I just need my meds paid for. Why does this have to be so hard.
@laurakearney7986 сағат бұрын
Love your videos! I almost made a horrible choice, but for some reason I decided to watch your videos and now I’m on the right path I’m going to go for a plan N ! Thank you! So many agents they push that Plan G . If I decide later on to go to Plan G would I have to go through underwriting?
@lindathomas922810 сағат бұрын
Does Irmma increases last for ever ? ie. Sale of a home.
@laurie633213 сағат бұрын
Such helpful information!
@September141000Күн бұрын
Just an observation he is the CEO of medigap which is the same as Supplemental, he encourages people to start with supplemental 😂 of course. Please people before making a decision compare the $$ you can pay for hospitalization between both and you will be surprised also he miss information for LIS Low income subsidy People can join medical and Medicare advantage and pay ZERO for everything also part B will be covered plus all benefits like vision dental OTC gym transportation food , international emergency coverage etc... with this inflation 65+ people needs benefits and lower cost. Unless you have a wealthy life go get supplemental. Also Supplemental is private too don't let you trick you on that
@Direct.injection212Күн бұрын
Why do I hear about some hospitals not accepting advantage plans anymore?
@sheryllegg845Күн бұрын
Guessing…they are not getting paid
@MedigapSeminarsКүн бұрын
As mentioned in this video, there is a problem with Advantage Plans approving service and then denying payment. Would you do business with an entity that won't pay you?
@MedigapSeminarsКүн бұрын
@@sheryllegg845 exactly
@rh-bd6wvКүн бұрын
Are service providers also seeking to increase profits by requesting authorization of unnecessary treatments?
@MedigapSeminarsКүн бұрын
That is not a common misuse of Medicare. But it does occur is some instances where a procedure could be medically necessary under some circumstances, but not under other circumstances.
@JB-gs4ipКүн бұрын
I am on Medicare as of September 1st plus Medicaid. Do I have a choice to go on supplement instead of Health Net advantage plan offered by medical?
@MedigapSeminarsКүн бұрын
People who are dual eligible cannot usually get a supplement plan. If you ever fall off of Medicaid you can apply for a supplement.
@JB-gs4ipКүн бұрын
If I receive Medicaid do I have a choice to get Medicare with supplement or only an advantage plan offered by Medicaid?
@meet-jamieКүн бұрын
Thank you, Matthew, for giving us both the good and the bad news about Medicare Advantage plans. It’s really important to understand how prior authorizations can affect coverage, and I appreciate you laying out the facts so clearly. It’s concerning to hear that neither federal nor state laws are preventing the misuse of these authorizations, but knowing what to expect helps us make more informed decisions. Your straightforward approach really helps cut through the confusion-thanks for making these complicated topics easier to grasp!
@MedigapSeminarsКүн бұрын
you are welcome.
@laurakearney7986 сағат бұрын
I’m so thankful that God lead me to your videos! I almost signed up with a Medicare advantage plan, but there was something inside of me saying don’t do it when I started watching your videos and then I realized I’d rather do the Medicare supplement! I have not signed up for one yet, but I’m looking at plan N or G. You won’t believe all the agents that I talked to that really push G! I watched a video about access charges, and everybody scaring me with that. Also found a lump in my breast. I’m so thankful I did not get it with an advantage plan. Also hearing that if I go on plan N I was told that if I wanted to switch to another plan like G that I have to go through underwriting is that true? I was hoping that plan N would be sufficient.
@CathyTheMichiganGirlКүн бұрын
Thank you ❤ Consistently appealing denied claims is an excellent strategy, especially considering how lax CMS has been at enforcing their own rules.
@MedigapSeminarsКүн бұрын
Thank you. I hope enough people see this video and get the message!
@JH-wd7ul2 күн бұрын
Great video! Even if you have many hours to read everything on the Medicare website, it is not always clear cut. It's important to keep abreast of what is available, what is changing, why it is changing, etc. Medigap Seminars is an excellent resource.
