• Ep. 725 - Premier US cancer center divorced from BC/BS TX networks!
    Nov 4 2024

    This might explain why Medicare Advantage plans are losing their support.

    More former supporters from each side of the aisle are wavering.

    The Wikipedia entry for Medicare makes the point that the public expresses more support for government programs that are universal than those that are means tested.

    MD Anderson, in Houston, has failed to come to agreement and will not remain in Medicare Advantage networks of the Texas Blues.

    Thanks to a security breach and the evil HIPPA legislation, about one million Medicare participants will be getting new cards with new identifiers (numbers).

    Finally, I was able to view graphs illustrating the dramatic effect that inflation has had on the premium rates of Plans G and N. Too bad those poor victims weren't enrolled in the High Deductible Plan G (HDG) plans touted by Medicare for the Lazy Man!

    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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    32 mins
  • Ep. 724 - Stand-alone dental insurance: the best option for Medicare participants!
    Nov 1 2024

    In the Medicare Advantage Minute segment, we learn that 23 health systems (as of the publishing date) are refusing to accept MA plans for reimbursement in 2025.

    The Wikipedia page about Medicare discusses the possibility and ramifications of reforming care for "Dual Eligibles", those who are eligible for both Medicare and Medicaid.

    Finally, choosing the best prescription drug plan for an individual on Medicare involves following some rules and adhering to some important principles.

    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
  • Ep 723 - "More Medicare Advantage trouble ahead" says CVS while bathing in red ink!
    Oct 30 2024

    More recently, CVS fired another CEO who they just finished paying $21,000,000. What's wrong with this picture?

    The Medicare page of Wikipedia describes the Federal government negotiating the prices of prescription drugs. In my opinion the government doesn't negotiate; they dictate!

    Toni (with an "i") advises a heart patient to dump COBRA ASAP and enroll in Medicare with a supplement for the best insurance protection.

    Finally, esteemed client Bob sets a great example for all of us. He read his ANOC and learned that his current drug plan will perform well for him next year.

    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 722 - $3000 annual savings after a scientific search for the best Part D plan.
    Oct 28 2024

    Many new, naive agents have not been taught the scientific way to save clients a great deal of money by choosing the best Part D drug plan!

    Medicare Advantage Minute:

    "Where health systems are going wrong with MA" turns out to be a promotion of the basic, very silly theories behind HMO plans.

    Wikipedia's Medicare page explores the projected savings vs. costs of changing the eligibility age of Medicare.

    Finally, what are some of the characteristics of those who have Medicare supplements rather than Medicare Advantage? Med supp holders are more likely to be: white, more prosperous and more healthy.

    Y'all come on over and join us, everyone!

    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
    34 mins
  • Ep. 721 - Advantage plans even harder to collect from, hospital execs say!
    Oct 25 2024

    A recent survey of health system CFOs revealed that it is becoming even more difficult to collect reimbursement payments due from patients insured by Medicare Advantage plans.

    Wikipedia page "Medicare" explores several ideas for procedures that might reduce the burden Medicare places on the US treasury. One of the theories is called the "Premium Support" model.

    Enjoy a list of four things to know about drug plan changes in 2025.

    Finally, if your agent fails to do a thorough search of all drug plans available to you, the out-of-pocket cost might just be shocking!

    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. 720 - Medicare for the Lazy Man again in 2025? You bet your booties, Granny!
    Oct 23 2024

    Jones family trips had plenty of room for improvement!

    Headline encountered in the Medicare Advantage Minute:

    MA Plans Propose Cuts While Continuing to Maximize Overpayments!

    The Wikipedia page for Medicare details some of the changes in the program wrought by Obamacare.

    Tom wrote to ask if there would be an MLM 2025 edition. When he was assured there would be, he decided to spend his time listening to podcast episodes until that book hits the store shelves.

    Finally, large pharmacy chains are having profitability problems and will likely shrink the number of stores in their brands.

    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
    34 mins
  • Ep. 719 - Medicare Advantage members feel TRAPPED! - according to a study.
    Oct 21 2024

    After a short time in MA, almost all of those desiring to escape to Medicare with a supplement must show evidence of good health.

    If they cannot satisfy the underwriters, they cannot enjoy the freedom of traditional Medicare with a supplement.

    An esteemed client in Colorado insisted on purchasing Plan G when I advised him to opt for HDG. His Plan G started at around $157 but here he is later at $210 looking at a 15% rate increase next month.

    If he had HDG there would have been no rate increase at all. Told ya so!

    Finally, tragedy strikes a new Jersey town, filling local residents with sadness & grief: the Dominick Reginas are pulling up stakes and heading south to Georgia.

    In the Wikipedia listing for Medicare we learn more about the burdens Obamacare has placed on the government health insurance plan.

    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
    34 mins
  • 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.

    Show more Show less
    37 mins