Virtual Introduction to Medicare Seminar
Here you will see some videos done by Steve, Millman and the official Medicare Guides like Medicare & You, Choosing a Medi Gap Policy, Understanding Medicare Advantage Plans and the Video’s below.
If you think the Medicare Video’s leave something to be desired, let us know [email protected] and we can produce our own, like the introduction below that we did a few years ago.
We can set up individual phone, Skype, Facetime, Zoom meetings for CA residents. What’s really nice is screen sharing so you can see our computer screen or monitor and vice versa. Here’s our scheduling calendar.
Check out our Site Map or menu system for the rest of the pages in our website.
| Medi Gap | Part D Rx | Medicare Advantage |
#Medicare10050 and You 2021
Everything you want to know - Read Along
Your Medicare Benefits # 10116
- Enroll in Blue Cross
- Learn about UHC United Health Care
- Enroll in Blue Shield
- Don't like computers? Prefer a printed version be mailed to you? Audio MP 3
- Use our scheduler to Set a phone, Skype or Face to Face meeting
Medicare Part A
(#Hospital Insurance)
Medicare Part A Hospital coverage helps pay for care in hospitals as an inpatient,... skilled nursing facilities, hospice care, and some home health care (see publication # 10969) but not Long Term Care.
Most people get Part A automatically when they turn age 65 at no charge, since they or a spouse paid Medicare taxes while they were working. You need to sign up close to your 65th birthday, even if you will not be retired by that time. (If you are getting Social Security benefits when you turn 65, your Medicare Hospital Benefits - Part A - start automatically.)
Here's a chart it's just a illustration and is NOT official that shows what Medicare pays, the gaps in Medicare and what you may get when you add a Medi Gap Plan or Medicare Advantage to cover those gaps.
Part B - Outpatient helps Pay For Doctors' services, outpatient hospital care, and some other medical services that Part A does not cover, such as the services of physical and occupational therapists, and some home health care see publication 10969, but not Long Term Care. Part B helps pay for these covered services and supplies when they are medically necessary.
The chart below is a very brief summary. Check the actual Evidence of Coverage for the plan you want to enroll in, Medicare & You or actual Medicare documents.
Under 65 coverage and converting to Medicare?
Do not enroll on the Governments site,
send us your results and we can enroll you.
Create a My Medicare.Gov Account
If you want us to shop for you... Send [email protected] a copy of your Medicare ID card and your user name & password.
Our email is encrypted sending & receiving by Paubox.com
Medicare Part D Shopping Video
Learn more on our webpage about the Shopping Tool along with Q & A or Ask your own question at the bottom of the Q & A section
BE CAREFUL OF THE SNAFU'S!!!
The “Total Yearly Cost of Care” does not provide personalized or transparent information. For example, when a consumer inputs or changes personal data, such as drug information, his or her total estimated costs do not change. This is not mathematically possible based on the plan benefits. Additionally, the tool does not share what is included in the total cost. As a result consumers will likely see the total cost and assume they are receiving a personalized and tailored estimate which may not be accurate.
The estimated total yearly cost of care is flawed. On a plan that has reduced benefits year over year, the expectation would be that the “estimated total yearly costs” would increase. However the tool is inaccurately estimating the consumer’s costs will decrease. It doesn’t make mathematical sense. For consumers on a fixed income and cost conscious, this could be detrimental to their situation.
Most supplemental benefits are not included in the total yearly cost of care. Over the past several years supplemental benefits have expanded and provided members with options that not only treat, but prevent illness and increase quality of life. We know the high value of benefits such as vision, dental and hearing to our consumers, and they are a key way we are partners in care with our members. Some of the benefits that are not included are:
Transportation lists copay but not number of rides.
Eyeglasses list copay but does not share if benefit covers frames, lenses or contacts.
Wellness Programs include a long list of possible items including fitness, nurse hotline, Personal Emergency Response and telehealth, that can’t be lumped into a single “covered” or “not covered” benefit. Excerpt from UHC Agent Memo * Forbes * GAO 7.2019 Report *
#Understanding Medicare Advantage Plans (PDF) #12026
Insurance Companies get a fee from the Federal Government, when you enroll in an MAPD plan.
That's why the premium is very low or ZERO!
