エピソード

  • Ep. 772 - See how "The Walking Dead" would sound if the zombies could speak.
    2025/02/21

    In the Medicare Advantage Minute we learn that algorithms used by the big 3 MA companies automatically reject 1 in 4 requests for post-acute care.

    Your Medicare Benefits 2024 teaches us how the program is likely to cover Chronic Care Management Services, in case you ever need them.

    In answers to questions from Randy, I explain that the Part D drug plan online enrollment process has been improved to allow me to enroll my clients. On the other hand, in order to select the "best" plan I must be able to predict the needs of the client will face in the coming year. Otherwise, my recommendation is just a worthless crap shoot.

    Finally I review the changes in drug plans in 2025, list the three benefit stages of a drug plans and list just a few of the problems one might experience with a Medicare Advantage plan.

    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 & help future readers.

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

    続きを読む 一部表示
    30 分
  • Ep. 771 - Pay no attention to the phlegm-ridden man behind the curtain!
    2025/02/19

    Enjoy the fascinating story of how the geniuses at Medicare failed to figure out that Medicare Advantage plans have been dodging the claims of their members who also receive treatment at the VA!

    In "Your Medicare Benefits 2024", we learn how Medicare pays for Children's Kidney Disease and Chiropractic Services.

    Doug's wife has been a happy client with High Deductible Plan G and now his 65th birthday is approaching and he wants in on the fun!

    Finally, we learn that some new programs are coming down the pike, including dementia support services in which volunteers are trained to care for dementia patients.

    (By volunteers we probably mean family members)

    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 & help future readers.

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

    続きを読む 一部表示
    33 分
  • Ep. 770 - When Advantage plans order "JUMP", Gov't squeaks, "How high?"
    2025/02/17

    In the Medicare Advantage Minute, we learn:

    Government Scrapped a MA Rule Over Industry Opposition

    Let the Billions of dollars in fraudulent payments continue to drain the US treasury! MA plans have managed to drag their feet for ten years after government review of patient records fails to find treatments they thought they had paid for.

    Check out how Medicare will pay for Chronic Pain Management in "Your Medicare Benefits 2024".

    Looks like they are planning to cut doctor reimbursements again but the AMA purports to be fighting that action. We should all want to have happy, prosperous doctors serving Medicare!

    Client Shauna writes with some questions that show she has forgotten some of the great benefits of having Medicare + a supplement.

    History & trivia department: Henry VIII's flagship Mary Rose rolled over and sank in 1545. It was finally raised in 1982.

    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 & help future readers.ontact

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

    続きを読む 一部表示
    31 分
  • Ep. 769 - Demonstrators cause ruckus at HQ of largest US health ins. company!
    2025/02/14

    Program note: Pay no attention to the man behind the curtain! This episode was recorded after I endured the "Fungus Among Us" but is presented out of order. References to my disease should be ignored.

    The "Peoples' Action Network" sounds like the Symbionese Liberation Army. On at least one day last summer they expressed interest in making a health insurance company more accountable to its customers.

    In Your Medicare Benefits 2024, we learn how Medicare will help you if you have more than one serious medical condition and need expert assistance.

    Finally, Jeffrey, who says he is a big fan, writes to ask for guidance in coordinating retirement dates, enrollment dates, effective dates and HSA deposits for him and his Mrs.

    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 & help future readers.ontact

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

    続きを読む 一部表示
    30 分
  • Ep 768 - Lady Parts: Medicare will help fix plumbing problems!
    2025/02/12

    In Texas, South West Health Resources is ending their Medicare advantage plans due to "headwinds" from our Medicare Advantage Minute.

    Your Medicare Benefits 2024 describes how Medicare will cover checkups and testing for female problems.

    David writes a lengthy paragraph full of questions about how the insurance each of his family members will be affected when he enrolls in Tricare For Life.

    Talk about a complicated situation!

    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 & help future readers.

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

    続きを読む 一部表示
    33 分
  • Ep. 767 - Do you need Coke bottle bottoms to see? Medicare can help!
    2025/02/10

    According to "Your Medicare Benefits 2024" Medicare will pay to have your cataracts burned off those baby-blues! You might have some decisions to make, though.

    United Healthcare lost another of their in-network hospital chains in six states: Trinity Hospitals.

    Finally, a fan of MLM named Lola wrote in with a perplexing question:

    She is on Medicaid and will soon turn 65. Can she ignore Medicare? Turns out, Perplexity AI said no, she can't. The good news is that after she enrolls in Medicare, Medicaid may step up to pay the Part B premium for a "dual eligible" like Lola.

    Last I heard, she was heading for the phone to confirm this with her Medicaid caseworker!

    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 & help future readers.

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

    続きを読む 一部表示
    35 分
  • Ep. 766 - Do you have a caregiver? Medicare will train her for you!
    2025/02/07

    In the Medicare Advantage Minute, a hospital chain based in Huntsville, AL and environs parts company with United Healthcare, leaving many former members in the lurch.

    If you acquire a caregiver (or "caretaker" as I prefer), and that person needs some training in order to perform effectively, Medicare will assist in accomplishing that.

    In a lengthy segment we wrap up the podcast by listing nine changes affecting Medicare in 2025.

    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 & help future readers.

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

    続きを読む 一部表示
    36 分
  • Ep. 765 - 1 phone call gut punches the largest US health insurance company!
    2025/02/05

    United Healthcare sues the Feds due to a reduction in star ratings. This trouble started with a single marketing call that went south; probably a secret shopper.

    Learn how Medicare would cover cardiovascular counseling and screenings. If your doc accepts Medicare reimbursement you will probably pay nothing for these procedures.

    A lengthy list of insurance company rate filings shows that we are still suffering the ill-effects of a long inflationary spiral.

    Finally, Steve's brother-in-law strongly suggested the purchase of "Medicare for the Lazy Man". While waiting for delivery he thought up some questions, the answers to which may help guide his next steps.

    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 & help future readers.

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

    続きを読む 一部表示
    34 分