5 Things Medicare Doesn't Cover (and how to get them covered)

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Medicare Specialist - Abt Insurance Agency

Medicare Specialist - Abt Insurance Agency

Күн бұрын

www.abtinsuranceagency.com | (888) 465-9728. Today's videos reviews 5 things Medicare doesn't cover. While Medicare does cover many services, many people are surprised to find out about these 5 things that Medicare doesn't cover, and could be hit with unexpected medical bills if they aren't aware. Today I'm sharing these 5 things, along with some solutions on how to get these items covered when you are on Medicare.
It's important to know what you options are when it comes to Medicare coverage solutions, like Medicare Supplement Plans, Medicare Advantage Plans, as well as stand alone policies hat will help offset some of the costs of these 5 things that Medicare doesn't cover.
Free Medicare Supplement Quotes: www.abtinsuranceagency.com
Best Medicare Supplement Plans: • Best Medicare Suppleme...
Dental Solutions for Seniors: • Dental Plans For Senio...
Medicare and Physical Exam Coverage: • Does Medicare Cover An...
Medicare Supplement versus Medicare Advantage Plans: • Medicare Advantage vs ...
Medicare hearing aid coverage:
www.healthyhearing.com/help/h...
www.congress.gov/bill/115th-c...
We provide free, no obligation Medicare insurance quotes and assistance. Let us help you! (888) 465-9728
00:00 Introduction
02:37 Thing number 1
03:36 Thing number 2
04:25 Thing number 3
05:21 Thing number 4
07:10 Thing number 5
09:56 Behind the scenes

Пікірлер: 2 000
@ChristopherAbelman
@ChristopherAbelman 24 күн бұрын
Lately, I've been contemplating retirement, uncertain whether my 401(k) and IRA will ensure a secure future. I've also invested $800K in the stock market, experiencing fluctuations without substantial gains.
@JosephineKenney
@JosephineKenney 24 күн бұрын
Using a 401(k) or IRA is a valuable strategy for retirement planning, providing potential savings growth and tax advantages. While the stock market is promising, expert guidance is essential for effective portfOlio management
@PennyBergeron-os4ch
@PennyBergeron-os4ch 24 күн бұрын
Opting for an invest-ment advisr is currently the optimal approach for navigating the stock market, particularly for those nearing retirement. I've been consulting with a coach for a while, and my portfOlio has surged by 45% since Q2.
@HildaBennet
@HildaBennet 24 күн бұрын
Market behavior can be complex and unpredictable. Mind if I ask you to recommend this particular coach to whom you have used their services?
@PennyBergeron-os4ch
@PennyBergeron-os4ch 24 күн бұрын
Research Sharon Lee Peoples and do your own research. She has portfolio management down to a science.
@HildaBennet
@HildaBennet 24 күн бұрын
Just ran an online search on her name and came across her websiite; pretty well educated. thank you for sharing.
@royschmidt675
@royschmidt675 Жыл бұрын
Thank you ! No Soc. Sec. coverage for dental and eyes is criminal negligence !
@bennym1956
@bennym1956 3 ай бұрын
This is mostly cause most dentists DON'T want to be in a network plan like doctors !
@davebryant8050
@davebryant8050 10 күн бұрын
Social Security isn't health insurance so no it doesn't cover dental.
@davebryant8050
@davebryant8050 10 күн бұрын
@@bennym1956 exactly, they'd have to charge resonable rates if they did that.
@curthenry9398
@curthenry9398 2 жыл бұрын
Dental Care not being covered by Medicare and many Healthcare Insurance Plans is very short sighted. Many health problems are caused by poor dental hygiene.
@christenawalker2944
@christenawalker2944 Жыл бұрын
VERY MANY-California long-term nurse
@marvinmartin4692
@marvinmartin4692 Жыл бұрын
My father died as a result of abscess tooth! A ww2 veteran and passed away with 88000.00 of medical debt! Isn’t america great!
@marlens6581
@marlens6581 Жыл бұрын
In 1965 the Dental lobby lawyered up and fought a very long and tough fight to be specifically excluded from all federal legislation involving Medicare and to this day they are off the hook. Learn that what Congress does is to rob you and take money from lawyered lobbysists,
@andreaandrea6716
@andreaandrea6716 Жыл бұрын
Yup. But the Allopathic model is about keeping people coming back. NOT about keeping people healthy.
@andreaandrea6716
@andreaandrea6716 Жыл бұрын
@@marvinmartin4692 I'm so sorry! I've had many abscessed teeth: What a godawful, lousy way to die. This is the only First World Country that allows that (just fyi).
@juliebutler8241
@juliebutler8241 Жыл бұрын
So the elderly sit there at home toothless, blind, deaf, sick, but hey, there's medicare that you must buy. What a racket!!!!
@BrendaEisenhart-ve2gb
@BrendaEisenhart-ve2gb 4 ай бұрын
The advantage plans are another scam. You should get a supplement instead.
@andreavandekleut6379
@andreavandekleut6379 3 ай бұрын
i wonder everyday if I just can,t OPT OUT of all of this?? and just aske for my money back from all those years of paying into this ??
@biancablast8153
@biancablast8153 3 ай бұрын
No sh*t
@kwilliams2239
@kwilliams2239 3 ай бұрын
@@andreavandekleut6379 That would be the dumbest decision that you could possibly make. Medicare is a great deal. You'll never find insurance that cheap. Social Security, is another issue.
@stevevasta
@stevevasta 2 ай бұрын
Odd. I'm having no problem being covered. So I pay my own vision and dental -- Medicare covered my hip replacement. More than compensation!
@taxedenoughalready
@taxedenoughalready Жыл бұрын
1) Vision care 2) hearing aids 3) Dental services 4) Annual physical exam 5) Nursing home or long term care
@angelajenkins7913
@angelajenkins7913 Жыл бұрын
Thank you much!
@simpleminded5215
@simpleminded5215 Жыл бұрын
This should be pinned to the top comment.
@go4it129
@go4it129 11 ай бұрын
It slows for an annual wellness check
@thatguy8005
@thatguy8005 11 ай бұрын
Thanks… wish people would get to the point
@patmarkham519
@patmarkham519 10 ай бұрын
It won't cover a physical exam, but if you have Dr label it as a wellness check, they will. But, only once a year at the most!
@berrysweet2321
@berrysweet2321 4 ай бұрын
Poor elderly people are treated like crap, so sad 😢
@do9138
@do9138 Жыл бұрын
My parents turned 65 when I was 18. I filled out the forms and signed both of them up for Social Security and Medicare. It took a total of four forms. But that was before for-profit corporations got involved. I spent two years researching Medicare advantage. I like what I have OK, but if something isn't covered, I go without it. That's what everyone has to do in this capitalistic hellhole. Always remember: people do not matter in "healthcare;" profits do.
