Get What's Yours for Medicare: Maximize Your Coverage, Minimize Your Costs
Written by Philip Moeller
Narrated by James Foster
4.5/5
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About this audiobook
A coauthor of the New York Times bestselling guide to Social Security Get What's Yours authors an essential companion to explain Medicare, the nation's other major benefit for older Americans. Learn how to maximize your health coverage and save money.
Social Security provides the bulk of most retirees' income and Medicare guarantees them affordable health insurance. But few people know what Medicare covers and what it doesn't, what it costs, and when to sign up. Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans-Medicare Advantage, drug insurance, and Medicare supplement insurance.
Do you understand Medicare's parts A, B, C, D? Which Part D drug plan is right and how do you decide? Which is better, Medigap or Medicare Advantage? What do you do if Medicare denies payment for a procedure that your doctor says you need? How do you navigate the appeals process for denied claims? If you're still working or have a retiree health plan, how do those benefits work with Medicare? Do you know about the annual enrollment period for Medicare, or about lifetime penalties for late enrollment, or any number of other key Medicare rules?
Health costs are the biggest unknown expense for older Americans, who are turning sixty-five at the rate of 10,000 a day. Understanding and navigating Medicare is the best way to save health care dollars and use them wisely. In Get What's Yours for Medicare, retirement expert Philip Moeller explains how to understand all these important choices and make the right decisions for your health and wealth now-and for the future.
Philip Moeller
Award-winning journalist Philip Moeller coauthored the New York Times bestseller Get What’s Yours: The Secrets to Maxing Out Your Social Security and is the author of the companion volumes, Get What’s Yours for Medicare: Maximizing Your Coverage, Minimizing Your Costs and Get What’s Yours for Health Care: How to Get the Best Care at the Right Price. He wrote the “Ask Phil” feature for PBS NewsHour and has also worked for Money and US News & Report as well as several newspapers. He writes the Get What’s Yours newsletter on Substack and provides updates on Medicare and Social Security at his website, GetWhatsYours.org.
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Reviews for Get What's Yours for Medicare
13 ratings2 reviews
- Rating: 3 out of 5 stars3/5Not the most entertaining reading but certainly informative. This book covers all the material and decisions that each of will have to make when we come to setting our healthcare as we retire. The complexity is mind boggling and the consequences of not making the right decisions downright scary. The book should make the decisions a bit less daunting.
- Rating: 5 out of 5 stars5/5From those wonderful people who brought you Get What's Yours For Social Security, (see my review) comes the companion volume on Medicare. Social Security handles Medicare registration, which sadly does not simplify the process, and often complicates it as we start those programs at different ages. The bizarre healthcare system, which is the biggest cause of personal bankruptcy in the USA, is not simplified by the act of turning 65 or retiring. The games just change. Hence the screaming need for this book. New games. New hurdles. New penalties. We all need to know what we’re getting into, and precious few of us do. Philip Moeller has plumbed the depths for us, and he’s not happy about all the entanglements he found. Here are some samples:-Medicare Part B has a 20% copay that is never satisfied. Patients with multiple appointments and procedures continually pay 20%. And 20% these days can bankrupt you by itself.-Only 25% purchase Medigap insurance to cover the copays.-COBRA does not delay the need to sign up for Medicare- Health Savings Account contributions must cease six months prior to Medicare enrollment-Although Social Security will send money anywhere in the world, Medicare is only available in the USA-The penalty for late registration of Part D (drugs) is 1% per month you are late – added to all your monthly payments for life. -On the other hand, if you take no drugs, you save nearly $1000 a year in the premiums and deductibles of Part D coverage.-Unlike original Medicare, private Medicare Advantage plans usually end at the state line. They are the same sort of network HMO plans we despise, and that many can’t wait to abandon for Medicare. But they are subsidized by Medicare ($10,000 per person) and so have smaller premiums than Medicare.-Even if they’ve dropped a drug from the formulary, plans are supposed to provide transitional fulfillment, and/or your doctor can apply for a continued supply.-All Part D plans provide free Meds Therapy Management for those with multiple conditions and prescriptions. This can help prevent meds battling each other or causing unintended new conditions.-If a provider tells you in advance you are not covered, you must ask them to file a claim with Medicare anyway. That puts you in the appeals process. If they don’t apply, you have nothing to appeal. -Only 1% of appeals come from beneficiaries. 99% come from providers. There is a separate track for beneficiaries that takes them to the head of the line.The endnotes in Get What’s Yours for Medicare are much more valuable than usual. They include deep links to the specific webpage where the form or information is available, stats that show how many people choose what plans, how much they spend and so on. They are a valuable tool themselves. There isn’t a person in the world who has a complete understanding of Medicare. This book is critical to having an overview of the paths, the pitfalls, and the misconceptions about the program. And fortunately, it is easy and engaging reading.David Wineberg