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MEDICARE ADVANTAGE MINUTE: PHYSICIANS SAY THAT PRIOR AUTHORIZATION STANDS IN THE WAY OF MEDICALLY NECESSARY CARE! YOUR MEDICARE BENEFITS 2025: THE FINAL ENTRY: X-RAYS We receive correspondence from "Lazy Man Steve" who is wondering what he ought to do, if anything, about his Medicare supplement and Part D drug plan as the new year approaches. We wrapped the episode with a another rousing Christmas Quiz! 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.
Aujourd'hui, Charles Consigny, avocat, Barbara Lefebvre, professeure d'histoire-géographie, et Abel Boyi, éducateur, débattent de l'actualité autour d'Alain Marschall et Olivier Truchot.
Did you know some Medicare penalties never go away? In this episode, we break down how Part B and Part D late enrollment penalties work, why they can follow you for life, and—most importantly—how to avoid costly mistakes that can drain your retirement savings. A must-listen if you want to protect your income and make confident Medicare decisions.
In this episode of The Broker Link, Gillan Boyer and Josh Slattery unpack the proposed CMS 2027 rule and what it could mean for agents, consumers, and the future of the insurance industry. The discussion highlights a clear shift toward deregulation, with several proposed changes aimed at reducing administrative burden while increasing flexibility for both agents and consumers. Key topics include updates to Special Enrollment Period (SEP) rules, allowing plan changes when providers leave a network, and the removal of the 12-hour delay between educational and marketing events. Gillan and Josh also break down proposals to shorten record retention requirements for call recordings, simplify TPMO disclaimers, and eliminate certain low-value compliance requirements. The conversation explores how these changes could give agents more time to focus on what evidence shows matters most — educating and serving clients. Additionally, the episode covers proposed updates to the Stars program and discusses the long-term impact of making IRA changes permanent, particularly regarding Part D cost structures. Overall, the proposed 2027 rule signals a meaningful shift in CMS's approach — one that industry professionals are cautiously optimistic about as it moves toward a more practical, agent-friendly regulatory environment. 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/
Roth conversions can save thousands in taxes, but they can also trigger Medicare IRMAA surcharges that quietly add up to more than $5,000 a year. Most retirees never see it coming, because the rules for Medicare premiums don't line up with the tax brackets everyone focuses on.In this video, James breaks down how Roth conversions interact with Medicare Part B and Part D premiums, why modified adjusted gross income matters more than taxable income, and how crossing a threshold by even one dollar can change your costs for an entire year. The case study shows how a couple could save nearly a million dollars in lifetime taxes… but lose tens of thousands to unnecessary IRMAA charges if they convert without a plan. A small adjustment (converting up to the right tier instead of the wrong bracket) boosts their long-term wealth and avoids surprise premiums.If you're planning Roth conversions before RMDs begin, evaluating a 401(k)-to-Roth strategy, or trying to minimize taxes in early retirement, understanding Medicare thresholds is essential. A smart conversion plan balances tax savings with premium costs so you don't give back what you worked so hard to save.-Advisory services are offered through Root Financial Partners, LLC, an SEC-registered investment adviser. This content is intended for informational and educational purposes only and should not be considered personalized investment, tax, or legal advice. Viewing this content does not create an advisory relationship. We do not provide tax preparation or legal services. Always consult an investment, tax or legal professional regarding your specific situation.The strategies, case studies, and examples discussed may not be suitable for everyone. They are hypothetical and for illustrative and educational purposes only. They do not reflect actual client results and are not guarantees of future performance. All investments involve risk, including the potential loss of principal.Comments reflect the views of individual users and do not necessarily represent the views of Root Financial. They are not verified, may not be accurate, and should not be considered testimonials or endorsementsParticipation in the Retirement Planning Academy or Early Retirement Academy does not create an advisory relationship with Root Financial. These programs are educational in nature and are not a substitute for personalized financial advice. Advisory services are offered only under a written agreement with Root Financial.Create Your Custom Strategy ⬇️ Get Started Here.Join the new Root Collective HERE!
