In this episode, Cameron Giardini and Joanne Giardini Russell from Giardini Medicare discuss the major changes coming to Medicare Advantage plans in 2025. With the landscape of Medicare Advantage evolving rapidly, it's more important than ever to stay informed and understand how these changes could impact your healthcare coverage.
What we’ll cover:
- Current State of Medicare Advantage: Learn about the latest enrollment trends, premium changes, and why these plans have been so popular among Medicare beneficiaries.
- What’s Changing in 2025: We’ll break down the upcoming changes, including higher utilization rates, lower-than-expected funding from the federal government, and the impact of the Inflation Reduction Act on Medicare Advantage plans.
- Industry Insights: Hear what key players like AHIP, UnitedHealthcare, Aetna, and others are saying about the future of Medicare Advantage and how they are preparing for these shifts.
- Potential Impacts on Your Coverage: We discuss the likely impacts of these changes, from potential premium increases and reductions in extra benefits to higher out-of-pocket costs and even some plans exiting certain markets.
- Our Expert Takeaways: Get our thoughts on how these changes will affect you and your options for 2025, including alternative choices like Medigap and Part D plans.
Whether you’re currently enrolled in a Medicare Advantage plan or considering your options for the future, this episode provides a comprehensive guide to navigating the 2025 changes. We’ll help you understand what to expect, how to prepare, and how to make the best decisions for your healthcare needs.
Don't forget to subscribe and leave us a review so you never miss an episode! For more Medicare insights, search for Giardini Medicare on YouTube, or schedule a one-on-one call with one of our brokers at gmedicareteam.com. If you have any questions or feedback, feel free to reach out to us at info@gmedicareteam.com.
Tune in now to stay ahead of the changes and make the most informed choices for your Medicare coverage in 2025!
Video Sources:
Wellcare Leaving Certain Markets
Aetna Medicare Advantage Market Article
Medicare Advantage Loss Ratios
KFF Medicare Advantage Loss Ratios
Loss Ratios and Supplemental Benefits
Medicare Advantage Landscape
UHC Utilization Article
In this episode, Cameron Giardini and Joanne Giardini Russell of Giardini Medicare dive deep into the crucial changes coming to Medicare Part D in 2025. With the summer break behind us, we're kicking things off with everything you need to know about how these changes could affect your prescription drug coverage.
We’ll cover the most critical updates, including:
- The new $2,000 cap on out-of-pocket Part D costs and what it means for you.
- The introduction of the Medicare Prescription Payment Plan, designed to help spread out your prescription expenses into manageable monthly payments.
- The end of the infamous “donut hole” coverage gap—finally!
- Increased financial responsibility for insurance companies and how this might impact your Part D premiums.
- The new Premium Stabilization Demonstration Program aims to control premium increases and offer more competitive plans.
Whether you’re already enrolled in a Part D plan or just beginning to explore your Medicare options, this episode breaks down the complexities in a clear and understandable way. We also share our expert insights on what these changes could mean for you, how to prepare, and what to look out for in the coming months.
So grab your coffee, sit back, and join us for this essential guide to navigating the 2025 Medicare Part D landscape! Don’t forget to subscribe, leave a review, and share this episode with friends and family who might benefit from understanding these upcoming changes.
To access our FREE online course, use this link: https://www.gmedcourse.com/
To schedule a call with one of our brokers, use this link: https://gmedicareteam.com/
Don't forget that you can also find more Medicare content from us by going to our TikTok and YouTube channels.
Episode Sources:
Inflation Reduction Act Timeline
Medicare Guidance for Prescription Payment Plan
Part D Premium Stabilization Program
KFF Explaining the Inflation Reduction Act
As we approach the peak of summer, we understand that learning about Medicare often takes a backseat during this time of year. Therefore, we will take a break from releasing our biweekly episodes of the Transition to Medicare podcast for the next few months.
Stay Informed This Summer:
- Access Past Episodes: Our previous podcast episodes contain relevant information. Feel free to revisit them anytime.
- Watch Our Videos: We will continue producing new Medicare-related videos on TikTok and YouTube. Search for "Giardini Medicare" on these platforms for fresh content.
- Get Personal Assistance: If you have specific questions, email us at info@gmedicareteam.com or call our agency at 248-871-7756.
