Nov. 28, 2025

Medicare Made Simple: Navigating Open Enrollment with Marcia Mantel

Medicare Made Simple: Navigating Open Enrollment with Marcia Mantel

“Medicare Made Simple: Navigating Open Enrollment with Marcia Mantel”

Medicare open enrollment can feel overwhelming, especially with endless ads and confusing options. In this episode of Something More with Chris Boyd, Chris and Jeff Perry welcome returning guest and Medicare expert Marcia Mantel to break it all down. From understanding Parts A, B, C, and D to making smart choices before the December 7th deadline, Marcia shares practical tips to avoid costly mistakes and penalties. Plus, we touch on Social Security updates and what’s ahead for retirees. If you’re approaching Medicare decisions or helping a loved one, this conversation is packed with clarity and actionable advice.

#MedicareEnrollment #RetirementPlanning #FinancialWellness #MedicareMadeSimple
#OpenEnrollment #SocialSecurity #MoneyMatters #ChrisBoydPodcast #HealthcarePlanning
#SeniorLiving
For more information or to reach TEAM AMR, click the following link:
https://www.wealthenhancement.com/advisor-teams/amr-team

 

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Well, if you're like me, you're getting bombarded

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by all these Medicare ads every time you

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turn around.

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And if you're dealing with these decisions, boy,

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can it be confusing.

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So we brought in the expert.

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We've got Marcia Mantel this week to help

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us deal with the Medicare enrollment period.

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Join us for something more with Chris Boyd.

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Welcome to something more with Chris Boyd.

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Chris Boyd is a certified financial planner, practitioner

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and senior vice president, financial advisor at Wealth

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Enhancement Group, one of the nation's largest registered

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investment advisors.

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We call it something more because we'd like

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to talk not only about those important dollar

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and cents issues, but also the quality of

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life issues that make the money matters matter.

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Here he is, your fulfillment facilitator, your partner

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in prosperity, advising clients on Cape Cod and

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across the country.

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Here's your host, Jay Christopher Boyd.

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Welcome, everybody.

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Thanks for being with us.

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I'm Chris Boyd.

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I'm here with Jeff Perry.

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Our guest is Marcia Mantel, returning guest.

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Thank you for being here, Marcia.

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Jeff and I are both with Wealth Enhancement

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at the AMR team and glad to have

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you joining us for the show, everybody.

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It's Thanksgiving week.

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We just we're recording this the day before

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Thanksgiving.

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This will be on just after Thanksgiving.

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We're all thinking about food and recipe and

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all that goes into preparations.

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Well, what about your recipe for Medicare, your

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Medicare recipe?

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This is the time of year where you

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got to think about Medicare open enrollment.

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And so if you don't recall this, Marcia

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is an author of many books, but most

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recently creating your Medicare recipe, your guide to

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enrolling on time and without penalties.

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So we thought this time of year is

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so confusing for a lot of people.

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And Marcia, lots of things changing in the

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world these days.

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I don't know about you guys, but I

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hate all the damn ads that come on

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for trying to get you to entice you

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into their their Medicare stuff.

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They're so bad that they're almost funny.

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There's one with a woman named Karen that

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makes me laugh.

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But after I saw it 500 times, how

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many times can you watch that before?

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It's annoying, right?

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First couple of times I was like, oh,

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this is cute.

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But yeah, yeah.

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Well, we're going to talk about that.

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Of course, if you've heard our show before

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and you recognize having Marcia on, we usually

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talk about Social Security.

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So we're definitely going to cross over into

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that a little bit while we got to

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here, Marcia.

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So lots of things we can talk about.

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But and of course, Marcia has written several

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books that are helpful in that regard to

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Marcia.

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You want to promote plug some of your

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stuff?

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Well, there's a new book coming out any

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second.

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Any freaking day now.

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What is that?

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All right.

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Thanks for having me on.

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I didn't get to mention.

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Yeah, so I've written a new Social Security

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book because so much has changed since I

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wrote the first one five years ago.

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This one, though, addresses or tries to address

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the grave concern people have about this whole

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program just blowing up and disappearing, which it's

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not.

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So I titled this book Social Security Lightly

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Toasted, Not Burnt.

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So it's hopeful and the cover is cute.

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It's literally got like a 1940s toaster on

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it with toast flinging out of the chute.

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So, yeah, I have a fabulous designer and

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she came up with this graphic.

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And so, you know, I just I want

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people to to calm down about Social Security.

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But it's super hard to do.

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Yeah.

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All of the it's if if they don't

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do something about it, it's frustrating.

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Like, get let's get to it.

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The sooner the better.

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But but the sooner the better was 20

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years ago.

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Exactly.

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You know, that's why I think all of

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us, you know, younger boomers and the up

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and coming Gen Xers, like, you know, we're

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mad.

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Yeah.

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Come on, Congress.

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Get your act together.

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Well, and there's they play politics with this

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and as if, oh, it's not a problem.

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Well, it's not yet, but we know it

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really, you know, it really is.

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And because it's all right.

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Yeah, exactly.

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It's a problem for those who have to

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continue to pay in now and likely will

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have to pay in at a slightly higher

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rate.

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It could have been a teeny, tiny little

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rate increase 20 years ago.

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Yeah, well, you know, one of the things

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I worry about, too, is you know, we

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think in terms of, well, no problem.

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We can solve this, you know, and I

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think it is it's arithmetic, right?

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It's just put money in, money out, right?

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There's ways to address it and make this

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work.

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Yes.

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But generally, as it relates to the U

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.S. budget, we often do things with a

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little bit of leverage, right?

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We borrow money.

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And we think of that as always available.

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And not well, that we that we have

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preferable terms because we're the United States.

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But we saw a little taste of a

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little shock to the system when this whole

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tariff thing came about, when we saw some

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curiosity about what's happening with Treasuries and why

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are they moving the way they're moving?

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And so it starts me thinking, well, you

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know, we assume we can do all this

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the way we'd like to.

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But, you know, there's some unknowns in the

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future.

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And whether it's the Social Security, Medicare shortfalls

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that we deal with need to be dealt

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with or are, you know, growing debt deficit

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problems, you know, those also need some attention.

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Yes.

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Yeah.

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Sorry, the added wrinkle with Social Security is

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it is a law.

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It is a gigantic law.

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And in that law, there is zero provision

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to borrow.

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So Social Security can't just go and borrow

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from the Treasury, just knock on the door

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and say, by the way, I need a

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couple trillion dollars.

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You got a shortfall.

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We need some money.

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Exactly.

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Just to tide us over for another generation.

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We can't do that unless Congress writes a

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new amendment that allows for borrowing.

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Well, I hope that's not the only solution.

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Yeah, you know, and it isn't.

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And actually, I don't think we really need

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much of that.

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That was what they ended up doing for

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one year back in the 1982 bridge into

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1983, the last time the reserve fund went

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dry.

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And so but they didn't borrow from the

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Treasury.

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They borrowed from Social Security Disability Trust Fund.

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They stayed within their three trust funds.

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There's SSDI disability.

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There's Social Security OASI for us older folks.

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And then there's Medicare.

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They stayed within their neighborhood.

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If you will.

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And it was a one year borrow.

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And then we had to pay it back.

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So does that option still exist?

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Only because with regard to doesn't don't they

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all have shortfalls at this point?

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Like their ability does not.

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Oh, that's good to hear.

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Part A does.

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Yes.

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Yeah.

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Yeah.

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Well, you know, it's both yay.

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And are we approving people who are actually

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disabled and making sure they're getting what they

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need?

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Because the restrictions are very difficult to be

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eligible.

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Yeah.

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Yeah.

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And it takes something like two hundred and

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fifteen days to have your case reviewed and

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approved or denied.

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And there's all this lengthy process for reconsideration

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along the way.

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Yeah.

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Yeah.

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I've had clients go through that.

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I'm sure you have some experience with that.

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But it's and it's stress filled for those

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people who are at the time disabled looking

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to get help.

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Yeah.

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You know, it's supposed to be a social

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safety net, but only if we put you

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through an obstacle course.

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Yeah.

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Yeah.

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Well, and in all fairness, we you know,

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we want to prevent abuse.

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You know, there and there are plenty of

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people who have tried to abuse the the

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largest of this safety net.

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You know what I mean?

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So it's it's hard to navigate that, no

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doubt.

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But let's focus on Medicare to start with.

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And it sounds like first off, open enrollment

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period.

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What is our date range that we need

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to be thinking about?

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We have a few more days left.

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December 7th, for most people, ends the annual

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open enrollment period.

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And this is very good.

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It's very soon.

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It's the time of year when all the

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seniors and anyone on Medicare have to reshop

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their drug plans, their Part D drug plans

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and their Part C Medicare Advantage plans to

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make sure that they're going to be available

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and for the best cost the following year.

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So that deadline is December 7th.

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I think is that a Sunday this year?

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Let's take a look.

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I think it's a Sunday.

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And so and it does not carry over

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to Monday, like December 7th, 1159 p.m.

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That's your deadline.

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So sooner, you know, is the bottom line.

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You got to get it done even before

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then is what that amounts to.

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So you've got basically this week to deal

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with, you know, right.

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Some of the choices aren't there.

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This like did Massachusetts, where a lot of

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our listeners are, did they lose some options?

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They did, and they lost options on three

268
00:10:00,500 --> 00:10:01,040
fronts.

269
00:10:01,520 --> 00:10:04,720
So just to backpedal for one quick second,

270
00:10:05,520 --> 00:10:08,060
Part D and Part C plans are and

271
00:10:08,060 --> 00:10:10,220
have always been one year contracts.

272
00:10:10,420 --> 00:10:12,080
You're buying the Part D drug plan for

273
00:10:12,080 --> 00:10:13,760
just one calendar year.

274
00:10:14,220 --> 00:10:17,320
Would you mind reviewing the parts before we

275
00:10:17,320 --> 00:10:18,500
get into these?

276
00:10:18,640 --> 00:10:20,720
You know, just you might not be clear

277
00:10:20,720 --> 00:10:22,540
what a Part D or Part D and

278
00:10:22,540 --> 00:10:22,900
all that.

279
00:10:23,080 --> 00:10:23,380
Yes.

280
00:10:23,400 --> 00:10:23,840
Thank you.

281
00:10:23,860 --> 00:10:25,120
I should have thought to do that, too.

282
00:10:25,700 --> 00:10:28,120
We have four key parts to Medicare.

283
00:10:28,400 --> 00:10:31,180
There's Part A, which is what you're paying

284
00:10:31,180 --> 00:10:32,220
FICA taxes into.

285
00:10:32,360 --> 00:10:33,980
It covers you if you end up in

286
00:10:33,980 --> 00:10:35,600
the hospital when you're on Medicare.

287
00:10:36,800 --> 00:10:40,240
Part B is your medical insurance.

288
00:10:40,320 --> 00:10:42,240
You pay your doctors and outpatient services.

289
00:10:42,600 --> 00:10:45,560
You pay a premium every month for that.

290
00:10:46,220 --> 00:10:48,140
Parts A and B, you enroll one time

291
00:10:48,140 --> 00:10:49,360
and you never look at them again.

292
00:10:49,500 --> 00:10:50,060
You're done.

293
00:10:50,980 --> 00:10:54,020
But they don't cover all of your expenses

294
00:10:54,020 --> 00:10:56,160
when you're in the health care system, in

295
00:10:56,160 --> 00:10:56,520
Medicare.

296
00:10:56,920 --> 00:10:59,800
Sort of an indemnity plan of sorts, a

297
00:10:59,800 --> 00:11:01,620
80-20-ish kind of.

298
00:11:01,760 --> 00:11:02,200
Right.

299
00:11:02,300 --> 00:11:04,220
For Part B, just Part B.