@71suns
@71suns Жыл бұрын
True.
@frankdrevinpolicesquad2930
@frankdrevinpolicesquad2930 Жыл бұрын
In medicine, we say " Government run healthcare doesn't care if you live or die- as long as the paperwork is filled out correctly. In Corporate medicine, they don't care if you live or die, as long as you do it cheaply"
@mjc5852
@mjc5852 Жыл бұрын
Advantage is a terrible plan.
@RobinHerzig
@RobinHerzig 10 ай бұрын
Precisely right, it's capitalism. Profits matter more than us, even tho we pay them monthly
@karenkoe7096
@karenkoe7096 8 ай бұрын
Stay away from any so called "Advantage Plans". If you remember that you will be fine.
@purselady7323
@purselady7323 11 ай бұрын
Here’s a good one. I was in the hospital for a month after almost dying of septic shock. My kidneys were damaged because of it and I was placed on dialysis. After the month I was transferred to a rehab facility to learn to walk and care for myself. Transportation to and from the dialysis facility was not covered by Medicare. I was in a wheelchair. How was I supposed to get there, walk?
@JennRazo
@JennRazo 9 ай бұрын
As a case manager at an acute care facility, I can say that non-emergent transportation coverage is the biggest gap that I have seen.
@theadoreflipasnack7578
@theadoreflipasnack7578 8 ай бұрын
Here’s a good one! Why is this not on the news? Medicare or Medicaid refusing to pay for generic brand, long-term asthma, inhaler the discus. That’s a one time a day inhaler and you don’t have as many asthma attacks or need your albuterol inhaler that’s the emergency inhaler which you’re inhaling five or six times a day, but I think you’re inhaling so so many steroids. It’s not good., so you don’t need that one as maybe once or twice every day or two possibly but sometimes not even using it, so it saves you both health wise and, oh yeah, money supposedly. But, when when my doctor orders, the generic inhaler, the pharmacy gives me a namebrand and I have to pay $70 co-pay. Which I don’t accept, I just get more of my emergency ones, which they cover at least three or four per month. I get 3 month, and I use that three to six or more times a day.. My girls at the pharmacy, they sheepishly tell me it’s because the pharmacies get kickbacks and are paid to give you the premium namebrand, and then you have a $70 co-pay and if you want to buy the generic outright it’s $130.. And they get no kickback from generic. Thanks Joe. Well, I can more than afford it. I’ve actually paid for an old old lady older than me because she was crying because her insulin had gone up so high. I thought it was way low because of Donald, but she was falling and I slapped down 200 bucks to cover her stuff and some extra. so why is this happening and why isn’t depressed covering it because the press isn’t honest. Anyone else has this happen?
@kathrynmcelroy5658
@kathrynmcelroy5658 5 ай бұрын
we have a cold, cold society.
@blueskyes99
@blueskyes99 5 ай бұрын
I am new to Medicare. I guess a Medigap supplement would not pick this up either?
@danharold3087
@danharold3087 3 ай бұрын
@@blueskyes99 Insurance companies are designed to turn a profit. How exactly is adding this profit center to 'affordable' health care make any sense.
@Lori-lp6uc
@Lori-lp6uc 9 ай бұрын
The rising cost of insurance, healthcare, groceries, and housing is forcing seniors to live on the streets. This is outrageous. You spend 30 years or more of your life working and your reward: poverty
@DR-G-Radio
@DR-G-Radio 3 ай бұрын
I worked 44 years and the illegal migrants get the same as me!?
@iluvutube4886
@iluvutube4886 2 ай бұрын
But all the illegals come here get all this and more for FREE!
@LEK-we2hh
@LEK-we2hh 2 ай бұрын
@@DR-G-Radio Oh yes and more !
@pambrown5382
@pambrown5382 Ай бұрын
@@DR-G-Radio if there were no 'illegal migrants', you still wouldn't make out.
@dianekell5460
@dianekell5460 2 жыл бұрын
I have recently retired, it surprised me that I pay 178$ a month for Medicare and it barley covers anything. I bought a good advance plan that pretty much picks up everything Medicare does not,Im happy for that. You’d think as we age and all we’ve paid in through the years that Medicare would pay for more.
@valeriea.larsson1687
@valeriea.larsson1687 2 жыл бұрын
PLEASE NAME THE "advance" plan so I CAN CHECK IT OUT. rIGHT NOWi HAVE AN ADVANTAGE PLAN & TRYING TRO DECIDE BETWEEN IT AND MEDICARE W/ SUPPLEMENT.
@LibbyRal
@LibbyRal 2 жыл бұрын
It's obscene what Mcare doesn't cover. If not from a small inheritance from my parents, I would be living on the street because Plan B, supplement, Plan D and copays take up more than half my SS. Also, due to that inheritance, I got kicked off any assistance w/the premiums, right at the time the government raised plan B rates for those getting assistance, assuming that individual states would pick up the difference. The timing left me stuck with the increased premium
@stevenmoomey2115
@stevenmoomey2115 2 жыл бұрын
I was shocked too, that I’m still paying for Medicare. Been paying Social Security since I was thirteen, I think Medicare payments started around that time. If you want part of your Eye Exams covered, have your Dr. write up Diabetes I Exam.
@annarn6540
@annarn6540 Жыл бұрын
@@stevenmoomey2115 Diabetic exams do not test visual acuity to the extent that a prescription could be written for correction. They are looking for diabetic retinopathy
@barry4530
@barry4530 Жыл бұрын
@@LibbyRal You might want to consider a Medicare Advantage plan
@katchvideos910
@katchvideos910 2 жыл бұрын
So, medicare doesn't cover anything that the elderly needs. Imagine that.
@chelsiegentry5784
@chelsiegentry5784 2 жыл бұрын
Nope they do however cover hospice thou they want to get rid of the old people so they can't past down wisdom to their young
@anamartin5983
@anamartin5983 2 жыл бұрын
Makes no sense but true!
@beautyRest1
@beautyRest1 2 жыл бұрын
That’s why a lot of people sign up for advantage plans. They cover that, or at least give you money toward dental, vision etc
@robertewalt7789
@robertewalt7789 2 жыл бұрын
Not true. Part A, which you workers pay for, cover all or nearly all hospital expenses, which are huge.
@beautyRest1
@beautyRest1 2 жыл бұрын
@@robertewalt7789 the main things that happen in age is vision, hearing and dental, neither one is covered!