@ChrisSadowski-pp1np2 күн бұрын
Yes
@user-fr3hy9uh6y2 күн бұрын
Love the information. My wife and I both have supplements, but my parents both have advantage plans. Luckily, they were never denied a pre approval. This may be because their advantage plan and the local hospital were the same company. Maybe they were just lucky.
@MedigapSeminarsКүн бұрын
Maybe. But I am glad for them.
@kensmart19762 күн бұрын
Politicians help resolve problems, right?
@MedigapSeminarsКүн бұрын
Not our problems, just theirs.
@marksirota31532 күн бұрын
For many of us, during all of our working years, our employer provided basically a Medicare Advantage plan for the workplace. In my situation, I had a primary care provider who met most of my needs. If I needed the specialist, he had no problem recommending one for me. My workplace plan also included a good amount of dental and vision insurance. It also included any pharmaceutical drugs that I needed. Now that I am retired, I can choose a Medicare advantage plan in my area, which includes that same doctor, all of the specialists, local quick cares and hospitals, and a maximum out of pocket which is less than $1000. Please tell me why I should leave this type of plan and pay through the nose for traditional Medicare, plus an advantage plan which will continue to increase, plus a drug plan that will continue to increase plus dental, and not to mention vision coverage as well. If I was totally happy with what I had throughout all the years in the workplace, why would I want to change now? I am open to your professional thoughts. Thank you very much for this video!
@MedigapSeminars2 күн бұрын
Among other things, you are assuming the Medicare Advantage plan you have now will be the same next year or the year after. That is not the case. The benefits will change, the cost will change, the network will change, the drugs covered will change, your doctor's acceptance of the plan will change.
@g09892 күн бұрын
@@MedigapSeminars Although with employer group insurance, you have to take whatever they offer, which is usually just one choice. Some employers offer a choice of an HMO or PPO, but usually they are both from the same insurance company. They may also decide at some point to not renew their contract with that insurance provider, and will switch to a different insurance company with a different network. Don't like it, well that's tough. At least with a Medicare Advantage plan, the enrollee has several choices in many areas of the country, and can always switch at their discretion during Annual and Open enrollment periods. The only plus I can think of with employer insurance, is that the premiums are often heavily subsidized by the employer.
@tomm75052 күн бұрын
In addition to what Matthew said, during our working lives we're in our 20s, 30s, 40s, 50s and early 60s when our need for medical care is relatively low. As we move into our later 60s, 70s, 80s and beyond things will start to break and we will need more medical attention than we used to in our younger years. I don't want to have to fight a behemoth insurance company for medical care that my doctor deems that I need. That's the last thing I want to worry about when I'm older and sick. Original Medicare (which we paid into all our lives) and a Supplement gives the best coverage than any employer plan, Obumblercare plan or advantage plan can.
@ChrisSadowski-pp1np2 күн бұрын
@@tomm7505well said
@myvenusheeler2 күн бұрын
Two reasons....Caveat Emptor.
@user-fz5qv1bu5x2 күн бұрын
I agree!! After 65,Dental & vision should be free!!!
@user-fz5qv1bu5x2 күн бұрын
Me too!
@user-fz5qv1bu5x2 күн бұрын
How in the world do seniors afford dental & vision?!? Why isn’t this made free for Seniors over 65?!?
@hstrinzel2 күн бұрын
So what is Medicare Advantage really? It's NOT Medicare. And it's certainly NOT an Advantage.
@MedigapSeminars2 күн бұрын
It's a privatized version of Origina Medicare designed so the government can funnel money to insurance companies.
@davidfolts58932 күн бұрын
This gentleman provides a deep analysis of important Medicare topics. Check out his other vids, as well!
@MedigapSeminars2 күн бұрын
Thank you David
@davidfolts58932 күн бұрын
@@MedigapSeminars My pleasure, indeed.
@MattThornton-og4xo2 күн бұрын
As an independent agent, I listen to you and subscribe to your channel. I do this to learn. You are a very good teacher and you impress me every time I listen. Thank you
@MedigapSeminars2 күн бұрын
You are welcome!