The Secret to Successful Living. Part D
Wednesday evening service preaching from the pulpit of Woodland Baptist Church – Winston Salem, NC * Please feel free to visit our website at woodlandbaptistnow.com
Medicare is a cornerstone of retirement planning, but its complexity can leave many retirees feeling overwhelmed. In this episode, host John Bryson, head of investment consulting, investment data analytics, and education savings at Manulife John Hancock Investments, welcomes Danielle to break down the Medicare essentials you need to know for 2026 and beyond.Danielle, author of the book 10 Costly Medicare Mistakes You Can't Afford to Make, discusses the latest expected changes to Medicare. She emphasizes the importance of early research and understanding the difference between supplemental plans, such as Medicare Advantage plans and Medicare Supplement Insurance (Medigap). She also offers strategies to help avoid higher Income-Related Monthly Adjustment Amount (IRMAA) surcharges.Here's a snippet from the conversation:1 What changes are expected to Medicare in 2026?Danielle: While we don't have some Medicare figures due to the government shutdown, we can expect Part B premiums to increase a bit. Projections suggest they could rise to $206 next year. Another major change stems from the Inflation Reduction Act of 2022, which led several carriers to exit the Part D market. As a result, about 2 million people are likely to lose their Medicare Advantage plans. If you've received a notice that your plan is exiting the market, it's important to shop for a new plan promptly to ensure you have coverage in place for January 1.2 What's IRMAA and how does it affect Medicare costs?Danielle: IRMAA is a surcharge on Medicare Part B and Part D, based on your income. While the base rate in 2025 is $185, an IRMAA surcharge will increase that amount. As a result, Part B premiums for people in really high-income brackets can increase to over $600 per month. So, decisions you make at ages 63 and 64 can affect your Medicare premiums at 65 and 66. It's wise to work with your financial advisor to plan ahead to explore spreading out income or avoiding large distributions that may help prevent higher premiums later.
Toute l'actu des sélections nationales et des championnats anglais, espagnol, italien et allemand avec nos légendaires "Drôles de Dames" : Julien Laurens, Fred Hermel, Polo Breitner et Johann Crochet.
CMS recently published their 2027 Medicare Advantage and Part D Proposed Rule. In this week's Friday Five episode, we talk initial takeaways and the impact on agents and beneficiaries. Get Connected:
In this hour-long episode of RISE Radio, Editorial Director Ilene MacDonald sits down with industry experts to break down the changes in CMS' 2027 Medicare Advantage and Part D proposed rule, why removing 12 measures and bringing back the reward factor is a true Stars redesign, and how plans can pivot from operational wins to outcome performance. We also explore the new depression screening measure and the new SEP when providers exit networks, with clear steps to protect quality and retention.Our guests are Ana Handshuh, principal of CAT5 Strategies, Melissa Smith, founder and senior advisor of the Newton Smith Group, and Rex Wallace, founder & principal of Rex Wallace Consulting. For more on these changes, join us at The RISE Star Ratings Master Class, December 16-18 in Frisco, Texas or RISE National 2026, March 23-25 in Orlando, Fla.
MEDICARE ADVANTAGE MINUTE: MA plan member satisfaction facing headwinds! YOUR MEDICARE BENEFITS 2025: TDAP (Tetanus, Diphtheria and Pertussis) shots Advice from Diane Omdahl: Review your drug plan in case the government plan finder "glitches". Correspondence: Peter wants to know whether he should consider changing from HDG to Plan G. This is not something I usually recommend. Fr. David takes no prescription drugs but has been paying through the nose for an expensive Part D drug plan. What should he do? Ray has more questions about how to ensure that he has the best PDP (Prescription Drug Plan) next year. Finally, we review a Gallup pole listing the states from highest to lowest for cost & availability of medical treatment. 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.
This is Part D of F of Patrick MacKay: Two Sides of a Psychopath, about the killing of Leslie Frank Goodman.Thursday 13th of June 1974, six months after Stephanie Britton & Christopher Martin's double murder, 64-year-old Leslie opened his shop on Rock Street in Finsbury park at just shy of 7am. At 5pm, he planned to close-up early to watch the World Cup, but was beaten to death by his last customer. But was this Patrick MacKay? He confessed to the robbery, but not the murder.This series explores the killings he confessed to, and which he committed. Location: ‘L Goodman', Rock Street (number unknown), Finsbury Park, London, UK, N14Date: Thursday 13th of June 1974 at 5pmVictims: Leslie Frank GoodmanCulprit: Patrick David MacKay? For Parts 1 to 4 covering the life of Patrick MacKay, his crimes, his trial and the three murders he was convicted of, check out Patrick MacKay: Two Sides of a Psychopath by True Crime EnthusiastFive time nominated at the True Crime Awards, Independent Podcast Awards and the British Podcast Awards, Murder Mile is one of the best UK / British true crime podcasts covering only 20 square miles of West London. It is researched, written and performed by Michael of Murder Mile UK True Crime Podcast with the main musical themes written and performed by Erik Stein and Jon Boux of Cult With No Name and additional music, as used under the Creative Commons License 4.0. A full listing of tracks used and a full transcript for each episode is listed here and a legal disclaimer.This episode features a promo by our friends at the Three Ravens podcast. For links click hereTo subscribe via Patreon, click here Support this show http://supporter.acast.com/murdermile. Hosted on Acast. See acast.com/privacy for more information.
