Podcasts about original medicare

Medicare can feel like a maze of parts, plans and deadlines – and getting it wrong can cost you. On this episode of the HerMoney Podcast, sponsored by LIMRA, Jean sits down with mother-daughter Medicare experts Diane Omdahl and Melinda Caughill of 65 Incorporated to break down exactly what you need to know: when to enroll, how to choose between Original Medicare and Medicare Advantage, and what's changing in 2027 that could catch beneficiaries off guard – from Part D drug plan shakeups to insurers pulling back from Medicare Advantage. We cover: The basics of Medicare – who's automatically enrolled and who isn't, and when you should start prepping to make Medicare decisions A quick guide to Parts A, B, C and D, plus where Medigap fits in Original Medicare vs. Medicare Advantage: the key differences and why the choice matters more than you think What to know about switching plans later – and why timing is everything What's changing with Part D and Medicare Advantage in 2027 A tool that can help simplify comparing your options during open enrollment After you've listened, if you're ready to dig in, LIMRA's 5-step guide to planning for healthcare costs in retirement is a great place to start. It will help you get organized, understand your options, and know what to ask your advisor about building a healthcare strategy before you retire. Learn more about your ad choices. Visit megaphone.fm/adchoices

1047. Host Laura Adams cuts through the confusion and explains the basics of Medicare for anyone approaching 65 or helping a relative compare options. You'll learn how parts of Medicare work, which expenses Medicare doesn't cover, how to fill insurance gaps, avoid lifetime penalties, and the truth about costly Medicare myths.Key Takeaways:Medicare Part A covers hospital and inpatient care (premium-free for most), while Part B covers doctor visits and outpatient services for a monthly premium ($202.90 in 2026).Medicare Advantage (Part C) is an all-in-one alternative that bundles Parts A, B, and usually D into a single plan with network restrictions and out-of-pocket caps, often adding basic dental and vision coverage.Original Medicare doesn't cover long-term care such as assisted living or nursing home stays, or routine dental, vision, and hearing care.Medigap protects against out-of-pocket costs, such as deductibles and 20% coinsurance left behind by Original Medicare, but it cannot be combined with Medicare Advantage.Missing your Initial Enrollment Period triggers lifetime penalties unless you have active, creditable employer health coverage. Enrollment isn't automatic unless you already receive Social Security benefits when you turn 65. Discover more from Money Girl!FacebookNewsletterTranscripts available at QuickandDirtyTips.com.Email: Laura@LauraDAdams.com or leave a voicemail: (302) 364-0308. Hosted on Acast. See acast.com/privacy for more information.

Medicare may be one of the most important—and confusing—financial decisions you make in retirement. Between enrollment deadlines, late penalties, Medicare Advantage, Medigap, prescription coverage, and income-based premiums, there are plenty of decisions to navigate. And because some choices can have long-term financial consequences, understanding the basics before you enroll is an important part of wise stewardship. Eddie Holland, Senior Private Wealth Advisor and Partner at Blue Trust, as well as a CFP®, CPA, and Certified Kingdom Advisor®, recently joined Faith & Finance to help simplify Medicare and explain some of the most important planning considerations. Understanding Medicare Parts A, B, C, and D A good place to begin is with Medicare's different parts. Medicare Part A primarily covers hospital-related care, including inpatient hospital stays, skilled nursing care, and hospice. For people who have accumulated the required work credits through either their own employment or their spouse's, Part A generally does not require a monthly premium. Medicare Part B covers many medical services outside the hospital, including doctor visits, lab work, and outpatient procedures. Unlike Part A, Part B generally carries a monthly premium, and higher-income retirees may pay more. Medicare Part D covers prescription drugs. Those enrolled in Original Medicare—Parts A and B—can generally purchase a separate Part D prescription drug plan. Medicare Part C, better known as Medicare Advantage, is offered through private insurance companies. These plans combine Parts A and B and often include Part D prescription coverage as well. Some plans may also offer additional benefits such as dental or vision coverage. Another option for those using Original Medicare is a Medicare supplement plan, commonly called Medigap. These private plans are designed to help cover some of the deductibles, copayments, and other expenses that Original Medicare does not pay. Pay Close Attention to Enrollment Timing Timing matters when enrolling in Medicare. Your Initial Enrollment Period generally lasts seven months: the three months before the month you turn 65, your birthday month, and the three months afterward. But turning 65 does not always mean you have to immediately leave employer-sponsored health coverage. If you or your spouse are still working and you have qualifying employer coverage, you may have access to a Special Enrollment Period, allowing you to delay certain portions of Medicare without facing a late enrollment penalty. Holland notes that employer size and the nature of the coverage can affect how Medicare coordinates with the employer plan. That makes it important to speak with your employer's benefits or human resources department before making assumptions about which coverage should come first. Employer Size Can Make a Difference If your employer has 20 or more employees, the employer health plan may generally remain the primary payer while you continue working, potentially allowing you to postpone Part B and its monthly premium. With an employer of fewer than 20 employees, Medicare may become the primary payer once you are eligible. In that situation, failing to enroll in Parts A and B could potentially leave gaps in coverage. You should also verify whether your employer's prescription drug coverage is considered creditable coverage for Medicare purposes. That can be especially important if you plan to delay Part D beyond age 65. The larger lesson is simple: Medicare decisions should rarely be made in isolation. Your employer coverage, retirement date, spouse's coverage, prescription needs, and other factors all need to be considered together. What Is IRMAA? For higher-income retirees, another important acronym to know is IRMAA, or the Income-Related Monthly Adjustment Amount. IRMAA is an additional charge added to Medicare Part B and Part D premiums when modified adjusted gross income exceeds certain thresholds. For 2026, Holland notes that IRMAA begins above $109,000 in modified adjusted gross income for single filers and $218,000 for married couples filing jointly. Medicare generally bases the surcharge on the most recent tax information available, which often means looking back two years. So, for example, 2026 Medicare premiums may be based on income reported on a 2024 tax return. That two-year lookback can surprise people whose financial situation has recently changed. If your income has fallen because of certain qualifying life-changing events, such as retirement, marriage, or widowhood, you may be able to request a reconsideration of the surcharge using Social Security Form SSA-44. Roth Conversions Can Affect Medicare Premiums IRMAA can also become an important consideration when planning Roth conversions. Suppose you retire before age 65 and decide to convert a significant amount of traditional IRA money to a Roth IRA. The conversion increases your taxable income for that year. Because Medicare looks back at previous tax returns when determining IRMAA, a large Roth conversion in the years immediately preceding Medicare enrollment could lead to higher Part B and Part D premiums later. That doesn't necessarily mean you shouldn't complete the conversion. It simply means you should include the potential Medicare impact in the calculation. Tax planning, retirement planning, and Medicare planning are often interconnected. A decision that makes sense in one area can create consequences in another. Be Careful With HSA Contributions Health Savings Accounts require special attention as you approach Medicare eligibility. Once you are enrolled in Medicare, you can no longer contribute to an HSA. If you enroll around age 65, you need to coordinate the end of your HSA contributions with the beginning of your Medicare coverage. The issue becomes even more important for those who enroll after age 65 because Medicare Part A coverage can sometimes be applied retroactively, potentially affecting HSA eligibility for previous months. Holland recommends understanding the retroactive period before enrolling so you don't inadvertently make excess HSA contributions. Social Security can complicate matters further. If you begin receiving Social Security benefits, you may automatically be enrolled in Medicare Part A. Anyone who is still contributing to an HSA should account for that before applying for Social Security. The good news is that money already accumulated in an HSA remains tax-advantaged and can still be used for many qualified medical expenses in retirement, including certain Medicare premiums. Holland notes, however, that HSA funds cannot be used tax-free to pay Medigap premiums. What If One Spouse Reaches Medicare Age First? Married couples can face another challenge when one spouse becomes eligible for Medicare while the other is still several years away. If the older spouse continues working, the employer plan may continue covering both spouses. Some companies also provide retiree benefits that extend coverage to a younger spouse after the older spouse retires. If employer coverage isn't available, COBRA may provide temporary coverage, although it can be expensive. Another possibility is purchasing insurance through the federal or state health insurance marketplace, where the younger spouse may qualify for premium subsidies depending on household circumstances. Whatever option you choose, don't overlook the cost. If one spouse retires several years before the other reaches Medicare eligibility, higher healthcare premiums may need to become a deliberate part of the retirement budget. Make Medicare Part of Your Larger Retirement Plan Medicare isn't simply a healthcare decision. It can affect your taxes, retirement income, Social Security strategy, HSA contributions, and monthly spending. That's why careful planning before age 65 can be so valuable. Understand what each part of Medicare covers. Know your enrollment windows. Talk with your employer before leaving workplace coverage. Consider the impact of your income on Medicare premiums. And coordinate decisions involving HSAs, Roth conversions, Social Security, and your spouse's health coverage. Medicare may be complicated, but you don't have to approach it blindly. Taking the time to understand your options can help you avoid costly mistakes, choose coverage that fits your circumstances, and steward the resources God has entrusted to you with greater wisdom and confidence. On Today's Program, Rob Answers Listener Questions: I have a mortgage and a car loan and am considering consolidating them into one payment. Is that a good idea, and what type of loan would make sense? I received a letter saying my student loans were placed in permanent disability status, but I never applied for that. How can I verify whether it's legitimate and correct the situation if needed? Resources Mentioned: Faithful Steward: FaithFi's Quarterly Magazine (Become a FaithFi Partner) Blue Trust Christian Healthcare Ministries (CHM) | Healthcare.gov AnnualCreditReport.com FaithFi Field Guide: How Much Money is Enough? Our Ultimate Treasure: A 21-Day Journey to Faithful Stewardship by Rob West Wisdom Over Wealth: 12 Lessons from Ecclesiastes on Money Look At The Sparrows: A 21-Day Devotional on Financial Fear and Anxiety Rich Toward God: A Study on the Parable of the Rich Fool Find a Certified Kingdom Advisor® (CKA) FaithFi App Remember, you can call in to ask your questions every weekday at (800) 525-7000. Faith & Finance is also available on Moody Radio Network and American Family Radio. You can also visit FaithFi.com to connect with our online community and partner with us as we help more people live as faithful stewards of God's resources. Hosted by Simplecast, an AdsWizz company. See pcm.adswizz.com for information about our collection and use of personal data for advertising.