Enjoy Your Summer, and we look forward to reconnecting with you after Labor Day!
Are you fully protected with your current Medicare plan? In our latest podcast episode, we dive deep into the often-overlooked yet vital insurance options that complement Medicare. Discover how specific plans can shield you against unforeseen expenses related to cancer, hospitalization, travel, and more. Whether you’re enrolled in Original Medicare, Medicare Advantage, or Medigap, we’ve got insights that could save you from unexpected financial burdens.
In This Episode, We Explore:
Cancer Insurance: Learn how lump-sum cancer policies work alongside your existing Medicare Advantage or Medigap plans, providing financial aid during challenging times.
Hospital Indemnity Insurance: Understand how this type of insurance can alleviate out-of-pocket costs associated with hospital stays, especially for those with Medicare Advantage.
Short-Term Care/Home Health Care: We discuss options for short-term care insurance that fills gaps left by Medicare in skilled nursing and home health care scenarios.
Travel Insurance Needs: With Medicare coverage limitations abroad, find out why travel insurance is crucial for your peace of mind during overseas trips.
Contact Us:
Need personalized advice? Schedule a consultation with our experts at Giardini Medicare at https://gmedicareteam.com/ or drop us a message at info@gmedicareteam.com. Visit our YouTube channel for more content on making the most of your Medicare coverage.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.
You can also connect with and learn more on TikTok and our private Facebook Group. While you're at it, check out our Google Reviews! Please get added to our mailing list so we can stay in touch with you.
Sources:
Milliman Report about 2024 MOOP
Medicare Skilled Nursing Coverage
Medicare Home Health Services
Medigap Foreign Emergency Coverage
Medicare Coverage Outside of U.S.
GeoBlue Travel Insurance
American Cancer Society Facts and Figures
In this essential episode of the Transition to Medicare Podcast, we break down the key milestones and timelines you need to be aware of to transition into Medicare stress-free. Whether you're a few years away or just months before turning 65, understanding when and how to enroll in Medicare, Medicare Advantage, or Medigap can save you time and avoid unnecessary stress.
We'll guide you through different stages—from 10 years before turning 65 to the months immediately preceding your birthday. Learn about the critical periods for enrolling in Medicare Part A and Part B, the implications of the IRMAA based on your income, and the advantages of different plans such as Medicare Advantage or Medigap. Plus, find out how to navigate changes if you're enrolled in employer group health insurance and how to compare it with Medicare options effectively.
Don't miss our take on the overwhelming amount of Medicare information out there. Stay tuned for practical advice on handling your enrollment as the big day approaches. Subscribe to stay updated on all things Medicare, and visit our website at gmedicareteam.com for personalized support from our expert brokers.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.
Check out our website at https://gmedicareteam.com/. Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group. While you're at it, check out our Google Reviews! Please get added to our mailing list so we can stay in touch with you.
Sources:
Average Medicare Advantage Premium 2024
2024 Medicare Costs
Medicare Application Forms
How to sign up for Medicare
2023 Medicare Trustees Report
Ever found yourself pondering the complexities of changing your Medicare Supplement (Medigap) coverage? You're not alone. Whether you're eyeing a switch from one Medigap plan to another, considering a transition to Medicare Advantage, or simply looking to update your Part D coverage, this episode of the Giardini Medicare Podcast is your go-to resource. Join Cameron Giardini and Joanne Giardini-Russell as they delve into the nuances of Medigap changes.
This episode isn't just about what to do; it's about understanding your options and the optimal times for making changes, underscored by different scenarios and streamlined processes. Whether it's leveraging the Medigap Open Enrollment Period, navigating the waters of Guaranteed Issue Rights, or tackling underwriting challenges, we've got you covered.
Plus, for those considering a switch to Medicare Advantage or merely tweaking their Part D plan, we break down the critical timelines and procedures to ensure a seamless transition.
Remember, changing your Medigap coverage isn't a decision to take lightly. With the right knowledge and guidance, you can make choices that best suit your health and financial well-being.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
List of Special Enrollment Periods: https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
2024 Choosing a Medigap Policy: https://www.medicare.gov/publications/02110-medigap-guide-health-insurance.pdf
2024 Medicare and You Handbook: https://www.medicare.gov/Pubs/pdf/10050-medicare-and-you.pdf
In this episode, we're tackling a common question among Medicare Advantage enrollees: How do you switch to a new Medicare Advantage plan or transition to Medicare Supplement (Medigap) and Part D coverage? If you're considering a change or want to understand your options, this is for you.