The Power Of The Resurrection. Part D
Kris McKinney says, The clock is ticking on Medicare Open Season, making this the critical moment to review and potentially change your health and prescription drug coverage for the coming year. We break down the key differences in costs and benefits between Original Medicare, Medicare Advantage, and Part D plans, highlighting major changes that could impact your wallet. Tune in to learn actionable steps for comparing options, avoiding costly enrollment mistakes, and ensuring you have the right financial coverage for your health needs.
Kris McKinney says, The clock is ticking on Medicare Open Season, making this the critical moment to review and potentially change your health and prescription drug coverage for the coming year. We break down the key differences in costs and benefits between Original Medicare, Medicare Advantage, and Part D plans, highlighting major changes that could impact your wallet. Tune in to learn actionable steps for comparing options, avoiding costly enrollment mistakes, and ensuring you have the right financial coverage for your health needs.
STOP Using Multiple Financial Advisors Before You Watch This!Are multiple financial advisors helping or quietly hurting your planIn today's episode Andrew Nida and Moise Piram from Asset Management Group Inc unpack the hidden costs of splitting assets across advisors including surprise capital gains IRMAA surcharges missed Roth conversion windows wash sales and fee creepWe walk through a real case where an $86,000 capital gain from an uncoordinated account triggered higher Medicare premiums derailed tax planning and cost tens of thousands in avoidable dragWhat you will learn• Why diversifying investments is smart but diversifying advisors fragments your strategy• How IRMAA surcharges and the two year lookback can compound one decision• The coordination gap that kills Roth conversions tax loss harvesting and withdrawal sequencing• A simple audit to decide whether consolidation makes sense for youIf you find this helpful like share and subscribe to stay current on financial planning tax planning wealth management and moreFollow 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.multiple financial advisors, hidden cost of multiple advisors, IRMAA surcharges, Medicare premiums, Roth conversion timing, capital gains surprise, tax planning for retirees, high net worth investors, everyday millionaires, wealth management podcast, advisor consolidation, fee analysis, wash sale rules, withdrawal sequencing, retirement income planning, Asset Management Group Inc, Andrew Nida, Moise Piram, portfolio coordination, tax efficiency, retirement tax strategies, Medicare Part B costs, Part D surcharges, financial planning mistakes, investment strategy, estate planning coordination, high income professionals, financial podcast
Why People Are Ahead. Part D
The Friday Five for November 14, 2025: iPhone Pocket Brings Back… Pockets. CMS Rural Health Transformation Program Government Shutdown Update Most-Favored Nation Drug Pricing CMS GENEROUS Model Get Connected:
Medicare Advantage Minute: United Healthcare Projects A 1,000,000 Member Drop in Medicare Advantage Enrollment Your Medicare Benefits 2025: Skilled Nursing Facility Care Correspondence with client Richard: He wondered whether he had to "re-up" (re-enroll) in his Medicare supplement and/or his Part D drug plan. Turns out he received a very scary "scam" e-mail raising concern that his insurance was about to lapse. Correspondence with soon-to-be client Kelly: She is worried about the level and quality of customer service she will have with a particular company. In my view she was misled by a government website. 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.
On Thursday, Nov. 20, at 4 p.m. CST, Toni will host a “2026 Confused About Medicare” Zoom online nationwide workshop to explain how to enroll in Medicare the right way as well as changes for 2026 Medicare’s Part D Prescription Drug plans. Visit www.tonisays.com to register. Part D is Medicare's prescription drug plan. If you do not enroll properly, you can incur a Part D penalty that will stay with you throughout your Medicare lifetime. Toni plains how you can avois a Part D penalty. 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.
Medicare Advantage Minute: An article by Medicare Advantage plan boss Sachin H. Jain lays out the top 5 reasons for turmoil in the MA markets. Your Medicare Benefits 2025: Second Surgical Opinions (and even third opinions under some circumstances). From Toni King's column: Reader Don asks, "Why am I receiving a Part D penalty?" Correspondence from new listener (and soon to be client) Peter from Houston. He has concerns that cause me to address: various rating methodologies, the possibility of the "deductible" in High Deductible supplements to grow beyond reasonable limits and something else that induces me to send him a link to the HeyMoe drug plan selection program. With that he will earn a small discount and a valuable series of drug discount opportunities. 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.