This article provides an honest look at Medicare Advantage, including its costs, benefits, provider networks, and potential limitations. It helps beneficiaries decide whether Medicare Advantage or Original Medicare better fits their healthcare needs.

The right question is not simply how much Plan G costs. It is what you receive in exchange for that monthly premium.Medicare Supplement Plan G is often described as one of the most comprehensive Medicare coverage options available.That description is accurate. It is also only half the story.Plan G covers nearly all the out-of-pocket costs left behind by Original Medicare. For people who want predictable healthcare expenses and the freedom to see Medicare-accepting providers nationwide, that can be extremely valuable.

Turning 65 opens the door to Medicare—but it also introduces a maze of choices that can have lasting financial and healthcare consequences. In this episode of Finishing Well, certified financial planner Hans Scheil and co-host Robbie Dilmore break down the critical decisions you'll face when enrolling in Medicare. Should you delay enrollment? What's the difference between Original Medicare with a supplement and a Medicare Advantage plan? How do provider networks, prior authorizations, premiums, and out-of-pocket costs affect your future care? Hans shares decades of experience helping retirees make informed Medicare decisions, explaining why the lowest upfront cost isn't always the best long-term value. Through real-life examples and practical guidance, you'll learn how to avoid common pitfalls and choose a path that fits your healthcare needs, financial goals, and peace of mind. Rooted in biblical wisdom and practical financial planning, this episode will help you approach one of retirement's biggest decisions with confidence instead of confusion. "Visit cardinalguide.com to access free retirement resources, browse our complete library of episodes, and connect with the Finishing Well ministry. Together, we're helping people honor God by finishing well."

 Need help scaling your business? Check out Hire Heroes and claim your first 20 hours of virtual assistant support completely free:  https://hireheroes.com/  In this episode of the Seven Figures Or Bust Podcast, Christian Brindle and Glen Shelton dive into the latest Medicare headlines, including controversial comments from HHS and CMS leadership, a proposed $5,000 Medicare out-of-pocket cap, AHIP season discussions, and what these developments could mean for agents across the country. Plus, they share behind-the-scenes stories, business lessons from the Savannah Bananas phenomenon, and insights on scaling your agency the right way.  

Turning 65 opens a new season of life—and with it comes some of the most important financial and healthcare decisions you'll ever make. In this episode of Finishing Well, Certified Financial Planner Hans Scheil and co-host Robbie Dilmore continue their Financial Plan Series by exploring Medicare, IRMAA (Income-Related Monthly Adjustment Amount), and how these choices fit into a comprehensive retirement strategy. Hans walks through the key Medicare decisions every retiree faces, including the differences between Original Medicare and Medicare Advantage plans, the importance of Medicare Supplement coverage, and why your initial enrollment period can create opportunities that may never come again. Using the real-life financial planning case of Tom and Susan, listeners will learn how Medicare decisions affect healthcare costs, retirement income planning, tax strategies, and long-term financial security. The discussion also covers Medicare Part D prescription drug plans, common enrollment mistakes, and strategies for managing or potentially reducing costly IRMAA surcharges. Through personal experiences and practical examples, Hans and Robbie highlight how choosing the right Medicare coverage can protect both your health and your retirement savings. Whether you're approaching age 65, already enrolled in Medicare, or helping a loved one navigate retirement healthcare decisions, this episode provides valuable insights to help you make informed choices and avoid costly mistakes. Topics Covered: Original Medicare vs. Medicare Advantage Medicare Supplement (Plan G) coverage Open enrollment opportunities and deadlines Medicare Part D prescription drug plans Understanding IRMAA and Medicare premiums Healthcare planning as part of a complete retirement strategy Real-world retirement planning case study Learn how thoughtful Medicare planning can help you finish well in retirement.

MEDICARE ADVANTAGE VS ORIGINAL MEDICARE: KEY DIFFERENCES WATCH ON YOUTUBE Thad Ismart, CFP®, ChFEBC, CEPS Senior Financial Planner, BWFA Tessa Hall Media and Communications Specialist About This Episode Tessa speaks with BWFA's Thad about how to compare Medicare plans and what individuals should consider when evaluating coverage options. They explain the differences between Original Medicare and Medicare Advantage plans, along with how prescription coverage, Medigap policies, and supplemental benefits can affect overall costs. The conversation also covers travel coverage, plan comparisons, and why many individuals overpay simply because they do not review their options regularly. To better understand how Medicare planning fits into your broader retirement strategy, visit our Financial Planning services page. Read Full Description Choosing a Medicare plan involves more than comparing monthly premiums. Coverage, deductibles, prescriptions, and long-term healthcare needs can all impact which plan makes the most sense. In this episode of Healthy, Wealthy & Wise, Tessa speaks with BWFA's Thad about how to compare Medicare plans and evaluate different coverage options. They explain the differences between Original Medicare and Medicare Advantage plans, as well as how Medigap policies and prescription drug coverage fit into the overall picture. The discussion also highlights why many individuals overpay for Medicare. In many cases, people continue using the same plan year after year without reviewing costs or comparing alternatives. Travel coverage is another important consideration. Some Medicare Advantage plans may include coverage for healthcare outside the United States, while Original Medicare typically does not. The episode also explains why comparing plans regularly matters. Even when benefits remain similar, pricing can vary significantly between providers. Ultimately, Medicare planning requires balancing costs, flexibility, and healthcare needs. Understanding your options can help you make more informed decisions, avoid unnecessary expenses, and feel more confident about your healthcare coverage throughout retirement as healthcare needs and costs continue changing over time.

