My father's Aetna advantage plan cancels at the end of 2024 and no longer have that plan for 2025. Does he qualify to enroll in Supplement plans without underwriting? He currently is very healthy and has no medical records except for flu shots and check up at primary doctor. I just want to make sure. I heard what you said in your video about cancellation on advantage plan.
@SeniorAdvisorsMedicare20 күн бұрын
Hello - yes he can get a supplement no problem
@SpynCycle57Ай бұрын
Something I've not heard anyone mention is that the Plan N copays are not indexed for inflation. The Medicare Part B premium is indexed for inflation. The part B annual deductible is indexed for inflation. The part A copay is indexed for inflation. The plan K & plan L max out of pocket amount is indexed for inflation. The plan N max copays of $20 & $50 isn't indexed for inflation. Years in the future the plan N copays will still be $20 & $50.
@SeniorAdvisorsMedicare29 күн бұрын
Yes, good point. The government will probably sunset Plan N (like they did with H, I, J, F…) if the low copays become an issue for sustainability.
@ronnawaggaman9731Ай бұрын
The comparison between Original Medicare vs Medicare Advantage is wonderful. It covered exactly what I needed to know to make an educated choice. Thank you so much.
@SeniorAdvisorsMedicareАй бұрын
Glad it was helpful! Thanks for watching and sharing the feedback !
@ericbond5276Ай бұрын
Guaranteed issue scenario, what if the person is hit by a car or mugged ala victim of a crime?
@SeniorAdvisorsMedicareАй бұрын
This is an unfortunate situation but has nothing to do with Guaranteed Issue periods for Medicare Supplements.
@ericbond5276Ай бұрын
What if a doctor isn't taking new patients??
@SeniorAdvisorsMedicareАй бұрын
Hello. I’m not sure I understand the question. If a doctor isn’t taking new patients, you would need to find another doctor that is taking new patients.
@ericbond5276Ай бұрын
@@SeniorAdvisorsMedicare When I was on Medicaid, I was looking for a dentist. The receptionist gatekeeper said No new patients.
@johnscott27462 ай бұрын
Excess charges are only charged by 2% of doctors in this country. Just ask if they accept Medicare assignment. If they don’t accept assignment, then Medicare allows 95% of the regular approved amount and the doctor can add on 15% of that amount. So if the approved amount was $100, they would allow $95 + 15%. Medicare would pay 80% of the $95 and your supplement plan would pay the difference up to $95. Then you would be responsible for the 15% of $95 which would be $14.25. There ARE situations where it could be a bit of money. If you have a specialist surgeon for your condition and his approved amount was $30,000 and he didn’t take assignment, then Medicare would allow him/her $28,500 and he could add on 15%. That would be $4275. But again, excess charges are a rare thing and not likely at all.
@SeniorAdvisorsMedicare2 ай бұрын
Thank you for your feedback.
@guloguloguy2 ай бұрын
THANK YOU, FOR ALL OF YOUR EXCELLENT, CLEAR, CONCISE TUTORIAL/EXPLANATIONS, OF THESE MANY "MEDICARE PLANS"! MUCH APPRECIATED!! ["SHARED"]
@SeniorAdvisorsMedicare2 ай бұрын
You're very welcome!
@diannecooper49462 ай бұрын
Excellent. Can I use you for my agent?
@SeniorAdvisorsMedicare2 ай бұрын
Yes we can certainly help you with your Medicare plans - you can give us a call today at 908-272-1970. My calendar tends to get booked out several weeks ; if you need something sooner , I have a stellar team of agents here that can assist - Rod, Bob, and Nick!
@FloridaNative593 ай бұрын
I start Medicare in my birth month of December 2024 along with a supplement and a Part D Plan. Will my Plan D rate change the first of the year or is it locked in for one year until December 2025 ?
@SeniorAdvisorsMedicare3 ай бұрын
Hello - Part D premiums are based on calendar year. So your Dec 2024 premium could very well differ from your 2025 Part D premiums. We will be happy to help you get setup for Dec 1 when you are ready. 908-272-1970
@FloridaNative593 ай бұрын
@@SeniorAdvisorsMedicare thanks
@PKLU2313 ай бұрын
I sold an investment property and the capital gain made my MAGI increased in 2022. I received IRMMA letter in 2024. Now my income was lower in 2023 and 2024 too. My questions:) Can I file SSA 44 appeal form to adjust /lower my income tier (IRMMA effect) ? And When? What reason allows me to appeal for this capital gain as a non-reoccurring income now on the SSA 44 form?