@marshallpoe8087
@marshallpoe8087 Жыл бұрын
Stephanie, I learned early on from personal experience that a simple comparison between Supplements and Medicare Advantage plans is this: Medicare Advantage Plans leave the decision of what medical treatments are allowed to the insurance company, while Supplement Plans leave those decisions to you and your physician. I like it better when I and my doctor decide what treatment protocol is best for me.
@mindysr
@mindysr Жыл бұрын
Yes. Stay away from Medicare Advantage plans and go with original Medicare and a supplement. Advantage plans are ok…unless you get sick.
@qso3566
@qso3566 Жыл бұрын
@@mindysr That's fine for people who can afford big premiums every month, but most seniors can't.
@mweb1
@mweb1 11 ай бұрын
Eat right; no other protocol needed.
@BrandiXo
@BrandiXo 9 ай бұрын
what are some examples of supplements? Im not sure which is going on with me but I feel like a hot potato after cancer treatment complications. Lookinng for primary or doctor that can help with post cancer care. Its so stressful when so happen to come across doctors that do not listen to their patients. Just had stressful stituation at cancer center and called medicare for patient advocate. Idk they had that service and so thankful for it.
@mindysr
@mindysr 9 ай бұрын
@@BrandiXo i have original Medicare and. Mutual of Omaha supplement. The supplement generally covers the 20% that original Medicare doesn’t cover. It is more expensive, but at least in Ohio you can choose almost any doctor. I live near enough to the Cleveland Clinic so that I can go there. At a major, very highly rated teaching hospital you usually have some hope of getting competent, or even excellent care. Original Medicare plus supplement is more expensive, but I disagree with the poster above that it is out of reach for most seniors. It is more expensive (or fatal) to deal with Medicare Advantage programs that don’t have decent physicians in their network, or that will not cover serious or deadly illnesses.
@MelissaCoup
@MelissaCoup Жыл бұрын
These 3 things are exactly what Seniors need much more than others- Hearing Aids, Dental Implants and Eyeglasses. Seems Cruel not to cover these.
@mikerhonevich481
@mikerhonevich481 Жыл бұрын
Thank biden and his tyrannical administration who spent trillions of our dollars for games, and they refused to do anything about the decreasing coverage of Medicare and the medical coverage for those who served our country in the military. There has also been the increase of doctors who are just rejecting patients who are on medicare.
@davejones8847
@davejones8847 2 ай бұрын
They know that more money in their pocket if they don't cover them.
@customera7945
@customera7945 2 ай бұрын
Which makes the elderly even more isolated. Many can't even connect with people over the phone because they can't hear.
@Stevenfrijol
@Stevenfrijol 2 жыл бұрын
I just retired from a job that had very good health insurance, and now I see the big difference. Being on Medicare is big learning experience and eye opener.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Yes, it can be a big surprise for many that have had employer insurance for most of their lives!
@1corinth15
@1corinth15 2 жыл бұрын
Rather disgusting to find it's so useless and we are forced to use it.
@davidoldham1946
@davidoldham1946 2 жыл бұрын
@@1corinth15 Calling it useless is gratuitous nonsense. It's different but hardly useless.
@chanteuse
@chanteuse 2 жыл бұрын
Actually, my husband & I are better off with Medicare supplemented by the excellent health insurance plan his employer offered for retirees. Our supplement picks up our Medicare deductible plus what Medicare doesn’t pay on covered expenses. We’ve only had to get one pre-approval for a procedure. Otherwise, everything has been covered.
@geraldinehanniffy6828
@geraldinehanniffy6828 2 жыл бұрын
@@davidoldham1946 ll
@broswhoknowstuff
@broswhoknowstuff Жыл бұрын
I worked in healthcare for 40+ years. Our healthcare institutions are a prime example of American capitalism and greed at it's best. It's a huge money-making machine. We, as a society have long forgotten about our moral duty to take care of it's citizens in the best way possible. If this is the best we can do then we need to think harder about how to change it.
@alganeshtsige7867
@alganeshtsige7867 Жыл бұрын
00
@deborl7278
@deborl7278 Жыл бұрын
All comes down to voting
@sonyasmith4577
@sonyasmith4577 Жыл бұрын
Get a job with insurance benefits or what about take good care of yourself, such as weight control? Obesity causes a lot of medical issues. Look around at how many Americans are overweight.
@mimi1o8
@mimi1o8 Жыл бұрын
Disgusting to say the least, to profit on the elderly, weak and sick.
@Lemonincense
@Lemonincense Жыл бұрын
@@sonyasmith4577 you’re missing the point… in other first world countries, it is seen as immoral and barbaric to even attach healthcare to a job, forcing them to work. Our entire healthcare system is seen as very inhumane and they see the way we operate our country in many ways as human rights violations as a first world country (and the worlds richest country…). Please wake up and stop bootlicking the very same people forcing us all to die or live in incredible debt.
@patty4349
@patty4349 2 жыл бұрын
My dad and my brother thought my dad was developing dementia. It turned out that the problem was he couldn't hear in certain ranges and this made it impossible to follow conversations, tv shows or movies. It was not like the movies where someone asks you to repeat something because they couldn't hear a word. He did not even realize that he could not hear well. He thought he was losing his ability to process what people said. We also found out that there are a lot of scams out there related to hearing aids that target the elderly.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
The scams are so sad and disgusting
@laylowtube
@laylowtube Жыл бұрын
Being there I bought one for a relative it did work as promised 😢
@wendyfried4589
@wendyfried4589 Жыл бұрын
Go to Costco for hearing and vision. Out of pocket is cheaper than a plan.
@blueskyes99
@blueskyes99 5 ай бұрын
My mother-in-law had a free trial of a hearing aid with a price tag of a couple thousand dollars. She hated it. She now has a $30 hearing aid which she loves.
@SandiTink
@SandiTink 2 жыл бұрын
My doctor when I was growing up told me that routine physicals were mostly for people without chronic problems. He saw them as a way to catch problems before they became serious. For those of us with chronic illnesses, those physicals may be unnecessary. I always find out from my docs why they need to do a test and why they need to see me again. I’ve avoided unnecessary costs by doing that. I find the annual wellness checks to be a bit of a joke. All my doc does is go over the meds I take, my allergies to medications, and any new diagnoses. Those are addressed every time I see any doctor, which I do many times per year. Those wellness checks are a waste of effort, time, and money for me. I think it’s ridiculous that three of the things that all people on Medicare need aren’t covered. Vision, dental, and hearing should be included in basic Medicare. Perhaps it’s because we all need them that they aren’t covered. In my experience, insurance generally covers the unexpected rather than the basic needs.