MEDICARE PLANNING: UNDERSTANDING YOUR MEDICARE OPTIONS WATCH ON YOUTUBE Thad Ismart, CFP®, ChFEBC, CEPS Senior Financial Planner, BWFA Tessa Hall Media and Communications Specialist About This Episode Tessa speaks with BWFA's Thad about Medicare planning and the differences between Original Medicare and Medicare Advantage plans. They explain how Medicare works, what the different parts cover, and why choosing the right structure can impact both costs and coverage. The conversation also covers enrollment timing, penalties for late enrollment, and why reviewing prescription drug and supplemental coverage is important. To better understand how Medicare planning fits into your broader retirement strategy, visit our Financial Planning services page. Read Full Description Medicare planning can feel overwhelming, especially when trying to understand the differences between Original Medicare and Medicare Advantage plans. In this episode of Healthy, Wealthy & Wise, Tessa speaks with BWFA's Thad about how Medicare works and what individuals should consider before enrolling. They explain the different parts of Medicare, including Parts A, B, C, and D, along with how each type of coverage functions. The conversation also explores the differences between Original Medicare and Medicare Advantage plans. While Medicare Advantage offers a more streamlined, all-in-one approach, Original Medicare may provide more flexibility and lower costs in some situations. Enrollment timing is another important part of Medicare planning. Missing deadlines can result in permanent penalties, so it’s important to understand when to enroll and which exceptions may apply. The episode also highlights why reviewing prescription drug coverage and Medigap policies matters. Many individuals overpay simply because they do not compare plans or regularly review coverage options. Ultimately, Medicare planning involves balancing costs, coverage, and long-term healthcare needs. Understanding your options can help you make more informed decisions and avoid unnecessary expenses in retirement.

Uncover 5 common Medicare myths about incontinence coverage for seniors. Learn what Original Medicare covers, what it doesn't, and what to know for 2026.

About the Guest(s):Amy Irvine is the founder and CEO of Rooted Planning Group, a firm dedicated to grounding financial advice in real-life events. With extensive experience in financial planning, Amy and her team focus on providing individuals with advice tailored to their unique circumstances. Known for her engaging and informative approach, Amy hosts the Money Roots podcast, where she delves into financial topics that matter most to everyday listeners.Episode Summary:In this enlightening episode of Money Roots, Amy Irvine, the insightful CEO and founder of Rooted Planning Group, tackles the intricate world of Medicare. As healthcare costs continue to rise, understanding Medicare becomes crucial for those planning their retirement years. Medicare, a government health insurance program, is often riddled with confusion due to its complex rules and options. Amy provides a deep dive into these rules, helping listeners navigate the choices available to them, emphasizing the importance of integrating Medicare decisions into overall financial planning.Medicare comprises several parts, each serving distinct purposes: Part A covers hospital stays, while Part B covers medical services, both under "Original Medicare." Parts C and D offer additional advantages through private insurers, adding complexity and choice to the benefit structure. Amy elucidates on the surprising costs associated with Medicare, particularly addressing IRMAA (Income Related Monthly Adjustment Amount), a surcharge affecting Part B and D premiums. Essential strategies are shared, helping retirees plan effectively, from the significance of annual reviews to adjusting for IRMAA expectations. Amy's insights highlight the complex decision-making required for comprehensive retirement planning.Key Takeaways:Medicare is a key consideration in financial planning for retirees due to its complexities and costs.Annual reviews of Medicare plans are essential, as healthcare needs, and associated costs can change.IRMAA adjustments can greatly impact Medicare premiums and require careful income planning.Choosing between Medigap and Medicare Advantage plans depends on individual healthcare needs and financial situations.Some techniques, like Roth IRA conversions and Qualified Charitable Distributions, can help manage healthcare costs.Notable Quotes:"Once you elect Medicare coverage and supplements, don't set it and forget it. This is something that you should review every single year during open enrollment.""Medicare's importance has only grown as healthcare costs have steadily risen.""IRMAA operates as a cliff... this can catch even savvy retirees by surprise if their income rises above certain levels.""Choosing between Medigap and Medicare Advantage plans is not just affected by healthcare requirements, but also by the financial risk profile.""Medicare planning is not a one-time decision; it requires annual review because... health status and income levels can all change."Resources:For more on Rooted Planning Group and the Money Roots podcast: Rooted Planning GroupAdditional resources and transcript of the episode can be found in the episode's show notes at www.rootedpg.com/podcasts/2026/4/14/navigating-medicare-key-insights-for-financial-planning-successListeners are encouraged to dive into the full episode to uncover detailed insights and practical strategies on effectively planning for healthcare costs in retirement. Stay tuned to Money Roots for more engaging discussions about money matters that support your life's events.

In this Episode of the Secure Your Retirement Podcast, Radon Stancil and Murs Tariq discuss emerging Medicare policy changes with Medicare specialist Sean Southard, focusing on a new Medicare pilot program introducing prior authorization into Original Medicare. This important conversation highlights how Medicare prior authorization could reshape retiree healthcare, especially for those relying on Medicare and Medigap plans for flexibility and simplicity in their retirement financial plan.Listen in to learn about how Medicare changes in 2026 may impact Healthcare in retirement, including new Medicare coverage rules and the evolving Medicare approval process. The discussion explains prior authorization explained in simple terms and explores how these changes may affect Medicare costs, access to care, and long-term retirement planning strategies for those looking to retire comfortably and secure your retirement.In this episode, find out:What Medicare prior authorization is and how it changes the current structure of Original MedicareDetails of the Medicare pilot program launching in select states and what it could mean nationwideHow Medicare and Medigap plans may be impacted by new Medicare policy changesWhich procedures may require approval under new Medicare coverage rulesHow these changes could affect your retirement checklist and overall plan for retirementTweetable Quotes:“Prior authorization is about checking before a procedure happens instead of paying first and reviewing later—and that's a big shift for Original Medicare.” – Murs Tariq“Even if this starts as a small pilot program, the writing on the wall suggests it could expand and impact how retirees experience Medicare nationwide.” – Radon StancilAs Medicare for retirees continues to evolve, understanding changes like prior authorization is essential for building a strong retirement financial plan. While the goal of these Medicare policy changes is to reduce fraud, waste, and rising Medicare costs, they may also introduce new administrative steps, potential delays, and added complexity in accessing care.For those focused on planning retirement, staying informed about healthcare in retirement is just as important as managing investments. Whether you rely on Original Medicare, supplement with Medigap plans, or are evaluating options, being proactive about these changes can help you better plan for retirement, update your retirement checklist, and continue retiring comfortably with confidence.Resources:If you are in or nearing retirement and you want to gain clarity on what questions you should be asking, learn what the biggest retirement myths are, and identify what you can do to achieve peace of mind for your retirement, get started today by requesting our complimentary video course, Four Steps to Secure Your Retirement!To access the course, simply visit POMWealth.net/podcast.