@Fldavestone2 күн бұрын
For you veterans coming close to medicare age be advised. You will be required to get prescription coverage even though you have it through v.a.. Also plans will be limited in your area.This government wants to drain every penny from you to give it to illegals.
@MedigapSeminars2 күн бұрын
Part D drug coverage is not required if you have VA coverage. However, it is advisable if you wish to have medical coverage outside the VA. Also, plans will NOT be limited in your area unlessyou are working with the wrong agent / broker. Sounds like you didn't get the full picture of what is available to you. 800-847-9680 or medigapseminars.org/contact-us/
@phantomtroubleshooter27932 күн бұрын
If you choose an Advantage plan with $0 premium, you still have to pay the Part B premium of $185/mo. next year, correct?
@MedigapSeminars2 күн бұрын
correct you must pay the Part B premium
@donhgr3 күн бұрын
Yes they are !
@MedigapSeminars2 күн бұрын
Hey, don't tell the punch line too early!
@donestrada-e9z4 күн бұрын
As you explained, the likely hood of the excess charge based on the formalities and responsibilities of the doctor to tell you makes the N more attractive.
@MedigapSeminars3 күн бұрын
This is also detailed in my video Excess Charges R Dead kzbin.info/www/bejne/m5nCg3mgfNWJpZY
@oliviamiller37294 күн бұрын
Thanks Matthew. This will make me a more informed consumer. I appreciate all your efforts to educate us on our Medicare journey.
@MedigapSeminars3 күн бұрын
You are very welcome
@NelsonFranks-xk1jw4 күн бұрын
Very, very helpful. You do a great job of taking at least some of the mystery out of this mess. And your menu system is very helpful.
@MedigapSeminars3 күн бұрын
Thank you. I just enrolled in Medicare muself and will have a step by step showing my enrollment soon.
@WarrenKarberg-x7u4 күн бұрын
I went on medicare at 65 years of age 2007.About 2016 my wife lost her job and i had to go employers insurance so she could have coverage.June of 2026 I plan retiring at age 83.Will I be able to obtain a supplemental policy like I had when I first signed up for Medicare without having to go through Medicare underwriting?
@MedigapSeminars2 күн бұрын
if you qualify medically, yes. If not, no.
@sharonmedina3434 күн бұрын
Excellent review and great advice! Thank you!
@MedigapSeminars2 күн бұрын
Glad it was helpful!
@MeliaSepvlieda-w5g5 күн бұрын
Gibson Ramp
@sheryllegg8455 күн бұрын
Yes
@oliviamiller37295 күн бұрын
Great video. I'm retiring in about 5 years and I will definitely be reaching out to your company for help in navigating this complicated issue of Medicare supplements. Keep up the good work and I'm so blessed to have found you!
@perigrandone15465 күн бұрын
So happy you are on top of this!
@MedigapSeminars3 күн бұрын
Thank you
@elenaehle10515 күн бұрын
Thank you for all your help. Your videos also, very insightful. I want this plan and working with Jessica from your team very soon!!
@MedigapSeminars3 күн бұрын
awesome. I am glad you chose to work with us and know Jessica will take good care of you.
@davec27416 күн бұрын
Watch out for the Advantage plans vs keeping your Medicare & maybe getting a Medigap/Supplement plan....
@jstew19556 күн бұрын
I love saving money but Plan N has the same monthly premium at 65 as Plan G (from UHC in Southern CA). In addition, as we get older, we find ourselves needing to go to more doctors each year. Once your medical visits become free at 65, why would someone not want to go to their PCP, their cardiologist, their dermatologist, their ENT, their endocrinologist and others on a regular basis. Copays will add up very quickly with multiple doctors and erase any savings you might see up front. Plan G for me, not even close.
@MedigapSeminars6 күн бұрын
CA prices are different than most other states.
@jstew19556 күн бұрын
I love saving money but Plan N has the same monthly premium at 65 as Plan G (from UHC in Southern CA). In addition, as we get older, we find yourselves needing to go to more doctors each year. Once your medical visits become free at 65, why would someone not want to go to their PCP, their cardiologist, their dermatologist, their ENT, their endocrinologist and others on a regular basis. Copays will add up very quickly with multiple doctors and erase any savings you might see up front. Plan G for me, not even close.