@cherylreitz4779
@cherylreitz4779 2 жыл бұрын
exactly last time I checked my eyes, teeth and ears were part of my body WHY are the separate when it comes to insurance
@gaildemski4632
@gaildemski4632 2 жыл бұрын
medicare in puerto rico covers dental glasses and hearing. WHY
@cherylreitz4779
@cherylreitz4779 2 жыл бұрын
@@gaildemski4632 with original Medicare? I find that hard to believe. These things are covered under a medicare advantage plan in most cases which is what I have. I would think since PR is part of the US that they would have the same original Medicare as the rest of us
@adyarym
@adyarym 2 жыл бұрын
@@cherylreitz4779 - Hi! I see constantly advertising on tv about Advantage in Puerto Rico. And yes, they receive help for hearing problems, glasses, dental care, preventive care, some kind of transportation for certain purposes and I don’t know what else. But I don’t think it’s different than what you receive in the continent. You could always check asking for: Advantage Health services in Puerto Rico or something like that. You will find the correct info. I don’t have it because I do not have advantage, I need to pay more for mine.
@barb8664
@barb8664 Жыл бұрын
@@adyarym medicare advantage plans are run by private insurance companies. In other words “ you sold your Medicare to them and premium you pay every month go to them” they may have more benefits covered but they may also have bigger deductible, co-pays, co-insurance, out of pocket limit, percentage of cost sharing, etc. sometimes you need preauthorization to see specialist or for some tests to be done. As for meds, goodRx is one of the best sites where you can compare price in your area. Sometimes they were cheaper than with part D insurance.
@user-vq5ls5um4n
@user-vq5ls5um4n 5 ай бұрын
Welcome back and thanks for keeping it simple. Traditional Medicare doesn’t cover vision, hearing, dental, and the old folks’ home. You need to be specific, when you go to your doctor and ask for a Medicare Wellness exam.
@margiemarion9437
@margiemarion9437 2 жыл бұрын
My annual physical has shown the beginning of problems that my doctor and I can work on when the issues are small and curable. I can't believe Medicare doesn't cover annual blood work. I have always been covered for that since my 20s at an annual physical. One would think blood work is more important when one is elderly.
@marigeobrien
@marigeobrien 2 жыл бұрын
Well, for that matter, dental, hearing and vision are more important as you age, too. But, there you go. I, myself, was shocked when I first learned that Medicare/Medicaid did not cover those things.
@miramaric4025
@miramaric4025 2 жыл бұрын
Through my Mothers and Brother in law illness, I realized that Health care system is an criminal enterprise , scam of the Century . No one cares for elderly .
@alansach8437
@alansach8437 Жыл бұрын
@@jeninga1976-v3s Yes, in this country you are covered if you are rich (can afford what you need), and you are covered if you are poor (Medicaid). If you are in the middle you are scwed!
@sherrellbennett1333
@sherrellbennett1333 Жыл бұрын
@@jeninga1976-v3s I used to have a PPO. It was a bit expensive, but I was always treated like a queen when I visited the doctor. Soon as I switched to an HMO I never got to see the doctor again. Treated like a step-child, only saw his nurse practitioner.
@user-qc8vj3vp9v
@user-qc8vj3vp9v Жыл бұрын
​@@alansach8437 -- EXACTLY Alan, you are a zillion % correct. It's so sad for a country that claims to be the Richest, wealthiest and most powerful on planet earth. To me it is a disgrace... so shameful.
@chrisUSA
@chrisUSA 2 жыл бұрын
Mrs. Abt, I've just come across your videos and you are GREAT! Many retirees need to know this information. Thank you for your educational and instructional videos.
@sallyire1
@sallyire1 2 жыл бұрын
This channel is hands down the best, most comprehensive yet easily understandable explanation of all medicare information. Nice surprise with the adorable little ones at the end 💓
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Wow what a compliment!! Thank you so much for watching.
@spicycopper2436
@spicycopper2436 Жыл бұрын
I worked for a Fortune 100 company that never covered Vision, Hearing Aids or Dental under their healthcare insurance. These were always extra. I always did my research to compare my company's offerings & cost and to what I could get elsewhere or deals available. Thus, I won't have expected Vision, Hearing Aids or Dental under Medicare (Part A & B). The Medicare Annual Routine Physical Examination would be equivalent to what I had from my company's insurance that covered a Wellness Check. I'm glad that you pointed these out so I could be prepared. Thank you
@crowemedicare
@crowemedicare 2 жыл бұрын
Hi Stephanie, Great video and good info. One thing about Skilled Nursing Care. Medicare Advantage plans are very quick to kick the person out of the skilled facility if they are not showing improvment. Lately, Original Medicare gives them a little more leeway but they are also cutting them off pretty quickly. Just thought it was worth mentioning. Comes up a lot lately.
@jonathangoodwin646
@jonathangoodwin646 2 жыл бұрын
Is very true When my mom had a 2 strokes 1 heart attack it sent her to the nursing home for sure turn. They don't like to keep you home the long time care Because they will get more money for short care . They tried to kick my mom out with the A short time and they only gave her 4 days notice when it's time for her to leave and that's against the law they have to have to give you 4 weeks notice so my brother Went to the state Made a complaint The state call the nursing home The nursing home was Decided to keep her long term they um they were nervous that we will suit. My dad was a different story he also had dementia dementia no one to care for him at home because my other brother Had a mind of a four-year-old and he cannot help my dad . So we had a fight hard to keep my Mom in the nursing . home
@Og-Judy
@Og-Judy 2 жыл бұрын
Some of this is because most skilled nursing care facilities are struggling to get TRAINED and SKILLED staff. My experience is most places are 1 star dives with VERY minimal care. We've had more of these facilities SHUT DOWN in my area by State health regulation boards Too many injuries and deaths. Why would Medicare continue to pay for outright patent abuse m
@graceweber2822
@graceweber2822 Жыл бұрын
It's the same way with hospital stay.
@mbords01
@mbords01 Жыл бұрын
Why not take care of dad, mom or have in-home care folks, traditional Medicare will cover.
@genxx2724
@genxx2724 Жыл бұрын
@@mbords01 Medicare does not cover care.
@eogma7848
@eogma7848 2 жыл бұрын
It doesn't make sense that Medicare doesn't cover vision, dental, hearing needs for older people. Those are the areas that begin to fail as we get older. Those are the needs we have.
@teleriferchnyfain
@teleriferchnyfain 2 жыл бұрын
Sure it makes sense, cause the bottom goal is saving money instead of actually giving people good coverage
@zoeyzed5127
@zoeyzed5127 2 жыл бұрын
Medicare does pay for cataracts surgery.
@nadiajurasek186
@nadiajurasek186 Жыл бұрын
@@zoeyzed5127 Thank you for this valuable information.
@alansach8437
@alansach8437 Жыл бұрын
Yep! Second, third and fourth things to go!
@alansach8437
@alansach8437 Жыл бұрын
@@zoeyzed5127 They should pay for cataract surgery under medical.