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Ep 120: In this episode of the Retirement Success in Maine Podcast, we revisit one of the most important decisions retirees face: Medicare. Our guest, Ann Shea, Medicare Supervisor at the Eastern Area Agency on Aging, shares practical insights about how Medicare works in 2026 and beyond, including changes to prescription drug costs, Medicare Advantage plans, and rising premiums. Our conversation breaks down the differences between Original Medicare, Medigap, and Medicare Advantage, explains how to evaluate your options, and highlights common mistakes retirees make when choosing coverage. If you're approaching age 65 or helping a loved one navigate Medicare, this episode will help you better understand your choices and make more confident decisions. Chapters Intro: Medicare and Retirement Planning [00:00] Meet Ann Shea and the Eastern Area Agency on Aging [02:00] Understanding Medicare Basics [08:00] Medicare Advantage vs. Original Medicare [23:00] Medicare Costs and Prescription Drug Changes [33:30] When and How to Review Your Medicare Coverage [43:00] Advice for People Approaching Medicare [49:00] Ann's Retirement Success and Final Thoughts [52:00]

In this episode of The Broker Link Podcast, Regional Sales Directors Cynthia Rosales and Leigha Hayes break down one of the most common questions agents face: Medicare Supplement vs. Medicare Advantage plans. The conversation begins with Original Medicare, which typically covers about 80% of approved medical costs, leaving beneficiaries responsible for the remaining 20%. Cynthia and Leigha explain how Medicare Supplement Plan G can help fill that gap by providing predictable coverage for many out-of-pocket expenses. They discuss guaranteed issue opportunities for Medicare Supplement plans, including when individuals turn 65 or transition off employer group coverage. While Plan G benefits are standardized across carriers, premiums can vary — with typical monthly costs for a 65-year-old female ranging between $100 and $200 depending on the carrier and location. The episode also explores Medicare Advantage plans, which often feature $0 premiums but require copays and cost-sharing when services are used. These plans may also bundle additional benefits such as prescription drug coverage, dental, vision, and hearing services. Cynthia and Leigha emphasize that both Medicare Supplement and Medicare Advantage plans include out-of-pocket maximum protections, helping beneficiaries manage financial risk while choosing the coverage option that best fits their healthcare needs and budget. Learn more about partnering with The Brokerage Inc. by visiting our website, www.thebrokerageinc.com. Remember to like, share, and subscribe to our show!  New episodes are available every Tuesday. Join our Community! Linkedin: https://www.linkedin.com/company/the-brokerage-inc-/   Facebook:  https://www.facebook.com/thebrokerageinc/  Instagram:  https://www.instagram.com/thebrokerageinc/  YouTube:  https://www.youtube.com/@TheBrokerageIncTexas  Website:  https://thebrokerageinc.com/ 

Medicare is one of the most confusing parts of retirement planning. In this episode, Alex and Wade break down the basics, including the difference between Medicare Parts and Plans and the key choice retirees face between Original Medicare (Parts A, B, and usually D with a supplement) and Medicare Advantage (Part C). They discuss the tradeoffs between lower premiums and provider flexibility, how Medigap supplements like Plan G can reduce out-of-pocket costs, and why switching from Medicare Advantage to a supplement later may not always be possible. The conversation also touches on what Medicare does not cover and how retirees can estimate healthcare costs as part of their retirement plan. Listen now to learn more! Takeaways Most Americans become eligible for Medicare at age 65.  Retirees must choose between Original Medicare (Parts A, B, and usually D) or Medicare Advantage (Part C). Medigap supplements, such as Plan G, can help cover deductibles and coinsurance with Original Medicare. Original Medicare offers broader provider access, while Medicare Advantage often has lower premiums but network restrictions.  Switching from Medicare Advantage to a supplement later may require medical underwriting. Dental, vision, hearing, and long-term care are generally not fully covered by Medicare.  Retirees can compare options using Medicare.gov's Plan Finder or an independent broker.   Chapters 00:00 Introduction to Medicare and Health Care in Retirement 02:09 Understanding Medicare Parts A, B, C, and D 07:15 Medicare Supplements: Plans A through N 14:07 Comparing Medicare Advantage and Original Medicare 19:39 Navigating Medicare Enrollment and Budgeting for Health Care   Links

MEDICARE ADVANTAGE MINUTE!                                                                     ONE THIRD OF INSURED ADULTS SAY THAT PRIOR AUTHORIZATION HAS BEEN A MAJOR BURDEN IN ACCESSING CARE! We address correspondence from some who have unusual situations with respect to Medicare. An 81-year-old man is covered by Original Medicare only. His son writes to ask about the possibilities of improving his father's protection by acquiring a Medicare supplement. Then Len writes to ask whether the series of steps his friend Dan has planned makes sense. The goal: disenroll from Dan's existing Medicare Advantage plan and begin to enjoy superior Medicare protection and freedom of choice with a supplement plan, Finally, play along with a quiz related to the most and least friendly cities for those seeking STEM jobs. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!" "MEDICARE ENROLLMENT GUIDE!" (Free download from site below) "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Is Medicare's 20% coinsurance costing you more than you realize? In this episode, we break down how the 20% gap in Original Medicare works—and why there's no cap on what you could owe in a major medical year. Learn how a Medicare Supplement plan can help shield you from potentially unlimited bills, giving you greater financial protection and peace of mind in retirement. 

Many retirees are shocked to learn Medicare doesn't cover everything. In this episode, we uncover the hidden and unexpected costs that can catch you off guard—like deductibles, coinsurance, excess charges, and common gaps such as dental and vision. Learn what Original Medicare doesn't cover and how a Medicare Supplement plan can help protect your savings from costly surprise medical bills. 

Wondering what Original Medicare doesn't cover? In this episode, we break down the most common coverage gaps that can lead to expensive out-of-pocket costs—and how Medicare Supplement plans help fill them. Learn about 2026 deductibles, foreign travel emergency benefits, and smart ways to protect your retirement savings with more predictable coverage. 

Did you know Original Medicare has no annual out-of-pocket maximum? That means there's technically no limit to what you could pay in a serious medical year. In this episode, we explain why this coverage gap exists, how it can impact your retirement savings, and how a Medicare Supplement plan can help protect you from potentially unlimited medical bills and costly surprises. 

Medicare is one of the most important—and most misunderstood—financial decisions people face as they approach retirement. And for many, the confusion doesn't come from a lack of effort, but from a system that isn't intuitive and comes with rules, deadlines, and consequences that aren't always clear until it's too late. In this episode of The Patti Brennan Show, Patti is joined by Eric Fuhrman, Chief Planning Officer at Key Financial, for a practical, listener-driven conversation answering real Medicare questions we hear every day. From missed enrollment windows to choosing between Original Medicare and Medicare Advantage, Patti and Eric break down what actually matters—and why timing is often more important than cost.

Considering a switch from Medicare Advantage to Original Medicare? In this episode, we break down the key differences between the two, the important enrollment windows you need to know, and how to secure a Medicare Supplement plan for more flexibility, fewer restrictions, and stronger long-term coverage. Tune in to learn the smart steps to make the transition with confidence. 

