Ep+759 - Everybody loves Medicare Advantage - until they get sick!

Medicare For The Lazy Man Podcast

Player FM - Internet Radio Done Right

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تمت الإضافة منذ قبل five أعوام

المحتوى المقدم من Douglas B. Jones, CLU, RHU with Randy Carson of C2C Consulting, Douglas B. Jones, CLU, and RHU with Randy Carson of C2C Consulting. يتم تحميل جميع محتويات البودكاست بما في ذلك الحلقات والرسومات وأوصاف البودكاست وتقديمها مباشرة بواسطة Douglas B. Jones, CLU, RHU with Randy Carson of C2C Consulting, Douglas B. Jones, CLU, and RHU with Randy Carson of C2C Consulting أو شريك منصة البودكاست الخاص بهم. إذا كنت تعتقد أن شخصًا ما يستخدم عملك المحمي بحقوق الطبع والنشر دون إذنك، فيمكنك اتباع العملية الموضحة هنا https://ar.player.fm/legal.

This Is Woman's Work with Nicole Kalil

1
QUALIFIED: How Competency Checking and Race Collide at Work with Shari Dunn | 284 33:58

منذ 9 أيام33:58

التشغيل لاحقا

قوائم

إعجاب

احب

33:58

In this episode, we delve into the concept of being "qualified" in the workplace, examining who gets labeled as such, who doesn't, and the underlying reasons. We explore "competency checking"—the practice of scrutinizing individuals' abilities—and how it disproportionately affects underrepresented groups, often going unnoticed or unchallenged. Our discussion aims to redefine qualifications in a fair, equitable, and actionable manner. Our guest, Shari Dunn , is an accomplished journalist, former attorney, news anchor, CEO, university professor, and sought-after speaker. She has been recognized as Executive of the Year and a Woman of Influence, with her work appearing in Fortune Magazine, The Wall Street Journal, Ad Age, and more. Her new book, Qualified: How Competency Checking and Race Collide at Work , unpacks what it truly means to be deserving and capable—and why systemic barriers, not personal deficits, are often the real problem. Her insights challenge the narratives that hold so many of us back and offer practical solutions for building a more equitable future. Together, we can build workplaces and communities that don’t just reflect the world we live in, but the one we want to create. A world where being qualified is about recognizing the talent and potential that’s been overlooked for far too long. It’s not just about getting a seat at the table—it’s about building an entirely new table, one designed with space for all of us. Connect with Our Guest Shari Dunn Website& Book - Qualified: https://thesharidunn.com LI: https://www.linkedin.com/today/author/sharidunn TikTok: https://www.tiktok.com/@thesharidunn Related Podcast Episodes: How To Build Emotionally Mature Leaders with Dr. Christie Smith | 272 Holding It Together: Women As America's Safety Net with Jessica Calarco | 215 How To Defy Expectations with Dr. Sunita Sah | 271 Share the Love: If you found this episode insightful, please share it with a friend, tag us on social media, and leave a review on your favorite podcast platform! 🔗 Subscribe & Review: Apple Podcasts | Spotify | Amazon Music…

منذ عام واحد 35:04

MP3•منزل الحلقة

In today's MA Minute, we hear about the downside of managed care. That is the part where insurance company accountants manage your care rather than you or your doctors!

There is power in those green eyeshades!

In "Your Medicare Benefits 2024" we learn about blood, or rather how Medicare will pay for procedures involving blood.

Finally, the Social Security Administration is in charge of signing people up for Medicare. In some places, it doesn't seem too interested in doing its job!

One soon-to-be client had to call his senator in order to shake loose some action on his application. Another found out they lost his original application, found it, mishandled it and eventually, maybe accidentally, managed to get it together just in time.

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.

115 حلقات

#Business #Podcasting Education #News #Douglas B. Jones, CLU, RHU with Randy Carson of C2C Consulting #CLU #Douglas B Jones #RHU with Randy Carson of C2C Consulting

Medicare For The Lazy Man Podcast

Ep+759 - Everybody loves Medicare Advantage - until they get sick!

Medicare For The Lazy Man Podcast

15 subscribers

published منذ عام واحد

MP3•منزل الحلقة

In today's MA Minute, we hear about the downside of managed care. That is the part where insurance company accountants manage your care rather than you or your doctors!

There is power in those green eyeshades!

In "Your Medicare Benefits 2024" we learn about blood, or rather how Medicare will pay for procedures involving blood.

Finally, the Social Security Administration is in charge of signing people up for Medicare. In some places, it doesn't seem too interested in doing its job!

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.