Hosted by Cameron Giardini and Joanne Giardini-Russell of Giardini Medicare, we provide clear, actionable information on navigating Medicare changes. Our agency, based in southeast Michigan, assists consumers across 13 states in finding suitable Medicare coverage. For those living outside of these states, we connect you with reliable agents who can help.
In This Episode:
- An introduction to Medicare Advantage plans and how they compare to Original Medicare.
- A breakdown of when and how you can switch Medicare Advantage plans or move to Medigap and Part D coverage.
- Real-world examples to illustrate the change process and what to expect.
Before you go, consider subscribing for more Medicare insights and visit our website for personalized support. Schedule a call with our licensed brokers at gmedicareteam.com or contact us at 248-871-7756 for direct assistance.
Tune in to demystify the process of changing your Medicare Advantage plan and equip yourself with the information needed to make informed healthcare decisions.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Medicare Advantage Special Enrollment Periods: https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods
Medigap Guaranteed Issue Rights: https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy
2024 Medicare and You Handbook: https://www.medicare.gov/Pubs/pdf/10050-medicare-and-you.pdf
2024 Choosing a Medigap Policy: https://www.medicare.gov/publications/02110-medigap-guide-health-insurance.pdf
Ever heard Medicare myths that made you think twice? This episode cuts through the confusion, debunking the most common Medicare myths to help you avoid costly mistakes. From the real costs of Medicare to eligibility misconceptions, we're covering essential truths:
- Medicare Isn't Free: Unpack the real costs behind Part A, Part B, and why Medicare Advantage or Medigap might cost you extra.
- Not Everyone Needs Medicare at 65: Discover when you can delay enrollment without penalties, depending on your current health coverage.
- Medicare Before 65: Learn how disabilities, ALS, or ESRD can qualify you for Medicare earlier than you thought.
- No Family Coverage: Medicare coverage is individual—what this means for you and your loved ones.
- Enrollment Isn't Automatic: Find out when you need to sign up for Medicare yourself to avoid being left without coverage.
- Medicare Advantage vs. Supplements: Clearing up the confusion between these two very different options.
- Changing Plans Can Be Simple: Demystifying the process of switching your Medicare or Medigap plans.
Tune in for a straightforward breakdown, designed to guide you through the Medicare maze with ease. Subscribe for more insights, and don’t hesitate to reach out for personalized assistance. Do you have questions or experiences to share? Drop us a comment below!
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Medicare Savings Program Qualifications
SSA Full Retirement Age
Medicare Card with Medicare Advantage
2024 Medicare Costs
Medicare Guide for Turning 65
Medicare Eligibility Under Age 65
In this episode of our podcast, we delve deep into the intricacies of Medicare Advantage (Part C) plans, a popular choice among Medicare beneficiaries. With many $0/month premium options that offer additional benefits not covered by Original Medicare, many are left wondering, "What's the catch?" Join us as we answer that very question!
Key Highlights
- Understanding Medicare Advantage: A concise overview of how these plans work, their history, and why they're an attractive option for seniors.
- Funding Insights: Insight into the funding process, including federal budget impacts and the shift in Medicare payments towards these plans.
- Differences Unveiled: A look at how Medicare Advantage and Original Medicare funding diverge, emphasizing the capitated payments model.
- Key Terms Explained: Simplified explanations of benchmarks, risk scores, and quality payments, and their roles in Medicare Advantage funding.
- Challenges Addressed: Discussion on the systemic issues like risk adjustment, coding practices, and their implications for beneficiaries and Medicare's future.
- Our Take: Reflecting on the balance between offering valuable benefits to beneficiaries and the financial realities facing Medicare Advantage plans.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
We used far too many sources in the making of this episode to list here, but here is a link to a Google doc that includes the sources so you can take a look and do a deep dive on your own! https://docs.google.com/document/d/1kpE8TX-cXcEzVK5FFbZ7EUcgdD3qfdIRLFXxiuHefx0/edit?usp=sharing
Dive into our latest podcast episode where we tackle some of the most pressing Medicare questions asked by our audience! From Medigap enrollment nuances to managing Health Savings Accounts post-65, we've got you covered. This episode is a treasure trove of insights, ensuring you navigate Medicare with confidence and ease.