On this episode Gil and Gregg welcome Mendel Erlenwein, Founder & CEO of CareCo and CEO of Previva Health Group, to unpack why care coordination is the hidden engine of value-based care, and why AI's most important job in healthcare may be restoring time, trust, and humanity to the patient relationship. They explore Mendel's “brain amplifies heart” thesis, the operational realities of chronic care management and care transitions, and why CMS's newly announced ACCESS Model signals a faster move toward outcome-aligned, technology-supported care in Original Medicare. To stream our Station live 24/7 visit www.HealthcareNOWRadio.com or ask your Smart Device to “….Play Healthcare NOW Radio”. Find all of our network podcasts on your favorite podcast platforms and be sure to subscribe and like us. Learn more at www.healthcarenowradio.com/listen

MEDICARE ADVANTAGE MINUTE:                                                                      CMS (THE FEDERAL GOVERNMENT) TIGHTENS MEDICARE ADVANTAGE PRIOR AUTHORIZATION RULES!                                                                                              Before that we discuss the qualities of certain members of England's Royal Family. January 1st saw a pilot program begin, creating prior authorization requirements for a few procedures performed under Original Medicare in six states. The program will be testing whether enhanced technologies like AI and machine learning can streamline prior authorizations and medical reviews. New, soon-to-be-client Sheryl, is taking a very cerebral approach to the concept of Medicare supplement rate stability. She discovered a site called: SERFF.com and is trying to identify those Medicare supplement plans with less rate stability, which most would prefer to avoid. Inadvertently, she uncovered a pattern that confirms my repeated assertion about Plan G vs. High Deductible Plan G: Plan G increases will be larger and more frequent while the rate increases under HDG will tend to be smaller and less frequent. Finally, I received six messages inviting me to be a guest on a brand new podcast. I was offered the opportunity to program the time for an initial chat but could not figure out how to use the scheduling app.  Stay tuned!        Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+)                   Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: ENROLLMENT GUIDE!" (coming soon) For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Toni discusses the Medicare Advantage Open Enrollment Season. Toni's new Medicare Survival Guide Advanced Edition book is available now - pick up your copy at www.tonisays.com Download your Free Guide: How Do I Enroll in Medicare? https://tonisays.com/free-download-how-to-enroll/ Remember - with Medicare it's what you don't know that will hurt you! There's so much good information in this podcast, please be sure to share this podcast with your friends! Recognized by feedspot.com as one of the best Medicare Podcasts in the nation! Write Toni - info@tonisays.com. Toni's book is available at www.seniorresource.com and https://tonisays.com You can call Toni at 832-519-8664 Toni welcomes all Medicare questions. Toni now offers informative Medicare Webinars for all of your Medicare needs at https://tonisays.com You can find Medicare Moments wherever you find your favorite podcasts, such as: Apple: https://apple.co/44MoguG Spotify: https://open.spotify.com/show/7c82BS4hb145GiVYfnIRsoAmazon Music: https://music.amazon.com/podcasts/884c1f46-9905-4b29-a97a-1a164c97546b/medicare-moments?refMarker=null You can find Medicare Moments at: https://podcasts.seniorresource.com/medicare-moments/ Toni's new book: Maze of Medicare is now available at www.tonisays.com Combining Scripture with Medicare, it is the only book of its kind. Toni's columns appear weekly in about 100 newspapers across America. If you would like Toni's column to appear in your local paper, or if you would like Toni to speak at an event - contact Toni King at 832-519-8664 Thank you for listening and be sure to tell your friends about Medicare Moments! Blessings! Toni KingSee omnystudio.com/listener for privacy information.

Part 1:We talk with Jan Dutkiewicz, contributing editor at The New Republic, and Asst. Prof. of Political Science at the Pratt Institute.We discuss the promise of newly inaugurated Mayor Mamdani to establish city grocery stores in 'food deserts' in NYC. We discuss this in the context of affordability of all aspects of life in NYC: rents, transportation, health care, child care, and the communities that comprise NYC. Budget issues for families are important.Part 2:We talk with Joyce Frieden, who oversees the MedPage coverage of Washington and health policy. We discuss how Medicare is being changed to adopt some features of the various Medicare Advantage Plans, specifically, around prior authorization. This is a feature that is particularly unpopular with doctors and patients, but is being tried in some markets: NJ, OH, OK, TX, AZ, and WA. The vendors who perform these prior reviews are paid for denials. In addition, we talk about how having been with a Medicare Advantage plan hurts patients who want to return to Original Medicare coverage only, with only a few states that avoid this: IN, ME, MA, CONN, and NY.  WNHNFM.ORG  productionMusic: David Rovics

In this episode of the 9Innings Podcast, Kevin Thompson, founder and CEO of 9i Capital Group, breaks down the most important financial planning considerations retirees need to understand heading into 2026. Kevin explains key tax changes, including the Enhanced Senior Deduction and the new above-the-line auto loan interest deduction, and outlines strategies for maximizing the standard deduction. He also discusses rising Medicare premiums, IRMAA exposure, and how to evaluate Medicare Advantage versus Original Medicare with Medigap. Throughout the episode, Kevin emphasizes proactive planning to manage taxes and healthcare costs, helping retirees make informed decisions and protect long-term retirement income.Enhanced Senior Deduction (00:01:07)Above-the-Line Car Loan Interest Deduction (00:03:12)Stacking Deductions and Standard Deduction Planning (00:04:21)Medicare Premiums and IRMAA (00:05:31)IRMAA Triggers and Tax Coordination (00:07:55)Medicare Advantage vs. Original Medicare (00:08:52)Medigap and Underwriting Considerations (00:10:39)NEWSLETTER (WHAT NOW): https://substack.com/@9icapital?r=2eig6s&utm_campaign=profile&utm_medium=profile-page Follow Us: youtube: / @9icap Linkedin: / kevin-thompson-ricp%c2%ae-cfp%c2%ae-74964428 facebook: / mlb2cfp Buy MLB2CFP Here: https://www.amazon.com/MLB-CFP%C2%AE-90-Feet-Counting-ebook/dp/B0BLJPYNS4 Website: http://www.9icapitalgroup.com Hit the subscribe button to get new content notifications. Corrections: Editing by http://SwoleNerdProductions.com Disclosure: https://sites.google.com/view/9idisclosure/disclosure

Did your Medicare plan end or change unexpectedly? This episode explains what happens when a plan exits the market, isn't renewed, or reduces its service area—and how these events may qualify you for a Special Enrollment Period (SEP). Learn your options for switching plans, returning to Original Medicare, or enrolling in a Medicare Supplement plan with Guaranteed Issue rights, all without waiting for the next enrollment window.

     MEDICARE ADVANTAGE MINUTE:                                                                  MA enrollees have access to only about half of the physicians that would be available to traditional Medicare participants                                                     (those in Original Medicare with a Medicare supplement)      YOUR MEDICARE BENEFITS 2025:                                                           Supplies Article: "Challenges of Choice in Medicare"                                                                  Many people struggle with the Medicare decisions the must make. Finally, a prospective client has four questions for which he seeks answers. 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!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: BARE BONES!" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Want to know exactly what you'll be paying for Medicare in 2026? We've got you covered. In this episode, we walk through the official 2026 Part A and Part B premiums, deductibles, and the dreaded IRMAA income brackets. Plus, we'll show how pairing Original Medicare with a Medicare Supplement plan can save you from unexpected costs and give you greater peace of mind.

$0 premium plans sound great, but the real costs are often hidden in copays, networks, and strict prior authorizations. In this episode, we break down the truth behind Medicare Advantage marketing, what those “zero-dollar” premiums really mean, and how pairing Original Medicare with a Medicare Supplement plan can give you more freedom, fewer restrictions, and predictable healthcare costs.

Many people are surprised to learn that Original Medicare doesn't cover routine vision, dental, or hearing care, some of the most common (and costly) health needs as we age. In this episode, we break down exactly what's covered, what's not, and how you can fill those gaps with the right plan, from Medicare Advantage to Medicare Supplement. Get the clarity you need to protect both your health and your wallet.