The headlines are loud, the mailers are confusing and the clock is ticking. We're making one thing simple: Centra will leave the Humana Medicare Advantage network on January 1, 2026, and you can protect your care by choosing the right plan during open enrollment.With our Chief Revenue Officer, Robert Boos, we walk through exactly who's affected, how this differs from traditional “red, white, and blue” Medicare and why TRICARE members are not impacted. We break down the real-world impact of Medicare Advantage: prior authorization delays that stall MRIs and CT scans, high first-pass denial rates on emergency claims and why those practices can lead to surprise “late” bills months after a visit. You'll learn why many health systems nationwide are rethinking Medicare Advantage contracts and how payment shortfalls and administrative hurdles make it harder to deliver timely care.Most importantly, we focus on action. If you're on Humana Medicare Advantage and want to keep your Centra doctors, you don't need a new clinician you need a new plan. Use open enrollment (Oct 15–Dec 7) to switch to a Centra-participating Medicare Advantage plan like Anthem, Aetna, or UnitedHealthcare, or return to traditional Medicare with a Part D prescription plan. We share tips for confirming drug coverage, avoiding gaps on January 1, and keeping existing appointments on track. Emergencies remain covered by law, but routine care depends on your plan choice, so make the move now.Ready to take the next step? Visit centrahealth.com/humana for FAQs and resources, and call our customer service at 434.200.3777 if you have billing questions or need help understanding your claim. If this conversation helped, subscribe, share with a friend who's choosing a plan, and leave a review to help others find clear guidance.For more content from Centra Health check us out on the following channels.YouTubeFacebookInstagramTwitter
This week, join Alyssa McNamara Reed, CFP® and her guest Peter D. Stoner of AHIP (American Health Insurance Plans) a Certified Medicare Consultant/Licensed Broker (MA & NH) for a discussion about Medicare Pricing and Considerations. The discussion centers on Medicare coverage, including the different Parts A, B, and D, detailing eligibility, costs, deductibles, and out-of-pocket maximums. A significant portion of the conversation focuses on the complexities and rapidly changing landscape of prescription drug plans (Part D), particularly in light of the Inflation Reduction Act, which has led to higher costs for insurance carriers and fewer plan options for consumers. They also address the current open enrollment period and the challenges consumers face, such as doctors dropping certain insurance plans and the financial implications of high-income brackets on Medicare premiums. Alyssa McNamara Reed is a financial planner with passion for the intersection of taxes and investing. Alyssa works with motivated savers, beneficiaries of estates, business owners, divorcees, and pre-retirees. About Peter D. Stoner: Over 25 years of Medicare Experience * Manager of Retiree Sales at Tufts Health Plan * Director of Medicare Sales at Fallon Health Plan * Consultant to multiple Medicare Health Plans AHIP (American Health Insurance Plans) Certified https://www.stonermedicare.com/ McNamara Financial is an Independent, family-owned, fee-only investment management and financial planning firm, serving individuals and families on the South Shore and beyond for over 30 years. COME SEE WHAT IT'S LIKE TO WORK WITH A FIDUCIARY. http://mcnamarafinancial.com/
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
Sale temps chez les Rennais. Dimanche 26 octobre, les joueurs d'Habib Beye ont enchaîné un cinquième match sans victoire en s'inclinant 2-1 face à l'OGC Nice. Une énième déconvenue qui a sérieusement remis en question la légitimité de l'entraîneur. Lundi, l'ancien coach du Red Star FC était même annoncé sur le départ. Pourtant, ce soir, pour le déplacement du Stade Rennais à Toulouse, il sera bel et bien sur le banc. En quête d'un nouveau souffle, Habib Beye a écarté deux cadres du groupe : Seko Fofana et Ludovic Blas. L'heure est au changement pour celui à qui l'on reprochait de ne jamais changer de tactique. Mais difficile de se renouveler sans profondeur d'effectif. Beye est bloqué dans son système en 3-5-2 et manque de joueurs pour basculer en 4-4-2. Si le Stade Rennais s'impose chez les Toulousains lors de cette dixième journée de Ligue 1, le coach quittera-t-il son siège éjectable ? Décryptage d'une période houleuse pour le club breton avec Nicolas Georgereau, Florian Gazan et Philippe Audouin. Hébergé par Audiomeans. Visitez audiomeans.fr/politique-de-confidentialite pour plus d'informations.
