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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!
Episodes
2 days ago
2 days ago
"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 and the 10 fattest cities.
Finally, four years after Dave first made contact he reaches out again with some unsettling news about his health and the need move more quickly on his plans for Medicare supplement than he originally anticipated.
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!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
3 days ago
3 days ago
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 Medicare is likely to cover depression screenings. Won't help the hero in the previous story though; Medicare Advantage participants have Medicare taken away from them!
Good news for those who value a happy workplace: the number of physicians who are thinking about leaving medicine has dropped 22%.
A resoundingly positive testimonial from our friend Dominick Regina! His personal experience appealing IRMAA surcharges by filing form SSA-44 has been very rewarding.
Finally, we dive into the Wallethub list of most and least "stressed" states.
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!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
7 days ago
7 days ago
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, transplants and undergoing treatment as an inpatient may be enough justification for Medicare to authorize payment for some dental procedures.
Then enjoy a tutorial on the IRMAA penalty (Income Related Monthly Adjustment Amount) and my recommended method for trying to weasel out of it!
Finally, Toni King teaches writer Laura, and everybody else, on the proper way to cause her Medicare Advantage plan to self-destruct so she can rejoin original Medicare Parts A & B and enjoy the protection her Medicare supplement was designed to provide!
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!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
Tuesday Mar 25, 2025
Tuesday Mar 25, 2025
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?
Finally, the MLM Podcast has been awarded a Humanitarian & Investment fund in the amount of $10,500,000 American dollars.
In recognition of this award I have just hosted my last podcast ever!
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!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
Sunday Mar 23, 2025
Sunday Mar 23, 2025
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).
Ransom letters threatening data breaches have been received by several hospitals according to the AHA. In this podcaster's opinion, repeal of HIPPA would remove the incentive and free the medical industry of a great deal of costly burden.
Valued client Dean, fresh from a trans-Atlantic trip across the Equator, expressed admiration for the classy way in which United American announced an upcoming rate increase.
Finally, Kelly, a friend of valued clients Becky & Lester, wrote to ask how "Medicare Advantage Trial Rights' might be advantageous to her.
APOLOGIES to readers of the newly released "Medicare for the Lazy Man 2025..". There are several typos that must be corrected.
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!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
Thursday Mar 20, 2025
Thursday Mar 20, 2025
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 returning readers, of which there will be many!
This episode starts with the Medicare Advantage Minute reporting on a discovery: Medicare spends 27% more on those who flee from MA plans back to Medicare than it does on those who have never left Medicare!
In the segment on "Your Medicare Benefits 2024" I take a very deep & lengthy dive into how Medicare covers one type of DME (durable medical equipment): crutches!
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!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
Tuesday Mar 18, 2025
Tuesday Mar 18, 2025
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".
Perks of being an insurance broker: Humana invitation to an afternoon of Pickleball and beer! Meanwhile, Randy is parked in the Brazen Head, a Dublin pub founded either in 1198, 1613 or 1754 according to a confused Perplexity AI.
Next a run through the list of recent Medicare advantage rate filings makes the point that Medical inflation is still with us and still exerting upward pressure on insurance premiums.
Finally, we hear some tips to protect against Medicare scams!
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!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
Sunday Mar 16, 2025
Sunday Mar 16, 2025
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? They live in New York with no health questions asked of applicants for a supplement plan.
Why might it fail? There are only certain times of the year during which one can disenroll from an MA plan and those are the only times one can make the switch to original Medicare and then purchase a supplement.
Contact me at: DBJ@MLMMailbag.com
(Most severe critic: A+) Visit us on: BabyBoomer.ORG
Inspired by:
"MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
Friday Mar 14, 2025
Friday Mar 14, 2025
In the Medicare Advantage Minute, we learn that the Dept. of Justice is investigating United Healthcare billing practices. Billions of dollars of fraudulent government payments suspected for questionable diagnoses.
In the "Your Medicare Benefits 2024" segment we learn how Medicare covers CPM (Continuous Passive Motion) and CPAP (Continuous Positive Airway Pressure) machines.
Finally, Bill asks a series of questions about Medicare for the benefit of his friend Cathy who may need to leave her job and make the switch very soon.
Contact me at: DBJ@MLMMailbag.com
(Most severe critic: A++) Visit us on: BabyBoomer.ORG
Inspired by:
"MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
Tuesday Mar 11, 2025
Tuesday Mar 11, 2025
Medicare Advantage Minute, content provided by Diane Omdahl:
MA plans typically have two caps on out-of-pocket, unreimbursed costs; one on the drug benefits and one on the medical expenses.
Your Medicare Benefits 2024:
How does Medicare cover Concierge Care? Not at all.
How does Medicare cover Continuous Glucose Monitors? Very likely if your doctor asserts that you meet the criteria for eligibility.
Some purchasers of Medicare supplement plans are risk averse and afraid of the very limited cost sharing imposed by the low priced High Deductible "High Value" Plan G. State birthday rules to the rescue!
More and more states are mandating rights to change Medicare supplement plans under certain circumstances without having to show evidence of good health.
This removes much of the perceived risk of this best of all Medicare choices.
Contact me at: DBJ@MLMMailbag.com
(Most severe critic: A+) Visit us on: BabyBoomer.ORG
Inspired by:
"MEDICARE FOR THE LAZY MAN 2024; Simplest & Easiest Guide Ever!" on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.