CMS plans to simplify prior authorization for Medicare beneficiaries beginning in 2026. Listen to learn more about changes coming to Medicare Advantage and Original Medicare!   Read the text version  

What is the Medicare Annual Enrollment Period?It is the yearly window from October 15 to December 7 when Medicare beneficiaries can review and change coverage. During AEP you can switch from Original Medicare to a Medicare Advantage plan, change Medicare Advantage plans, or join and switch a Part D prescription drug plan. Most changes begin January 1.In this episode, Andrew Nida and Moise Piram from Asset Management Group, Inc. explain what AEP is, who it helps, and how to compare plans with confidence. You will learn the dates, eligibility, and a simple step by step checklist so your coverage matches your health and prescriptions.What you will learn:• What AEP is and why it exists• AEP dates and who is eligible• Original Medicare compared with Medicare Advantage• Part D changes and how formularies work• What to review in your Annual Notice of Change• How plan changes begin on January 1• When the Medicare Advantage Open Enrollment Period applies from January 1 to March 31Follow us onX.com: https://x.com/AMGinc_ATLInstagram: https://www.instagram.com/assetmanagementgroupinc/LinkedIn: https://www.linkedin.com/company/amgincatl/Facebook : https://www.facebook.com/beyondtomorrowpodcastWebsite: https://www.assetmg-inc.com/YouTube: https://www.youtube.com/@assetmanagementgroupincTikTok : https://www.tiktok.com/@assetmanagementgroupincBlog: https://www.assetmg-inc.com/blogDisclosureEducational content only. Not tax, legal, or investment advice. Tax laws can change. Consult your CPA or advisor about your specific situation.Hashtags:#Medicare #OpenEnrollment #AEP #WhatIsAEP #MedicareAdvantage #PartD #Retirement #FinancialPlanning #AndrewNida #MoisePiram #AssetManagementGroupTags and keywords:what is Medicare AEP, Medicare Annual Enrollment Period explained, Medicare Open Enrollment 2025, Medicare AEP dates, Medicare Advantage, Part D, Original Medicare, ANOC, Medicare checklist, coverage effective January 1, Medicare Advantage Open Enrollment Period, retiree health insurance, Asset Management Group, Andrew Nida, Moise Piram

Three-quarters of Medicare beneficiaries say choosing a Medicare plan is confusing, and nearly 7 in 10 (69%) Medicare beneficiaries have not compared their own source of Medicare coverage with other Medicare options offered in their area during past open enrollment periods, according to surveys. These actions can cost you money and limit your medication coverage and pharmacy access. In this episode of Friends Talk Money, we unpack what you need to know about Open Enrollment and your plan options, diving into the pros and cons of Original Medicare plus a supplement and Part D plan versus Medicare Advantage. We explain what's different this year, including the inconsistency around premiums and the discontinuation of Anthem standalone Part D plans. Our special guest is Diane Omdahl, a nationally recognized expert in Medicare. She's the creator of 65incorporated.com, which guides seniors in their Medicare choices, and author of the bestselling book, Medicare For You. She joins us to explain what steps you can take now to ensure your coverage is fully meeting your medical needs and isn't costing you more than you need to spend in 2026. Medicare Beware! A Special Report (Terry Savage) Survey: 75% of Medicare Beneficiaries Say Selecting a Plan Is Confusing Nearly 7 in 10 Medicare Beneficiaries Did Not Compare Plans During Medicare's Open Enrollment Period

Every year, Medicare Open Enrollment presents an important opportunity for retirees and individuals enrolled in Medicare to review, update, and make changes to their health and prescription drug coverage. If you're on Medicare or approaching retirement, understanding the enrollment period and your options is crucial to ensuring comprehensive and cost-effective health care. I'm sharing the seven essential things you need to know to make the most of this important window. Whether you're already enrolled in Medicare or want to stay ahead of your retirement planning, I explain key dates, your options for switching plans, how to review or update your prescription drug coverage, and what to do if your health or coverage needs have changed.  Tune in to learn about navigating Medicare Advantage, Medigap, and everything you should consider before December 7th to keep your health and finances on track as you plan your ideal retirement. You will want to hear this episode if you are interested in... [01:56] Seven key things to know about Medicare open enrollment. [03:04] Making changes to your Medicare supplemental coverage. [04:30] Prescription drug plan options. [05:21] How to evaluate and change Medicare Advantage plans. 07:30] Switching from a Medicare Advantage plan to a Medigap plan. [12:17] Effective dates for making Medicare Changes. What Is Medicare Open Enrollment? Medicare Open Enrollment occurs annually from October 15th to December 7th. During this time, anyone currently enrolled in Medicare has the chance to make changes to their coverage. This window allows you to switch plans, sign up for supplemental coverage, or alter your prescription drug benefits, flexibility that's vital as your health needs or financial circumstances shift. It's important to note that this period is only for those already enrolled in Medicare, not for newly eligible individuals. This annual period matters for anyone with existing Medicare coverage. If you're new to Medicare, say, your 65th birthday is coming up, your initial enrollment period is separate, and open enrollment won't apply until the following year. Retirees and older people who have already navigated their initial sign-up should take advantage of open enrollment to ensure their health plan continues to meet their needs. Your Medicare Options Medicare coverage comes in several forms: Original Medicare (Parts A & B): Provides hospital and medical insurance. Medicare Advantage: All-in-one alternatives to Original Medicare, often with additional benefits and lower out-of-pocket costs. Medigap (Medicare Supplement): Offers extra coverage to help pay healthcare costs not covered by Original Medicare. Open enrollment is your chance to change from one type to another, such as moving from a Medicare Advantage plan to a Medigap policy or vice versa. Switching plans can bring savings or better coverage, depending on your health situation, but there are specific rules, like the six-month initial enrollment for Medigap and state-specific regulations, that you must navigate. Prescription Drug Plans: Reviewing and Updating Part D Prescription needs often change, and so do the offerings of Part D drug plans. This period lets you join, drop, or switch your drug coverage. If your current plan is discontinuing a medication you rely on or raising costs, research alternatives in your area. Lack of creditable drug coverage carries penalties, making it important to have either Part D or a Medicare Advantage plan with drug benefits. Switching Medicare Advantage Plans Medicare Advantage plans differ in costs, networks, and coverage options, and these can change each year. If your doctors are no longer covered or prescription benefits shift unfavorably, open enrollment is the time to shop for a better-fitting plan. Changes due to pricing or plan termination also allow you to choose a new plan that better fits your situation for the upcoming year. Understanding Medigap Eligibility and State Rules Switching from Medicare Advantage to Medigap isn't always straightforward, especially after your initial six-month enrollment window. Some states, including Connecticut, New York, and Massachusetts, offer more flexibility, letting you change plans without penalties for pre-existing conditions. Outside of these areas and time frames, you may face higher premiums or coverage denial unless a “guaranteed issue period” applies, such as following a plan termination or a move to a different state. Timing and Next Steps Any changes you make during Medicare Open Enrollment become effective January 1st of the following year. It's important to act before the December 7th deadline, so plan ahead, review notices, research alternatives, and consult with trusted advisors if you're unsure. Keeping up annually ensures your coverage fits your evolving health needs and budget. Medicare Open Enrollment can feel overwhelming, but it's a vital tool for retirees aiming for optimal care and cost efficiency. Stay informed, review your options, and take charge of your retirement health plan this open enrollment season. Resources Mentioned Retirement Readiness Review Subscribe to the Retire with Ryan YouTube Channel Download my entire book for FREE  Avoid These Seven Medicare Enrollment Mistakes and Protect Your Finances, #271  Connect With Morrissey Wealth Management  www.MorrisseyWealthManagement.com/contact   Subscribe to Retire With Ryan