300
00:11:04,460 --> 00:11:07,500
Part A works differently with a deductible and

301
00:11:07,500 --> 00:11:09,180
then day rates if you're in the hospital

302
00:11:09,180 --> 00:11:10,060
or skilled nursing.

303
00:11:10,680 --> 00:11:12,320
But if you have if you have a

304
00:11:12,320 --> 00:11:14,380
Part B, that's when you sometimes think about

305
00:11:14,380 --> 00:11:16,740
Medigap or a supplemental plan.

306
00:11:17,080 --> 00:11:17,420
Right.

307
00:11:17,420 --> 00:11:19,860
Because that covers your 20 percent.

308
00:11:19,860 --> 00:11:20,340
Right.

309
00:11:20,640 --> 00:11:21,160
Exactly.

310
00:11:21,620 --> 00:11:22,980
And that's what we have in Massachusetts.

311
00:11:23,280 --> 00:11:26,160
We have a different structure to Medigap plans.

312
00:11:26,820 --> 00:11:30,000
The rest of the country, 47 states have

313
00:11:30,000 --> 00:11:35,080
plans Medigap A through Medigap N with some

314
00:11:35,080 --> 00:11:35,480
retired.

315
00:11:35,880 --> 00:11:36,740
We just have two.

316
00:11:37,160 --> 00:11:39,660
Supplement 1A, which covers all of our expenses,

317
00:11:39,940 --> 00:11:41,920
and Core, which covers some of them.

318
00:11:42,360 --> 00:11:44,480
So we are a little bit differently structured.

319
00:11:44,780 --> 00:11:49,420
But having that Medigap exactly pays for anything

320
00:11:49,420 --> 00:11:51,380
you would have to pay for if you

321
00:11:51,380 --> 00:11:53,340
use and when you use Parts A and

322
00:11:53,340 --> 00:11:53,600
B.

323
00:11:54,080 --> 00:11:55,920
So A, B and Medigap go together as

324
00:11:55,920 --> 00:11:56,540
a little package.

325
00:11:57,640 --> 00:11:58,980
Your drugs still are not covered.

326
00:11:59,380 --> 00:12:00,240
That's Part D.

327
00:12:00,560 --> 00:12:02,720
So you need a separate standalone Part D

328
00:12:02,720 --> 00:12:04,840
plan with this structure.

329
00:12:05,560 --> 00:12:05,660
OK.

330
00:12:06,060 --> 00:12:09,460
The other option, Part C, is where you

331
00:12:09,460 --> 00:12:12,240
enroll in Part A, enroll in Part B

332
00:12:12,240 --> 00:12:13,120
and pay the premium.

333
00:12:13,460 --> 00:12:16,000
But then you assign all those benefits over

334
00:12:16,000 --> 00:12:17,560
to a private insurance company.

335
00:12:18,020 --> 00:12:19,540
Just hand it all over and say, OK,

336
00:12:19,600 --> 00:12:23,260
UnitedHealthcare, Blue Cross, Humana, whomever, have at it.

337
00:12:23,560 --> 00:12:26,100
Now you are offering me my insurance.

338
00:12:26,780 --> 00:12:28,720
And this is more of like an HMO

339
00:12:28,720 --> 00:12:30,780
kind of experience, right?

340
00:12:31,100 --> 00:12:31,560
Exactly.

341
00:12:32,060 --> 00:12:34,480
You're working with a network or you pay

342
00:12:34,480 --> 00:12:36,740
more if you go outside of the network.

343
00:12:37,160 --> 00:12:38,780
But the whole reason to have a Medicare

344
00:12:38,780 --> 00:12:43,180
Part C plan is it's cheaper a lot

345
00:12:43,180 --> 00:12:43,600
of times.

346
00:12:44,120 --> 00:12:47,220
It's cheaper, but it involves a gatekeeper.

347
00:12:47,980 --> 00:12:50,780
You know, so you don't have necessarily wide

348
00:12:50,780 --> 00:12:51,600
open options.

349
00:12:52,260 --> 00:12:54,600
You go through your primary care first.

350
00:12:54,960 --> 00:12:55,600
That's right.

351
00:12:55,660 --> 00:12:57,900
And then they decide if you need to

352
00:12:57,900 --> 00:13:00,800
go to a specialist or something like that.

353
00:13:01,160 --> 00:13:01,320
Right.

354
00:13:01,640 --> 00:13:04,040
And it restricts your hospital systems, you know,

355
00:13:04,060 --> 00:13:07,540
in New York and L.A. and Massachusetts.

356
00:13:07,740 --> 00:13:10,140
You know, we've got several really good systems.

357
00:13:10,600 --> 00:13:12,420
But when you pick a certain Medicare Advantage

358
00:13:12,420 --> 00:13:16,480
plan, Part C, you're also restricted generally to

359
00:13:16,480 --> 00:13:18,160
one of the hospital systems.

360
00:13:18,280 --> 00:13:19,820
So these are the considerations.

361
00:13:19,820 --> 00:13:23,780
If you prioritize, maybe you're in good health

362
00:13:23,780 --> 00:13:25,640
and you don't feel the need for all

363
00:13:25,640 --> 00:13:26,500
these options.

364
00:13:26,920 --> 00:13:30,960
You might prefer that HMO kind of model

365
00:13:30,960 --> 00:13:34,640
and keep your costs a little lower, but

366
00:13:34,640 --> 00:13:36,020
you don't expect to need it a whole

367
00:13:36,020 --> 00:13:36,360
lot.

368
00:13:36,760 --> 00:13:38,100
But if you had a lot of health

369
00:13:38,100 --> 00:13:40,100
issues and a lot of specialists and you

370
00:13:40,100 --> 00:13:41,060
want to make sure you go to your

371
00:13:41,060 --> 00:13:44,860
doctor, maybe you're more particular that you want

372
00:13:44,860 --> 00:13:46,380
that Medigap approach.

373
00:13:46,700 --> 00:13:48,180
And how much you travel, too, right?

374
00:13:48,420 --> 00:13:48,820
Oh, yeah.

375
00:13:48,840 --> 00:13:49,320
Good point.

376
00:13:49,500 --> 00:13:49,620
Right.

377
00:13:50,080 --> 00:13:50,260
Yeah.

378
00:13:50,460 --> 00:13:50,880
Yeah.

379
00:13:50,980 --> 00:13:53,320
So there are a lot of key considerations

380
00:13:53,320 --> 00:13:57,000
that when people enter Medicare, I think they

381
00:13:57,000 --> 00:14:01,080
don't really understand what they're most people don't

382
00:14:01,080 --> 00:14:02,320
really understand these limitations.

383
00:14:02,760 --> 00:14:03,300
Yeah.

384
00:14:03,660 --> 00:14:07,660
And what they see is Medigap plans cost,

385
00:14:08,080 --> 00:14:09,800
give or take, two hundred and twenty five

386
00:14:09,800 --> 00:14:11,060
dollars a month.

387
00:14:11,560 --> 00:14:14,080
For flexibility, anywhere per person.

388
00:14:14,300 --> 00:14:14,660
Yeah.

389
00:14:15,040 --> 00:14:18,020
And you can get some HMO Part C

390
00:14:18,020 --> 00:14:20,340
plans for zero dollar premiums.

391
00:14:20,420 --> 00:14:22,040
So that's what they see.

392
00:14:22,140 --> 00:14:24,120
And it sort of doesn't go beyond that.

393
00:14:24,320 --> 00:14:24,720
Right.

394
00:14:24,900 --> 00:14:27,720
And then when you get sick, right, it's

395
00:14:27,720 --> 00:14:30,340
a big issue because now you run into

396
00:14:30,340 --> 00:14:33,080
what everyone is finding out.

397
00:14:33,420 --> 00:14:37,640
This annual enrollment period for going into twenty

398
00:14:37,640 --> 00:14:41,500
twenty six is anything and everything can change.

399
00:14:41,560 --> 00:14:43,120
In those Part C plans.

400
00:14:43,740 --> 00:14:44,380
And they do.

401
00:14:45,580 --> 00:14:47,740
We had in Massachusetts, Jeff, back to your

402
00:14:47,740 --> 00:14:49,180
question about what has changed.

403
00:14:49,560 --> 00:14:53,520
We had a Blue Cross PPO shutter.

404
00:14:54,360 --> 00:14:57,020
So a PPO is a preferred provider organization.

405
00:14:57,760 --> 00:14:59,920
It's a little more flexible in the Medicare

406
00:14:59,920 --> 00:15:00,880
Advantage space.

407
00:15:01,200 --> 00:15:07,040
So you can have networked services and doctors

408
00:15:07,040 --> 00:15:08,060
and hospitals and such.

409
00:15:08,540 --> 00:15:10,940
And you pay a certain lower rate or

410
00:15:10,940 --> 00:15:13,000
you can go outside of the network and

411
00:15:13,000 --> 00:15:13,920
pay a higher rate.

412
00:15:15,160 --> 00:15:17,700
And people like that flexibility because maybe most

413
00:15:17,700 --> 00:15:20,220
of their doctors and specialists are within, let's

414
00:15:20,220 --> 00:15:22,120
say, the mass general system, but they have

415
00:15:22,120 --> 00:15:24,660
one person outside and they can still do

416
00:15:24,660 --> 00:15:25,720
that and still have insurance.

417
00:15:26,720 --> 00:15:29,400
The Part D, the drug plans also come

418
00:15:29,400 --> 00:15:31,860
wrapped in the Part C plan.

419
00:15:31,980 --> 00:15:33,340
So I really have gone to calling it

420
00:15:33,340 --> 00:15:36,280
a Part C plan because that's what you're

421
00:15:36,280 --> 00:15:36,600
buying.

422
00:15:36,660 --> 00:15:38,420
And they're both one year contracts.

423
00:15:38,890 --> 00:15:40,740
So in Massachusetts, we had one Blue Cross

424
00:15:40,740 --> 00:15:42,740
PPO just stop entirely.

425
00:15:43,140 --> 00:15:46,920
And they did inform their many thousands of

426
00:15:46,920 --> 00:15:48,960
residents that you're no longer going to get

427
00:15:48,960 --> 00:15:51,600
health insurance without changing plans next year.

428
00:15:52,020 --> 00:15:54,140
So that's a shock for people.

429
00:15:54,600 --> 00:15:56,640
What do you mean my insurance is going

430
00:15:56,640 --> 00:15:57,000
away?

431
00:15:57,460 --> 00:16:00,420
Yeah, I think that once you buy, you

432
00:16:00,420 --> 00:16:02,040
know, back when you were 65, you always

433
00:16:02,040 --> 00:16:02,580
have.

434
00:16:02,740 --> 00:16:03,700
You don't.

435
00:16:03,760 --> 00:16:05,200
You only had for one year at a

436
00:16:05,200 --> 00:16:05,600
time.

437
00:16:06,060 --> 00:16:08,220
And the fact that you didn't do your

438
00:16:08,220 --> 00:16:11,020
homework all those other years, like between 65

439
00:16:11,020 --> 00:16:15,320
and 75, those plans were still changing and

440
00:16:15,320 --> 00:16:17,240
you were informed every year, but this year

441
00:16:17,240 --> 00:16:19,000
was different because it was really harsh.

442
00:16:19,480 --> 00:16:21,600
It's we're done with this plan.

443
00:16:21,920 --> 00:16:25,260
The other big thing that changed was many,

444
00:16:25,460 --> 00:16:29,460
many doctors and clinics and hospital systems.

445
00:16:30,700 --> 00:16:31,940
What word would I pick?

446
00:16:32,000 --> 00:16:34,720
They just no longer take certain plans.

447
00:16:36,080 --> 00:16:36,640
Entirely.

448
00:16:36,840 --> 00:16:38,700
So this is the plan still exists.

449
00:16:38,840 --> 00:16:41,560
There's a UnitedHealthcare PPO that still exists.