Key Highlights:
- Medigap Enrollment Post-65: Discover if you're eligible for Medigap after delaying Medicare Part B.
- HSA and Medicare: Learn how enrolling in Medicare impacts your Health Savings Account.
- Avoiding the Donut Hole: Strategies to manage medication costs and avoid the Medicare coverage gap.
- Medicare Advantage for Under-65s: Understand why Medicare Advantage plans are often recommended for those eligible before 65.
- Switching Medigap Plans: Explore the possibilities of changing your Medigap plan with your current provider.
Why Listen:
This episode is packed with practical advice, demystifying Medicare and empowering you with the knowledge to make informed decisions. Whether you're just transitioning to Medicare or looking to optimize your current plan, this episode is a must-listen!
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
States' unique Medigap underwriting rules
Medigap Pricing Under age 65 in Virginia
Medigap pricing for those under age 65
Official Choosing a Medigap Policy Handbook
New 2023 Part B SEPs from BENES act
Whether you're a first-time enrollee or a seasoned Medicare beneficiary, understanding yearly Medicare cost changes is key to managing your healthcare expenses effectively. In this episode, we cover everything from Original Medicare costs to Medicare Advantage, Medigap, Part D, and even unexpected Medicare costs, ensuring you're well-prepared for the year ahead.
- Original Medicare Costs for 2024:
- Part A Premiums: $0/month for most, up to $505/month based on work history.
- Part B Premiums: A base premium of $174.70/month. Part B OOP Costs: $240 yearly deductible, 20% coinsurance
- Medicare Advantage Costs:
- Average Premium: $18.50/month, with 66% of plans offering $0/month premiums.
- Out-of-Pocket Costs: Maximum in-network MOOP of $8,850
- Medigap (Medicare Supplement) Costs:
- Premiums vary by plan letter and geography, with significant differences across states and insurance providers.
- Out-of-Pocket Costs: Affected by the annual Part B deductible changes.
- Part D Prescription Drug Plan Costs:
- Average Premium: $55.50/month, with a wide range of premiums available.
- Deductibles and Coverage Limits: Maximum deductible of $545, with the initial coverage limit increased to $5,030.
- Unexpected Medicare Costs:
- IRMAA: Additional charges for higher-income individuals.
- Penalties for late enrollment in Part B and Part D.
- Future Projections for Medicare Costs:
- Insights from the latest Medicare Trustees' report on expected cost increases in the coming years.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
2024 Original Medicare Costs
2024 Max out-of-pocket limit
Part D 2024 Landscape File
KFF 2024 Medicare Part D Costs
In this latest episode, we dive into the world of Medigap plans for 2024, guiding you through the maze of Medicare Supplements. Perfect for those transitioning to Medicare, we address the vital question: "Which Medigap plan is right for me?"
Key Segments:
1. Understanding Medigap Plans: A brief yet comprehensive overview of Medigap plans, explaining their role alongside Original Medicare.
2. Popular Plans - F, G, N: We examine the pros and cons of the most sought-after plans F, G, and N, helping you identify which aligns with your healthcare needs.
3. Exploring Lesser-Known Options: We shed light on other Medigap plans that might be the right fit for your unique situation.
4. Long-Term Financial Implications: Understand the long-term cost impact of each plan choice, ensuring your decision is financially sound for years to come.
Highlights:
Plan F: Coverage details, eligibility, and suitability.
Plan G: Ideal candidates for this comprehensive coverage plan.
Plan N: Balancing affordability with coverage - is Plan N for you?
High Deductible Plans: The pros and cons of plans like high deductible plan G.
Geographical Factors: How your location influences plan choice and pricing.
Cost Analysis: A concise comparison of long-term costs for key plans.
Conclusion:
Discover the ideal Medigap plan for your needs in 2024 with our insightful episode. Whether you're considering Plan G's comprehensive coverage, Plan N's value, or other options, we provide the clarity you need for a confident Medicare transition.
Join us for a concise, informative exploration of Medigap plans. Tune in now! 🎧💡
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Oregon Birthday Rule
California Birthday Rule
What are Medigap Plans?
