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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
Tuesday Jul 08, 2025
Tuesday Jul 08, 2025
In our "Medicare Advantage Minute" we learn about Humana's "cautious defense" of Medicare advantage plans. In a refreshing change of pace, Humana seems to be willing to admit that MA plans have room for improvement.
In a related conversation we touched on the ongoing legal action of the 250,000 retirees from New York City who have been engaged in a llawsuit against the city since 2021. They do not want the crappy Medicare Advantage retiree plan that the city says will save $600 million per year.
On a lighter note, we spend the "Your Medicare Benefits 2025" segment learning all about how Medicare would cover medical nutrition therapy services.
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"
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.
Sunday Jul 06, 2025
Sunday Jul 06, 2025
In the "Medicare Advantage Minute" we examine the four major reasons that members of MA plans tend to move on to different plans after a period of time. Hint: it isn't because they are happy where they are!
"Your Medicare Benefits 2025": Mammograms. Enough said.
Our favorite Medicare Maven Toni King takes a letter from a reader about a claim that Medicare rejected. She explains the possible reasons and the most reasonable solution.
Finally, we try to figure out the rationale behind a list of the best and worst states for working fathers.
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"
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.
Thursday Jul 03, 2025
Thursday Jul 03, 2025
In the Medicare Advantage Minute: it might be a big fat lie but MA plans are pretending to support some reform efforts.
Some have predicted that MA plans could receive as much as $43 billion in overpayments per year for diagnoses not supported by medical records.
In the "Your Medicare Benefits" segment we look at how Medicare covers age-related Macular Degeneration tests and treatments.
The meat of this episode consists of a thorough description of my new book: Medicare Drug Plans; Simple D-I-Y Guide.
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"
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.
Sunday Jun 29, 2025
Sunday Jun 29, 2025
In the Medicare Advantage Minute we learn how MA plans use prior authorization requirements to help balance the books. This at the expense of patients who are in need of medical treatment for the best opportunity to regain health!
Nebraska is taking the lead in the war to make MA plans better for their members.
In the Your Medicare Benefits segment we learn how Medicare is likely to cover lymphedema compression treatment items.
Do you like to get stabbed? We cover a list of vaccinations recommended for adults.
Finally, an advisor known only as "Rusty" takes a question from a couple who are shocked to have been caught by the "Success Penalty" known as IRMAA.
IRMAA casts a wide net but there is an appeal process that has shown success in the past.
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"
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.
Thursday Jun 26, 2025
Thursday Jun 26, 2025
In the "Medicare Advantage Minute" we enjoy an article entitled: Should you ditch your MA plan? Most people do! If you are tempted to ditch your MA plan, you are not alone! Reported problems include difficulty accessing care, receiving quality care and accessing quality care from specialists.
In the "Your Medicare Benefits 2025" segment we learn under what circumstances and to what extent Medicare will cover lung cancer screenings.
Even more details are to be had as we review an article entitled "Does Medicare cover the Shingles vaccine"? Turns out the answer is "Yes"!
Finally, we tear into a list of thirteen of the most painful medical conditions humans can endure! After that each of us tries to disgust the other with a couple of additions to the list.
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"
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.
Tuesday Jun 24, 2025
Tuesday Jun 24, 2025
Medicare Advantage Minute was the source of an interesting and welcome news report of the likely agenda items to be pushed by Dr, Oz. As the new Administrator of the CMS he has some ambitious goals, including intensive auditing and collection efforts aimed at each Medicare Advantage plan.
In the "Your Medicare Benefits 2025" segment we learned how Medicare might cover Long Term Care expenses.
Finally, in the largest Medicaid fraud scheme known to mankind, crooks used the identities of dead patients in order to bilk billions from government coffers.
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"
on Amazon.com. Return to leave a short customer review & help future readers.
Official website: https://www.MedicareForTheLazyMan.com.
Sunday Jun 22, 2025
Sunday Jun 22, 2025
In the "Medicare Advantage Minute" we learn about an enterprising gentleman who built a Medicare empire. He provided services for which he was able to bill the government over $174 million.
Then the police came calling.
On to "Your Medicare Benefits 2025" where we learned how Medicare is likely to cover Long Term Care.
How might the "Big Beautiful Bill" affect Medicare? Some areas of concern involve Medicare Advantage and the upcoding that so many MA plans are wont to do.
Finally, we discussed some of the locations on a list of "12 Great Places to Retire in the Midwest".
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 Jun 19, 2025
Thursday Jun 19, 2025
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.
In the "Your Medicare Benefits 2025" segment, we learn how Medicare would cover kidney transplants.
On a very serious subject, 11% of Medicare participants rely solely on original Medicare. This has the possibility of turning out to be a big mistake.
Even if one has the deepest of deep pockets, neglecting to carry insurance to supplement Medicare Parts A & B can leave one in a position of being refused treatment for elective or non-emergency medical procedures.
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 Jun 17, 2025
Tuesday Jun 17, 2025
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 this episode by detailing some of the employee layoffs that at least 18 insurance companies must endure due to uncontrolled expenses.
This apparently includes 30,000 to be terminated from United Health Group, the largest health insurance company of them all.
In the "Your Medicare Benefits 2025" segment, we learn how Medicare covers Kidney Disease Education for those suffering from those afflictions.
Finally I give a short history of the origins and a couple of the quirks of Part D prescription drug plans.
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 Jun 15, 2025
Sunday Jun 15, 2025
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. This is an awkward way of saying that Medicare will pay to educate people about the ravages of Kidney Disease.
Did you know that Massachusetts is one of only three states that is allowed to design their own Medicare supplement plans? Well, they did a really bad job of it and they don't seem to care at all.
Finally, when it comes to GLP-1 drugs fight diabetes and also happen to promote weight loss, they may not be as wonderful as hoped. Six out of 10 patients stop taking these drugs before seeing meaningful results and many health insurance companies have stopped covering them.
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.