@kathygroff4526
@kathygroff4526 2 жыл бұрын
After moving from one state to another, I found that some things are covered differently than in my former home. I find that really outrageous. My previous agent fought hard to get insulin covered in full and I was thankful for that diligence. Two pharmacists here tell me that’s not possible in my new home. Why, I’m an American citizen over 65 both places. ???
@LibbyRal
@LibbyRal 2 жыл бұрын
Because individual insurance companies are the ones who provide Plan D coverage . They decide what drugs they'll pay for and which they won't. Plan D is one of the biggest rip-offs around. It was the first one to fine you if you don't have coverage, and you will continue to pay it if you decide to sign up later. The deductible increases every year, and the list of drugs they don't cover also grows w/each year. Equally egregious are the older, generic drugs that they put in the more expensive tiers.
@bobl9949
@bobl9949 2 жыл бұрын
You're absolutely right as your coverage definitely should be nationwide regardless where you decide to reside.
@LibbyRal
@LibbyRal 2 жыл бұрын
@@bobl9949 as long as insurance companies are allowed, via the McCaron Ferguson act, to underwrite coverage via individual states, this will not be the case. Plan D, drug coverage, is not a part of Mcare. It's covered, like supplements to Mcare Plan B, but individual insurance companies, and is subject to their whims.
@genxx2724
@genxx2724 2 жыл бұрын
If you’re Type II, it’s caused by diet and can be reversed with diet. Buy only unprocessed foods. Basically, stay out of the aisles of the grocery stores except for getting bags of dried beans and legumes, cans of whole beans and canned tomatoes, olive oil, vinegar, spices, tea, and coffee. Corporations are getting rich by making Americans sick, and pharmaceutical companies and health insurance companies are sharing in the profit. Watch Dr. Eric Berg, Dr. Sten Ekberg, Dr. Robert Lustig, and Dr. Jason Fung.
@LibbyRal
@LibbyRal 2 жыл бұрын
@@genxx2724 don't give bullshit medical advice. My partner was type II and almost died doing that crap. He looked like a fucking cadaver because his body was eating him alive. Fortunately, he gave in and started taking medicine, and COMBINED w/proper food and activity, has so far been able to remain off insulin and maintain healthy blood sugar levels.
@tony-ce7qp
@tony-ce7qp 10 ай бұрын
Happy new baby and thank you for this video! no one can afford long term care and we need more ideas for this!
@mikedavis7733
@mikedavis7733 2 жыл бұрын
Beautiful Family! Have followed you for over a year! You talk and explain so simply!
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Thank you Mike! 😊
@Wilfredos_
@Wilfredos_ 2 жыл бұрын
Great video! Nice family! Beautiful kids! THANKYOU for doing what you do.
@user-bg1eo7lo9u
@user-bg1eo7lo9u 2 жыл бұрын
At age 67, I had a great doctor in SE PA, for 10 years, but she went into a concierge practice for a patient fee of $1,800 a year, so I opted for a new pcp. I have regular Medicare A & B with a supplement plan. At the new patient visit, he sent me for $2000 worth of bloodwork of which I paid almost $300 out of pocket. Plus, I was billed a certain percentage for his visit. He also sent me to a cardiologist for baseline ekg etc. I paid $100 out of pocket for that. Then he required me to come in for an office visit every 3 months to renew a simple hypertension med that I've taken for 25 years! I think doctors paid by Medicare are either required or incentivized to keep their patients on a hamster-wheel of controlled services & medications. I've moved out of state last month and will search for a DO or a doctor who doesn't take Medicare! I'll pay as I go, for an office visit, only when I need to annually or to get Rx refills or when ill. In 25 years, my docs only required an annual checkup to renew the BP Rx, he wants Medicare to pay him 4 times to do that! I don't consent to being on the Medicare hamster-wheel. I'll consider Medicare as catastrophic only.
@LibbyRal
@LibbyRal Жыл бұрын
No, that was just a greedy doctor
@blue_moon6490
@blue_moon6490 Жыл бұрын
I just tell my dr I can’t afford so many visits.
@lynnschantz9185
@lynnschantz9185 Жыл бұрын
We have Medicare A and B plus our supplement, the F plan (is no longer available), and pay nothing out of pocket for anything medical, such as doctor visits, blood work, X-rays etc. between both of us it’s just shy of $450 a month.
@LibbyRal
@LibbyRal Жыл бұрын
@@lynnschantz9185 I couldn't afford F but have a lesser one. Most months, I pay way more for the supplement premium than the plan pays for any services . It used to cover the A and B deductible, but stopped doing so. 😤💩
@barry4530
@barry4530 Жыл бұрын
@@LibbyRal Plan G covers everything Plan F covered with the exception of the Part B deductible.
@pamelawing5747
@pamelawing5747 11 ай бұрын
They cover vision care IF it's medical treatment for an issue or disease but NOT regular eye exams for glasses.
@Mike-ls1tx
@Mike-ls1tx 2 жыл бұрын
I turn 65 in December, and have started my research for coverage. I must tell you even though you explain it very well i am still very confused. Why do they make it so complicated???
@peterhoffman8525
@peterhoffman8525 2 жыл бұрын
We also found it to be very confusing, so we researched (read and listened to the 'pros') a lot for about one year. This lady and others can help you a lot so keep doing your research! Also, if you have friends or family about one year (or less) older than you, they can be helpful to you as well.
@sharond478
@sharond478 2 жыл бұрын
Try AARP.
@kathleenweiss7777
@kathleenweiss7777 Жыл бұрын
@@sharond478 Just an FYI. UHC, under AARP has had the highest yearly insurance rate increases. over any other supplement . The discount they give when you first sign on diminishes every year, so your twice yearly increase may be a shock
@bennym1956
@bennym1956 3 ай бұрын
@@sharond478 AARP /UHC suck and are high. Never found where AARP saved me any $$$.
