Lighthearted Medicare advice and opinions from longtime expert Douglas B. Jones, CLU, RHU. Drawn from his book: Medicare for the Lazy Man (an Amazon best seller), Doug's advice provides a simple road map to the best Medicare insurance protection available on the market today!
During the prelude to our "Medicare Advantage Minute" segment, I erred in identifying the surgeon given credit for the first heart transplant, which was performed in South Africa.
Eventually, our subject centered an article with the headline: "Insurers Brace for Continued Medicare Advantage Medical Costs" which was abandoned due to being out of date.
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"Health Systems Brace for More ... Uncompensated Care"
- Medicare Advantage Minute
"Fecal Occult Blood Test Screenings"
"Flexible Sigmoidoscopy screenings"
- Your Medicare Benefits 2024
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Medicare Advantage Minute: MA in the headlines...10 recent updates!
Your Medicare Benefits 2024: Are routine eye exams covered? How about with diabetes? How about with macular degeneration?
How about some correspondence from clients?
Brian wanted some details about the Medicare supplement application process. One imp...
In Medicare Advantage Minute: we learn about a prestigious study conducted in Boston. The results showed that patients with MA have out-of-pocket expenses that are very close to those with Medicare supplement coverage, in spite of all the crowing about additional free benefits.
In the "Your Medicare Benefits 2024" segment we learn how Medicare covers "enteral" nutrition supp...
"10 Key Questions Facing Medicare Advantage" is the subject for our Medicare Advantage Minute.
More trouble ahead? This is the reason we spend time in every episode warning listeners of MA plan dangers!
In "Your Medicare Benefits 2024" we learn about how Emergency Department Services are reimbursed by Medicare. As usual they ignore the fact that ...
A whistleblower snitched on an allegedly cheating MA plan, leading to a huge negotiated settlement, in our Medicare Advantage Minute.
EKGs, ECGs and how Medicare covers them is the subject of our tribute to:
"Your Medicare Benefits 2024"
The balance of the episode is given over to an analysis of the recorded and reque...
Medicare Advantage Minute:
MA stocks soared following the 2024 election. The implication is that the new administration is more friendly to the evil Medicare Advantage plans.
I am not convinced that is true and I have faith that Medicare supplement plans will remain available for responsible, discriminating Medicare participants!
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The Medicare Advantage Minute points out more trouble for Medicare Advantage plans. Hospitals have seen increasingly aggressive denials of payments with every expectation of more denial pressure to come!
In Your Medicare Benefits 2024 we learn how Medicare covers doctor services. No secret, their fees are Part B expenses.
Finally, we hear from Li...
The government has proposed more crackdowns on Medicare Advantage marketing and agent payments.
We list these proposals in the Medicare Advantage Minute.
In "Your Medicare Benefits 2024" we learn how Medicare is likely to cover kidney dialysis services and supplies.
Then we present an editorial that compares and contr...
Medicare Advantage Minute: The Feds propose "health equity" mandates that will address a couple of the worst elements of MA plans...for poor people only!
What about all of the non-poor victims of Medicare Advantage plans?
In the "Your Medicare Benefits 2024" we learn all about kidney dialysis for children. These victims of ESRD (End Stage Renal D...
The Federal Government, specifically CMS, proposed some rule changes for MA plans. We list ten of them in the Medicare Advantage Minute.
Your Medicare Benefits 2024: This segment tells us how Medicare will cover laboratory and non-laboratory diagnostic tests.
An inquisitive prospective client named Jim has studied legal insurance documents and ha...
In the Medicare Advantage Minute: Proposed regulations would mandate that MA agents should tell their sales prospects about Medicare supplement plans. The thought is that this might ease some of the confusion in the Medicare marketplace.
In the "Your Medicare Benefits 2024" segment we learn how Medicare covers diabetic services and diabetic supplies.
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"CMS Proposes New MA Audit Appeals Process. Don't worry, when it became apparent this was a proposal to benefit MA plans, I baled out very quickly.
In "Your Medicare Benefits 2024" we learn how Medicare is likely to cover diabetes screenings and self-treatment meetings.
Another rip-roaring contest from Wallet-hub: we learn about the 10 slimmest a...
Randy Carson is temporarily suspended while we recount the sad tale of a multiple cancer victim who is fighting his disease and also fighting his Medicare Advantage plan, those who are supposed to help him get treatment.
Just what a cancer patient wants to spend his time and energy doing!
In the "Your Medicare Benefits 2024" segment we learn how ...
In the "Medicare Advantage Minute" we learn what hospitals are trying to do about the tensions created by MA plans. For instance, in a recent year claim denials surged 55% on Medicare Advantage plans!
In "Your Medicare Benefits 2024" some of the situations in which Medicare will actually pay for dental work are listed. Medical complications like some cancer treatments, trans...
The message conveyed by this episode is, " Get out while you can!" MA plans are trimming their offerings in order to protect their profitability.
The subject of "Your Medicare Benefits 2024": Defibrillators! How does Medicare cover their purchase price as well as installation.
Which are the best (and worst) states in which for women to reside?
In the "Medicare Advantage Minute" an investigation concluded that the vast majority of dental plans attached to MA plans do not meet the standards generally available from employer group insurance.
The "Your Medicare Benefits 2024" segment revealed that Medicare will pay 100% of the charges for testing and treatment of Covid-19 (Wuhan Flu).
Ran...
The last portion of this episodes takes a leisurely stroll through the newest in the series: Medicare for the Lazy Man 2025, Simplest & Easiest Guide Ever!
There are several new elements and other radically revised sections. The overall effect is to give the book a fresh approach for those who are reading it for the first time while offering additional interest for retur...
Unfortunately, the dopes in this recording are not aware of that yet.
They do present an MA Minute wherein a new official names Medicare Advantage denials as the top revenue priority at Orland Health!
In the "Your Medicare Benefits 2024" we learn how Medicare covers "Counseling to Prevent Tobacco Use and Tobacco Caused Disease".
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Medicare Advantage prior authorization rates keep on climbing!
In "Your Medicare Benefits 2024" we read about how Medicare might cover Cosmetic Surery
Finally, Bill's wife Susan has hatched a plan to enroll in an MA plan while she is healthy and switch to Medicare + a supplement if she gets sick.
Why would it work? Th...
I’m Jay Shetty host of On Purpose the worlds #1 Mental Health podcast and I’m so grateful you found us. I started this podcast 5 years ago to invite you into conversations and workshops that are designed to help make you happier, healthier and more healed. I believe that when you (yes you) feel seen, heard and understood you’re able to deal with relationship struggles, work challenges and life’s ups and downs with more ease and grace. I interview experts, celebrities, thought leaders and athletes so that we can grow our mindset, build better habits and uncover a side of them we’ve never seen before. New episodes every Monday and Friday. Your support means the world to me and I don’t take it for granted — click the follow button and leave a review to help us spread the love with On Purpose. I can’t wait for you to listen to your first or 500th episode!
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