The price you pay at the pharmacy isn't just about the drug—it's about the plan, the pharmacy network, and the rules hidden in the fine print. We break down a simple, repeatable method to shop Medicare Part D so you protect access to your doctors and treatment while cutting real costs. With Medicare's new $2,000 out-of-pocket cap, the math changes: premiums and pharmacy choice now drive your savings more than fear of runaway brand-name bills.We walk through Medicare.gov step by step—creating your account, reviewing your medication history, and adding every pharmacy you actually use, from your local favorite to the chain near your vacation home. You'll learn how to identify preferred pharmacies, interpret plan deductibles that often bypass generics, and compare total annual cost, not just the monthly premium. Along the way, we share client stories that show how zero-premium plans can deliver $0 copays on key generics and how pairing Part D with Mark Cuban's Cost Plus Drugs can slash prices on certain fills without sacrificing convenience.If you rely on insulin or name-brand medications, you'll hear how to prioritize plans that price your specific drugs best, why star ratings matter for service and fewer headaches, and the easiest way to enroll online. We also cover pro moves like setting premiums to auto-deduct from Social Security to avoid missed payments and ensuring your new card is on file before January 1 so refills don't stall. It's a clear, calm guide for you and the loved ones you help—because the right plan isn't the cheapest on paper, it's the one that fits your real life.If this helped, follow the show, share it with someone who needs it, and leave a quick review to help others find practical Medicare guidance. Envision Financial Planning. 5100 Poplar Avenue, Suite 2428, Memphis, TN 38137. (901) 422-7526. This communication is strictly intended for individuals residing in the United States. Advisory Services offered through Envision Financial Planning, a Registered Investment Adviser.
Medicare Part B premium costs can jump because of IRMAA (Income-Related Monthly Adjustment Amount) when your MAGI crosses key thresholds—especially for federal retirees with pensions, Social Security, and RMDs. Learn how timing, Roth conversions, and TRICARE for Life choices can influence your Medicare Part B and Part D costs without panic or fear-mongering.IRMAA isn't a penalty—it's a higher Medicare Part B and D premium triggered by income. With smart tax planning, you can navigate the thresholds instead of getting surprised.
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.
Drowning in Medicare's alphabet soup of Parts A, B, C, and D? You're not alone, and we're here to help. In this episode, we break down the most common Medicare terms and coverage options in simple, everyday language. From Original Medicare and Medicare Advantage to Part D drug plans and Medigap, we'll help you finally make sense of your healthcare choices. Tune in to gain clarity, avoid costly mistakes, and feel confident about your Medicare decisions.
Thinking about delaying Medicare Part B or Part D? It could cost you for the rest of your life. In this episode, we reveal the real financial impact of waiting to enroll, including permanent late penalties, coverage gaps, and higher out-of-pocket costs. Before you make a costly mistake, find out who can safely delay, who can't, and how to avoid lifelong penalties with smart Medicare timing. Tune in now to protect your coverage and your wallet.
Medicare's Fall Open Enrollment runs from October 15 through December 7, and this is your chance to review, compare, and adjust your coverage for 2026. Richard Rosso & Jonathan McCarty review six crucial steps to help you make smarter Medicare choices — from evaluating plan changes and comparing drug coverage to avoiding common enrollment mistakes. Whether you're already on Medicare Advantage or reviewing Part D drug plans, understanding how to navigate this annual window could save you thousands in healthcare costs next year. 1:34 - Dealing w Medicare Open Enrollment 3:59 - Jonathan's Baby & Diaper Service 9:10 - Prescription Drug Formularies & Changes 12:11 - Shopping Around for Medicare Advantage Plans 17:56 - Recommended Alphabet Formula 21:15 - What Medicare Advantage is NOT 24:55 - Medicare Part-G Open Architecture 26:52 - Where to Start - ID Verification Woes 30:17 - The Medicare Plan Finder 34:34 - The RIA Medicare Screening Tool 43:34 - How and Where to Start Hosted by RIA Advisors Director of Financial Planning, Richard Rosso, CFP, w