Medicare Advantage Minute:                                                                                               A New Hampshire state official issues a dire assessment of the state of the Medicare Advantage market in his area of responsibility.  Your Medicare Benefits 2025:                                                                                                Pulmonary Rehabilitation Programs                                                                       Hey MOE is a new subscription service that wants help you identify the very best Part D prescription drug plan available in your area. As often happens when two massive behemoths encounter each other, some negotiations are in order. However, we are close to agreeing on a guest appearance on this very podcast.  If you take expensive drugs and would like to scan reputable Canadian pharmacies to find out if you can save money, send a message. I will be happy to share my short list of websites that you can use for this purpose. Finally, many congressmen are as opposed as we are to the government's proposed plan to add limited prior authorization regulations to Original Medicare. So far, nobody thinks this will be a good idea!             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!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: BARE BONES!" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Oct 13, 2025 – Nearing 65? Jim Puplava and Medicare expert Brian McArthur clarify enrollment periods, plan options, and strategies—covering Original Medicare, supplements, Advantage plans, international coverage, and penalties...

Medicare made (much) clearer. This week, Regina breaks down what Medicare is, who's eligible, the differences between Parts A–D. Most importantly, you'll get a sneak peek into how you can avoid costly mistakes. so you can plan healthcare confidently in retirement. Additionally, Regina covers enrollment windows, penalties, Medigap vs. Medicare Advantage, and what ‘Original Medicare' doesn't cover. Episode Highlights:   0:00 - Introduction 0:33 - Episode beginning 3:01 - What is medicare? 3:32 - Who is eligible? 4:09 - What are the different parts? 5:14 - Part B 7:30 - Part D  9:13 - What is not covered? 10:05 - When can I enroll? 11:55 - What if I delay my enrollment? 12:59 - How does a Medical Supplement Insurance Plan fit? 15:46 - Call to action ABOUT REGINA MCCANN HESS   Regina is the author of Super Woman Wealth: How to Become Your Own Financial Hero.  As an advocate for women's financial freedom, she wrote this book to help empower women to take a bigger role in handling their money.     Regina has appeared on Schwab TV, Yahoo Finance, Forbes.com, NTD Television, CBS 3 Philadelphia, Fox 29 Philadelphia, King 5 Seattle, KTLA 5 Los Angeles and Scripps News.  She has also been quoted in numerous articles in publications such as Forbes, Business Insider, U.S. News & World Report, Yahoo Finance, USA Today, USA Wire, Word in Black, WTOP News, Mind Body Green, Money Digest, New York Post, Defender, Authority Magazine, GoBankingRates.com, Scripps and The Muse.   As Founder of Forge Wealth Management, Regina utilizes her 25+ years of financial services experience to help individuals plan, preserve and diversify their wealth.  She focuses on educating her clients while building long-term relationships with them and their families.  Her experience throughout major shifts in the markets, enables Regina to structure balanced portfolios to address specific financial goals. CONNECT WITH REGINA   Website: https://www.forgewealth.com LinkedIn: https://www.linkedin.com/in/reginamccannhess/ Facebook: https://www.facebook.com/ForgeWealth Instagram: https://www.instagram.com/forgewealthmanagement/ YouTube: https://www.youtube.com/@ForgeWealth Email: reginahess@forgewealth.com   Securities offered through LPL Financial, Member FINRA/SIPC www.finra.org, www.sipc.org Third-party posts found on this profile do not reflect the view of LPL Financial and have not been reviewed by LPL Financial as to accuracy or completeness. For a list of states in which I am registered to do business, please visit www.forgewealth.com. This material was prepared by Hartford Funds.

We welcome back Josh Kinzel from Seniority Benefit Group for his sixth visit to the podcast. The focus of this conversation is on the upcoming changes to Medicare enrollment and coverage for 2026, as well as practical advice for those approaching or currently navigating Medicare options.Breaking Down the Medicare Alphabet SoupJosh walks us through the parts of Medicare and why understanding them is so important:Original Medicare includes Part A (hospitalization, generally free) and Part B (outpatient coverage, with a monthly premium).Original Medicare typically covers 80% of approved costs, but there's no out-of-pocket cap for the leftover 20%. That's where the choice between a Medicare Supplement (Medigap) plan and a Medicare Advantage (Part C) plan comes in.Medigap fills in gaps left by Original Medicare—giving simplicity and freedom to see almost any provider accepting Medicare. You add on a Part D drug plan for prescriptions.Medicare Advantage plans are administered by private insurance companies. The government pays these companies on your behalf, so the advertised zero-premium plans are real—but always remember, your Part B premium still applies. With Advantage, you're often in an HMO or PPO network, may have to seek pre-approval for some services, and pay more out of pocket if major health issues arise.What's New for Medicare in 2026?As usual, we're recording before all federal rules are final, but here's what we know:Part B premiums are expected to rise by about 11%, reaching an estimated $206.50 monthly.Part D drug plan costs may inch up, mainly as insurers adjust to the new $2,000 annual out-of-pocket limit (from the Inflation Reduction Act). While deductibles and catastrophic thresholds rise, costs for many drugs, especially for diabetes, are actually dropping.The infamous “donut hole” coverage gap is now virtually gone, making prescription coverage simpler.Talk continues about longer-term Part D and Advantage contracts (potentially covering more than one year) and the introduction of more pre-authorization (prior approval) steps, including the use of AI to address fraud and control costs.Medicare Advantage and the “Free” Plan QuestionA recurring theme is whether Medicare Advantage's free or low-cost plans are really “free.” Josh explains that these plans are genuinely $0 premium because the government subsidizes them, but you'll still pay the Part B premium, plus out-of-pocket costs when you use services. The trade-off is less predictability, more restrictions on doctor/hospital networks, and a risk of higher costs if you need significant care.If you like this episode, please let us know. We appreciate the feed back, and your support of offset costs of producing the podcast!MyCare Ohio: A New Managed Care Option for Dual EligiblesWe explore MyCare Ohio, a managed care model that combines Medicaid and Medicare benefits for those who qualify for both. Expanding to all 88 counties in Ohio, this program promises consolidation, fewer cards to carry, and—potentially—lower out-of-pocket costs for those with low income and assets. Eligibility, plan availability, and making sure your doctors are in-network are important considerations.How Employers and Retirees Fit InFor people who are still working at 65 or have retiree health coverage, we emphasize comparing employer plans with Medicare options—never simply assuming your current coverage is best. Employers can use experts like Josh's group to help employees or retirees make smart,...