Medicare and You Handbook 2024
Join us in our latest podcast episode as we unravel the critical debate of Medicare Advantage vs. Medicare Supplements in 2024. This episode is essential for anyone on Medicare, providing insights into making the most informed decision for your healthcare needs.
Inside This Episode:
1. Original Medicare Overview: Quick guide to Part A and B, highlighting the necessity of being enrolled in both parts of Original Medicare before enrolling in MAPD or Medigap coverage.
2. Medicare Supplement (Medigap) Coverage: Explore the role of Medigap in filling Original Medicare's coverage gaps, focusing on popular plans like G, N, and high-deductible Plan G.
3. Medigap Pros and Cons: Analyze the benefits and drawbacks, including benefits like nationwide provider access and negatives such as potential premium increases.
4. Understanding Medicare Advantage Plans: Learn about Medicare Advantage as a private alternative to Original Medicare, including Part D coverage.
5. Medicare Advantage Pros and Cons: Discover the advantages of low premiums and extra benefits, balanced against network restrictions and possible higher out-of-pocket costs.
6. Making the Right Choice: Insights into long-term planning and choosing between Medigap and Medicare Advantage.
7. Enrollment Trends: Current trends in Medicare Advantage and Medigap enrollments, with a focus on future implications.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
2024 Average Medicare Advantage Premiums
KFF Medicare Advantage Landscape
MedPAC Medicare Advantage Enrollment Numbers
Telos Actuarial Medigap Report
Are you overwhelmed by the flood of Medicare advertisements? Dive into our latest episode, where we unravel the complexities of Medicare advertising. We'll dissect the current trends, give voice to consumer opinions, and arm you with essential tips to sidestep misleading advertisements. This episode is a must-listen for anyone navigating the Medicare landscape or seeking clarity in the sea of Medicare marketing.
Understanding Medicare Marketing Trends: Explore the dominance of Medicare Advantage plan advertisements, and what this means for you.
Consumer Insights on Medicare Ads: Hear what real Medicare consumers think about the advertisements they encounter. We delve into KFF focus group results for authentic consumer perspectives
Decoding Advertisement Promises: We critically analyze the promises made in Medicare ads. Are lower Part B premiums and added benefits as good as they sound
Independent Brokers vs. Big Ads: Uncover the different advertising techniques of independent brokers and how they differ from mainstream ads. Learn how to identify trustworthy brokers
Evading Misleading Medicare Ads: Equip yourself with practical tips to avoid falling for misleading Medicare advertisements. We guide you on how to find reliable Medicare information
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
KFF how health insurers and brokers advertise Medicare
KFF Consumer Opinions about Medicare Marketing
KFF 2024 Medicare Advantage First Look information
MAPD Enrollment Numbers
In this essential episode, we tackle the vital question for seniors approaching 65: "Do You Need Medicare?" We provide a guide through Medicare eligibility and decision-making, focusing on those turning 65.
1. Medicare Eligibility Overview: We start with an overview of Medicare eligibility, particularly for those reaching 65. This includes insights into eligibility criteria for different groups and a link to a detailed Medicare eligibility calculator.
2. The Medicare Enrollment Decision: We debunk the myth that everyone must enroll in Medicare at 65, explaining how your current health coverage influences this decision. We'll discuss when Medicare is essential and when it might be optional.
3. Current Coverage vs. Medicare: Learn how your existing health insurance, including employer group health coverage, retiree plans, and COBRA, interacts with Medicare and understand the implications of the 20-employee threshold.
4. Enrolling in Medicare: Yes or No? We guide you through scenarios where enrolling in Medicare at 65 is beneficial and situations where it might be unnecessary, offering a practical comparison of employer health insurance versus Medicare options.
5. Next Steps as You Approach 65: We outline the steps to take whether you decide to enroll in Medicare or delay it, including automatic enrollment details and actively enrolling through SSA.gov.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Medicare Eligibility Calculator
CMS Turning 65 Decision Guide
CMS Guidelines for Medicare Eligibility
Medicare Secondary Payer Manual
Pre-Tax Employer Insurance
Frustrated with Medicare complexities? We've compiled the most pressing questions from our listeners and social media followers to deliver you the answers you need – no personal information required. From avoiding invasive marketing calls to preparing for interstate moves, and understanding the nuts and bolts of choosing a Medigap plan, we're here to clarify the Medicare maze.