@SeniorAdvisorsMedicare3 ай бұрын
Unfortunately this would not be a valid appeal reason. You can see the explanation of the appeal reasons on page 5 of the SSA-44 form: www.ssa.gov/forms/ssa-44.pdf
@PKLU2313 ай бұрын
@@SeniorAdvisorsMedicare Thank you for the reply and explanation. Will this higher tier income premium for part B And D stay forever or just go on for 2 years ? Will Social security review my income every year and could adjust my premium ?
@SeniorAdvisorsMedicare3 ай бұрын
@@PKLU231 - it will be adjusted every year. At the end of 2024, the government will use your 2023 tax return to determine your 2025 premiums.
@PKLU2313 ай бұрын
@@SeniorAdvisorsMedicare Thank you very much. Great. The SSA will adjust my premium even I don’t require or do anything ?
@SeniorAdvisorsMedicare3 ай бұрын
@@PKLU231 correct. they review the latest tax record at the end of each year (2023 tax return will be used to determine 2025 premiums)
@marileetirado45613 ай бұрын
Thanks for the great information and concise explanation. Always appreciate the advise and information you provide us!
@SeniorAdvisorsMedicare3 ай бұрын
Thanks for watching Marilee , and sharing some feedback!
@RetirementRefined3 ай бұрын
Great Update, thank you!
@SeniorAdvisorsMedicare3 ай бұрын
Thanks for watching and sharing your feedback!
@JohnVicari3 ай бұрын
As always great information from Senior Advisors and Justin! Thank you!
@SeniorAdvisorsMedicare3 ай бұрын
Thanks for watching and providing feedback John!
@LARRYLEIBOWITZ3 ай бұрын
As always a clear and concise update of necessary financial needs related to the medical care for we seniors... Thank you continue the good work as I welcome more videos
@SeniorAdvisorsMedicare3 ай бұрын
Thanks Larry! Appreciate the comments :-)
@user-nm5yv6ij8w3 ай бұрын
FINALLY! We finally have a video on KZbin from a person who is smart enough to know that Connecticut CAN charge excess charges, and that excess charges could be more common in the future! Bravo, sir.
@SeniorAdvisorsMedicare3 ай бұрын
Thanks for watching!
@jameskelly92432 ай бұрын
They all tell you that
@NoMoreTears644 ай бұрын
Clear and concise information. I REALLY REALLY don't know which way to go because WHO can see into the future?
@SeniorAdvisorsMedicare4 ай бұрын
Hello - if you give us a call , when can review your specific situation to get you the best premium/carrier options for Plan G and N based on your situation . Then we can try to help with your comparison :-) 866-751-2213
@NoMoreTears644 ай бұрын
@@SeniorAdvisorsMedicare I know and I will. I am still a few months out. I turn 65 in December. I KNOW what I want to do, but the wild card is my rent. I feel like whatever I choose I will have to let go of in June 2025. It's a matter of good Healthcare or roof over my head. Difficult choice.
@sadie4me25 ай бұрын
I’m confused
@SeniorAdvisorsMedicare5 ай бұрын
Hi there - if you have a specific question , you can email us at [email protected] or call us at 908-272-1970.
@Jan-nj6qu6 ай бұрын
And the sources you are quoting from are not from a research/Statistical study, …
@SeniorAdvisorsMedicare6 ай бұрын
Thanks again for your feedback. Have a great day!
@Jan-nj6qu6 ай бұрын
AARP is for people with “higher income “ I can’t afford to belong the membership for AARP
@SeniorAdvisorsMedicare6 ай бұрын
Thank you for your feedback. AARP is not for higher income. It costs $16 per year for a membership. We hope you have a great day.