@hustonludlum397
@hustonludlum397 2 жыл бұрын
Stephanie, I just watched this video and there is a 6th thing that you should tell your audience. Insulin is the most expensive drug that you have to buy. While working and having Group Health Care Coverage, I paid 'Out the nose' for Insulin. I have had a Medtronic Insulin Pump for the past 14yrs. In 2019, my Medtronic rep told me that I should not be submitting my insulin, along with all the other supplies under my Medicare Part D plan The key is to submit it under Medicare Part B. Yep, that's right. The insulin pump is a 'SYSTEM.' The SYSTEM consists of: - The Insulin Pump - The Reservoirs (Insulin reservoir) - The Quick Sets (The tap that is inserted for 3-Days) - The INSULIN - The Lancets - The Test Strips If anyone of those pieces are missing, you do not have a 'Complete System.' Now, Medicare just DOES NOT like paying for Insulin Pumps, Insulin, etc. Before one goes on Medicare, they should ask their Endocrinologist to put them on the PUMP. Medicare will kick, wiggle and scream to pay for these items. Medicare requires that you have to take a C-Peptide test which measures how much insulin your body produces. It is IMPORTANT to fast for at least two days before taking this test. AVOID eating carbohydrates that is what triggers high blood sugar an insulin production. I hope you consider researching this and including it in one of your videos. On another subject, I learned last year that without a vision plan I had my eyes examined at Walmart. The exam is generally around $90.00. I was asked if I was on Medicare. The test was only $20.00. Now was this only because I was on Medicare, or was it the combination of being on Medicare and Diabetic. Insulin, Trulicity, Farxiga and Myrbetriq are four of the most expensive drugs to pick up. My doctor put me on Farxiga before I went on Medicare. I had a coupon that said it was FREE for as long as my doctor prescribed it. Oh, so true, but the minute I went on Medicare, the FREE coverage ENDS! Why should Medicare care if the drug company wants to give it to me for $0.00 - Our government at work. 90 Days of Trulicity breaks down to: $3.89 per day ($327.13 - More or less depending on whether you are before-in-or out of the Rabbit Hole) 90 Days of Farxiga breaks down to: $4.86 per day ($437.19 - More or less depending on whether you are before-in-or out of the Rabbit Hole) 30 Days of Myrbetriq breaks down to $3.19 per day ($95.62 - More or less depending on whether you are before-in-or out of the Rabbit Hole) My Urologist told me that the patient on Myrbetriq was supposed to run out this summer. It has not. He has given me 9months of free samples to tie me over. Many older people do not take their medications because of the COSTS!
@debbieramsey8933
@debbieramsey8933 Жыл бұрын
Very in depth and thorough! Thank you!
@IHeartQuilting2
@IHeartQuilting2 Жыл бұрын
Just adding that as of July 2023, insulin for both Part B and Part D is $35/month for each type of insulin. Part D at $35/month was available since Jan., but there was delay on approval for the Part B portion.
@serg3123
@serg3123 Ай бұрын
And kerosine
@sherrellbennett1333
@sherrellbennett1333 2 жыл бұрын
I have a Medicare Advantage plan. For the most part I am happy with it. It is fairly inexpensive and has covered everything except one prescription for eye drops for cataract surgery prep. The only downside is the doctors they assign you to. Most are focused on preventive medicine. I don't want preventive information. I am 75 and have learned a lot in all those years about how to stay healthy, whether I follow the guidelines or not. I want a doctor to address my current health problems. I don't run to a doctor every week, or month. I only go when I have an issue, which luckily isn't too often. But I do have a chronic back problem. Every time I bring it up it gets ignored. I guess I should have "prevented" it.
@cherylreitz4779
@cherylreitz4779 2 жыл бұрын
Exactly
@zoeyzed5127
@zoeyzed5127 2 жыл бұрын
Me too I am 75 with no health issues I try to avoid doctors and meds, my plan is insisting I allow a person into my home to talk about meds which is stupid since I take none, I might quit them if they keep bugging I think they are maybe pushing boosters, for covid.
@sherrellbennett1333
@sherrellbennett1333 2 жыл бұрын
@@zoeyzed5127 I have gotten notifications that someone would come to my house, but they never have. I just refuse to answer them. I got the first 2 jabs but only because I was forced to for a cruise. I refuse to get a booster because jab #2 really made me really sick with flu like symptoms, and normally I never get the flu. I don't get flu shots because my family members do and always get the flu after.
@alansach8437
@alansach8437 Жыл бұрын
Sorry about your back. Have you asked about physical therapy? Maybe you already do it? Backs are so tricky. Operations are usually reserved for absolute last choice because so much can go wrong, making the problem worse. At your age, they probably wouldn't risk it. But they shouldn't be ignoring it either. Insist! Don't let them push you around!!
@nicmart
@nicmart Жыл бұрын
Choose a different advantage plan that allows you to select your own doctors.
@tonystark-gz5no
@tonystark-gz5no Жыл бұрын
excellent and extremely crucial video for learning !!! ..this is really the good to know info before joining either MaPd or traditional plan...awesome! thanks!!
@richardnordt7218
@richardnordt7218 2 жыл бұрын
Thank you, always helpful.
@sturisa
@sturisa 2 жыл бұрын
Congrats on the new baby Stephanie and thanks for the video!
@WayfaringStranger56
@WayfaringStranger56 Жыл бұрын
Another fantastic video. Thank you so much!
@mikepaul7122
@mikepaul7122 5 ай бұрын
Thank you for your accurate and concise information and wisdom about Medicare. When it comes to healthcare, let the buyer beware.
@drsonnysell4471
@drsonnysell4471 Жыл бұрын
Thanks Ma'am!! We appreciate your info videos. It effects us all.
@laylowtube
@laylowtube Жыл бұрын
Congrats 🎊 on your baby and thank you for helping us to discern among this cloudy mess 😅
@geofjones9
@geofjones9 2 жыл бұрын
A couple more things; They don't cover elastic garments or supports. For instance, compression stockings, gloves, or arm sleeves to control edema (fluid retention). Orthopedic shoes or braces. Use of a treatment room for minor procedures. Insulin. Many other things that have a nasty surprise bill after the fact and no one warned you.
@visaghanbhaskaran1527
@visaghanbhaskaran1527 2 жыл бұрын
Very good information.. well explained.Thanks for.
@candice7594
@candice7594 2 жыл бұрын
Medicare hounded me to sign up, but didn't, I have other medical insurance, these are the 5 most needed medical coverages. ty for this much needed info.
@uclafight
@uclafight 2 жыл бұрын
First off congratulations!!! I have Medicare (thru disability, back arthritis) went onto an advantage plan, I'm not 65 yet 63 & a supplemental plans were just too expensive not being 65 yet.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
A lot of folks take that route. You will get a new open enrollment period for Medicare Supplement/Medigap when you turn 65!
@uclafight
@uclafight 2 жыл бұрын
@@AbtInsuranceAgency When the card came in the mail I thought it was a scam cause I wasn’t 65 yet. Then I read it & it said if you’ve been on disability for two years, then I qualify. I drove a truck delivering gas for 23 years but this company doesn’t offer medical for life.