- Set a phone or Skype Meeting
- #Intake Form - We can better prepare for the meeting
- Get Quotes, Full Information and Enroll
How to Apply ONLINE for Medicare Publication # 10530
Direct Link to Medicare's Enrollment Website
Our webpage on enrolling online
creating a Social Security Account
Medicare's Video on
how to enroll on their site
How to create a
My Social Security & Medicare.Gov Account on SSA.gov
Create ONLINE Account Publication # 10540
VIDEO on advantages and saving time by creating a Social Security Account
Our webpage on how to create a Social Security and My Medicare Account
You need it to sign up for Medicare too.
Create Social Security Account
We suggest that you create an account with Social Security and Medicare then you can log in and replace your card, in addition to getting tons of other information, like the explanation of benefits for any claims you have. The new card takes about 30 days to get. You can also change your address, etc.
With your free, personal my Social Security account, you can receive personalized estimates of future benefits based on your real earnings, see your latest Statement, and review your earnings history. It even makes it easy to request a replacement Social Security Card or check the status of an application, from anywhere!
What can you do with a my Social Security account?
pdf # 10121
- Check your application status
-
explanation of benefits for recent MRI and X rays, copies of bills, Etc?
- Set up or change direct deposit
- Request a replacement Social Security card
- Get a Social Security 1099 (SSA-1099) form
- Get a proof of income letter
- Change your address if you’re a beneficiary
-
Get New ID Cards?
Medicare #Preventative Services Publication # 10110
Video's
- Preventative Benefits
- Vaccines
- Stroke Awareness Month Heart Disease - Screenings under Part B
- Glaucoma explained on Medicare.Gov
- Silver Sneakers
- Medicare & You: Flu Prevention
Medicare Coverage for #SkilledNursing - 10153
Our Introductory You Tube VIDEO based on this manual
(Clinical Guidelines Explained so much better and in logical order!)
VIDEOs
- Medicare's VIDEO Nursing Home / Long-Term Care
- Our Webpage on Long Term Care
Medicare & #HomeHealth Care # 10969
Check out
TRUE FREEDOM - Home Health Care
No health questions asked
Our webpage on Home Health & Long Term Care
Hospice Publication # 02154
Palliative care, which focuses on providing relief from the symptoms and stress of serious illness, offers an extra layer of support.
Learn more at chcf.org
Costs of the last 2 months of life
See our webpage on
Medicare & You - Mental Health
Medicare & Mental Illness # 11358 2 pages
Medicare & Mental Illness # 10184
Our Webpage on Medicare & Mental Health
Los Angeles Consumer Resources #Directory
Our webpage on EOC Evidence of Coverage - Plain English, even if they are 2 to 300 pages
Guide to Mental Health Benefits (The Mighty)
Compliance Assistance Guide from DOL.Gov Health Benefits under Federal Law
Mental Health Videos
- Mental Health Video - updates on Mental Health Parity - Mental Health must be covered the same as physical health
- Video Medicare-covered benefits for mental health.
- PBS Bedlam VIDEO In an effort to get to the bottom of the current mental health crisis in the U.S., psychiatrist and documentarian Kenneth Paul Rosenberg M.D. chronicles personal, poignant stories of those suffering from mental illness, including his own family, to bring to light this epidemic and possible solutions. Shot over the course of five years, Bedlam takes viewers inside Los Angeles County’s overwhelmed and vastly under-resourced psych ER, a nearby jail warehousing thousands of psychiatric patients, and the homes — and homeless encampments — of people affected by severe mental illness, where silence and shame often worsen the suffering. See Trailer Available till October 30th
- Sharp Health Care - Mental Health Videos - Play List
- Mental Health Insurance Coverage: Get the Whole Picture
CMS Learning Aid for Mental Health Professionals
See our Main Webpage on Mental Health
This is excellent – Clear and concise.
My one criticism is on the sound. There were several audio drops when I listened just a few moments ago. Could be my system but I’d check it out.
Other than that it was great. Ver professional and informative.
I don’t quite understand what Medicare covers and what it doesn’t cover.
I’ll just answer the question generally, since this is an educational page on not a sales page.
Here’s a typical Medi Gap summary of benefits, showing what Medicare pays, what Medicare doesn’t and what get’s paid if you have Plan G Extra Medi Gap.
Medicare Advantage has strict rules about talking details at an educational event. So, in general, Medicare Advantage often has lower or zero premiums, includes Part D Rx, but the main downside is you have to use a restricted list of doctors.
You can use our menu or site map to go to more detailed pages on Medi Gap, Medicare Advantage and Part D.
Hosptial
Part B Doctor Visits
Foreign Travel
See our site map for more details