@Jan-nj6qu6 ай бұрын
@@SeniorAdvisorsMedicare My rent in Ocean County NJ is 1700 a month My Sss is 1750 a month . I also pay 250 a month for my Medicare This July my rent will increase to 3000 a month in Ocean County NJ. I can not afford 16 dollars a year for AARP. I’ve call Senior Services on April 3, and continue to call them every week. I’m still waiting for a case worker .. So it’s very difficult time and impossible to have a nice day
@Jan-nj6qu6 ай бұрын
Seniors are not computer savvy…
@SeniorAdvisorsMedicare6 ай бұрын
Thank you for your feedback. This is a generalized and inaccurate comment. We work with thousands of seniors each year that are computer saavy enough to work with us over the phone / computer for their Medicare enrollment. According to AARP and Forbes about 80% are tech saavy --- www.forbes.com/sites/forbesbusinesscouncil/2021/09/10/how-tech-savvy-seniors-are-shaking-up-senior-living/?sh=580f7230389c
@Jan-nj6qu6 ай бұрын
@@SeniorAdvisorsMedicare I’m 67 years old and I find the online system very difficult and confusing and I have called 3 times to get an appointment with a case worker in my country “ Ocean County “ and still have not received. a phone call back ,
@Jan-nj6qu6 ай бұрын
@@SeniorAdvisorsMedicare It would be appropriate for you to ask me “how can I help you .? “. … Medicare can spend money on computers services. but not with helping senior ( me ) …
@nighthawk_predator18776 ай бұрын
I agree with @robward155, I think it's important to discuss Biden's Inflation Reduction Act and how the out of pocket cap going forward is obviously being thwarted by these greedy insurance companies. This is a loop hole that needs to be closed!!!
@SeniorAdvisorsMedicare6 ай бұрын
Thank you for watching the video and providing your feedback. We have a different video which explains the Inflation Reduction Act. Inflation Reduction Act - Medicare Part D Impacts kzbin.info/www/bejne/eoioaKeHiNGqldk
@meshark_t6 ай бұрын
So if u have all my meds as generic, how much is my premium and what's the cost per meds as generic, tnx.
@SeniorAdvisorsMedicare6 ай бұрын
Hello - thanks for your feedback. We would need the list of medications with dosage /frequency, to complete a part D analysis /recommendation. Generic drugs but fall into different tiers/costs, depending on drug. You can give us a call at 908-272-1970.
@RichardGustafson-jk8xm6 ай бұрын
Good stuff Justin! I learned to put "effective dates" in REMARKS section!
@SeniorAdvisorsMedicare6 ай бұрын
Thanks for the note Rich!
@Itsme-jv4cd7 ай бұрын
This is the best explanation of part D that I've heard ! Thanks for making it understandable.
@SeniorAdvisorsMedicare7 ай бұрын
Glad it was helpful! Thanks for sharing your feedback !
@mitchellmclain60497 ай бұрын
Good information, particularly about the prorating applied to HSA contributions when signing up for Medicare. No other Medicare video I've watched mentions this. Also, the backdating for Part A can get tricky. You have to plan ahead and stop HSA contributions well before enrolling in Medicare. If you get laid off, you can't plan ahead, so there's that complication.
@SeniorAdvisorsMedicare7 ай бұрын
Thanks for watching and the nice comments, Mitchell. Have a great day!
@SeniorAdvisorsMedicare7 ай бұрын
Also - if you enroll in Medicare (or Social Security) after age 65, the government will back-date your Part A effective date by 6 months. This is explained in multiple scenarios in the second half of the video. This is something to plan for if you are contributing to an HSA , as explained in the scenarios.
@SeniorAdvisorsMedicare7 ай бұрын
One other question we get related to this... For people that have an HRA (Health Reimbursement Arrangement) and FSA (Flexible Spending Account), they do NOT have the same restrictions related to Medicare. There are no limitations for HRAs or FSAs related to Medicare enrollment.
@benjaminsherman95257 ай бұрын
Thanks so much, that provided a lot of clarity.
@SeniorAdvisorsMedicare7 ай бұрын
Glad it was helpful!
@tioswift36769 ай бұрын
How do you follow up with people after these seminars? They always seem to fall off the face of the earth
@SeniorAdvisorsMedicare9 ай бұрын
Hello - people that need help with Medicare generally follow up with us; or they complete a contact form for us to contact them.
Thank you! The best explanation video I’ve found (seen many). I retired 12/30/23, Pt B begins 02/01/24 and rec’d IRMAA increase letter. I went to drop off my SSA-44 at the local SS office today. The man said the life changing event had to happen during the year of the 2-year look back (tax yr 2022) and my form would be denied. I said that’s different than all my research and what my CFP told me so he said he could submit it but likely would be denied. I asked him to submit it. He was incorrect, right?