@MargueriteAtHome
@MargueriteAtHome Жыл бұрын
This is a very helpful series of videos! I hadn’t planned to retire-ever-if I stay vital and maintain the skills needed to perform well. Last night, however, the spark of inspiration whispered, “ Just look into it.” I hadn’t even started my research (so no AI involved this time), but your video from a couple days ago popped up on my KZfaq feed just now. 😳 I will no doubt be in touch. Even if I had found this video useless, it would have been worth watching just for that priceless surprise ending!!! 😍
@AbtInsuranceAgency
@AbtInsuranceAgency Жыл бұрын
🙂
@paulafields3711
@paulafields3711 Жыл бұрын
Congratulations on new baby! Thanks for good and helpful information.
@timstagray3680
@timstagray3680 2 жыл бұрын
Great information once again. Thanks!
@beautyRest1
@beautyRest1 2 жыл бұрын
A lot of you guys advise to not sign up for an advantage plan, and I do agree with the reason why. However, advantage plans usually cover all this. So, if you purchase medigap, vision, dental and hearing aids plan, it comes to about $350 a month. Many can’t afford that, so , as it is always, it’s all about THE MONEY!! It’s a shame!!!
@divinevillucero6913
@divinevillucero6913 2 жыл бұрын
Z
@PC2011HK
@PC2011HK Жыл бұрын
That is a BIG consideration on why one should not retire early but never really discussed upfront. THANK YOU for bringing it up. I guess working couple of years more to ensure one can afford medigap plans and to ensure spouse get a bigger check is worth the later retirement strategy - if one is up to the work routine and the drama at work.
@alansach8437
@alansach8437 Жыл бұрын
Actually, just my part b, part d and Medigap G plan run 350.00 a month. Forget about adding plans for dental and vision!
@gg80108
@gg80108 Жыл бұрын
Mine is Free. Florida is a great state for advantage.
@beautyRest1
@beautyRest1 Жыл бұрын
@@gg80108 mine is $39.00 a month
@dantemele1894
@dantemele1894 2 жыл бұрын
Thanks for another informative video, Stephanie. I'm beginning Medicare August 1 and bought my plans through the Abt Agency! You guys are great. Congrats on the new baby.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Thank you Dante, and we are so grateful to have you as a client!
@mikedavis7733
@mikedavis7733 2 жыл бұрын
So happy to hear from you!
@kenmelottejr6379
@kenmelottejr6379 2 жыл бұрын
Thank you for this great informative video. I will review again later to implement into our retirement plan.
@paulkelly4731
@paulkelly4731 2 жыл бұрын
I noticed Optometrist charge more to patients with insurance than without. Although I had insurance through VSP, now I tell them I don't have insurance. When I wrrntvthrough VSP, I had to pay a deductible, and the bill was $150. When in say I don't have insurance, a routine exam for glasses, the bill is $35 to $50.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Great tip! Sometimes cash pay can be cheaper.
@alansach8437
@alansach8437 Жыл бұрын
Happens that way with drugs too. A lot of time cash is cheaper than the copays! We always ask, though at Costco they always tell us before we even ask.
@bettym7346
@bettym7346 Жыл бұрын
Same with dental expenses. The staff at my dentist's office explained they were so happy not to waste so much time on insurance claims they were glad to give me a lower price for services. I paid on a credit card, paid it off on the next statement.
@nancymuller3291
@nancymuller3291 Жыл бұрын
@@bettym7346 $700 for oral surgury? Guess I live in an alternate universe but I don't have that kind of money laying around. This was NOT because of poor dental care previously. This was a 35 yr old root-canaled tooth that needed to be extracted all of a sudden. I opted not to have a dental implant since I am so old.
@mitchellbelinda50
@mitchellbelinda50 2 жыл бұрын
Congratulations on the new addition to the family 🥰
@murlthegirl1446
@murlthegirl1446 Жыл бұрын
Thank you so much for explaining this very confusing part of medicare.
@showmeyourdaleel6568
@showmeyourdaleel6568 Жыл бұрын
That’s why being in the VA is so important. A vet with a 10 percent rating can get vision care/glasses and hearing exam/aides for free.
@teresastevens2084
@teresastevens2084 Жыл бұрын
Please share this with your young adult children. The younger you are (and assumably healthier) the easier it will be to purchase Long Term Care insurance (Nursing Home care.) My husband and I did not even know something like this existed until my parents both entered a nursing home at the same time! Luckily they had substancial savings, owned their own home, and were debt free. We had a very profitable estate sale, sold their home, and were able to cover their 3 and 5 year stays in the nursing home easily. My husband, who has had cancer twice and I (I have progressive Multiple Sclerosis) could not get nursing home insurance. Our son, age 38, was encouraged to research it and he was able to easily obtain a long term care policy at a very reasonable cost. It’s something to consider!
@beckygeer6480
@beckygeer6480 Жыл бұрын
Long Term Care only covers about 1/2 the cost of a nursing home
@AverageJillM
@AverageJillM Жыл бұрын
@JustAGirl what about aged 60 with two chronic conditions?
@ericscottstevens
@ericscottstevens Жыл бұрын
I looked into long term care coverages they are not locked in price and can become more and more of an expensive premium the longer you own the policy. Especially if you buy a long term care coverage policy when you are very young, you actually may pay more into a yearly membership it than recoup the benefits of an actual cost . So many will say do not buy one if you are going to pay into it for 30+ years. So there is a sweet spot to purchasing a policy one which many say is about age 60. Now there is one group of people who can have nursing home long care insurance and that is very very affordable to them........ and that is US government workers, their long term care insurance (if enrolled) is locked in premium and we the US tax payers pick up their tab. Nice huh?
@ericscottstevens
@ericscottstevens Жыл бұрын
@JustAGirl Agreed, it makes more sense to wait until about age 60 than paying into a policy for decades where the premium will rise numerous times. They promise the premium stays affordable, but insurance companies lie just about as much as a floor rug in a house.
@ericscottstevens
@ericscottstevens Жыл бұрын
@@AverageJillM They may gig you on that two chronic conditions. They will assuredly ask you how long your parents lived. Insurance vendors who come to my work did, I stated ages 59 and 71 to cancer, and they will not even talk to me anymore nor offer any sort of cancer plan. I am blacklisted.
@carolapostolos8929
@carolapostolos8929 Жыл бұрын
Lots of important information. Thank you!
@BonafideGail
@BonafideGail 2 жыл бұрын
Congratulations first of all, and thank you for this information.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Thank you Gail!
@leedanielson7452
@leedanielson7452 2 жыл бұрын
I start Medicare December 1 and it’s a darn shame they don’t cover more than what they do……
@davenone7312
@davenone7312 2 жыл бұрын
Thats why I have a Part C advantage plan. It covers all this and much much more. Drugs included in my plan at some of the best rates too. All generics are $1.00 the list goes on and on. Look into one closely as they also have some pretty lame C plans out there.
@littlebitofhope1489
@littlebitofhope1489 Жыл бұрын
@@davenone7312 Advantage is private insurance, and they are known for denying claims. They cover more IF they approve it.