Senior Investment Advisor, Jonathan McCarty, CFP Produced by Brent Clanton, Executive Producer ------- Watch Today's Full Video on our YouTube Channel: http://bit.ly/3KSVvYg ------- The latest installment of our new feature, Before the Bell, "Markets Reclaim 20-DMA — Can It Hold?" is here: http://bit.ly/46WMYfq ------- Our Previous Show, "Capitalism: The Real Path to Wealth & Happiness" is here: https://www.youtube.com/watch?v=2zw3gGV13x0&list=PLVT8LcWPeAugpcGzM8hHyEP11lE87RYPe&index=1&t=3s ------- Get more info & commentary: https://realinvestm entadvice.com/newsletter/ -------- SUBSCRIBE to The Real Investment Show here: http://www.youtube.com/c/TheRealInvestmentShow -------- Visit our Site: https://www.realinvestmentadvice.com Contact Us: 1-855-RIA-PLAN -------- Subscribe to SimpleVisor: https://www.simplevisor.com/register-new -------- Connect with us on social: https://twitter.com/RealInvAdvice https://twitter.com/LanceRoberts https://www.facebook.com/RealInvestmentAdvice/ https://www.linkedin.com/in/realinvestmentadvice/ #MedicareOpenEnrollment #RetirementPlanning #MedicareAdvantage #FinancialEducation #HealthcareCosts
Medicare's Fall Open Enrollment runs from October 15 through December 7, and this is your chance to review, compare, and adjust your coverage for 2026. Richard Rosso & Jonathan McCarty review six crucial steps to help you make smarter Medicare choices — from evaluating plan changes and comparing drug coverage to avoiding common enrollment mistakes. Whether you're already on Medicare Advantage or reviewing Part D drug plans, understanding how to navigate this annual window could save you thousands in healthcare costs next year. 1:34 - Dealing w Medicare Open Enrollment 3:59 - Jonathan's Baby & Diaper Service 9:10 - Prescription Drug Formularies & Changes 12:11 - Shopping Around for Medicare Advantage Plans 17:56 - Recommended Alphabet Formula 21:15 - What Medicare Advantage is NOT 24:55 - Medicare Part-G Open Architecture 26:52 - Where to Start - ID Verification Woes 30:17 - The Medicare Plan Finder 34:34 - The RIA Medicare Screening Tool 43:34 - How and Where to Start Hosted by RIA Advisors Director of Financial Planning, Richard Rosso, CFP, w Senior Investment Advisor, Jonathan McCarty, CFP Produced by Brent Clanton, Executive Producer ------- Watch Today's Full Video on our YouTube Channel: http://bit.ly/3KSVvYg ------- The latest installment of our new feature, Before the Bell, "Markets Reclaim 20-DMA — Can It Hold?" is here: http://bit.ly/46WMYfq ------- Our Previous Show, "Capitalism: The Real Path to Wealth & Happiness" is here: https://www.youtube.com/watch?v=2zw3gGV13x0&list=PLVT8LcWPeAugpcGzM8hHyEP11lE87RYPe&index=1&t=3s ------- Get more info & commentary: https://realinvestm entadvice.com/newsletter/ -------- SUBSCRIBE to The Real Investment Show here: http://www.youtube.com/c/TheRealInvestmentShow -------- Visit our Site: https://www.realinvestmentadvice.com Contact Us: 1-855-RIA-PLAN -------- Subscribe to SimpleVisor: https://www.simplevisor.com/register-new -------- Connect with us on social: https://twitter.com/RealInvAdvice https://twitter.com/LanceRoberts https://www.facebook.com/RealInvestmentAdvice/ https://www.linkedin.com/in/realinvestmentadvice/ #MedicareOpenEnrollment #RetirementPlanning #MedicareAdvantage #FinancialEducation #HealthcareCosts
Medicare Advantage Minute: Nine Payers (Insurance Companies) Recently Fined by Various States Your Medicare Benefits 2025: Prosthetic Devices The Hey MOE (Medicare Open Enrollment) drug plan selection service is ready to pick out the best Part D drug plan available in your neck of the woods. The automated process is able to compare more variables than even the highly experienced Lazy Man team can do. Finally, we review an article suggesting that claim denials are increasing. The statistics show that most providers are burdened by a growing level of scrutiny and regulation which suggests that insurance companies are tightening the screws. 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.
Terry Savage, nationally syndicated money columnist, joins Lisa Dent to discuss Medicare enrollment. She highlights the columns that she has written to help people understand how to properly sign up for Medicare based on their situation. She reviews open enrollment options, switching plans, and Part D drug plans.
Toni Advises everyone to check with their Medicare Advantage Plan, and check their Part D prescription plan to make sure that they do not incur additional expenses in 2026. 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.