@SeniorAdvisorsMedicare9 ай бұрын
Thank you for the feedback. Yes, he was incorrect. The whole purpose of the form is to notify the government of new information that happened after the last tax year.
@tanyakezzler954810 ай бұрын
What if you are hit by 2 hurricanes declared national disasters and you take money out of your Ira to repair your home that insurance did not cover. Ie it caused income to go up and irmma to be incurred.
@SeniorAdvisorsMedicare10 ай бұрын
Hi Tanya- I am sorry to hear about your situation. I would recommend you bring all of your records to the Social Security office and see if there is any sort of exception that can be applied to reduce your IRMAA. If you are unsuccessful, you may also want to check with your Representatives to explain your station and see if they can assist with an exception to help reduce your IRMAAs.
@garypostell526810 ай бұрын
The fleecing of Americans while feeding Big Parma 💯
@SeniorAdvisorsMedicare10 ай бұрын
Thank you for watching and sharing your feedback.
@susanoverstreet235510 ай бұрын
Why is being placed in a long- term care facility not included as a life changing event when it costs $100,000+ annually?
@SeniorAdvisorsMedicare10 ай бұрын
Hello - I’m not really sure what your question is asking and /or what it has to do with Medicare. Medicare does not cover Long Term Care Insurance.
@dan1ob10 ай бұрын
When in 2024 should I expect IRMAA deductions to reflect my (much lower) 2022 income? If I don’t see a change by what date should I file an appeal?
@SeniorAdvisorsMedicare10 ай бұрын
Hello Dan - did you receive your letter from the government explaining your 2024 premium amounts? The figure in the letter should take effect in January.
@dan1ob10 ай бұрын
@@SeniorAdvisorsMedicare No, never got a letter, but I think I’m enrolled in paperless communications. I’ll look on the gov website. Update: It turns out you have to go to SSA rather than Medicare to get this information. The reason I didn’t get the letter is that was sent to the wrong address, which I fixed. The SSA rep on the phone (only a 1-minute wait!) was helpful and professional.
@J560iH11 ай бұрын
What a Racket, my bp medication costs Less than the coverage I will be forced to buy to avoid penalities. My god you would hafto be a politician to think this is kosher.
@SeniorAdvisorsMedicare11 ай бұрын
Thank you for your feedback. The lowest premium Part D plans are $0 or very close to $0 in 2024.
@J560iH11 ай бұрын
@@SeniorAdvisorsMedicare Thanks, I'm not begging for things to be free but, to just make sense. My wife at 76 takes Nothing but I understand that I will need to sign her up to avoid penalities later if necessary, I expect to sign myself up just for my BP meds and then just pay cash as my scrip is only 35 dollars every 90 days. The system is a minefield and it seems the mines are undetectable until you encounter one.
@BrianEpstein-u8q11 ай бұрын
Great, Great job! So many people use the cloak and dagger approach. You were very transparent, and not pushing one name brand company...
@SeniorAdvisorsMedicare11 ай бұрын
Thank you for watching and sharing your feedback!
@RichardPagel-d1e11 ай бұрын
I have earned a lot now. Thanks. What I am really interested in now is how does that affect the amounts that the insurance companies get from the Federal Government.
@SeniorAdvisorsMedicare11 ай бұрын
Thank you for watching and sharing your feedback. Here is an article that provides some info you requested: www.cms.gov/newsroom/fact-sheets/medicare-part-d-direct-and-indirect-remuneration-dir
@donaldo35711 ай бұрын
Please note if and when Trump gets elected you seniors won’t have anything
@SeniorAdvisorsMedicare11 ай бұрын
Hi Donald - thank you for your feedback; although I don’t agree with your sentiment. Just want to make sure our viewers get accurate, non-partisan info. Trump actually led the way with the Senior Savings model capping covered insulin at $35/month on Medicare Part D. Biden extended the $35 /month cap on covered insulins in the Inflation Reduction Act, which also put a cap of $2,000 on Part D drug costs starting in 2025. So they both fought to reduce Rx costs for Seniors on Medicare. www.cms.gov/newsroom/press-releases/president-trump-announces-lower-out-pocket-insulin-costs-medicares-seniors
@paulstein91611 ай бұрын
Thank you for doing this video explaining the way the 4 stages of part D work. I haven’t seen anyone else explain this so clearly. I’ve always been on tier 1 generics, so it’s never been an issue. But I will be starting a very expensive new drug and will be in stage 4 by March. The drug is not even in most formularies yet although FDA approved, so it is hard to use the Medicare plan finder tool to find the best plan for 2024. Otherwise, my current plan works the best for my other meds. Maybe the best option is to stick with the same plan since I will be in stage 4 regardless of the plan.