115 حلقات

#Business #Podcasting Education #News #Douglas B. Jones, CLU, RHU with Randy Carson of C2C Consulting #CLU #Douglas B Jones #RHU with Randy Carson of C2C Consulting

All episodes

1
Ep. 777 -Evil IRS attacks Mark, but he crushes them! The weapon? Form SSA-44! 32:09

منذ 12 hours32:09

32:09

The shocking headline in our Medicare Advantage minute: Problems with MA plans keep mounting! Denial of service and slow care approvals seem to be used as methods of profit maximization. The "Your Medicare Benefits 2024" segment takes a deep dive into the specifics of how Medicare covers "commode chairs". Finally, when the IRS tries to extract the IRMAA success penalty from Mark, his reduced retirement income allows him to successfully employ the weapon I suggested he use against them. 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 .…

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Ep. 776 - Need a colonoscopy? Medicare might pay for it! 34:01

منذ يومين34:01

34:01

In the Medicare Advantage Minute, we hear again about all of the negative changes coming to MA plans in 2025. The "Your Medicare Benefits 2024" segment describes the requirements one must meet in order to be colonoscopized on Medicare's dime. I think there is some wiggle room there. New client Tim writes to say that he is convinced that High Deductible Plan G (HDG) is the best choice for him. However, he wants to know how cautious and conservative he should be when selecting his Medicare supplement insurance company. 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 .…

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Ep.+ 775 - Dental & vision insurance? I use AI to help clients select their plans! 33:45

منذ 4 أيام33:45

33:45

In our Medicare Advantage Minute, we learn that ten companies are exiting MA markets in 2025. Do you need cognitive assessment? Some say that I do! Read all about how Medicare will pay for that plus care plan services. Finally, I use perplexity AI to provide information to prospects who are considering the purchase of dental & vision insurance. Ameritas and NCD by Metlife are the first two companies I suggest. There are many, many others to choose from! 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 .…

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Ep. 774 - Once banned due to shocking effects, an old drug has new uses. 35:14

منذ 7 أيام35:14

35:14

Part of the cautionary tale about thalidomide illustrates the fact that Medicare alone is often not enough to persuade doctors to perform non-emergency treatment. In the Medicare Advantage Minute, we learn that: "The Great Disruption is coming for Medicare Advantage"! In "Your Medicare Benefits 2024" we take a brief look at Cognitive Assessment and Care Plan Services. If you have failed to enroll in Part B of Medicare, the General Enrollment period can bail you out. We enumerate the three big reasons people may end up in that predicament. Finally, we list six common, everyday things we all grew up with that appear to be disappearing. 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 .…

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Ep. 773 - Tragic tale: altruistic insurance agent & 93-year-old in need of help! 31:32

منذ 11 يومًا31:32

31:32

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 .…

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Ep. 772 - See how "The Walking Dead" would sound if the zombies could speak. 29:30

منذ 14 يومًا29:30

29:30

In the Medicare Advantage Minute we learn that algorithms used by the big 3 MA companies automatically reject 1 in 4 requests for post-acute care. Your Medicare Benefits 2024 teaches us how the program is likely to cover Chronic Care Management Services, in case you ever need them. In answers to questions from Randy, I explain that the Part D drug plan online enrollment process has been improved to allow me to enroll my clients. On the other hand, in order to select the "best" plan I must be able to predict the needs of the client will face in the coming year. Otherwise, my recommendation is just a worthless crap shoot. Finally I review the changes in drug plans in 2025, list the three benefit stages of a drug plans and list just a few of the problems one might experience with a Medicare Advantage plan. 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 .…

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Ep. 771 - Pay no attention to the phlegm-ridden man behind the curtain! 33:12

منذ 16 يومًا33:12

33:12

Enjoy the fascinating story of how the geniuses at Medicare failed to figure out that Medicare Advantage plans have been dodging the claims of their members who also receive treatment at the VA! In "Your Medicare Benefits 2024", we learn how Medicare pays for Children's Kidney Disease and Chiropractic Services. Doug's wife has been a happy client with High Deductible Plan G and now his 65th birthday is approaching and he wants in on the fun! Finally, we learn that some new programs are coming down the pike, including dementia support services in which volunteers are trained to care for dementia patients. (By volunteers we probably mean family members) 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 .…

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Ep. 770 - When Advantage plans order "JUMP", Gov't squeaks, "How high?" 30:55

منذ 18 يومًا30:55

30:55

In the Medicare Advantage Minute, we learn: Government Scrapped a MA Rule Over Industry Opposition Let the Billions of dollars in fraudulent payments continue to drain the US treasury! MA plans have managed to drag their feet for ten years after government review of patient records fails to find treatments they thought they had paid for. Check out how Medicare will pay for Chronic Pain Management in "Your Medicare Benefits 2024". Looks like they are planning to cut doctor reimbursements again but the AMA purports to be fighting that action. We should all want to have happy, prosperous doctors serving Medicare! Client Shauna writes with some questions that show she has forgotten some of the great benefits of having Medicare + a supplement. History & trivia department: Henry VIII's flagship Mary Rose rolled over and sank in 1545. It was finally raised in 1982. 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.ontact Official website: https://www.MedicareForTheLazyMan.com .…

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Ep. 769 - Demonstrators cause ruckus at HQ of largest US health ins. company! 30:24