Are you ready to uncover the hidden legal blind spots in Medicare and get expert financial planning advice? Join Todd Marquardt on Talk Law Radio as he sits down with Steve Warren, President of Financial Planning HQ, and John Moore of Moore Wealth Advisors. Discover how to protect your legacy, avoid Medicare scams, and make smart choices for your future!Talk Law Radio with Todd Marquardt brings together top experts to help you navigate the complex world of Medicare and financial planning. •Steve Warren shares insights on fiduciary responsibility, working with client advisors, and the importance of always acting in your best interest.•John Moore reveals the hidden legal blind spots in Medicare, answers common questions, and explains the difference between Medicare Advantage and Medicare Supplement plans.•Learn about recent Medicare scams, how to avoid them, and what to do if you’re a victim.•Get tips on Medicare eligibility, open enrollment, and prescription drug coverage (Part D).•Plus, hear about legacy planning and how to make sure your financial future is secure.Don’t miss this episode!If you want to protect yourself and your loved ones, tune in on Facebook, YouTube, or your favorite podcast platform.See omnystudio.com/listener for privacy information.
Le sujet fort de l'actualité foot du jour vu par Jérôme Rothen et la Dream Team.
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,...
✅ Free Medicare Guidance: https://bit.ly/3GoHTBZToll Free (855) 463 - 9688DescriptionJae breaks down why MaximizeYourMedicare.com is the hub for plain-spoken guidance—and why 2026 is more complex than you've been told. From the “birthday rule” backfire to Part D coverage gaps, AEP timing, GLP-1 gotchas, PPO vs HMO tradeoffs, and out-of-pocket max math, this episode shows how to use rules and competition to your advantage. Free guidance, serious caveats, and a clear plan—without the hype.In This Video00:00:00 Why MaximizeYourMedicare.com exists & who it's for00:01:00 AEP timing: why starting before Oct 15 saves headaches00:03:00 Substack: free vs paid, curation, and why context matters00:05:00 2026 is harder: regulation, skepticism, and “not financial advice”00:10:00 Medicare.gov walk-through: what I can finally say today00:15:00 Medigap is standardized; the real story is rate hikes00:16:00 The “birthday/anniversary rule” backlash—why prices rise00:23:00 Part D demo: GLP-1 coverage gaps & the $2,100 cap nuance00:35:00 Medicare Advantage vs Medigap math: networks & OOP max00:45:00 Markets differ by ZIP: producer pay, plan exits, and buyer edge______________________________________________________________CONNECT:✅ Subscribe to Jae's Corner on Substack: https://bit.ly/3u8TR8s✅$$$ Free Prescription Discount Card: https://bit.ly/3vv2gpi✅$$$ 2nd Free Prescription Discount Card: https://bit.ly/3NWIBp8✅Free Term Life Insurance Quote: https://bit.ly/37xaYJL✅
Lynn Nonnemaker joins Julia Grabo to discuss what Medicare Advantage (MA) and Part D proposals have been finalized, and, more importantly, which ones have not yet been addressed.
There are deep rumblings in the Part D prescription drug plan arena as the Feds have meddled in free market insurance market once too often. The plans are in trouble and those who need to rely on them for security are having difficulty. They need help figuring out how to arrange the most advantageous protection at the best available cost. Soon, a newly discovered subscription service will help all who need it to fine-tune their prescription drug insurance. In the Medicare Advantage Minute segment, we review the article entitled: "Are you unhappy with your MA plan? Here is some good news!" In the Your Medicare Advantage 2025 segment we find out whether Medicare will pay for Pre-Exposure Prophylaxis (PrEP) for HIV Prevention. 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.
In this episode, former CMS official Jon Blum reflects on the evolution and impact of the IRA's drug provisions—from foundational drivers and political trade-offs to how 2026 Part D redesign and the M3P cost-smoothing program are reshaping access. We explore why M3P adoption remains limited, how CMS is monitoring plan behavior around negotiated pricing, and what shrinking standalone Part D options may mean for patients, especially in rural areas. Jon also challenges the “blame game” in Washington—emphasizing the systemic incentives behind each actor—and shares his own prescription for equitably balancing drug affordability, innovation, and policy integrity, including thoughts on MFN and future reform paths.
Medicare Advantage Minute: UHC shareholders drop their legal efforts to force management to operate in a more transparent manner. Your Medicare Benefits 2025: Pneumococcal Shots Article: 7 Secrets To Get Good Customer Service By Phone Finally: Stalker Susie successfully identified the best Part D drug plans for Mr. Susie and herself using my new book: Medicare Drug Plans; A Simple D-I-Y Guide! Now she would like clarification of the differences between the least costly plans everyone should be seeking and the wildly expensive plans that some others are enrolled in; 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.
