popul…

The story on the state of the Canadian system made reference to one Greg Price. He was a 31 year-old pilot from Alberta who was allowed to die in 2018 from testicular cancer due to the ineptitude inhe…

The story on the sta…

The story on the state of the Canadian system made reference to one Greg Price. He was a 31 year-old pilot from Alberta who was allowed to die in 2018 from testicular cancer due to the ineptitude inherent in their single payer Communist health system. Take a peek back in the crystal ball at AEP 2024. Pundits predicted turmoil and they were right! In the new book "Your Medicare Benefits, we read about alcohol misuse evaluations. In a related story, I describe an encounter with an Arizona doctor who has a blind spot where one particular affliction is concerned. One would-be client wonders if he …

Medicare Advantage Minute headline: HCA Medical System sees way too many prior authorization denials! This Nashville based health system (with 186 hospitals and 2400 care sites in 20 states and the UK…

Medicare Advantage M…

Medicare Advantage Minute headline: HCA Medical System sees way too many prior authorization denials! This Nashville based health system (with 186 hospitals and 2400 care sites in 20 states and the UK) is fighting back against the intense Medicare Advantage pressure of prior authorization service denials: trying to beat them at their own game!  From the government publication "Your Medicare Benefits" comes a description of how Medicare covers Advanced Care Planning. Finally, the plaintive plea for help from our new client arrives.             This sets in motion a plan to use the "Medi…

In the "Medicare Advantage Minute" segment, the headline is: "Hospitals Sick of Fighting for Medicare Advantage Dollars!" This article lists a few more hospitals giving up the struggle[e and resigning…

In the "Medicare Adv…

In the "Medicare Advantage Minute" segment, the headline is: "Hospitals Sick of Fighting for Medicare Advantage Dollars!" This article lists a few more hospitals giving up the struggle[e and resigning from Medicare Advantage networks (notably United Healthcare). Also, spend some time learning about abdominal aortic aneurisms, the problems they cause and the way Medicare covers the diagnostic testing for them. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Gui…

It's the "Medicare Advantage Open Enrollment Period" when you may escape from that MA trap and return to original Medicare if you like! Smart government authorities would authorize enrollment into Med…

It's the "Medicare A…

It's the "Medicare Advantage Open Enrollment Period" when you may escape from that MA trap and return to original Medicare if you like! Smart government authorities would authorize enrollment into Medicare MSA plans during this period. Maybe under the next administration! In The Medicare Advantage Minute: star ratings are taking a big hit as the scores are revised downward. One source is quoted as saying, "The quality of Medicare Advantage Plans ain't what it used to be"! Humana is bleeding providers to such an extent that the government is allowing some of their members to escape to new plans…

In the "Medicare Advantage Minute" segment, we hear that the government plans to establish new guardrails on MA prior authorizations and marketing. New government best selling thriller: Your Medicare …

In the "Medicare Adv…

In the "Medicare Advantage Minute" segment, we hear that the government plans to establish new guardrails on MA prior authorizations and marketing. New government best selling thriller: Your Medicare Benefits! In other health news, 200 Voodoo practitioners were slaughtered in Port-Au-Prince by a gang whose leader assumed they caused his son's illness. Rick, husband of a blackjack dealer, has worked out a complex health insurance plan for the first year of Retirement. Fingers are crossed that neither of us overlooked any important details. Finally, client Paul is very pleased with the coverages…

Have you ever eaten at Bud Harkert's in Omaha? Let us know! The numbers are growing: more participants are being lured and/or forced into Medicare Advantage plans and more participants are falling vic…

Have you ever eaten …

Have you ever eaten at Bud Harkert's in Omaha? Let us know! The numbers are growing: more participants are being lured and/or forced into Medicare Advantage plans and more participants are falling victim to "care rationing". Forty-six million episodes of denial in 2022 alone! The pervasive effects of our current inflationary trends are illustrated in a review of the Medicare supplement rate increases imposed on participants during recent months. A soon-to-be client refers to me as a "very busy national figure" who may not have time to attend to his concerns in the future. I reassured him that:…

Hard to believe in these inflationary times: My recommended plan HDG (known as G+ in New York) is the only plan in its family not being forced to endure a rate increase. Shocking: Financial analyst de…