10 KEY MEDICARE CHANGES TO KNOW IN 2026 FROM BALTIMORE WASHINGTON FINANCIAL ADVISORS with Thad Ismart | CFP®, ChFEBC, CEPS  Senior Financial Planner Medicare is changing in 2026, and the updates will impact premiums, drug costs, and benefits. In this episode, BWFA's Thad Ismart, CFP®, ChFEBC, CEPS, breaks down the 10 most important changes retirees and families need to know to stay prepared. Full Description Medicare plays a central role in retirement planning, but the program is constantly evolving. Beginning in 2026, significant changes are scheduled that will affect millions of Americans. Some updates may help retirees save money, while others could increase costs or reduce benefits. In this episode of Healthy, Wealthy & Wise, BWFA's Thad Ismart, CFP®, ChFEBC, CEPS, Senior Financial Planner, explains the 10 biggest Medicare changes coming in 2026 and what they mean for you. Among the most notable: Part B premiums are projected to increase by more than 11%, making healthcare more expensive for many retirees. On the other hand, prescription drug costs are expected to drop as new pricing rules take effect, and out-of-pocket caps will help limit spending. Thad also highlights program adjustments that may surprise beneficiaries. Medicare Advantage plans could scale back supplemental benefits, while Original Medicare is introducing new pre-authorization requirements in pilot states. These changes underscore the need for proactive planning to ensure coverage continues to align with your healthcare and financial goals. Listeners will gain practical strategies to navigate these shifts. Thad explains how to budget for rising premiums, how to take advantage of reduced drug prices, and why reviewing coverage annually is more important than ever. By understanding these changes in advance, retirees can avoid unpleasant surprises and adapt their plans to maintain stability. At BWFA, we integrate healthcare costs into every financial plan, helping clients prepare for Medicare updates and the long-term expenses of retirement. This episode offers clear guidance on what's ahead in 2026 and how to protect your financial future. For more resources, visit BWFA's Financial Planning Services.

10 KEY MEDICARE CHANGES TO KNOW IN 2026 FROM BALTIMORE WASHINGTON FINANCIAL ADVISORS with Thad Ismart | CFP®, ChFEBC, CEPS  Senior Financial Planner Medicare is changing in 2026, and the updates will impact premiums, drug costs, and benefits. In this episode, BWFA's Thad Ismart, CFP®, ChFEBC, CEPS, breaks down the 10 most important changes retirees and families need to know to stay prepared. Full Description Medicare plays a central role in retirement planning, but the program is constantly evolving. Beginning in 2026, significant changes are scheduled that will affect millions of Americans. Some updates may help retirees save money, while others could increase costs or reduce benefits. In this episode of Healthy, Wealthy & Wise, BWFA's Thad Ismart, CFP®, ChFEBC, CEPS, Senior Financial Planner, explains the 10 biggest Medicare changes coming in 2026 and what they mean for you. Among the most notable: Part B premiums are projected to increase by more than 11%, making healthcare more expensive for many retirees. On the other hand, prescription drug costs are expected to drop as new pricing rules take effect, and out-of-pocket caps will help limit spending. Thad also highlights program adjustments that may surprise beneficiaries. Medicare Advantage plans could scale back supplemental benefits, while Original Medicare is introducing new pre-authorization requirements in pilot states. These changes underscore the need for proactive planning to ensure coverage continues to align with your healthcare and financial goals. Listeners will gain practical strategies to navigate these shifts. Thad explains how to budget for rising premiums, how to take advantage of reduced drug prices, and why reviewing coverage annually is more important than ever. By understanding these changes in advance, retirees can avoid unpleasant surprises and adapt their plans to maintain stability. At BWFA, we integrate healthcare costs into every financial plan, helping clients prepare for Medicare updates and the long-term expenses of retirement. This episode offers clear guidance on what's ahead in 2026 and how to protect your financial future. For more resources, visit BWFA's Financial Planning Services.

In this episode, we'll walk through the key differences and pros and cons of Original Medicare vs Medicare Advantage plans.ResourcesIt's Not That Complicated (pdf): https://drive.google.com/file/d/1Hqs4...Medicare & You 2026 (pdf): https://www.medicare.gov/publications...2025 Medicare Parts A & B Premiums and Deductibles: https://www.cms.gov/newsroom/fact-she...Medicare Part A Costs: https://www.medicare.gov/basics/costs...Medigap Plans: https://www.medicare.gov/health-drug-...KFF Medigap Article: https://www.kff.org/medicare/key-fact...Compare Medicare Plans: https://www.medicare.gov/plan-compare...Join the Newsletter. It's Free:https://robberger.com/newsletter/?utm...Get free guidance on Medicare from Chapter, a company I've partnered with, by calling 410-220-5494. If you call Chapter, please let me know about your experience.

Health insurance in retirement does not have to be confusing. In this episode, Nick talks with Justine Bell of BeneGuides about marketplace coverage before 65, Medicare at 65, and how to compare real-world costs based on your doctors, prescriptions, and budget. We cover timing, penalties, and why an annual re-enrollment check can keep you from paying more than you need to. https://youtu.be/z-SnGX-qR88 What we cover Why working with a health insurance specialist costs you nothing and often saves time and trouble The five questions BeneGuides asks for marketplace plans: county and ZIP, ages, who is on the tax return, doctors and prescriptions, and expected MAGI How to think about “average year” costs vs “worst-case” out-of-pocket risk When bronze plans make sense and when to step up for drug coverage Medicare 101: Original Medicare, Medicare Advantage, and Medigap basics How to time your Medicare enrollment, including the first-of-the-month birthday quirk Why BeneGuides re-enrolls every client each year and stays on top of formularies and plan changes What may change in 2026 and why this open enrollment deserves a careful review Key open enrollment windows to mark on your calendar Dates to know Medicare plan review starts October 1 Medicare enrollment runs October 15 through December 7 Marketplace open enrollment runs November 1 through December 15 Contact BeneGuides Email: health@beneguides.com Phone: 517-939-1981 Team: Lauren and Kylie (Medicare), Liz and Andrea (Marketplace), Daniel (Group coverage) Resources mentioned Medicare 101 webinar from BeneGuides Listen to the full episode for the complete conversation and practical next steps. About Shotwell Rutter Baer At Shotwell Rutter Baer, we believe retirement planning should feel simple and personal. As independent, fee-only financial advisors, our priority is you. We are not paid by commissions or product sales. Instead, our advice is focused on helping you make clear decisions about your money, your retirement, and your future. We are proud to serve individuals and families who want practical guidance, a reliable strategy, and a trusted partner for every stage of life. Whether you are just beginning to think about retirement or you want to fine tune your income plan, we are here with straightforward advice and a plan that reflects your goals. Resources Email us at SRBadvisors.com to connect with our team. Learn about the Strategic Reliable Blueprint which is our process for building a financial plan that works for your future. Subscribe to our YouTube channel for helpful conversations and practical retirement planning tips.

This week, we tackle 5 Medicare myths that your clients may believe. Learn how to respectfully refute these myths, educate your clients, and empower them to make informed choices.   The Content Library from Ritter Insurance Marketing  

SPECIAL EPISODE: Prior authorization causes misery in Medicare Advantage plans. How concerned should freedom lovers be when the government delivers that same troublesome process to Original 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!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: BARE BONES!" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

Insurers pull Medicare Advantage plans as profit pressures mount: This from the "Medicare Advantage Minute" In the "Your Medicare Benefits 2025" we learn how Medicare is likely to cover Outpatient hospital services. Friend of the podcase, Steve sent an article addressing "Targeted Medicare Cuts" and how they can save money while reducing risk. How about a side trip to Social Security Land? Someone named Rusty has an advisory column and fielded a question from a reader about when the best time might be to start collecting Social Security benefits might be. Normally Democrats are on the opposite side of almost every possible subject from me but we now find ourselves connected like Siamese twins over support for the freedom from prior authorization in Original Medicare.                                        I am dazed and confused by my unexpected alliance! Finally, we have a new member of the podcast audience who hangs her hat in South Dakota ...er Nebraska sometimes. I expect her to join the ranks of my happy clients as well!   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!" "MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE" "MEDICARE FOR THE LAZY MAN: BARE BONES!" For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to  help future readers. Official website: https://www.MedicareForTheLazyMan.com.

As you approach age 65, one of the most important—and often confusing—financial decisions you face is how to structure your Medicare coverage. Understanding the differences between Original Medicare and Medicare Advantage plans is essential for making an informed decision that aligns with your healthcare needs, financial situation, and lifestyle.