Épisodes

  • Ep, 824 - Do you like Medicaid fraud schemes? Arizona wins the trophy at $2.7 billion!
    Jun 25 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.

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    33 min
  • Ep. 823 - Missouri genius builds a $54 million dollar fortune in Medicare! Coulda been me!
    Jun 23 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.

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    39 min
  • Ep. 822 - A turbulent month for...the largest health insurance company in the USA
    Jun 20 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.

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    36 min
  • Ep. 821 - Healthy woman drops Medicare to save $250/month; now has deadly condition!
    Jun 18 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.

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    34 min
  • Ep. 820 - TRIBUTE TO MASSACHUSETTS (with a single-fingered salute to BC/BS MASS)!
    Jun 16 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.

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    38 min
  • Ep. 819 - What is 6% of 50 million? Recent Medicare Advantage prior authorization refusals!
    Jun 13 2025

    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.

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    36 min
  • Ep. 818 - A potential client asks ,"Doug, what is your fee?" Who knew I could charge a fee?
    Jun 11 2025

    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.

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    32 min
  • Ep. 817 - $260,000 bill but only $39 out-of-pocket? The power of Medicare supplement!
    Jun 9 2025

    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.

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    35 min