Tune in for insightful discussions, including:
- Safeguarding Personal Information: Learn how to get Medicare Advantage and Medigap quotes without compromising your privacy, and the truth behind those persistent marketing calls.
- Medicare and Moving States: The implications of relocating on your Medicare Advantage, Medigap, and Part D plans, plus the benefits of a Special Enrollment Period (SEP).
- Medicare Agent 101: What it takes to become a knowledgeable Medicare agent – beyond the licenses and certifications.
- Future-Proofing Your Medicare Knowledge: Understanding the inevitable rise in Medicare Part B premiums and why it's important not to dwell on the specifics too far in advance.
- Navigating the Trial Rights: The intricacies of the Medicare Advantage trial period and what it means for your ability to switch to Medigap.
- The Medigap Plan G Conundrum: Why prices differ for seemingly identical plans and tips for selecting the right one for you.
Remember, we're doing Q&A episodes every few months – so keep your questions coming and stay tuned for more empowering discussions!
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
KFF Part D changes for 2024 and 2025
2023 Medicare Trustees Report
2023 Choosing a Medigap
Medicare Secondary Payer Guidelines
DNC Registry
📆 When is AEP and What Changes Can You Make?
Oct 15 to Dec 7 is your window to review or change your Medicare plans. The last plan you enroll in takes effect on January 1st.
Note: AEP isn't for first-time Medicare enrollees, and Medigap isn't a free-for-all.
🚫 Advertisement Caution
Watch out for misleading ads. Consult trusted brokers or SHIP counselors for independent third-party advice.
🗂 Important Documents
Review your Annual Notice of Change (ANOC), Summary of Benefits (SOB), and Evidence of Coverage (EOC) to understand plan changes.
🔎 Medigap vs. Medicare Advantage
Medigap plans are lifetime contracts, while Medicare Advantage plans can change yearly. Know your needs and review plans accordingly.
💰 Changes in 2024 Costs
Part B premium rises to $174.70/month, Part D premium base at $34.70/month, and other cost increases.
🌟 Big Changes for 2024
A cap on Part D catastrophic costs is introduced, meaning $0 for medications covered after reaching the catastrophic phase.
Part D base premiums are now capped at a 6% annual increase.
Stay tuned for an insightful discussion that clears the fog on Medicare, making your Annual Election Period a breeze
Sources for this episode:
KFF Changes to Medicare Part D in 2024 and 2025
What is an Evidence of Coverage?
KFF Statistics for reaching catastrophic coverage
2024 Average Part D Premium
2024 Medicare Advantage Maximum Out-of-pocket
2024 Original Medicare costs
2024 Medigap High Deductible Plans
Welcome to our comprehensive episode about Medicare Part D. Are you approaching 65 and feeling confused about your prescription drug coverage options? You’re not alone. In this episode, we break down everything you need to know about Medicare Part D coverage so you can make informed decisions about your health.
🌟 What You'll Learn:
1. What is Medicare Part D?
2. Crucial Insurance Terminology Explained
3. Enrollment Periods: IEP, SEP, and AEP
4. The Medicare Part D Penalty: What You Need to Know
5. Unpacking Part D Coverage Phases
6. How to Choose the Right Prescription Plan
7. Financial Assistance Programs
8. Recap and Key Takeaways
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Overview of Part D Formulary
Online Application Part D Extra Help
Value of Part D Extra Help
State Pharmaceutical Assistance Program
2024 Part D Deductible
Origins of Medicare Part D
Medicare Part D Enrollment Periods
Medicare LIS Information
Part D Utilization Management
Part D Penalty
Navigating Medicare can sometimes feel like a maze, and that's exactly what we're unpacking in our latest podcast episode about the ins and outs of Medicare coverage.
In this comprehensive episode, we explore:
- Medicare Part A: What does it mean by "room and board" in a hospital?
- Medicare Part B: From doctors to preventive services, we discuss the medical insurance part of Medicare.
- Medicare Advantage: A bundled alternative to Original Medicare—what does it really offer?
- Medicare Part D: Navigating the labyrinth of prescription drug coverage.
- Medigap Coverage: How to fill the gaps left by Original Medicare.
- What Medicare Doesn’t Cover: Knowing the limits can save you from unexpected costs.
