Medicare Advantage Minute: Mayo Clinic warns that it won't take most Advantage plans (in Phoenix, AZ and Jacksonville, FL). Your Medicare Benefits 2025: Sexually Transmitted Infection Screenings Correspondence, consisting of questions and answers, from clients and soon-to-be clients, Peter in New York seems happy to have discovered the podcast. Michael has many questions about the consequences of moving, disenrolling from Part B and exceeding the IRMAA penalty tipping point. Peter in Houston wan...
Nov 07, 2025•42 min•Ep. 876
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 th...
Nov 05, 2025•39 min•Ep. 875
Medicare Advantage Minute: Four Things to Know About the Medicare Prior Authorization Pilot Program. The existence of this experiment just might be the first step down a very slippery slope! Your Medicare Benefits 2025: Rural Health Clinic Services Concierge Medicine Explained Ten Best & Worst States in Which to Find a Job! 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!" "...
Nov 03, 2025•36 min•Ep. 874
Medicare Advantage Minute: Stop the Health Insurers' Raid on the Treasury! Your Medicare Benefits 2025: Respiratory Syncytial Virus (RSV) Shot Stalker Suzy reviews Hey Moe's Melinda Caughill's appearance on the MLM Podcast! Prescription Drug Coverage Options are Shrinking for Medicare Shoppers Ozempic & Wegovy are now sold at Sam's Club for $500, joining Costco, GoodRx and Novocare Pharmacy. Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "...
Nov 01, 2025•34 min•Ep. 873
For the first time in history another Medicare expert joins us (via ZOOM) to shed some light on a complicated Medicare problem: How to select the best available prescription drug plan without having to deal with any annoying insurance agents! We welcome Melinda Caughill from HeyMOE.com to explain their brand new service. MOE stands for "Medicare Open Enrollment" and Hey is a call to action (I guess) so Hey MOE should be your signal to use the best plan selection tool in the business! Contact me ...
Nov 01, 2025•28 min•Ep. 870
Medicare Advantage Minute: 33 Health Systems are Dropping Medicare Advantage Plans! Why might this be? Cited reasons include prior authorization problems and slow payments! Your Medicare Benefits 2025: Religious Nonmedical Healthcare Institution Items & Services Vacation Report: Visitors to Arizona report having lots of fun in the sun. Let's hope they keep it under their hats after returning to the East Coast. It is getting crowded out here in the Sonoran Desert! Alert listener Steve in Texa...
Oct 29, 2025•33 min•Ep. 872
For the first time in history another Medicare expert joins us (via ZOOM) to shed some light on a complicated Medicare problem: How to select the best available prescription drug plan without having to deal with any annoying insurance agents! We welcome Melinda Caughill from HeyMOE.com to explain their brand new service. MOE stands for "Medicare Open Enrollment" and Hey is a call to action (I guess) so Hey MOE should be your signal to use the best plan selection tool in the business! Contact me ...
Oct 27, 2025•32 min•Ep. 871
Medicare Advantage Minute: The government will allow plan changes due to inaccurate Medicare Advantage network directory listings. Your Medicare Benefits 2025: Radiation therapy Humana announcement details year-end Medicare supplement rate increases for supplement plans in several states. Exactly as predicted by this podcaster, High Deductible Plan G proves to be the best deal of all! Samples from the file containing the content curator's favorite category: Correspondence: Myrna asked about the ...
Oct 22, 2025•34 min•Ep. 868
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...
Oct 20, 2025•36 min•Ep. 867
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 ...
Oct 17, 2025•33 min•Ep. 866
Medicare Advantage Minute: Medicare Advantage Legislation in Congress: 8 Bills to Watch Your Medicare Benefits 2025: Prostate Cancer Screening MY ANNUAL AEP ADDRESS TO THE NATION is ON THE AIR! 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, pl...
Oct 15, 2025•38 min•Ep. 865
Medicare Advantage Minute: The Latest Trend Changing Medicare! Your Medicare Benefits 2025: Principal Illness Navigation Services Selections from the Q & A folder: Is it mandatory to sign up for Medicare? If Medicare covers cataract surgery, why are there bills? Enrolled in Part B too soon? Your Medicare fix is easier than you think! BEHABBEN! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; SIMPLEST & EA...
Oct 10, 2025•37 min•Ep. 864
Medicare Advantage Minute segment: 7 Things You Can Do During AEP (Annual Election Period) Your Medicare Benefits 2025: Principal Care Management Services ANOC has arrived! Annual Notice Of Change is the legally required document that your drug plan is supposed to send during September. It is going to you about any changes in your plan, like costs or benefits, of which you should be aware. What did my ANOC say? Tune in to find out.... Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Vi...
Oct 08, 2025•33 min•Ep. 863
Medicare Advantage Minute article entitled "Why These Unique MA Plans are Poised for Popularity!" Your Medicare Benefits 2025: "Yearly Wellness Visit" The category selected for a deeper dive was the one entitled "Rates & Financial" We took a look at the current Plan G rate increases caused by our inflationary economy. By comparison, the rate increases given to high deductible plans are often $0 and rarely more than a token amount. This is one of the excellent benefits of High Deductible Plan...
Oct 06, 2025•33 min•Ep. 862
The Fleetwood review of my newest book: "Medicare for the Lazy Man: BARE BONES" is a dire warning that it was written by (gulp) an INSURANCE AGENT! To quote the review: BEWARE! Returning to format, we began with the Medicare Advantage Minute: BC/BS of Texas announced the cessation of sales commissions for all of their MA plans. In the Your Medicare Benefits 2025 we address the Welcome to Medicare Preventive Visit and learn what is included as well as how Medicare will cover it. Department of Cor...