450
00:16:42,080 --> 00:16:44,880
And it's a it was zero dollar monthly

451
00:16:44,880 --> 00:16:47,720
premium this year for 2026.

452
00:16:47,940 --> 00:16:49,780
That premium is jumping to forty eight dollars

453
00:16:49,780 --> 00:16:50,220
a month.

454
00:16:50,480 --> 00:16:52,100
You know, not a big change for lots

455
00:16:52,100 --> 00:16:55,600
of people, but that caught people's attention and

456
00:16:55,600 --> 00:16:58,300
they change the rates which they charge.

457
00:16:58,340 --> 00:17:00,220
So this is in Medicare Part C.

458
00:17:00,260 --> 00:17:01,360
It's not an 80 20.

459
00:17:02,360 --> 00:17:05,280
It's that the insurance company has decided how

460
00:17:05,280 --> 00:17:07,480
much you will pay for every single service.

461
00:17:08,020 --> 00:17:10,420
So your doctors might be twenty five dollars.

462
00:17:10,640 --> 00:17:12,880
And if you are in the hospital, the

463
00:17:12,880 --> 00:17:15,380
first seven days are charged at three hundred

464
00:17:15,380 --> 00:17:17,700
and fifty dollars a day in 2025.

465
00:17:18,160 --> 00:17:20,460
But they jumped to five hundred and ten

466
00:17:20,460 --> 00:17:22,740
dollars a day in 2026.

467
00:17:23,520 --> 00:17:27,319
So they change every element to using the

468
00:17:27,319 --> 00:17:28,060
health care system.

469
00:17:28,140 --> 00:17:30,000
That's how the Part C plans get priced.

470
00:17:30,000 --> 00:17:31,880
That's my out of pocket cost.

471
00:17:32,020 --> 00:17:32,680
You just described.

472
00:17:32,920 --> 00:17:33,780
Yeah, correct.

473
00:17:33,900 --> 00:17:37,460
So you are paying individually for whatever you're

474
00:17:37,460 --> 00:17:39,900
using all along during the year.

475
00:17:39,920 --> 00:17:41,960
But again, if you're not sick, you know,

476
00:17:41,960 --> 00:17:43,360
you might pay a hundred dollars or two

477
00:17:43,360 --> 00:17:44,280
hundred dollars out of pocket.

478
00:17:44,440 --> 00:17:45,340
You don't know a big deal.

479
00:17:45,760 --> 00:17:46,200
Yeah.

480
00:17:46,300 --> 00:17:46,400
Yeah.

481
00:17:46,640 --> 00:17:47,760
Where it's a big deal.

482
00:17:48,700 --> 00:17:49,420
Excuse me.

483
00:17:50,520 --> 00:17:52,380
It's like the client I'm working with right

484
00:17:52,380 --> 00:17:56,300
now who was diagnosed this past February of

485
00:17:56,300 --> 00:17:57,780
twenty twenty five with cancer.

486
00:17:57,780 --> 00:18:00,080
Boy, as many older people will be.

487
00:18:00,360 --> 00:18:03,000
She had that PPO plan that is, again,

488
00:18:03,060 --> 00:18:06,500
still staying, but changing its pricing.

489
00:18:06,940 --> 00:18:11,700
But more importantly, her oncologists are no longer

490
00:18:11,700 --> 00:18:12,960
in the network.

491
00:18:13,340 --> 00:18:13,780
Oh, boy.

492
00:18:14,120 --> 00:18:14,340
Yeah.

493
00:18:14,740 --> 00:18:19,040
So change the cost structure considerably, considerably, as

494
00:18:19,040 --> 00:18:22,740
in they're not even taking patients any longer

495
00:18:22,740 --> 00:18:25,040
if they don't have a different insurance.

496
00:18:25,860 --> 00:18:28,000
So we did the mad scramble, right?

497
00:18:28,020 --> 00:18:29,160
We did it several weeks ago.

498
00:18:29,320 --> 00:18:31,400
Open enrollment started October 15th.

499
00:18:31,500 --> 00:18:34,200
So fortunately, we got together very early in

500
00:18:34,200 --> 00:18:37,500
the open enrollment seven week window, and she's

501
00:18:37,500 --> 00:18:37,980
all set.

502
00:18:38,180 --> 00:18:41,620
In fact, switching from Medicare Advantage to Medigap

503
00:18:41,620 --> 00:18:43,660
so that she can go anywhere she needs

504
00:18:43,660 --> 00:18:45,840
to, because when you have cancer, you don't

505
00:18:45,840 --> 00:18:47,440
know what you're going to need.

506
00:18:47,520 --> 00:18:48,080
Yeah.

507
00:18:48,280 --> 00:18:50,900
And so it is one of the things

508
00:18:50,900 --> 00:18:53,820
that's great today that wasn't hasn't always been

509
00:18:53,820 --> 00:18:54,420
the case.

510
00:18:55,040 --> 00:18:59,620
Is that opportunity to change carriers?

511
00:19:01,160 --> 00:19:04,980
Without having proof of insurability or whatever, you

512
00:19:04,980 --> 00:19:07,900
know, existing conditions and all that.

513
00:19:08,640 --> 00:19:10,800
That's a Massachusetts gift.

514
00:19:11,500 --> 00:19:13,620
Let me tell you, there are only four

515
00:19:13,620 --> 00:19:14,260
states.

516
00:19:14,820 --> 00:19:16,560
I mean, I know that people argue, is

517
00:19:16,560 --> 00:19:17,800
that really insurance and all that?

518
00:19:17,860 --> 00:19:22,940
But for consumers, it is hugely consequential that

519
00:19:22,940 --> 00:19:26,520
you have that flexibility to what someone who

520
00:19:26,520 --> 00:19:31,020
has a health condition can reassess which coverage

521
00:19:31,020 --> 00:19:34,080
is better for me under these circumstances to

522
00:19:34,080 --> 00:19:35,400
go to the doctors I want to go

523
00:19:35,400 --> 00:19:35,660
to.

524
00:19:36,000 --> 00:19:36,360
Right.

525
00:19:36,780 --> 00:19:37,020
Right.

526
00:19:37,060 --> 00:19:39,180
Because you really I mean, not that I'm

527
00:19:39,180 --> 00:19:40,780
a doctor here, but I just really don't

528
00:19:40,780 --> 00:19:43,540
think you should be changing your oncologist, you

529
00:19:43,540 --> 00:19:45,080
know, midway through your treatments.

530
00:19:45,660 --> 00:19:48,580
That doesn't seem to be a prudent plan

531
00:19:48,580 --> 00:19:48,880
to do.

532
00:19:49,180 --> 00:19:49,280
Yeah.

533
00:19:50,040 --> 00:19:51,160
But you would have to.

534
00:19:51,220 --> 00:19:52,080
I mean, you can't afford.

535
00:19:52,080 --> 00:19:52,960
I did ask her.

536
00:19:53,060 --> 00:19:53,760
It was interesting, though.

537
00:19:53,960 --> 00:19:55,660
You know, I don't know these people when

538
00:19:55,660 --> 00:19:57,060
I first start working with them.

539
00:19:57,600 --> 00:19:59,340
And I said, do you happen to know,

540
00:19:59,400 --> 00:20:01,160
have you paid anything out of pocket yet

541
00:20:01,160 --> 00:20:01,680
this year?

542
00:20:02,100 --> 00:20:03,260
And she was great.

543
00:20:03,360 --> 00:20:05,340
She just told me whatever I wanted to

544
00:20:05,340 --> 00:20:05,520
know.

545
00:20:05,580 --> 00:20:07,560
It's like, well, I paid well over ten

546
00:20:07,560 --> 00:20:09,060
thousand dollars so far this year.

547
00:20:10,880 --> 00:20:12,280
Yeah, of her real money.

548
00:20:12,740 --> 00:20:12,860
Yeah.

549
00:20:13,060 --> 00:20:14,920
You know, where for a Medigap, had she

550
00:20:14,920 --> 00:20:17,420
had that in place, it would have been

551
00:20:17,420 --> 00:20:20,020
two hundred and twelve dollars a month times

552
00:20:20,020 --> 00:20:20,420
twelve.

553
00:20:20,420 --> 00:20:22,440
Whatever that math works to, you know.

554
00:20:23,020 --> 00:20:25,640
And so it's really hard to put this

555
00:20:25,640 --> 00:20:27,740
burden on anyone.

556
00:20:27,740 --> 00:20:31,060
But certainly as we get older and then

557
00:20:31,060 --> 00:20:33,400
in 46 states to not allow you to

558
00:20:33,400 --> 00:20:36,160
just switch from you start with Medicare Advantage,

559
00:20:36,180 --> 00:20:37,640
then you get cancer and you want to

560
00:20:37,640 --> 00:20:38,800
change to Medigap.

561
00:20:39,020 --> 00:20:41,640
You can't do that in almost any other

562
00:20:41,640 --> 00:20:42,200
state.

563
00:20:43,040 --> 00:20:45,040
So we're really lucky here.

564
00:20:45,200 --> 00:20:46,960
And you can't do that even at the

565
00:20:46,960 --> 00:20:47,840
annual enrollment.

566
00:20:47,840 --> 00:20:49,540
No, you cannot.

567
00:20:49,740 --> 00:20:50,620
That's not what I mean.

568
00:20:50,880 --> 00:20:53,000
It's a I call it a 30 year

569
00:20:53,000 --> 00:20:53,460
decision.

570
00:20:53,760 --> 00:20:55,580
I guess I'm stuck in the Massachusetts rules

571
00:20:55,580 --> 00:20:56,160
in my head.

572
00:20:56,240 --> 00:20:57,520
Yeah, you are.

573
00:20:57,640 --> 00:21:00,100
So it's only Massachusetts, New York, Connecticut and

574
00:21:00,100 --> 00:21:01,340
Maine that allow.

575
00:21:01,440 --> 00:21:04,180
It's called continuous open enrollment, which means you

576
00:21:04,180 --> 00:21:05,920
can start with one plan, then switch to

577
00:21:05,920 --> 00:21:08,500
another or start with one insurance company and

578
00:21:08,500 --> 00:21:09,320
switch to another.

579
00:21:09,680 --> 00:21:12,860
I got an email recently last week from

580
00:21:12,860 --> 00:21:15,300
a client in Illinois, and they wanted to

581
00:21:15,300 --> 00:21:18,080
know, could they just switch from United Health

582
00:21:18,080 --> 00:21:20,680
Care Medigap in Illinois?

583
00:21:20,920 --> 00:21:24,080
They have a plan G to Blue Cross

584
00:21:24,080 --> 00:21:26,600
because they're not super happy with United Health.

585
00:21:26,600 --> 00:21:27,940
They're not moving or anything.

586
00:21:28,320 --> 00:21:29,580
No, staying put.

587
00:21:29,680 --> 00:21:31,860
They just they're unhappy with United Health Care

588
00:21:31,860 --> 00:21:34,700
because of all the issues that company's been

589
00:21:34,700 --> 00:21:35,040
having.

590
00:21:35,440 --> 00:21:36,980
Couldn't they just switch over to Blue Cross?

591
00:21:37,280 --> 00:21:40,080
And the answer is no, they cannot.

592
00:21:40,440 --> 00:21:41,420
Same plan G.

593
00:21:41,420 --> 00:21:43,700
It has to cover the exact same benefits,

594
00:21:44,040 --> 00:21:45,920
has to work the exact same way.

595
00:21:46,040 --> 00:21:49,480
But in Illinois, as with 46 other states,

596
00:21:49,580 --> 00:21:52,960
you cannot do that without medical underwriting.

597
00:21:53,540 --> 00:21:55,300
Now, if they're healthy.

598
00:21:56,640 --> 00:21:58,780
Maybe they should try it and let's see

599
00:21:58,780 --> 00:21:59,440
if they could move.

600
00:21:59,480 --> 00:22:00,180
And that's what I said.