@SeniorAdvisorsMedicare11 ай бұрын
Hi Paul - thanks for watching and sharing your feedback. We recommend you confirm the new drug is covered on the Part D Plan. If so , you will likely reach the Catastrophic Phase after about $3,300-$3,500 of your spend on drugs. Then, you will be 100% covered the rest of the year. Best of luck with everything!
@paulstein91611 ай бұрын
@@SeniorAdvisorsMedicare it was not covered, but it was added as a special add to my personal formulary. That’s why I may stick with my current plan for 2024. If I switch plans, it will have to be approved all over again and I don’t know how the other insurance companies are about approving these types of drugs. It’s all uncharted territory for me.
@JohnDavis-yz9nq11 ай бұрын
I will be 65 in a few months. What would be your personal choice between the two?
@SeniorAdvisorsMedicare11 ай бұрын
Hi John - there are numerous factors to consider when making this decision. In a short 15-20 minute call, we should be able to provide some general direction - you can give us a call at 909-272-1970
@JohnDavis-yz9nq11 ай бұрын
@@SeniorAdvisorsMedicare just answer my question. Which of the two?
@margaretbaranowski247811 ай бұрын
I was not aware you have to do income tax for this money. What about our Veterans do they all so do income tax for that money .
@SeniorAdvisorsMedicare11 ай бұрын
Hello Margaret - thank you for watching. I don’t really understand your question. This video pertains to the 2024 Medicare Part B premiums changes.
@jkadas250011 ай бұрын
So twith the little incrase of SS, medicare is incrasing our expences! Seniors will en up with NOTHING!!! Great job!😊
@SeniorAdvisorsMedicare11 ай бұрын
Thank you for the watching and sharing your feedback.
@malamaitra13411 ай бұрын
In short, very informative and helpful information for seniors. Thank you !
@SeniorAdvisorsMedicare11 ай бұрын
Glad it was helpful!
@marcielapido836711 ай бұрын
Excellent info
@SeniorAdvisorsMedicare11 ай бұрын
Thx for watching and sharing your feedback Marcie!
@jospehsuh726311 ай бұрын
I wii pay icreased premium, pay me top bracket income~
@SeniorAdvisorsMedicare11 ай бұрын
Thank you for watching.
@davidobrien59011 ай бұрын
I found this really helpful. So much so that I’m going to print out the slides from the presentation. I am on an oral chemotherapy drug that costs $22,500 PER MONTH which means I will be in and out of the coverage and into catastrophic coverage in January, 2024. Five percent might sound like not very much but since July, 2023 I have been paying the 5% every month. Needless to say: the IRA is a god-send. Thanks for breaking it all down.
@SeniorAdvisorsMedicare11 ай бұрын
Thanks for watching and sharing your feedback. Wishing you the best!
@billbeeb180311 ай бұрын
BILL BEEB I am about to start Medicare in Jan. I have been on full SSDI since Jan 2023. Can get a Medigap plan if I have Medi-cal with a share of cost (SOC) My share of cost is $1300.00 every month
@SeniorAdvisorsMedicare11 ай бұрын
If you have full benefits from Medi-Cal (California’s Medicaid Program), you do not need a Medigap policy. In fact, it is illegal for companies to sell you one. If you have Medi-Cal with share of cost (SOC), you can buy a Medigap policy to fill in the coverage gaps or to see medical providers that don’t accept Medi-Cal patients. You must apply for it, though, during a month before you meet your share of cost. More info below... cahealthadvocates.org/medigap/general-medigap-information/#:~:text=Medigap%20%26%20Medi%2DCal,-If%20you%20have&text=If%20you%20have%20Medi%2DCal,meet%20your%20share%20of%20cost.