Oct 03, 2025•37 min•Ep. 861
But first, how about our regular episode segments? Medicare Advantage Minute: Hospitals aren't the only ones stepping back from Medicare Advantage! Your Medicare Benefits 2025: Preventive and screening services From the Q & A folder we address the following subjects: 1) How are prescription drugs covered when one is in an emergency room? Hint: Toni King provided an answer but I believe she displayed a little bit of confusion by overlooking an important fact presented in the question. 2) Does...
Sep 29, 2025•33 min•Ep. 860
Medicare Advantage Minute: Judge overturns rule limiting broker payments in Medicare Advantage plans. Your Medicare Benefits 2025: Pressure reducing support surfaces. The podcast producer gets to select the general source of content for the rest of the episode. The subject in question? The ten states with the highest rates of Alzheimer's Disease! Contact me at: DBJ@MLMMailbag.com (Most severe critic: A+) Visit us on: BabyBoomer.ORG Inspired by: "MEDICARE FOR THE LAZY MAN 2025; SIMPLEST & EAS...
Sep 26, 2025•33 min•Ep. 859
Medicare Advantage Minute segment: "Elevance Health Cuts MA Footprint; Cuts Stand-Alone Medicare Drug Plans" Your Medicare Benefits 2025: Prescription Drugs - Outpatient If you are a member of a Medicare Advantage Plan or a Part D Prescription Drug Plan, an Annual Notice Of Change (ANOC) is headed your direction in the US Mail. Don't throw your ANOC away without at least trying to read it! It will be your first warning of any potentially negative and expensive adjustments that your existing plan...
Sep 24, 2025•35 min•Ep. 858
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 segmen...
Sep 19, 2025•35 min•Ep. 857
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 s...
Sep 17, 2025•37 min•Ep. 856
Long-time client Ken has a need for life insurance but prefers to deal with an agent he knows. I suggested he visit MedicareForTheLazyMan.com to try the search and apply tool behind the "LIFE INSURANCE" button. I think he would say it was an effective way to accomplish is task! In the "Medicare Advantage Minute" segment it seems that United Healthcare shareholders are suing company execs for obfuscating the impact of the murder of CEO Thompson on the fiscal bottom line. "Your Medicare Benefits 2...
Sep 15, 2025•36 min•Ep. 855
In the Medicare Advantage Minute we learn a little something about the nation's largest provider of drugs to long term care facilities: CVS Omnicare. They seem to have defrauded themselves right into a $1 billion federal fine. A very short "Your Medicare Benefits 2025" tells us how Medicare might handle charges for patient lifts. As of this recording something around 20 states offer some sort of relief from Medicare supplement medical underwriting regulations. Of those, roughly 14 or 15 currentl...
Sep 12, 2025•38 min•Ep. 854
Johns Hopkins made the final break with United Healthcare provider networks: Medicare Advantage Minute How about Pancreas Transplants? That is today's subject in our segment: Your Medicare Benefits 2025 Who has been given credit for shutting down a $10 billion Medicare fraud scheme having to do with skin substitutes? Why, everyone's favorite president, that's who! No, not Ronald Reagan! For those who are financially strapped and need some relief from Medicare premium costs, I recommend the MSP: ...
Sep 10, 2025•37 min•Ep. 853
Medicare Advantage Minute: A reliable new study indicates that there is a growing level of dissatisfaction with MA plans. Your Medicare Benefits 2025: Pain Management is the subject for this episode. Finally, we present a list of sources of assistance with Medicare information and enrollment. 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 ...
Sep 08, 2025•32 min•Ep. 852
What small North Carolina Medicare Advantage plan is having to pony up a big fine? Find out in the "Medicare Advantage Minute" segment where we learn that this local MA plan has admitted to fraudulent enrollments and identity theft. No wonder my opinion of these plans is that they constitute criminal conspiracies! In the "Your Medicare Benefits 2025" segment, we learn how Medicare will cover Oxygen equipment and accessories. Of course, Hank Hill sold "propane and propane accessories but that is ...
Sep 03, 2025•36 min•Ep. 851
What happens that is so wonderful when a MA plan dies? In the "Medicare Advantage Minute" we learn that insured people are given a free pass to purchase any other plan available; including Medicare supplement plans which can be had without Medical underwriting. This means, one can acquire the finest, most secure protection available under Medicare without having to show evidence of good health! In the "Your Medicare Benefits 2025" this episode's subject is entitled: Outpatient Services and Suppl...
Sep 01, 2025•33 min•Ep. 850
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 boo...
Aug 29, 2025•37 min•Ep. 849
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 mi...
Aug 27, 2025•35 min•Ep. 848
We start off with the Medicare Advantage Minute: "The Great Medicare Advantage Contraction Appears Set to Continue!" Then, in the "Your Medicare Benefits" segment we learn how Medicare is likely to cover "Other Transplants. These are not organ transplants, but might include stem cells, bone morrow and corneas. In the afore-mentioned "Mail I Absolutely hate to Receive" segment, yours truly is kicked in the teeth by a marital difference of opinion. After that we are treated to a communication abou...
Aug 25, 2025•35 min•Ep. 847
The first report today is entitled: "Medicare Advantage Legislation in Congress - Five Bills to Know!" That is today's Medicare Advantage Minute segment! The "Your Medicare Advantage 2025" reading tells us how Medicare is likely to cover Ostomy supplies. United Healthcare is going through some unsettling times. Here we present twelve updates for your insurance news reading pleasure! Why do I have to call somebody to get a Medicare supplement (medigap) quote? In my opinion, the reasons presented ...
Aug 22, 2025•35 min•Ep. 846