IMPORTANT: Be aware that coverage does not mean zero cost to you. Coinsurance or out-of-pocket costs often apply. Also, you must use Medicare-approved providers for coverage.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content over on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Medicare Definition of Medical Necessity
Medicare Coverage Database
Medicare MAC's
Medicare and You Handbook
Medicare Benefit Policy Manual
Skilled Nursing 3 Midnight Rule
Drugs not covered by Medicare
Understanding Medicare Advantage
OIG Prior Authorization Report
This episode provides the A-Z Guide to Picking Your Medicare Part D Plan!
Confused about how to pick the perfect Medicare Part D plan? You're not alone! In today’s episode, we’re breaking down the maze of Part D coverage in simple, easy-to-understand language. Get ready to become a savvy consumer of prescription coverage! 🎉
What You’ll Learn:
Part D 101: What it is, who it's for, and how it complements your other Medicare plans.
Timing is Everything: Learn when to enroll or change your Part D plan, whether you’re a first-timer or a pro.
Shop Smart: We'll reveal resources to compare plans so you can make the best choice without the headache.
Choosing Made Easy: Step-by-step guidance to tailor your Part D coverage to your unique medication needs.
Hit The Button: How to enroll and what to expect post-enrollment.
Equip yourself with the knowledge to make an informed choice! Hit play now, and let the empowerment begin! 🌟
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content over on our YouTube Channel
You can also connect with and learn more on TikTok and our private Facebook Group and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Medicare PFFS Plans
List of Medicare Part D Special Enrollment Periods
Medicare Plan Finder Tool
Plans you can add Part D coverage to
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content over on our YouTube Channel.
You can also connect with and learn more on TikTok and our private Facebook Group and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Milliman Urban vs. Rural Report
KFF 2023 Medicare Advantage Landscape
KFF 2023 Part D Landscape
Example Medigap Underwriting Guide
LIS Income and Resource Limits
SPAP Availability Chart
KFF 2023 Medicare Advantage Enrollment Trends
In today's episode, we unlock the secrets to a seamless transition to Medicare for those approaching 65. Dive deep with us as we delve into these crucial topics:
Understanding Medicare Options Early: Time it Right! Begin your exploration about a year before turning 65. Familiarize yourself with topics, terminology, and even the nitty-gritty of Medicare Advantage vs. Medigap coverage.
Parts of Medicare Decoded: From Original Medicare (Part A and B) to the differences between Part C (Medicare Advantage) and Part D (prescription drug coverage), we break down the complex world of Medicare for you.
Medicare Advantage vs. Medigap: It's the pivotal decision every Medicare enrollee grapples with. We guide you through the specifics so that you can choose wisely.
The True Costs of Medicare: Get the lowdown on what you'll pay for Medicare. We discuss Original Medicare costs, Medicare Advantage, Medigap, and the vital programs that offer financial assistance.
Tackling Lesser Known Medicare Scenarios: Medicare's interaction with COBRA, HSAs, and the Marketplace can be intricate. We demystify these scenarios for you, ensuring you don't miss out on crucial details.
Join us as we also share invaluable tips on when and where to gather information about Medicare, highlight the importance of consulting independent brokers, and emphasize the pitfalls to avoid. We've got everything covered to ensure your transition to Medicare is as smooth as possible. Tune in now!
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content over on our YouTube Channel
You can also connect with and learn more on TikTok and our private Facebook Group and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
2023 Average Part D Premium
KFF Ranges of Part D Premiums
2023 Part B Premiums and IRMAA
Medicare and Marketplace guide
Join us in this new episode of the "Transition to Medicare Podcast," where we unravel the intricacies of Medicare, VA coverage, and the synergy between the two. We're diving deep into VA health benefits, from eligibility and priority levels to copays and coordination with Medicare. Discover how programs like Tricare for Life and CHAMPVA function alongside Medicare, and learn why "when in doubt, fill it out" is a mantra for VA health benefits. Should you enroll in Medicare Advantage or Medigap coverage if you have additional coverage through the VA, Tricare for Life, or CHAMPVA? Find out in this episode.