601
00:22:00,220 --> 00:22:01,720
You certainly can give it a give it

602
00:22:01,720 --> 00:22:02,060
a go.

603
00:22:03,000 --> 00:22:04,840
But you can't just do what we can

604
00:22:04,840 --> 00:22:05,540
do in Massachusetts.

605
00:22:06,820 --> 00:22:07,560
That's huge.

606
00:22:07,760 --> 00:22:09,220
I didn't I didn't realize that it was

607
00:22:09,220 --> 00:22:10,920
the case in other in other states as

608
00:22:10,920 --> 00:22:11,800
you described.

609
00:22:12,200 --> 00:22:12,320
Yeah.

610
00:22:12,960 --> 00:22:14,420
And it's a really big deal because, you

611
00:22:14,420 --> 00:22:17,140
know, you don't switch plans when you're healthy,

612
00:22:17,320 --> 00:22:19,320
you know, from 65 to 75.

613
00:22:19,440 --> 00:22:20,280
Everything's gone great.

614
00:22:20,600 --> 00:22:20,700
Right.

615
00:22:21,060 --> 00:22:22,660
You're not thinking about it, right?

616
00:22:22,860 --> 00:22:23,940
You're really not.

617
00:22:24,340 --> 00:22:25,660
You know, it's hard enough to get people

618
00:22:25,660 --> 00:22:27,740
to think about their drug plans and figure

619
00:22:27,740 --> 00:22:30,280
out which drugs are covered year to year

620
00:22:30,280 --> 00:22:32,320
to year because they're not all covered over

621
00:22:32,320 --> 00:22:32,740
time.

622
00:22:32,880 --> 00:22:33,080
Yeah.

623
00:22:33,320 --> 00:22:33,500
Yeah.

624
00:22:33,580 --> 00:22:33,840
Right.

625
00:22:34,380 --> 00:22:38,420
So that makes it increasingly difficult when you've

626
00:22:38,420 --> 00:22:40,620
got to then throw in your doctors and

627
00:22:40,620 --> 00:22:41,640
your health conditions.

628
00:22:42,320 --> 00:22:44,860
And will they allow you to switch from

629
00:22:44,860 --> 00:22:47,280
a Medicare Part C to a Medigap?

630
00:22:47,420 --> 00:22:49,640
But they'll hold out a six month window.

631
00:22:50,960 --> 00:22:53,120
Pre-existing conditions won't cover them for six

632
00:22:53,120 --> 00:22:53,420
months.

633
00:22:53,980 --> 00:22:54,080
Wow.

634
00:22:54,340 --> 00:22:55,580
Well, if you're in the middle of cancer

635
00:22:55,580 --> 00:22:56,660
treatments, that is not helpful.

636
00:22:57,120 --> 00:22:57,460
Doesn't help.

637
00:22:57,640 --> 00:22:58,900
That's a big pre-existing.

638
00:22:59,560 --> 00:22:59,660
What?

639
00:22:59,660 --> 00:22:59,780
Yeah.

640
00:22:59,980 --> 00:23:02,080
Well, what's what was the deal with the

641
00:23:02,080 --> 00:23:03,040
Affordable Care Act?

642
00:23:03,060 --> 00:23:07,300
I thought that that gave some some eligibility

643
00:23:07,300 --> 00:23:08,220
in this regard.

644
00:23:08,220 --> 00:23:08,960
Is that not?

645
00:23:09,200 --> 00:23:11,220
Not when you're 65 and older.

646
00:23:11,700 --> 00:23:13,200
Isn't that the Affordable Care Act?

647
00:23:13,440 --> 00:23:14,440
It's really interesting.

648
00:23:14,600 --> 00:23:16,560
So picture a brick wall, right?

649
00:23:16,620 --> 00:23:18,540
You got a brick wall and you're running

650
00:23:18,540 --> 00:23:20,360
towards it all the while.

651
00:23:20,440 --> 00:23:22,580
You're not 65 and you slam into it

652
00:23:22,580 --> 00:23:23,740
when you turn 65.

653
00:23:24,360 --> 00:23:24,660
Yeah.

654
00:23:24,660 --> 00:23:26,160
You go, oh, my God, all the rules

655
00:23:26,160 --> 00:23:29,140
that I knew are no longer apply because

656
00:23:29,140 --> 00:23:30,640
now I'm in Medicare land.

657
00:23:31,000 --> 00:23:31,100
Yeah.

658
00:23:31,840 --> 00:23:32,960
So what if you move?

659
00:23:32,960 --> 00:23:36,320
I know moving like out of state is

660
00:23:36,320 --> 00:23:38,820
a event, right, that qualifies.

661
00:23:39,080 --> 00:23:40,260
Guarantee issue event.

662
00:23:40,480 --> 00:23:40,580
Yeah.

663
00:23:40,760 --> 00:23:40,920
OK.

664
00:23:41,160 --> 00:23:43,040
Are there other things that are guaranteed issues?

665
00:23:43,600 --> 00:23:43,900
Yes.

666
00:23:43,920 --> 00:23:47,320
It's when the company shuts down your plan.

667
00:23:47,620 --> 00:23:48,400
Well, that's a good one.

668
00:23:48,500 --> 00:23:49,580
That's the big one.

669
00:23:49,700 --> 00:23:51,840
And you never see that.

670
00:23:51,940 --> 00:23:52,520
I shouldn't say never.

671
00:23:53,000 --> 00:23:55,320
We've never seen it to date in Medigap.

672
00:23:55,440 --> 00:23:57,280
Medigap plans don't shut down.

673
00:23:57,800 --> 00:23:59,480
Not that they couldn't, I suppose, but they

674
00:23:59,480 --> 00:23:59,900
don't.

675
00:24:00,500 --> 00:24:04,620
Medicare Advantage plans shut down entirely.

676
00:24:05,120 --> 00:24:06,680
So let me tell you what happened on

677
00:24:06,680 --> 00:24:09,120
October 10th.

678
00:24:09,300 --> 00:24:11,220
So open enrollment starts the 15th.

679
00:24:11,480 --> 00:24:13,060
I get an email from a friend of

680
00:24:13,060 --> 00:24:16,180
mine and she says, you won't believe it.

681
00:24:16,260 --> 00:24:19,380
But all the Medicare Advantage plans have shuttered

682
00:24:19,380 --> 00:24:20,000
in Vermont.

683
00:24:21,360 --> 00:24:22,680
No, they haven't.

684
00:24:22,900 --> 00:24:24,040
I'm sure that's not.

685
00:24:24,360 --> 00:24:25,180
Oh, no.

686
00:24:25,540 --> 00:24:28,020
I mean, I'm sure one did because lots

687
00:24:28,020 --> 00:24:29,740
of Medicare plans are shutting down.

688
00:24:30,600 --> 00:24:31,980
Let me start on the Internet.

689
00:24:32,260 --> 00:24:32,880
That's true.

690
00:24:33,240 --> 00:24:36,760
I hop online and I go into Vermont's

691
00:24:36,760 --> 00:24:37,700
information.

692
00:24:38,600 --> 00:24:39,860
And sure as.

693
00:24:40,660 --> 00:24:41,000
Yep.

694
00:24:41,240 --> 00:24:44,300
Yes, they absolutely shut down.

695
00:24:44,680 --> 00:24:45,960
All but one.

696
00:24:46,380 --> 00:24:48,680
I think it's Humana is still playing in

697
00:24:48,680 --> 00:24:51,820
Vermont for Medicare Advantage, but only in six

698
00:24:51,820 --> 00:24:52,780
of the counties.

699
00:24:53,620 --> 00:24:53,740
Wow.

700
00:24:54,340 --> 00:24:57,080
And so these people literally woke up to

701
00:24:57,080 --> 00:24:57,920
this news.

702
00:24:58,420 --> 00:25:00,680
It was all over Vermont's TV stations and

703
00:25:00,680 --> 00:25:01,540
newspapers and such.

704
00:25:02,440 --> 00:25:03,760
Sure enough, if you're in any and we're

705
00:25:03,760 --> 00:25:06,780
talking Blue Cross United Health Care, Humana had

706
00:25:06,780 --> 00:25:09,420
it was still there and maybe Aetna had

707
00:25:09,420 --> 00:25:10,740
shut down the year before.

708
00:25:11,080 --> 00:25:13,460
And there was a more private plan between

709
00:25:13,460 --> 00:25:16,540
the University of Vermont and an insurer that

710
00:25:16,540 --> 00:25:17,700
had shut down last year.

711
00:25:18,400 --> 00:25:20,600
They have no Medicare Advantage plans.

712
00:25:21,780 --> 00:25:21,980
None.

713
00:25:22,300 --> 00:25:22,840
Just they're gone.

714
00:25:24,340 --> 00:25:26,680
That is not OK when you are 90

715
00:25:26,680 --> 00:25:27,680
years old.

716
00:25:27,680 --> 00:25:30,860
Yeah, but that is what's going on in

717
00:25:30,860 --> 00:25:31,520
the insurance market.

718
00:25:31,660 --> 00:25:33,960
So in that case, Jeff, they have a

719
00:25:33,960 --> 00:25:36,320
guaranteed right to buy a Medigap plan.

720
00:25:36,620 --> 00:25:38,740
Well, thank God, because there's no other choice.

721
00:25:38,840 --> 00:25:39,740
Yeah, they don't have a choice.

722
00:25:39,900 --> 00:25:40,020
Right.

723
00:25:40,540 --> 00:25:40,780
Yeah.

724
00:25:41,460 --> 00:25:42,580
That's really intriguing.

725
00:25:42,720 --> 00:25:45,940
Well, that will they partner with another state

726
00:25:45,940 --> 00:25:47,920
or like, you know, what happens in a

727
00:25:47,920 --> 00:25:48,640
case like that?

728
00:25:48,900 --> 00:25:50,040
Nothing, nothing.

729
00:25:50,160 --> 00:25:52,280
You can buy a Medigap plan or you

730
00:25:52,280 --> 00:25:52,980
can do without.

731
00:25:53,220 --> 00:25:55,420
It's up to your insurer to be interested

732
00:25:55,420 --> 00:25:57,720
in coming into that space and offering a

733
00:25:57,720 --> 00:25:59,700
plan, which isn't going to happen.

734
00:25:59,940 --> 00:26:03,300
It sounds like there are other pockets like

735
00:26:03,300 --> 00:26:03,520
that.

736
00:26:03,600 --> 00:26:04,960
I mean, there are big pockets out in

737
00:26:04,960 --> 00:26:05,380
the West.

738
00:26:05,660 --> 00:26:07,240
You know, the states out West are gigantic.

739
00:26:07,820 --> 00:26:09,580
So you might get in the cities with

740
00:26:09,580 --> 00:26:10,720
Medicare Advantage plans.

741
00:26:11,040 --> 00:26:14,840
Also, they are zip code and county specific.

742
00:26:14,960 --> 00:26:17,880
We know they're zip code specific because the

743
00:26:17,880 --> 00:26:20,200
commercials keep telling us that we'll check, call

744
00:26:20,200 --> 00:26:21,220
and check your zip code.

745
00:26:21,300 --> 00:26:22,920
Yeah, that's exactly right.

746
00:26:23,060 --> 00:26:25,860
Where Medigap operates in the state.

747
00:26:27,340 --> 00:26:29,120
Wide versus zip code wide.

748
00:26:29,740 --> 00:26:31,740
Can you just dispel some of the come

749
00:26:31,740 --> 00:26:32,940
ons for a second?

750
00:26:33,060 --> 00:26:34,400
There's like all this, you know, check to

751
00:26:34,400 --> 00:26:36,540
see if you have if you'll get these

752
00:26:36,540 --> 00:26:40,180
free food benefits, you know?

753
00:26:40,800 --> 00:26:41,000
Yeah.

754
00:26:41,140 --> 00:26:43,780
Zip code dependent, less.