منذ 22 يومًا30:24

30:24

Program note: Pay no attention to the man behind the curtain! This episode was recorded after I endured the "Fungus Among Us" but is presented out of order. References to my disease should be ignored. The "Peoples' Action Network" sounds like the Symbionese Liberation Army. On at least one day last summer they expressed interest in making a health insurance company more accountable to its customers. In Your Medicare Benefits 2024, we learn how Medicare will help you if you have more than one serious medical condition and need expert assistance. Finally, Jeffrey, who says he is a big fan, writes to ask for guidance in coordinating retirement dates, enrollment dates, effective dates and HSA deposits for him and his Mrs. 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.ontact Official website: https://www.MedicareForTheLazyMan.com .…

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Ep 768 - Lady Parts: Medicare will help fix plumbing problems! 32:50

منذ 23 يومًا32:50

32:50

In Texas, South West Health Resources is ending their Medicare advantage plans due to "headwinds" from our Medicare Advantage Minute. Your Medicare Benefits 2024 describes how Medicare will cover checkups and testing for female problems. David writes a lengthy paragraph full of questions about how the insurance each of his family members will be affected when he enrolls in Tricare For Life. Talk about a complicated situation! 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 .…

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Ep. 767 - Do you need Coke bottle bottoms to see? Medicare can help! 34:45

منذ 25 يومًا34:45

34:45

According to "Your Medicare Benefits 2024" Medicare will pay to have your cataracts burned off those baby-blues! You might have some decisions to make, though. United Healthcare lost another of their in-network hospital chains in six states: Trinity Hospitals. Finally, a fan of MLM named Lola wrote in with a perplexing question: She is on Medicaid and will soon turn 65. Can she ignore Medicare? Turns out, Perplexity AI said no, she can't. The good news is that after she enrolls in Medicare, Medicaid may step up to pay the Part B premium for a "dual eligible" like Lola. Last I heard, she was heading for the phone to confirm this with her Medicaid caseworker! 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 .…

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Ep. 766 - Do you have a caregiver? Medicare will train her for you! 35:35

منذ 28 يومًا35:35

35:35

In the Medicare Advantage Minute, a hospital chain based in Huntsville, AL and environs parts company with United Healthcare, leaving many former members in the lurch. If you acquire a caregiver (or "caretaker" as I prefer), and that person needs some training in order to perform effectively, Medicare will assist in accomplishing that. In a lengthy segment we wrap up the podcast by listing nine changes affecting Medicare in 2025. 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 .…

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Ep. 765 - 1 phone call gut punches the largest US health insurance company! 34:00

منذ 4 weeks34:00

34:00

United Healthcare sues the Feds due to a reduction in star ratings. This trouble started with a single marketing call that went south; probably a secret shopper. Learn how Medicare would cover cardiovascular counseling and screenings. If your doc accepts Medicare reimbursement you will probably pay nothing for these procedures. A lengthy list of insurance company rate filings shows that we are still suffering the ill-effects of a long inflationary spiral. Finally, Steve's brother-in-law strongly suggested the purchase of "Medicare for the Lazy Man". While waiting for delivery he thought up some questions, the answers to which may help guide his next steps. 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 .…

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Ep. 764 - A wife's forgotten birthday leads to confusion and turmoil! 30:50

منذ 5 weeks30:50

30:50

In the MLM Medicare Advantage Minute we address the following: "Insurers Brought In $50 Billion Through Questionable Diagnoses!" It's an old story that never seems to end; evidence is that MA plans are fabricating "proof" of the rotten health of many of their clients, thereby earning larger payments from the US Treasury! This is known as "Upcoding". In the "Your Medicare Benefits 2024" we take a look at Cardiac Rehab and how Medicare would cover that if your heart problems required serious medical intervention. Then we read a list of the top 20 hospitals in the US which have maintained pricing transparency. In my opinion, that is the last item on the mind of someone who requires hospitalization! Toni King fields a question: Should I purchase a Medicare supplement or Medicare Advantage plan? In the view of this reporter there is only one answer to that question. A client writes to ask what his Medicare supplement's next premium increase is likely to be and whether it would be time to do some shopping for a better price on a different plan, maybe using the Nevada Birthday rule? Finally, consider the likely increase characteristics with Plan G as opposed to High Deductible Plan G as the years pass. 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 .…

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Ep.+755 - Jim, The AI Educator, is back for another dose of "Cornball Humor"! 35:17

منذ 5 weeks35:17

35:17

In our Medicare Advantage Minute for today we take it to the enemy with, "Medicare Advantage Star Ratings Fall Again!" An excerpt from "Your Medicare Benefits 2024" explains the coverage available for Medicare participants who need artificial eyes or limbs. Evidence of inflation in the health insurance arena: a list of the Medicare plans which have filed for rate increases in various states. Finally, Jim checks in again with advice from his employer's group insurance agent. Good advice, generally speaking! 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 .…

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Medicare For The Lazy Man Podcast « » Ep+759 - Everybody loves Medicare Advantage - until they get sick!

Ep+759 - Everybody loves Medicare Advantage - until they get sick!

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مرحبًا بك في مشغل أف ام!

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

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The Let Them Theory: A Life-Changing Tool That Millions of People Can't Stop Talking About

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Ep+759 - Everybody loves Medicare Advantage - until they get sick!