Whether you're a veteran seeking guidance or want to understand the landscape of healthcare options, this episode is packed with insights and essential resources. Don't miss out; tune in now to learn more about navigating the vast Medicare and VA coverage world! 🎧🇺🇸💊
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content over on our YouTube Channel
You can also connect with and learn more on TikTok and our private Facebook Group and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
Tricare for Life Handbook
VA Health Coverage
Veterans Health Benefits Handbook
VA Online Application
How Medicare works with TFL
Using TFL at VA Facilities
CHAMPVA Guide
CHAMPVA Fact Sheet
CHAMPVA and Medicare Prescription Fact Sheet
CHAMPVA FAQ's
Welcome to our latest podcast episode! In this episode, we delve into the intricacies of applying for Medicare past the age of 65. Whether you've delayed due to active employer coverage or other reasons, we've got you covered.
We'll discuss why you might delay Medicare, the process of applying for Part B only or both Part A and Part B and what to do if you've delayed without active employer coverage. We'll also explore the General Enrollment Period (GEP) and the new Special Enrollment Periods (SEPs) for 2023.
Tune in to learn about the Medicare application process, avoid penalties, and make informed decisions about your healthcare coverage. Don't forget to subscribe for more episodes and check out our free online course at gmedcourse.com for a comprehensive guide to Medicare.
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content over on our YouTube Channel
You can also connect with and learn more on TikTok and our private Facebook Group and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Source:
New Part B Special Enrollment Periods
Part B Special Enrollment Period
Evidence if you can't get an L564
Online Part B Special Enrollment Link
Online application to enroll in Part A and Part B
Medicare Guidelines for 20 Employees
CMS L564
CMS 40B
Navigate the complex Medicare and COBRA insurance world with this informative episode. We dive deep into the intricacies of COBRA and Medicare, highlighting key points of eligibility, costs, and their nuanced interactions. Avoid common mistakes, understand their impact on your coverage, and make informed decisions for your health insurance needs. Tune in to empower yourself with critical knowledge, avoid costly missteps, and transition smoothly to Medicare. A must-listen for anyone dealing with healthcare decisions, preparing for retirement, or simply wanting to understand the perplexing world of health insurance. #Medicare #COBRA #HealthInsurance #Podcast #Informative #RetirementPlanning #HealthcareDecisions
Please register for our FREE Online Course here: https://www.gmedcourse.com/
Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states: AZ, CA, FL, IL, IN, KY, MI, MD, NC, OH, PA, SC, TX If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Fill out the form linked to our map.
Check out our website at https://gmedicareteam.com/
Also, see our additional educational content over on our YouTube Channel
You can also connect with and learn more on TikTok and our private Facebook Group and while you're at it, check out our Google Reviews! And please get added to our mailing list so we can remain in touch with you.
Sources:
What is COBRA?
Information about COBRA from CMS
DOL Guidebook for Employers with COBRA
DOL Guidebook for Employees with COBRA
Length of COBRA Eligibility
Medicare Secondary Payer Manual
UHC COBRA and Medicare billing issues
CMS Medicare Secondary Payer Guide
2025 Medicare Advantage Updates: Higher Costs, Fewer Benefits?
15:12
What’s New in Medicare Part D for 2025? Major Changes Explained!
16:50
Summer Update!
1:34
Beyond the Basics: Filling the gaps in your Medicare Coverage
19:31
Countdown to 65: Understand Your Unique Medicare Timeline
18:55
Your Guide to Changing Medigap Coverage
15:03
Your Guide to Changing Medicare Advantage Coverage
13:08
Debunking Medicare Myths
14:46
How is Medicare Advantage Actually Funded!?
24:20
Answering Listener Medicare Questions #2
20:52
Important 2024 Medicare Cost Updates
20:42
What is the Best Medigap Plan in 2024?
24:49
Medicare Advantage vs. Medicare Supplements in 2024
20:39
Behind the Hype: The Medicare Advertising Maze
21:38
Do you NEED Medicare at age 65?
18:12
Answering Listener Medicare Questions #1
20:26
2024 Medicare Annual Election Period Guide
19:20
Medicare Part D Explained (What you should know)
26:37
What Does Medicare Cover? (Your Complete Guide)
22:00
Secret to Choosing Medicare Part D Coverage
19:13
Where You Live = BIG Impact on Medicare Options
25:07
5 Keys to Beginning Medicare
22:58
Medicare Guide for Military Veterans
22:56
Applying for Medicare After Age 65: How to Guide
19:12
The Dangers of COBRA and Medicare
16:57