755
00:26:45,580 --> 00:26:48,480
Income, less lesser income zip codes, get a

756
00:26:48,480 --> 00:26:49,880
little bit more of the extra goodies.

757
00:26:50,820 --> 00:26:52,880
Some of them do work.

758
00:26:53,140 --> 00:26:54,460
So where's the money?

759
00:26:54,640 --> 00:26:55,840
Where's the money coming from?

760
00:26:55,840 --> 00:26:59,140
From the federal government, from your Part B.

761
00:27:00,760 --> 00:27:03,160
So all the folks in Medicare Part C

762
00:27:03,160 --> 00:27:05,180
plans have to pay their Part B premium,

763
00:27:05,280 --> 00:27:07,900
including Irma that goes to the federal government.

764
00:27:08,020 --> 00:27:10,380
Then the federal government pays a per capita

765
00:27:10,380 --> 00:27:13,980
fee for to the insurance companies.

766
00:27:14,600 --> 00:27:17,220
And there's a an arrangement that the insurance

767
00:27:17,220 --> 00:27:18,380
companies must spend.

768
00:27:18,460 --> 00:27:21,480
And I think it's 85 percent of those

769
00:27:21,480 --> 00:27:24,240
monies coming from the federal government.

770
00:27:24,240 --> 00:27:27,600
They must spend them on the members, the

771
00:27:27,600 --> 00:27:30,280
people who have Part C plans for the

772
00:27:30,280 --> 00:27:30,960
medical side.

773
00:27:31,120 --> 00:27:33,780
So they don't always need to use all

774
00:27:33,780 --> 00:27:35,580
that money to pay the doctors and the

775
00:27:35,580 --> 00:27:38,860
hospital systems because they've quashed that rate that

776
00:27:38,860 --> 00:27:39,420
they're paying.

777
00:27:39,740 --> 00:27:41,680
So then they can offer these extra goodies,

778
00:27:42,200 --> 00:27:42,680
dental.

779
00:27:43,740 --> 00:27:46,540
Cost sharing one hundred and fifty dollars towards

780
00:27:46,540 --> 00:27:48,260
your eyeglasses once a year.

781
00:27:48,780 --> 00:27:51,200
Maybe you pay up to seven hundred dollars

782
00:27:51,200 --> 00:27:52,260
per hearing aid.

783
00:27:52,260 --> 00:27:53,700
So there's a little bit.

784
00:27:53,900 --> 00:27:55,780
And then there's these food cards or drug

785
00:27:55,780 --> 00:27:58,400
cards, OTC, over the counter cards that have

786
00:27:58,400 --> 00:28:01,640
been popular lately, and they only issue them

787
00:28:01,640 --> 00:28:02,800
every quarter.

788
00:28:03,440 --> 00:28:06,700
But you might get 60 dollars towards groceries

789
00:28:06,700 --> 00:28:07,180
or CV.

790
00:28:07,240 --> 00:28:08,720
I just call it CVS, but any of

791
00:28:08,720 --> 00:28:09,920
the drug stores.

792
00:28:10,820 --> 00:28:13,060
And you might you might get that, but

793
00:28:13,060 --> 00:28:14,440
they can take them away, too.

794
00:28:14,940 --> 00:28:15,820
So interesting.

795
00:28:15,920 --> 00:28:17,220
I was telling you guys I'm out in

796
00:28:17,220 --> 00:28:17,540
Minnesota.

797
00:28:17,760 --> 00:28:20,000
My kids live in Minneapolis and we're here

798
00:28:20,000 --> 00:28:22,560
for Thanksgiving and for the big gopher Badger

799
00:28:22,560 --> 00:28:25,480
game on Saturday when it will be snowing.

800
00:28:25,700 --> 00:28:29,980
Also, I woke up to news here yesterday

801
00:28:29,980 --> 00:28:34,240
in Minneapolis that Blue Cross took away and

802
00:28:34,240 --> 00:28:36,500
they just announced it two days ago.

803
00:28:36,720 --> 00:28:39,600
So not before open enrollment started, but two

804
00:28:39,600 --> 00:28:42,080
days ago, they announced Blue Cross in some

805
00:28:42,080 --> 00:28:43,800
of the counties are getting rid of their

806
00:28:43,800 --> 00:28:46,020
silver sneakers reimbursement.

807
00:28:46,860 --> 00:28:49,140
That's the silver sneakers is a gym program.

808
00:28:49,140 --> 00:28:50,640
You go to a lot of the YMCA's

809
00:28:50,640 --> 00:28:51,640
and a lot of other gyms.

810
00:28:51,940 --> 00:28:53,420
And, you know, when you're older and trying

811
00:28:53,420 --> 00:28:55,500
to stay in shape and trying to prevent

812
00:28:55,500 --> 00:28:57,620
illness, going to the gym is a good

813
00:28:57,620 --> 00:28:58,000
thing.

814
00:28:58,220 --> 00:28:58,620
Right.

815
00:28:58,720 --> 00:29:00,440
Well, they didn't do it at the beginning

816
00:29:00,440 --> 00:29:01,160
of enrollment.

817
00:29:01,640 --> 00:29:02,040
Exactly.

818
00:29:02,120 --> 00:29:03,960
So it's bad enough that they're taking away

819
00:29:03,960 --> 00:29:08,500
probably the most popular extra goody and they're

820
00:29:08,500 --> 00:29:10,740
stripping it away and they just announced it.

821
00:29:11,080 --> 00:29:13,800
So you can imagine there's some outrage here

822
00:29:13,800 --> 00:29:17,420
amongst the 80 plus contingency.

823
00:29:17,420 --> 00:29:18,620
You know, it's like, you got to be

824
00:29:18,620 --> 00:29:21,080
kidding me, because now they only have like

825
00:29:21,080 --> 00:29:24,180
10 days left to decide what they're going

826
00:29:24,180 --> 00:29:24,660
to do.

827
00:29:25,720 --> 00:29:28,140
And it's like, you know, that just I

828
00:29:28,140 --> 00:29:30,020
get the P&L piece.

829
00:29:30,140 --> 00:29:32,140
I worked in a big corporate structure as

830
00:29:32,140 --> 00:29:32,860
well for years.

831
00:29:33,720 --> 00:29:35,320
You know, it's all about the revenue and

832
00:29:35,320 --> 00:29:35,780
the profits.

833
00:29:36,040 --> 00:29:36,800
I got it.

834
00:29:36,880 --> 00:29:37,200
Of course.

835
00:29:37,260 --> 00:29:39,260
But tell the people in advance you knew

836
00:29:39,260 --> 00:29:40,500
this before yesterday.

837
00:29:41,440 --> 00:29:43,180
You know, you really want to just in

838
00:29:43,180 --> 00:29:43,580
the works.

839
00:29:43,640 --> 00:29:45,900
Yeah, that was like exactly October or whatever.

840
00:29:45,900 --> 00:29:46,380
Right.

841
00:29:46,800 --> 00:29:47,000
Right.

842
00:29:47,420 --> 00:29:51,000
So it's this anything can change.

843
00:29:51,380 --> 00:29:53,960
And this is what people don't understand to

844
00:29:53,960 --> 00:29:55,440
have Medicare Advantage plans.

845
00:29:56,800 --> 00:29:59,420
And it just it pains me because it

846
00:29:59,420 --> 00:30:02,400
is our oldest Americans who just thought they

847
00:30:02,400 --> 00:30:03,200
had health care.

848
00:30:03,300 --> 00:30:03,460
Right.

849
00:30:03,540 --> 00:30:04,960
I mean, it just gets sick and go

850
00:30:04,960 --> 00:30:05,520
to the doctor.

851
00:30:06,240 --> 00:30:08,000
No, that's not how it works.

852
00:30:08,660 --> 00:30:09,040
Yeah.

853
00:30:09,180 --> 00:30:11,420
I mean, this I guess Jeff and I

854
00:30:11,420 --> 00:30:13,560
are both are like, wow, I learned a

855
00:30:13,560 --> 00:30:13,840
lot.

856
00:30:13,960 --> 00:30:15,100
I didn't realize this.

857
00:30:15,100 --> 00:30:16,680
I always know a lot when she's our

858
00:30:16,680 --> 00:30:17,100
guest.

859
00:30:17,320 --> 00:30:20,820
I don't think you have to really get

860
00:30:20,820 --> 00:30:21,400
in the weeds.

861
00:30:21,580 --> 00:30:22,860
And this is not something that a lot

862
00:30:22,860 --> 00:30:23,840
of people want to do.

863
00:30:24,360 --> 00:30:26,940
You know, so we do really take advantage

864
00:30:26,940 --> 00:30:28,320
in not in a bad way.

865
00:30:28,340 --> 00:30:29,520
I mean, it's a good thing that we

866
00:30:29,520 --> 00:30:32,120
have, you know, the brokers and the agent,

867
00:30:32,280 --> 00:30:34,700
the Medicare agencies, a lot of them, not

868
00:30:34,700 --> 00:30:36,200
the ones a lot that you're seeing on

869
00:30:36,200 --> 00:30:36,540
TV.

870
00:30:36,900 --> 00:30:38,900
Call this 800 number and check your zip

871
00:30:38,900 --> 00:30:39,160
code.

872
00:30:39,320 --> 00:30:40,040
Not those people.

873
00:30:40,660 --> 00:30:42,980
These are for my right.

874
00:30:43,800 --> 00:30:43,900
Right.

875
00:30:45,100 --> 00:30:47,320
You know, it's it's unique.

876
00:30:47,440 --> 00:30:48,280
We need a resource.

877
00:30:48,540 --> 00:30:48,660
Right.

878
00:30:48,740 --> 00:30:50,460
We unless you want to do this and

879
00:30:50,460 --> 00:30:51,660
get into the law and get into these

880
00:30:51,660 --> 00:30:53,900
weeds and really it's not what people want

881
00:30:53,900 --> 00:30:54,980
to spend their retirement doing.

882
00:30:55,300 --> 00:30:57,860
You need to rely on really good, highly

883
00:30:57,860 --> 00:31:00,660
educated, knowledgeable brokers and agents.

884
00:31:01,840 --> 00:31:05,340
But this year, their commissions are being cut

885
00:31:05,340 --> 00:31:07,020
by a lot of the big players.

886
00:31:07,400 --> 00:31:08,060
I did hear that.

887
00:31:08,380 --> 00:31:08,620
Yeah.

888
00:31:09,080 --> 00:31:10,660
So they're going to go away probably.

889
00:31:11,260 --> 00:31:13,780
Well, you know, we or they have motivation

890
00:31:13,780 --> 00:31:17,080
for different offerings or what they at least

891
00:31:17,080 --> 00:31:18,720
will be promoting.

892
00:31:18,960 --> 00:31:19,120
Right.

893
00:31:19,660 --> 00:31:20,740
Well, they're restricted.

894
00:31:20,880 --> 00:31:22,580
I mean, same in the mutual fund industry.

895
00:31:22,580 --> 00:31:22,840
Right.

896
00:31:22,840 --> 00:31:24,580
We have all these laws and rules and

897
00:31:24,580 --> 00:31:28,540
regulatory requirements around what you can sell, what's

898
00:31:28,540 --> 00:31:29,420
on your platform.

899
00:31:29,860 --> 00:31:31,620
That's the same on the Medicare Advantage side

900
00:31:31,620 --> 00:31:32,540
and the part D side.

901
00:31:32,920 --> 00:31:35,880
You are heavily regulated in the insurance industry.

902
00:31:36,340 --> 00:31:39,420
And if a company is no longer paying

903
00:31:39,420 --> 00:31:43,240
you, the broker or his oversight, you know,

904
00:31:43,280 --> 00:31:47,600
the general broker or the agency to distribute

905
00:31:47,600 --> 00:31:50,580
those products, they're not on the platform.