Hard to believe in t…

Hard to believe in these inflationary times: My recommended plan HDG (known as G+ in New York) is the only plan in its family not being forced to endure a rate increase. Shocking: Financial analyst describes the damage to Humana caused by a government rating reduction. The company is described as "reeling"! M has her choice of Part D prescription drug plans: After a scientific search, her agent advises a Wellcare plan that will cost $60 all year. Her dopey friend suggests a Humana plan at $4000. Finally, a valued client moves to Washington State. She finds a cheaper company we don't have a con…

Source: https://www.podbean.com/eau/pb-dr379-176e38bMedicare MSA is alive and well in Wisconsin, just waiting for the right people to come along: Those who will fail Medicare supplement underwriting…

Source: https://www.…

Source: https://www.podbean.com/eau/pb-dr379-176e38bMedicare MSA is alive and well in Wisconsin, just waiting for the right people to come along: Those who will fail Medicare supplement underwriting, those who want a $0 Medicare plan that will pay them cash each year, frequent travelers willing to trade a high deductible for $0 premium....only in Wisconsin! MA Minute: Providers are fed up with Medicare Advantage! When you acquire a Medicare supplement from, let's say Bob's Storm Door and Supplement  Company,  don't ask the office clerk "Do you accept Bob's Insurance"? She'll say,…

Medicare MSA is alive and well in Wisconsin, just waiting for the right people to come along: Those who will fail Medicare supplement underwriting, those who want a $0 Medicare plan that will pay them…

Medicare MSA is aliv…

Medicare MSA is alive and well in Wisconsin, just waiting for the right people to come along: Those who will fail Medicare supplement underwriting, those who want a $0 Medicare plan that will pay them cash each year, frequent travelers willing to trade a high deductible for $0 premium....only in Wisconsin! MA Minute: Providers are fed up with Medicare Advantage! When you acquire a Medicare supplement from, let's say Bob's Storm Door and Supplement  Company,  don't ask the office clerk "Do you accept Bob's Insurance"? She'll say, No, we don't" without even thinking. Aetna Medicare Advantage p…

FYI, if you take expensive prescription meds, 2025 will bring a $2000 limit on out-of-pocket cost sharing for covered drugs. This failed attempt to buy votes in the recent election has left behind a t…

FYI, if you take exp…

FYI, if you take expensive prescription meds, 2025 will bring a $2000 limit on out-of-pocket cost sharing for covered drugs. This failed attempt to buy votes in the recent election has left behind a trail of unintended consequences and unanticipated turmoil. Mr. Young pays another visit to the podcast to ask how this new limit is likely to work with his prescriptions for Otezla and Skyrizi. My speculation is that the Feds will find a way to mess it up. In the Medicare Advantage Minute: "The sickest patients are fleeing private Medicare plans, costing taxpayers billions!" MA plans do not like s…

It is absolutely moronic to pick a Part D prescription drug plan by recommendation from friends, neighbors or Facebook prowlers. There is only one way to identify the "best" (cheapest) plan:      Â…

It is absolutely mor…

It is absolutely moronic to pick a Part D prescription drug plan by recommendation from friends, neighbors or Facebook prowlers. There is only one way to identify the "best" (cheapest) plan:                         A scientific search by an experienced expert. OTHER QUESTIONS ADDRESSED IN THIS EPISODE: MA Minute:       What might Trump's 2nd term mean for Medicare Advantage plans? Diane is new to Medicare: she has six rapid-fire questions! Joel wants to know if he is crazy: He wants to use Form SSA-44 to appeal the imposition of IRMAA on a recent retiree. No he is not!! Finally…

In out "Medicare Advantage Minute" the question is posed. "Is Medicare Advantage a good deal for enrollees?" We are nudged to spend some time on correspondence from clients and potential clients. For …

In out "Medicare Adv…

In out "Medicare Advantage Minute" the question is posed. "Is Medicare Advantage a good deal for enrollees?" We are nudged to spend some time on correspondence from clients and potential clients. For instance A wife charged with guiding her husband through Medicare enrollment has questions. For instance, exactly what does the term "creditable" signify? Finally, we salute original listener and friend of the podcast Dominick Regina who sent his brother-in-law to MLM for professional Medicare guidance.