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-pocket limit!

Moments before recording time a plea for assistance arrived from a victim of the barrage of MA plan brutality that happens to everyone who turns age 65. After hearing a radio interview he decided to emerge from hiding and take a chance on Medicare for the Lazy Man.

Finally, How can one appeal a Part D lifetime late enrollment penalty? Just listen to find out!

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.

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.

The rest of the episode consists of correspondence and questions from clients and soon-to-be clients.

Just what the content curator ordered!

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.

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 elements that, if passed, would directly affect 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!" on Amazon.com. Return to leave a short customer review & help future readers.

Official website: https://www.MedicareForTheLazyMan.com.

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 in disgust with your medical problem untreated?

As it turns out, somebody measures these things in all 50 states plus DC! Also, the results are less politically biased than we have seen in many other survey results.

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.

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 Benefits 2025" to learn exactly how Medicare might cover humidifiers.

A valued client writes in to ask whether a recent disturbing encounter with solidified intestinal contents might drive him to debtor's prison. After detailing the mathematical calculations Medicare will use in covering the medical charges, the excellent protection provided by Medicare and his High Deductible Plan G may surprise you.

I was thrilled to receive some correspondence from a happy housewife who requested my best Medicare supplement recommendation for her and her husband.

At least I was thrilled until I learned that they live in Massachusetts, the place with the worst Medicare supplement environment in all of the USA. The fun continues in a future episode so be sure to stay tuned.

Finally, an old line property & casualty company brings its Medicare supplement offerings to my portfolio. The first notice I was included regarded a planned rate increase in Nevada.

True to form, Plan G was in line for a 28% bump in rates while HDG was due for only 11%. Think about what I have been preaching: 28% of a large number would be a much more painful rate increase than 11% of a much smaller one.

Give me High Deductible Plan G every time!

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.

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 short discussion about hospital beds.

Further discussions touched on Bass Ale and finally settled on a lengthy description of the best client I could ever want to have!

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.

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@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.

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 some rate increase statistics in order to determine whether inflationary trends are still exerting upward pressure on insurance premiums.

They are.

Medicare is not allowed to provide and pay for drugs whose only function is weight loss. Some of the newly distributed GLP-1 drugs provide weight loss effects as well as beneficial treatment of heart disease and type 2 diabetes. This causes a high demand for these expensive meds.

Finally, we learn what some pinko organization thinks are the best states and worst states for overall health care access.

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.