906
00:31:50,920 --> 00:31:51,240
Yeah.

907
00:31:51,520 --> 00:31:51,780
Right.

908
00:31:51,880 --> 00:31:53,260
Can't be the agent of record.

909
00:31:53,760 --> 00:31:55,360
So you can't sell them.

910
00:31:56,260 --> 00:31:57,440
The well care is a good example.

911
00:31:57,560 --> 00:31:58,940
I happen to like well care their part

912
00:31:58,940 --> 00:31:59,540
D plan.

913
00:32:00,080 --> 00:32:01,380
I like them a lot because they have

914
00:32:01,380 --> 00:32:04,460
zero dollar monthly premiums in most states, not

915
00:32:04,460 --> 00:32:06,780
Massachusetts, but most of the other states.

916
00:32:06,840 --> 00:32:08,520
They continue to zero dollar premium.

917
00:32:09,020 --> 00:32:10,900
And so that's really good for a consumer

918
00:32:10,900 --> 00:32:14,220
and their drug prices or generic drugs and

919
00:32:14,220 --> 00:32:15,880
tier two drugs are really good.

920
00:32:16,080 --> 00:32:18,380
But the brokers are no longer getting commissions,

921
00:32:18,380 --> 00:32:21,100
so they can't show you that as an

922
00:32:21,100 --> 00:32:21,620
option.

923
00:32:22,140 --> 00:32:24,640
What the good brokers do is they do

924
00:32:24,640 --> 00:32:27,820
tell you there are other lower cost options

925
00:32:27,820 --> 00:32:30,040
if you go to the Medicare plan finder.

926
00:32:30,600 --> 00:32:31,880
You know, in other words, there's a do

927
00:32:31,880 --> 00:32:32,820
it yourself lane.

928
00:32:32,960 --> 00:32:33,140
Yeah.

929
00:32:34,120 --> 00:32:35,660
But that's not right.

930
00:32:35,660 --> 00:32:37,660
And they they still need to make a

931
00:32:37,660 --> 00:32:38,520
living, too, right?

932
00:32:38,620 --> 00:32:39,820
I mean, that's not going to be a

933
00:32:39,820 --> 00:32:42,520
business if they can't sell some product.

934
00:32:42,580 --> 00:32:44,320
They might tell their mother that, but they're

935
00:32:44,320 --> 00:32:46,320
not going to call.

936
00:32:46,880 --> 00:32:48,900
Well, I would feel not, though.

937
00:32:49,060 --> 00:32:52,120
Do they consult someone like you, Marcia, to

938
00:32:52,120 --> 00:32:52,860
get insight?

939
00:32:53,640 --> 00:32:54,640
They they do.

940
00:32:54,720 --> 00:32:55,980
But I charge an hourly fee.

941
00:32:56,020 --> 00:32:57,600
And some people don't like that, because when

942
00:32:57,600 --> 00:32:59,200
you work with a broker, you don't see

943
00:32:59,200 --> 00:33:00,820
insurance companies paying the broker.

944
00:33:01,280 --> 00:33:02,880
Yeah, I don't sell anything.

945
00:33:02,960 --> 00:33:04,920
So I don't have a commission lane.

946
00:33:04,920 --> 00:33:06,300
So I charge a fee.

947
00:33:06,700 --> 00:33:08,620
So some people, you know, are comfortable with

948
00:33:08,620 --> 00:33:10,060
that and they're happy to come and chat

949
00:33:10,060 --> 00:33:10,460
with me.

950
00:33:10,580 --> 00:33:12,980
But you also have a free resource called

951
00:33:12,980 --> 00:33:18,300
SHIP, the State Health Insurance Assistance Providers or

952
00:33:18,300 --> 00:33:18,540
something.

953
00:33:18,900 --> 00:33:21,240
And in Massachusetts, that's also called Shine.

954
00:33:22,340 --> 00:33:23,840
Florida, it's called Shine.

955
00:33:24,260 --> 00:33:25,780
In California, it's HICAP.

956
00:33:26,000 --> 00:33:27,700
It will have a different name, but we

957
00:33:27,700 --> 00:33:29,900
all start with SHIP help.

958
00:33:30,040 --> 00:33:30,760
Ship like a boat.

959
00:33:31,300 --> 00:33:31,780
SHIP.

960
00:33:33,580 --> 00:33:37,220
SHIPhelp.org gets you to the landing page.

961
00:33:37,320 --> 00:33:38,680
You pick your state and then it will

962
00:33:38,680 --> 00:33:40,880
show you what your group is called.

963
00:33:41,140 --> 00:33:42,020
And that's no.

964
00:33:42,020 --> 00:33:42,860
One of these.

965
00:33:43,100 --> 00:33:44,520
Do you think they do a good job

966
00:33:44,520 --> 00:33:45,920
helping people navigate this?

967
00:33:46,260 --> 00:33:49,300
Yeah, they do, because they are they're a

968
00:33:49,300 --> 00:33:51,840
troop of volunteers, mostly older folks.

969
00:33:52,380 --> 00:33:54,400
There are a few paid folks in each

970
00:33:54,400 --> 00:33:56,100
state government, and this is by the Medicare

971
00:33:56,100 --> 00:33:56,520
law.

972
00:33:56,840 --> 00:34:00,180
We have to have this hopeful service available

973
00:34:00,180 --> 00:34:00,900
to the seniors.

974
00:34:03,000 --> 00:34:04,780
But, you know, it's a volunteer troop.

975
00:34:05,060 --> 00:34:07,540
So some are better trained than others, but

976
00:34:07,540 --> 00:34:08,920
they're all unbiased.

977
00:34:09,040 --> 00:34:10,699
They present to you the same that I

978
00:34:10,699 --> 00:34:14,100
do everything that's a possibility in your zip

979
00:34:14,100 --> 00:34:17,280
code and can walk you through different advantages

980
00:34:17,280 --> 00:34:20,120
and disadvantages of the different types of plans.

981
00:34:21,219 --> 00:34:23,000
I rely on them heavily.

982
00:34:23,639 --> 00:34:24,900
I was surprised to hear from a client

983
00:34:24,900 --> 00:34:31,639
that if you were retired before eligibility for

984
00:34:31,639 --> 00:34:35,739
Medicare, Shine isn't really helpful or SHIP isn't

985
00:34:35,739 --> 00:34:37,179
really helpful in that scenario.

986
00:34:37,360 --> 00:34:42,179
It's only Medicare kind of scenarios that they

987
00:34:42,179 --> 00:34:43,320
are useful in.

988
00:34:43,440 --> 00:34:44,440
You remember that brick wall?

989
00:34:44,820 --> 00:34:45,159
Yep.

990
00:34:45,400 --> 00:34:49,960
If you're not 65 or have ALS or

991
00:34:49,960 --> 00:34:52,900
one other disease that escapes me right now,

992
00:34:53,060 --> 00:34:54,340
you're not eligible.

993
00:34:54,659 --> 00:34:56,060
You're still on this side of the brick

994
00:34:56,060 --> 00:34:56,320
wall.

995
00:34:56,320 --> 00:34:58,660
So you have to figure out how to

996
00:34:58,660 --> 00:34:59,640
navigate COBRA.

997
00:35:00,020 --> 00:35:01,540
That has a whole different set of rules.

998
00:35:01,680 --> 00:35:04,320
You have to figure out an early retirement

999
00:35:04,320 --> 00:35:05,420
package from your employer.

1000
00:35:05,420 --> 00:35:07,300
If you're leaving, you have to figure out

1001
00:35:07,300 --> 00:35:08,040
ACA.

1002
00:35:08,480 --> 00:35:11,200
Basically, if we go back about 15, 12,

1003
00:35:11,280 --> 00:35:13,440
15 years ago, there was a big effort

1004
00:35:13,440 --> 00:35:17,000
underway to have consumer driven health care.

1005
00:35:18,160 --> 00:35:19,100
This is it.

1006
00:35:19,700 --> 00:35:22,280
The consumers have to get in the game.

1007
00:35:22,280 --> 00:35:25,080
And it's really I liken it to when

1008
00:35:25,080 --> 00:35:27,480
we moved as an industry in the 80s.

1009
00:35:27,500 --> 00:35:28,700
So it's a little longer ago.

1010
00:35:28,880 --> 00:35:32,140
We moved from pension plans to 401ks.

1011
00:35:32,720 --> 00:35:35,300
That's consumer driven retirement savings.

1012
00:35:35,680 --> 00:35:37,800
And it built a whole industry for us.

1013
00:35:37,860 --> 00:35:37,960
Right.

1014
00:35:38,000 --> 00:35:39,840
I mean, yeah, look at all of us.

1015
00:35:39,880 --> 00:35:40,120
Right.

1016
00:35:40,340 --> 00:35:40,580
Right.

1017
00:35:41,260 --> 00:35:44,420
We had a whole lot of accumulation strategies

1018
00:35:44,420 --> 00:35:48,040
and investing and such to build on the

1019
00:35:48,040 --> 00:35:50,200
same thing is happening in health care.

1020
00:35:50,740 --> 00:35:54,600
But because the insurers are so powerful in

1021
00:35:54,600 --> 00:35:57,480
their state, 50 states, 50 sets of insurance

1022
00:35:57,480 --> 00:36:01,000
rules, it's a little bit harder and it's

1023
00:36:01,000 --> 00:36:03,420
really hard to navigate as a 90 year

1024
00:36:03,420 --> 00:36:03,640
old.

1025
00:36:06,240 --> 00:36:06,460
All right.

1026
00:36:06,500 --> 00:36:08,060
Lots to digest.

1027
00:36:08,400 --> 00:36:10,240
I we're going to have you back when

1028
00:36:10,240 --> 00:36:11,400
your book is published.

1029
00:36:11,520 --> 00:36:14,820
I hope you talk about that before we

1030
00:36:14,820 --> 00:36:15,000
do.

1031
00:36:15,100 --> 00:36:16,840
I just had one little social security thing

1032
00:36:16,840 --> 00:36:18,160
I want to squeeze in if you don't.

1033
00:36:18,160 --> 00:36:20,080
OK, anything for you?

1034
00:36:20,320 --> 00:36:24,000
I had had clients in front of our

1035
00:36:24,000 --> 00:36:25,660
prospective clients in front of us.

1036
00:36:26,020 --> 00:36:29,660
And we were reviewing, you know, their financial

1037
00:36:29,660 --> 00:36:30,020
plan.

1038
00:36:30,120 --> 00:36:31,880
We put together their financial plan and so

1039
00:36:31,880 --> 00:36:32,200
on.

1040
00:36:32,960 --> 00:36:37,060
And his benefit, I don't remember what the

1041
00:36:37,060 --> 00:36:39,800
number was, but let's say it was, you

1042
00:36:39,800 --> 00:36:41,660
know, forty five hundred dollars or something like

1043
00:36:41,660 --> 00:36:41,880
that.

1044
00:36:42,340 --> 00:36:45,140
And her benefit was twelve hundred dollars.

1045
00:36:46,340 --> 00:36:49,940
And I was like, that doesn't look right.

1046
00:36:51,040 --> 00:36:54,520
Thinking, you know, maybe there's a spousal benefit

1047
00:36:54,520 --> 00:36:59,780
available rather than not, you know.

1048
00:36:59,920 --> 00:37:02,140
So I don't know.

1049
00:37:02,240 --> 00:37:03,280
What do you think?

1050
00:37:03,420 --> 00:37:06,100
Is this a common occurrence where people maybe

1051
00:37:06,100 --> 00:37:10,920
started with their own benefit calculation and does

1052
00:37:10,920 --> 00:37:14,520
it doesn't automatically improve if they're eligible for

1053
00:37:14,520 --> 00:37:16,700
a higher spousal benefit?

1054
00:37:17,660 --> 00:37:18,180
Yeah.

1055
00:37:18,280 --> 00:37:20,680
So social security, always entertaining, right?

