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!
Accused of several despicable acts of malpractice, May has been a rough month for UnitedHealth Group. It is suffering a drop in stock value, reduced earnings projections and a loss of confidence.
One of the many accusations includes pressuring or bribing 2200 nursing homes to refuse the transfer of patients to hospitals, thereby saving the company many large claims.
My client had the best Medicare insurance available at a very small cost, but decided to drop Part B and her Medicare supplement for over a year while waiting for Social Security enrollment. Bad move!
She has been diagnosed with atrial fibrillation. She now must wait until next year to re-enroll in Part B and she may never qualify to get her great supplement again.
We started out with the Medicare Advantage Minute during which we learned that the "Final Rule" for MA and Part D drug plans for 2026 has been published.
Learn 14 (or fewer) exciting things about what the future holds for those plans.
In the "Your Medicare Benefits 2025" segment we learn exactly how Medicare would cover Kidney Disease Education. ...
The Medicare Advantage Minute segment once again illustrates the fact that very few appeals were filed by MA victims of prior authorization refusals.
However, the majority of those appeals resulted in reversals of the denials!
In "Your Medicare Benefits 2025" we learn how Medicare covers insulin, including the newly created $35 monthly out-of-poc...
In the Medicare Advantage Minute we (again) read that Dr. Oz plans to scrutinize Medicare Advantage plans to make sure they don't continue to pursue the underhanded tactics, like "upcoding" that have allowed some of them to loot the US Treasury for year after year.
In "Your Medicare Benefits 2025" the topic of the day is Inpatient Rehabilitation Care.
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In the Medicare Advantage Minute, "Another Health System Scales Back Its MA Plan" which will leave Vermont and surrounding New England states with fewer MA plan options.
In "Your Medicare Benefits 2025 we learn how Medicare covers inpatient hospital expenses.
Finally, we have a look at the Big Beautiful Bill. In particular we review four element...
In the "Medicare Advantage Minute" segment we learn a little about what Dr. Oz may prioritize when he assumes command of his little corner of the bureaucracy.
How about some oxygen? Hyperbaric Oxygen Therapy is the subject of "Your Medicare Benefits 2025".
Finally, have you ever needed to visit a hospital emergency room? Did you wind up leaving i...
In the "Medicare Advantage Minute" we have an item detailing a series of accusations about UHC having planted "operatives" in nursing homes.
The goal was to dodge big medical claims by manipulating treatment and stopping hospital transfers. Yet to be determined whether there was any collateral damage.
On a lighter note, we visit "Your Medicare Be...
In the Medicare Advantage Minute we hit the high points in an article entitled "Medicare Advantage So Far: Five Things To Know!"
The bottom line was a bunch of MA plan representatives whining about what they think was a niggardly increase in their payment schedule from the Treasury.
In the "Your Medicare Benefits 2025" segment we have a very sho...
In the "Medicare Advantage Minute" we go through news article reporting that the majority of MA members are confused.
It had some other negatives to report about Medicare Advantage as well
In "Your Medicare Benefits 2024 (or maybe 2025)" we learn exactly how Medicare covers in-home hospice care.
Contact me at: DBJ@MLM...
Patients with Medicare Advantage insurance coverage: rural hospitals are asking themselves whether they can afford to keep accepting them!
This is the subject of our "Medicare Advantage Minute" today.
In "Your Medicare Benefits 2025" we learn how Medicare would cover home infusion therapy services.
Then we spot check ...
In our MA Minute we scan the article:
Medicare vs. Medicare Advantage; Ill health often leads to a plan switch!
Bottom line: if one gets sick, one begins to see how MA plans can cause misery!
In today's "Your Medicare Benefits" we learn how and when Medicare will help with Home Health Services.
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In the Medicare Advantage Minute" we hear news about seven prior authorization updates from various locations.
Since prior authorizations are a big problem with MA plans, this could be good news for the improvements these plans sorely need!
In the "Your Medicare Benefits 2024" segment we find out how Medicare might cover HIV screenings.
My appearance on a Phoenix radio show led to a brief expression of admiration for another guest's revised professional opinion. That, in turn, confused the hostess who expressed consternation that one would make reference to some other guest.
Go figure.
I expect an invitation will be issued soon to my new best friend!
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The Medicare Advantage Minute is pre-empted so that we can spend the time examining the current state of Part D Prescription Drug Plans (PDP).
We also do some speculation about the economic pressures facing these plans and what changes might be necessary for the year 2026.
In the "Your Medicare Benefits 2024" we learn the eligibility requirement...
After a spirited history lesson that finishes our Axis Sally hunk, we enter the "Medicare Advantage Segment". There we learn a little about part of the basis upon which payments by the Federal Government are made to the MA plans.
In the "Your Medicare Benefits 2024" segment we are treated to a very complete explanation of precisely how Medicare reimburses the cost of hearing...
First order of business today is a history lesson: Axis Sally gave her last propaganda broadcast this date in 1945.
In the Medicare Advantage Minute we learn good news: Republicans are waking up to the reality that MA plans are turning on Medicare participants like rabid dogs!
How will Medicare cover Hearing & Balance...
Medicare Advantage Minute: MA plans are the ones squeezing more billions of dollars from the US Government.
In the "Your Medicare Benefits 2024" segment, we learn how Medicare would cover Health & Wellness Education Problems
A review of some insurance company ra...
Interrupting a lengthy run, our usual kick-off feature has been temporarily suspended: No Medicare Advantage Minute article warning new Medicare eligibles about the dangers of MA plans.
In our other regular segment we learn how Medicare might cover Gym memberships and fitness programs.
Possibly the shortest segment in "Your Medicare Benefits 2024...
In the "Medicare Advantage Minute" segment, our article of the day has a headline that reads: "The Decline of PPO in Medicare Advantage". When times are tight, MA plans reduce the number of plans with the greatest freedoms.
This leads to a discussion of the greatest Medicare supplement plan ever created:
High Deductible Plan G.
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