Are you turning 65 soon or starting to think seriously about healthcare in retirement? This week, I discuss the complicated world of Medicare—with a focus on the seven most costly mistakes people make when enrolling. From missing crucial deadlines and underestimating penalties, to overlooking the true costs Medicare doesn't cover and getting tripped up by income-related surcharges, I give practical advice to help you avoid expensive pitfalls and make confident choices for your health and your wallet. Whether you're working past 65, exploring Medicare Advantage and Medigap, or just want to sidestep penalties, this episode unpacks the essentials so you can enter retirement feeling prepared and protected. Let's get into the key rules, deadlines, and decisions every retiring listener needs to know! You will want to hear this episode if you are interested in... [04:17] Medicare enrollment guidelines & penalties. [09:35] Understanding Medicare coverage gaps. [11:55] Medicare enrollment and switching plans. [17:15] Medicare premiums based on income. [19:50] Avoid high medicare costs. [23:16] How you can use HSA funds. [24:56] Medicare costs and supplemental plans. 7 Medicare Mistakes that Could Cost You Making the transition to Medicare at 65 is a big step for retirees. While the program does have plenty of benefits, it also comes with a few key complexities and deadlines that can trip up the unprepared. 1. Not Enrolling on Time Despite common belief, Medicare enrollment isn't always automatic when you turn 65. You're only auto-enrolled if you've begun collecting Social Security at least four months before your 65th birthday. Otherwise, you must actively sign up to avoid lifelong late enrollment penalties—10% annually for Medicare Part B and 1% per month for Part D, the prescription drug plan. Remember, if you're not covered by qualifying employer insurance (typically from a company with 20 or more employees), you must enroll during your Initial Enrollment Period (IEP), which starts three months before and ends three months after your 65th birthday month. 2. Misunderstanding Late Enrollment Penalties Enrollment deadlines carry not just inconvenience, but long-term financial consequences. For every year you delay Part B, a 10% penalty is added to your premium—for life. For Part D, missing timely enrollment adds a 1% penalty per month delayed. Even if you don't currently take prescription drugs, failing to enroll in Part D or lacking “creditable” drug coverage will trigger this penalty. Many people only find out about these charges after it's too late, so mark your calendar and stay ahead of these key windows. 3. Not Comparing Original Medicare and Medicare Advantage Original Medicare doesn't cover everything, leaving you responsible for 20% of costs and lacking extras like dental or vision. Medicare Advantage, on the other hand, often bundles additional services and may come with lower or even zero premiums, thanks to how the government pays private insurers. However, these plans have different provider networks and coverage rules, so compare carefully based on your health needs, preferred providers, and annual costs. 4. Waiting to Enroll in a Medigap Policy Failing to evaluate supplemental Medigap coverage during your initial eligibility window could lead to denial or much higher premiums later, especially if you develop health conditions. During the first six months after enrolling in Part B, you're guaranteed acceptance into any Medigap plan regardless of health. Afterward, insurers can impose restrictions or deny coverage. States like Connecticut, New York, and Massachusetts offer more flexibility, but most don't—making early action essential. 5. Ignoring IRMAA: Higher Premiums for Higher Incomes Many retirees are surprised by IRMAA—the Income-Related Monthly Adjustment Amount—which increases Part B and D premiums if your income exceeds certain thresholds. These adjustments are based on your tax returns from two years prior. Even a minor one-time income bump (like a large IRA withdrawal) could propel you into a higher bracket, doubling your premiums. Be proactive: monitor your adjusted gross income and consider strategies like Roth conversions, careful withdrawal timing, or appealing based on life-changing events like retirement. 6. Making HSA Contributions After Enrolling in Medicare Once you sign up for Medicare Part A or B, both you and your employer must stop making contributions to a Health Savings Account (HSA) six months before enrollment. Over-contributing subjects you to a 6% excise tax for every year the excess remains. However, you can continue to use existing HSA funds for eligible medical expenses tax-free throughout retirement. 7. Underestimating Out-of-Pocket Costs Even with Medicare, you'll face deductibles, co-pays, and services not covered (like long-term care, dental, and vision). Part A hospital stays have significant deductibles per benefit period, and Part B leaves you covering 20% of outpatient expenses. Medicare Advantage and Medigap plans can help limit these expenses, but each comes with specific limits, provider restrictions, and rules. Without a supplemental plan, your maximum out-of-pocket exposure could reach $9,350 (in-network) or higher, depending on your plan. Resources Mentioned Retirement Readiness Review Subscribe to the Retire with Ryan YouTube Channel Download my entire book for FREE Connect With Morrissey Wealth Management www.MorrisseyWealthManagement.com/contact Subscribe to Retire With Ryan