1056
00:37:20,980 --> 00:37:23,240
So it's a great example where you have

1057
00:37:23,240 --> 00:37:25,600
a high earning spouse and a lower earning

1058
00:37:25,600 --> 00:37:26,000
spouse.

1059
00:37:26,300 --> 00:37:28,080
And usually we're going to go traditional.

1060
00:37:28,360 --> 00:37:29,260
He's the higher earner.

1061
00:37:29,340 --> 00:37:30,200
She's the lower earner.

1062
00:37:30,320 --> 00:37:31,580
Usually stayed home with kids.

1063
00:37:32,120 --> 00:37:32,220
Yeah.

1064
00:37:33,300 --> 00:37:36,800
On your statement, which is our best tool

1065
00:37:36,800 --> 00:37:38,660
that we all have is to go on

1066
00:37:38,660 --> 00:37:40,900
to my social security, set up your account,

1067
00:37:40,900 --> 00:37:43,240
download your current statement.

1068
00:37:43,420 --> 00:37:45,600
It shows you how much you as a

1069
00:37:45,600 --> 00:37:48,460
worker have earned as a benefit.

1070
00:37:48,960 --> 00:37:50,780
So in her case, it's twelve hundred dollars.

1071
00:37:51,560 --> 00:37:51,780
Never.

1072
00:37:52,000 --> 00:37:53,140
I don't remember the actual numbers.

1073
00:37:53,240 --> 00:37:54,760
It was in the like this, though.

1074
00:37:54,820 --> 00:37:58,500
It's completely reasonable that I see that kind

1075
00:37:58,500 --> 00:37:59,400
of split all the time.

1076
00:37:59,720 --> 00:37:59,940
Yeah.

1077
00:38:00,420 --> 00:38:02,340
So that's what she thinks is her benefit.

1078
00:38:02,340 --> 00:38:04,300
And he gets his forty five hundred dollars.

1079
00:38:05,240 --> 00:38:08,180
But nowhere does it really ever get into

1080
00:38:08,180 --> 00:38:10,400
the weeds of when you're the lower earner

1081
00:38:10,400 --> 00:38:13,760
spouse, you may be eligible for a spousal

1082
00:38:13,760 --> 00:38:14,320
top up.

1083
00:38:14,440 --> 00:38:15,520
Don't forget to change it.

1084
00:38:15,680 --> 00:38:15,780
Right.

1085
00:38:15,840 --> 00:38:15,980
Yeah.

1086
00:38:16,240 --> 00:38:16,660
Right.

1087
00:38:16,920 --> 00:38:17,500
Exactly.

1088
00:38:17,940 --> 00:38:20,920
And so you but it's also hard for

1089
00:38:20,920 --> 00:38:22,840
consumers to do this because they think they're

1090
00:38:22,840 --> 00:38:25,240
going to get half of some of them

1091
00:38:25,240 --> 00:38:27,420
know what the half of half it is.

1092
00:38:27,760 --> 00:38:29,500
So they know they get 50 percent of

1093
00:38:29,500 --> 00:38:30,820
the higher earners money.

1094
00:38:31,780 --> 00:38:32,300
They don't.

1095
00:38:32,460 --> 00:38:35,340
They get half of his PIA, his primary

1096
00:38:35,340 --> 00:38:36,200
insurance amount.

1097
00:38:36,200 --> 00:38:38,740
So that forty five hundred dollars had to

1098
00:38:38,740 --> 00:38:40,800
be the benefit.

1099
00:38:40,920 --> 00:38:43,580
He was his calculated benefit at his full

1100
00:38:43,580 --> 00:38:44,620
retirement age.

1101
00:38:44,720 --> 00:38:45,740
Not his age.

1102
00:38:45,800 --> 00:38:46,680
Seventy benefit.

1103
00:38:47,140 --> 00:38:48,380
Good to good to point out.

1104
00:38:48,540 --> 00:38:50,240
So it's not that's a big early.

1105
00:38:51,400 --> 00:38:55,380
OK, so if maybe, maybe not, it grew

1106
00:38:55,380 --> 00:38:58,240
because of the delay to 70 start.

1107
00:38:58,420 --> 00:38:58,940
Right.

1108
00:38:59,060 --> 00:39:01,120
It may it may be that it's smaller

1109
00:39:01,120 --> 00:39:03,000
than half because of that.

1110
00:39:03,000 --> 00:39:03,480
Right.

1111
00:39:03,640 --> 00:39:05,620
So it'd be his forty five hundred dollars

1112
00:39:05,620 --> 00:39:07,620
would be actually twenty four percent less.

1113
00:39:07,800 --> 00:39:10,360
What if she started her benefit at 62

1114
00:39:10,360 --> 00:39:11,020
or something?

1115
00:39:11,100 --> 00:39:11,280
Yeah.

1116
00:39:11,660 --> 00:39:16,120
Would with that, even if it was her

1117
00:39:16,120 --> 00:39:18,840
own benefit, would she then be able to

1118
00:39:18,840 --> 00:39:21,520
at a full retirement age up top it

1119
00:39:21,520 --> 00:39:23,620
off as you termed it?

1120
00:39:23,980 --> 00:39:24,160
Yeah.

1121
00:39:24,280 --> 00:39:26,700
The top up only comes.

1122
00:39:27,380 --> 00:39:29,260
So she could have started at 62 and

1123
00:39:29,260 --> 00:39:32,640
taken a big, you know, on her monthly

1124
00:39:32,640 --> 00:39:33,040
benefit.

1125
00:39:33,640 --> 00:39:35,620
So she is absolutely entitled to do that.

1126
00:39:36,940 --> 00:39:40,120
She cannot get the spousal top up until

1127
00:39:40,120 --> 00:39:41,320
he claims.

1128
00:39:42,180 --> 00:39:45,400
Now, if he claims once she's at her

1129
00:39:45,400 --> 00:39:49,140
full retirement age or older, then her top

1130
00:39:49,140 --> 00:39:50,620
up comes in and she'll get the full

1131
00:39:50,620 --> 00:39:52,560
top up that was calculated.

1132
00:39:52,880 --> 00:39:55,260
It's still less than half of his because

1133
00:39:55,260 --> 00:39:56,080
she claimed early.

1134
00:39:56,220 --> 00:39:58,140
So she took a cut on her own

1135
00:39:58,140 --> 00:39:58,680
on that.

1136
00:39:59,140 --> 00:39:59,380
Right.

1137
00:39:59,900 --> 00:40:02,440
But it can also be part of it,

1138
00:40:02,480 --> 00:40:02,880
perhaps.

1139
00:40:03,260 --> 00:40:03,580
Yeah.

1140
00:40:03,600 --> 00:40:05,580
I mean, of when she started her benefit

1141
00:40:05,580 --> 00:40:06,400
as an example.

1142
00:40:06,720 --> 00:40:07,120
Absolutely.

1143
00:40:07,640 --> 00:40:09,560
And relative to each other, when are their

1144
00:40:09,560 --> 00:40:10,500
full retirement ages?

1145
00:40:10,560 --> 00:40:12,300
Like for Dan and me, we're seven months

1146
00:40:12,300 --> 00:40:12,680
apart.

1147
00:40:12,900 --> 00:40:14,940
So like he could wait seven months if

1148
00:40:14,940 --> 00:40:16,040
I were getting a top up and make

1149
00:40:16,040 --> 00:40:17,800
sure we optimize that benefit.

1150
00:40:18,220 --> 00:40:18,400
Yeah.

1151
00:40:18,440 --> 00:40:19,740
But I work with a lot of couples

1152
00:40:19,740 --> 00:40:21,400
who are, you know, I think you guys

1153
00:40:21,400 --> 00:40:23,440
do, too, who are four or five, 15

1154
00:40:23,440 --> 00:40:24,900
years differential.

1155
00:40:25,480 --> 00:40:28,500
They're too often too independent strategies.

1156
00:40:28,870 --> 00:40:31,800
But what's important in your example, Chris, assuming

1157
00:40:31,800 --> 00:40:33,980
they're only between two or three years difference

1158
00:40:33,980 --> 00:40:36,580
in age, OK, that.

1159
00:40:37,820 --> 00:40:41,520
They need to understand the implication when she

1160
00:40:41,520 --> 00:40:45,720
claimed at 62, let's say she was deemed

1161
00:40:45,720 --> 00:40:48,220
to be filing for all of her eligible

1162
00:40:48,220 --> 00:40:49,660
benefits at that time.

1163
00:40:49,780 --> 00:40:52,060
So she claimed at 62, the only one

1164
00:40:52,060 --> 00:40:54,180
that was open to her was her own.

1165
00:40:54,180 --> 00:40:54,760
Yeah.

1166
00:40:55,200 --> 00:40:57,060
That pop up is not open to her

1167
00:40:57,060 --> 00:41:00,400
until he files, but she cannot delay it

1168
00:41:00,400 --> 00:41:02,600
past the month he claims.

1169
00:41:03,660 --> 00:41:04,760
So she's going to close.

1170
00:41:04,840 --> 00:41:06,520
Does she lose it or just it doesn't

1171
00:41:06,520 --> 00:41:07,580
grow is all you're saying?

1172
00:41:07,660 --> 00:41:09,000
It doesn't it doesn't grow.

1173
00:41:09,120 --> 00:41:11,620
Or said another way, she may be getting

1174
00:41:11,620 --> 00:41:16,960
another penalty on her top up.

1175
00:41:17,020 --> 00:41:18,280
There's really there's two tranches.

1176
00:41:18,360 --> 00:41:20,380
There's her bucket and there's her top up

1177
00:41:20,380 --> 00:41:20,680
bucket.

1178
00:41:21,440 --> 00:41:24,360
So she may she took a cut, a

1179
00:41:24,360 --> 00:41:26,300
30 percent cut on her own benefit at

1180
00:41:26,300 --> 00:41:26,820
62.

1181
00:41:27,300 --> 00:41:31,200
If he claims when she's 65, she's still

1182
00:41:31,200 --> 00:41:33,380
two years before her full retirement age.

1183
00:41:33,540 --> 00:41:35,800
So she's going to get another like a

1184
00:41:35,800 --> 00:41:38,840
15 or an 18 percent cut off of

1185
00:41:38,840 --> 00:41:39,660
the top up.

1186
00:41:40,220 --> 00:41:43,180
What if she waited to apply for the

1187
00:41:43,180 --> 00:41:44,600
top up later?

1188
00:41:45,160 --> 00:41:45,840
It doesn't.

1189
00:41:46,220 --> 00:41:47,780
That's the deemed filing.

1190
00:41:47,780 --> 00:41:48,880
That's exactly right.

1191
00:41:49,000 --> 00:41:52,020
That once she claimed at 62, she opened

1192
00:41:52,020 --> 00:41:53,260
the door for everything.

1193
00:41:53,260 --> 00:41:54,760
She's eligible for.

1194
00:41:55,400 --> 00:41:56,920
OK, it's just when do each of the

1195
00:41:56,920 --> 00:41:58,920
pieces become eligible and you no longer have

1196
00:41:58,920 --> 00:41:59,280
a say?

1197
00:41:59,740 --> 00:42:00,580
You made your decision.

1198
00:42:01,300 --> 00:42:04,120
So she can still apply, but she'll be

1199
00:42:04,120 --> 00:42:05,440
penalized again.

1200
00:42:05,760 --> 00:42:06,120
Correct.

1201
00:42:06,440 --> 00:42:11,920
Because there's a different reduction calculation for when

1202
00:42:11,920 --> 00:42:14,240
I'm looking at this saying, oh, there's such

1203
00:42:14,240 --> 00:42:15,280
a big differential.

1204
00:42:18,440 --> 00:42:20,260
Maybe I'm looking at it and saying, oh,

1205
00:42:20,320 --> 00:42:23,260
maybe she didn't apply for her spousal benefit.