@MedigapSeminars6 күн бұрын
CA premiums are much different than other states.
@zeldamoore83716 күн бұрын
I am already insurance poor. Medical, Auto, & Home Insurance. Something has got to give or I give up
@Sari1936-7 күн бұрын
You must be fair to poor uninformed Americans who will choose Medicare plan . On every step patients must get PREATHORIZATIONS in order to get proper care. These insurance companies wants to maximize profit and limit health care. Some hospitals already refuse to accept Medicare advantage.
@MedigapSeminars6 күн бұрын
You are correct. In fact, only about 40% of doctors that accept Medicare will also accept an Advantage plan. If a person can afford it, Original Medicare plus a supplement is the best option.
@champenois-FarmAnd7 күн бұрын
Thank you Sir! From the HSA cheat sheet, it looks like I can enroll in Medicare during the Initial Enrollment Period and can stop paying into our HSA the month before. Whereas the "six month retroactive rule" (with penalties on HSA) applies only to after Initial Enrollment Period. Thanks!
@MedigapSeminars6 күн бұрын
Absoltely 100% correct. You are welcome.
@laurie63327 күн бұрын
I thought it was going to be voluntary? What if we already have Plan G? We are all forced to change? They couldn't make medicare any more confusing if they tried
@MedigapSeminars6 күн бұрын
You may be forced to change your Part D. Shop your Part D this year.
@Carol-dr1mq7 күн бұрын
Thank you for this and the original full length video from 2022. You addressed everything I wondered about and confirmed my research. An Independent Medicare agent cold-called us (by walking 250 feet up our driveway) and told my retired Navy husband that he was okay with VA but MY Medicare and Tricare for Life was full of holes and would never be enough. The prevailing dishonesty is sickening. I am very grateful for your honesty.
@MedigapSeminars6 күн бұрын
You are welcome. And yes, the dishonesty is sickening.
@shna20187 күн бұрын
Assuming Dr knows what is wrong with patient. Unfortunately that is always NOT the case. Taking unnecessary medication will led to different health problems.
@isaaclatin89427 күн бұрын
Can you make a video, explaning what are the advantage using CIGNA insurance
@MedigapSeminars2 күн бұрын
Why do you think there is an advantage using Cigna?
@isaaclatin89422 күн бұрын
@@MedigapSeminars well i tried to buy a policy with Cigna for my grandma and i made a research into the Cigna website but some points are a little bit confusing for example the medsup and health and life and i want to know more about it nontheless What would you recomend me? that insurance? or do you have another better insurance?
@tedlahm57407 күн бұрын
Congress considered DOING AWAY WITH Medicare Advantage plans and FORCING everyone back to original Medicare? comment please
@MedigapSeminars2 күн бұрын
I wish. It would save Medicare a lot of money. But the truth is there are many people who cannot afford a suplement. They need to have a maximum out of pocket with Original Medicare. Parhaps a High Deductible supplement.
@tedlahm57407 күн бұрын
A With an Advantage Plan, you no longer need to purchase a supplement plan. comment please
@MedigapSeminars2 күн бұрын
That is not entirely correct. You cannot have a supplement plan and an Advantage plan. But the higher out of Pocket with an Advantage plan would suggest many need it.
@tedlahm57407 күн бұрын
2025 Medicare Part B premium $180.00. Who pays the remaining 80% of the monthly premium. interesting to know the answer. Uninformed citizens?
@allanmberryjr7 күн бұрын
I will be 65 in Feb 25. I would love to talk to you about what to do. I plan to still be working until 67 or 68. Employees are less than 20 in my company. The problem is I live in Mass. Can you still talk to me?
@MedigapSeminars6 күн бұрын
Hi - I cannot help you, but if you call my office we can refer you to people I know that will do a great job in advising you. 800-847-9680
@trentdonathan66658 күн бұрын
😀😀 Thanks for your informative video on Medicare plan differences!! Very interesting!!!