1206
00:42:23,600 --> 00:42:25,480
It may be just the timing of when

1207
00:42:25,480 --> 00:42:28,540
she started her benefits relative to his.

1208
00:42:29,920 --> 00:42:31,820
And he might have done it later.

1209
00:42:31,960 --> 00:42:35,300
Not the 60s, you know, full retirement age

1210
00:42:35,300 --> 00:42:35,680
or whatever.

1211
00:42:36,100 --> 00:42:36,720
So, right.

1212
00:42:36,860 --> 00:42:39,440
But it's not the additional benefit that they

1213
00:42:39,440 --> 00:42:39,880
calculate.

1214
00:42:40,160 --> 00:42:40,260
Right.

1215
00:42:40,260 --> 00:42:41,560
I talk about it, I think, in the

1216
00:42:41,560 --> 00:42:43,360
book, in the Social Security book about riding

1217
00:42:43,360 --> 00:42:44,780
a tandem bike, right?

1218
00:42:44,840 --> 00:42:47,480
For couples that you she starts out riding

1219
00:42:47,480 --> 00:42:48,900
the tandem bike by herself.

1220
00:42:49,020 --> 00:42:49,160
Right.

1221
00:42:49,200 --> 00:42:50,600
Have either of you done this, by the

1222
00:42:50,600 --> 00:42:51,180
way?

1223
00:42:51,180 --> 00:42:52,140
No, no.

1224
00:42:52,140 --> 00:42:53,440
I've done a tandem kayak.

1225
00:42:53,700 --> 00:42:55,820
And I don't know how people do that

1226
00:42:55,820 --> 00:42:57,980
kind of thing because it's it's chaos.

1227
00:42:58,140 --> 00:43:01,200
Anyway, that's kind of a thing, right?

1228
00:43:01,300 --> 00:43:03,120
You know, it's like I didn't know that

1229
00:43:03,120 --> 00:43:05,940
I claimed my spousal top up also.

1230
00:43:06,120 --> 00:43:07,800
It's like, I know, you know.

1231
00:43:09,260 --> 00:43:11,380
But you can she can still ask in

1232
00:43:11,380 --> 00:43:11,980
this scenario.

1233
00:43:11,980 --> 00:43:12,900
She can still.

1234
00:43:13,260 --> 00:43:13,740
Yes.

1235
00:43:13,980 --> 00:43:16,560
So she's inquiring with Social Security to see

1236
00:43:16,560 --> 00:43:18,280
if there's any additional benefit available.

1237
00:43:19,080 --> 00:43:19,260
Yes.

1238
00:43:19,300 --> 00:43:19,860
And when?

1239
00:43:20,180 --> 00:43:21,600
So if he hasn't claimed yet.

1240
00:43:22,300 --> 00:43:24,240
And with that kind of gap, they're both

1241
00:43:24,240 --> 00:43:24,340
receiving.

1242
00:43:24,340 --> 00:43:27,160
They're both receiving Social Security at this point.

1243
00:43:27,260 --> 00:43:27,360
Yeah.

1244
00:43:27,800 --> 00:43:27,980
Yeah.

1245
00:43:28,900 --> 00:43:30,500
So she should get I mean, even if

1246
00:43:30,500 --> 00:43:32,320
his was let's use a simple number that

1247
00:43:32,320 --> 00:43:32,760
I can do.

1248
00:43:32,920 --> 00:43:36,020
If his PIA was three thousand dollars and

1249
00:43:36,020 --> 00:43:38,780
she's receiving twelve hundred over here, she still

1250
00:43:38,780 --> 00:43:41,740
had a three hundred dollar spousal top up

1251
00:43:41,740 --> 00:43:45,060
available to her in part or in full.

1252
00:43:45,140 --> 00:43:47,380
So she still should have been getting something,

1253
00:43:47,700 --> 00:43:48,600
something more.

1254
00:43:49,320 --> 00:43:49,660
There you go.

1255
00:43:49,780 --> 00:43:50,340
Something more.

1256
00:43:50,660 --> 00:43:52,580
And it's also fun to use the term

1257
00:43:52,580 --> 00:43:55,080
PIA on the on the show without getting

1258
00:43:55,080 --> 00:43:55,540
in trouble.

1259
00:43:55,700 --> 00:43:56,260
You know what I mean?

1260
00:43:58,320 --> 00:43:58,880
Yeah.

1261
00:43:58,880 --> 00:44:00,160
Always informative.

1262
00:44:00,520 --> 00:44:01,320
Always fun.

1263
00:44:01,480 --> 00:44:02,460
Thank you so much.

1264
00:44:02,740 --> 00:44:04,400
I think these are the kind of things

1265
00:44:04,400 --> 00:44:07,900
that clients or listeners learn so much from

1266
00:44:07,900 --> 00:44:10,380
benefit from your expertise.

1267
00:44:11,060 --> 00:44:13,520
And I will say as much as we

1268
00:44:13,520 --> 00:44:15,180
deal with these kind of issues all the

1269
00:44:15,180 --> 00:44:18,580
time, we still learn things from you as

1270
00:44:18,580 --> 00:44:18,860
well.

1271
00:44:19,100 --> 00:44:19,680
Every time.

1272
00:44:20,100 --> 00:44:20,720
I'm so glad.

1273
00:44:21,320 --> 00:44:22,840
Well, thank you for inviting me back.

1274
00:44:22,940 --> 00:44:24,380
I love talking with you guys.

1275
00:44:24,460 --> 00:44:25,600
You always have the best questions.

1276
00:44:25,840 --> 00:44:26,380
Thank you.

1277
00:44:26,460 --> 00:44:26,800
Thank you.

1278
00:44:27,240 --> 00:44:28,460
Let's go on the book.

1279
00:44:28,840 --> 00:44:29,020
Yeah.

1280
00:44:29,160 --> 00:44:29,700
Oh, yes.

1281
00:44:29,840 --> 00:44:31,400
You're on my list to send you a

1282
00:44:31,400 --> 00:44:31,680
copy.

1283
00:44:31,940 --> 00:44:34,360
So I just it literally the EPUB came

1284
00:44:34,360 --> 00:44:35,600
over yesterday for approval.

1285
00:44:35,600 --> 00:44:35,940
So.

1286
00:44:36,440 --> 00:44:36,680
Excellent.

1287
00:44:37,140 --> 00:44:38,180
So you're going to be back soon.

1288
00:44:38,580 --> 00:44:40,120
Marcia, tell everyone a couple of things.

1289
00:44:40,240 --> 00:44:41,340
One, your website.

1290
00:44:41,660 --> 00:44:44,000
You have a newsletter people can sign up

1291
00:44:44,000 --> 00:44:45,580
for and learn a great deal from.

1292
00:44:45,800 --> 00:44:47,560
And of course, as we said, you have

1293
00:44:47,560 --> 00:44:50,580
books and been on other podcasts.

1294
00:44:50,760 --> 00:44:51,980
Lots to learn from Marcia.

1295
00:44:52,180 --> 00:44:54,300
So people may want to check out your

1296
00:44:54,300 --> 00:44:55,860
your resources on your website.

1297
00:44:56,480 --> 00:44:59,080
Additionally, when if you have a really complex,

1298
00:45:00,340 --> 00:45:05,140
unusual Social Security situation, Medicare situation, obviously you

1299
00:45:05,140 --> 00:45:07,980
can tell there's people we turn to when

1300
00:45:07,980 --> 00:45:09,980
there's complexity in these situations.

1301
00:45:10,820 --> 00:45:12,320
Marcia is one of the experts you want

1302
00:45:12,320 --> 00:45:12,660
to know.

1303
00:45:12,820 --> 00:45:14,280
And if you have that kind of need,

1304
00:45:14,360 --> 00:45:15,340
she'd be a great resource.

1305
00:45:15,620 --> 00:45:18,560
So in any case, share all your information,

1306
00:45:18,740 --> 00:45:20,680
Marcia, and tell everyone how they can benefit.

1307
00:45:21,300 --> 00:45:21,540
Sure.

1308
00:45:21,660 --> 00:45:23,980
So you can go to my business website

1309
00:45:23,980 --> 00:45:27,140
is Mantell Retirement Consulting dot com.

1310
00:45:27,660 --> 00:45:30,160
Sorry, it's long, but yeah, Mantell Retirement Consulting.

1311
00:45:30,160 --> 00:45:31,900
And then I also have a lot of

1312
00:45:31,900 --> 00:45:34,440
free resources on my blog, which is Boomer

1313
00:45:34,440 --> 00:45:36,160
Retirement Briefs dot com.

1314
00:45:36,460 --> 00:45:39,040
So you'll find worksheets and their checklist for

1315
00:45:39,040 --> 00:45:43,400
Social Security and other information and part D

1316
00:45:43,400 --> 00:45:44,460
and open enrollment.

1317
00:45:44,620 --> 00:45:46,760
Info is the lead story right now for

1318
00:45:46,760 --> 00:45:48,960
open enrollment ending December 7th.

1319
00:45:50,160 --> 00:45:52,700
Take advantage of all these great resources and

1320
00:45:52,700 --> 00:45:55,320
benefit from all that Marcia offers.

1321
00:45:55,480 --> 00:45:57,080
Thanks for being with us.

1322
00:45:57,080 --> 00:46:00,100
And until next time, everybody keeps driving for

1323
00:46:00,100 --> 00:46:00,740
something more.

1324
00:46:01,760 --> 00:46:03,620
Thank you for listening to something more with

1325
00:46:03,620 --> 00:46:04,340
Chris Boyd.

1326
00:46:04,640 --> 00:46:06,800
Call us for help, whether it's for financial

1327
00:46:06,800 --> 00:46:10,720
planning or portfolio management, insurance concerns or those

1328
00:46:10,720 --> 00:46:12,760
quality of life issues that make the money

1329
00:46:12,760 --> 00:46:13,860
matters matter.

1330
00:46:14,200 --> 00:46:16,360
Whatever's on your mind, visit us at something

1331
00:46:16,360 --> 00:46:18,940
more with Chris Boyd dot com or call

1332
00:46:18,940 --> 00:46:21,500
us toll free at eight six six seven

1333
00:46:21,500 --> 00:46:24,320
seven one eight nine zero one.

1334
00:46:24,320 --> 00:46:26,900
Or send us your questions to A.M

1335
00:46:26,900 --> 00:46:30,180
.R. Dash info at Wealth Enhancement dot com.

1336
00:46:30,600 --> 00:46:32,300
You're listening to something more with Chris Boyd

1337
00:46:32,300 --> 00:46:33,140
Financial Talk Show.

1338
00:46:33,260 --> 00:46:35,740
Wealth Enhancement Advisory Services and Jay Christopher Boyd

1339
00:46:35,740 --> 00:46:38,080
provide investment advice on an individual basis to

1340
00:46:38,080 --> 00:46:38,620
clients only.

1341
00:46:38,780 --> 00:46:40,760
Proper advice depends on a complete analysis of

1342
00:46:40,760 --> 00:46:41,980
all facts and circumstances.

1343
00:46:42,220 --> 00:46:44,040
The information given on this program is general

1344
00:46:44,040 --> 00:46:46,080
financial comments and cannot be relied upon as

1345
00:46:46,080 --> 00:46:47,660
pertaining to your specific situation.

1346
00:46:47,840 --> 00:46:49,840
Wealth Enhancement Group cannot guarantee that using the

1347
00:46:49,840 --> 00:46:51,840
information from this show will generate profits or

1348
00:46:51,840 --> 00:46:52,960
ensure freedom from loss.

1349
00:46:52,960 --> 00:46:55,320
Listeners should consult their own financial advisors or

1350
00:46:55,320 --> 00:46:57,420
conduct their own due diligence before making any

1351
00:46:57,420 --> 00:46:58,180
financial decisions.