@blueskyes99
@blueskyes99 5 ай бұрын
@@littlebitofhope1489 - Yes, Advantage is a HUGE gamble, unless you have no assets at all. When Advantage starts denying the big stuff, the destitute can go on Medicaid for inferior care. But since they don't have any assets, there won't be a lien on their homes and everything they have won't be taken before they can qualify for Medicaid. Advantage is only useful for those who have nothing for themselves, and nothing to leave for their heirs.
@Shankarees
@Shankarees 2 жыл бұрын
It is mind boggling who and why Medicare is this Byzantine group of regulations especially when Supplemental Insurance is needed and/or Advantage plans are added. I bet most Americans select ad hock plans because of the obvious complications health care is convoluted now. Medicare should take care of all the needs of a patient based on needs.
@user-wm4yn9vl4r
@user-wm4yn9vl4r Жыл бұрын
This is a fantastic video. It's clear and easy to understand your explanations. Thank you for providing this information.
@AbtInsuranceAgency
@AbtInsuranceAgency Жыл бұрын
You're very welcome!
@dianebright8137
@dianebright8137 2 жыл бұрын
Thanks for the info. Beautiful family, congratulations on your newest!
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Thank you!
@tinalippincott9823
@tinalippincott9823 2 жыл бұрын
Congratulations on your new little one, Stephanie! You look great. Best wishes!
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Thank you Tina!
@kimberlyperrotis8962
@kimberlyperrotis8962 Жыл бұрын
Great information, thank you. It seems penny-wise, but pound-foolish that Medicare doesn’t cover routine full exams. Early prevention not only saves lives, it saves money. I’m not sure which plan I have (it has a pharmacy plan), but I signed up for one of the Medicare HMO plans, Kaiser Permanente, and it’s really easy, no bills, claim forms, etc. If there is a fee for something, it’s small and collected at the time of service. Dental care is a big issue, though. I have a limited dental plan that is included, but haven’t had the courage to go to one of its discount dentists. I want my own dentist, whom I trust, and don’t want skimpy, rushed or second-rate dental services.
@sharonrimsza7960
@sharonrimsza7960 Жыл бұрын
Thank you! Thank goodness we have vision and dental plans. I did something right!
@timisaac8121
@timisaac8121 Жыл бұрын
Stephanie, Medicare is so complex to me, I am just now, a year into watching your videos, starting to "get it". NOTE: When I read USA spends 16% GDP on health? It is only now I understand how that number gets jacked up so high. Well, and the army of lobbyists writting our state and national insurance laws. Thanks again for your work to help all of us.
@ges6959
@ges6959 Жыл бұрын
Vision: Rather than buying a separate vision plan, consider self-pay. Many places offer exams for around $40 - some free if you buyu glasses through them. Once you get the exam, take the prescription and go on-line to one of the many places that offer glasses for less. There are many options; personally I use Zenni optical. If you're not sure how to do it, you can call and they will walk you through it. Instead of paying hundreds of dollars for glasses, you can often get them for less than $100.
@noneofurbusiness5223
@noneofurbusiness5223 Жыл бұрын
Thanks for rec
@dr.westwood
@dr.westwood Жыл бұрын
Except that the prescription they give you seems to always be lacking some piece of information you need to order online.
@goldylocker
@goldylocker Жыл бұрын
I order mine from Zenni for few years now. I have a astigmatism high index with transition bifocals, uv blue ray with the frame for $ 117.00 instead of $ 1000.00 in the store. It is always perfect. You need your PD pupil distance, the place that gives you the prescription has to give it to you and it they do not you can measure it yourself.
@noneofurbusiness5223
@noneofurbusiness5223 Жыл бұрын
GES? ARE we talking ophthalmologist? Not interested in anything else.
@johnlovesantoinette
@johnlovesantoinette Жыл бұрын
Thanks
@joeb4494
@joeb4494 2 жыл бұрын
Great information, sad that Medicare doesn’t cover some major medical needs for the older generation.
@dzymslizzy3641
@dzymslizzy3641 2 жыл бұрын
Sad, my A***...it's downright criminal!
@jobob47
@jobob47 Жыл бұрын
what did you expect. its set up by the insurance company lobbyists to benefit the insurance companies, not the elderly.
@womanofsubstance8735
@womanofsubstance8735 Жыл бұрын
Yes. I don't know who decided we don't need teeth or to be able to see or hear. Some of the supplements are coming on line with those things, though, so maybe all will work out . . . soon, I hope.
@pamelarossgilbertson6197
@pamelarossgilbertson6197 Жыл бұрын
@@dzymslizzy3641 Yes such a Travesty... We need #MedicareForALL.. We NEED National Health Care like Most civilized Countries have already had- for Decades..
@Lemonincense
@Lemonincense Жыл бұрын
@@womanofsubstance8735 the fascists working in our government did
@aleahbrown7072
@aleahbrown7072 Жыл бұрын
Thks for the Medicare insights! 💜your adorable fam!
@leevahal900
@leevahal900 11 ай бұрын
My dad had hospice care but he owned his home.There were 4 regular nurses that took care of him till he passed at home.
@Thechicagodave
@Thechicagodave Жыл бұрын
as someone who works for medicare advantage i can attest it is a great service if you are not constantly ill thats when supplemental insurance is a good stand it instead
@heatherdo5924
@heatherdo5924 2 жыл бұрын
Congratulations on your new baby. Beautiful family! 😍
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Thank you!
@pamcollins3859
@pamcollins3859 Жыл бұрын
Thank you so much for the information
@brendazenteno7455
@brendazenteno7455 2 жыл бұрын
You have a lovely family! Thanks for the information!
@c.phillips7728
@c.phillips7728 2 жыл бұрын
I will return and make note of your tips. Thank you! I got a surprise just this week when I picked up my "bowel prep" prescription for my upcoming colonoscopy. It was not covered by Medicare or my supplemental insurance. It was $116.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Yes, this often is subject to your Part D drug deductible, so most people will have to pay in full if they haven't met that.
@smiley8881239
@smiley8881239 2 жыл бұрын
I am new to the Medicare system and picked up my bowel prep meds for my upcoming colonoscopy but I only had to pay $7.00. I have BC/BS Advantage and I have the drug supplement. Not sure why mine was so cheap.
@genxx2724
@genxx2724 2 жыл бұрын
Many doctors don’t even have you use that anymore. They give an instruction list with over-the-counter products.
@alansach8437
@alansach8437 Жыл бұрын
My last time the doctor just had me dump a whole bottle of Miralax into Gatorade, and that was it. Less liquid to drink, and better tasting. Still same miserable results though!!
@rnrbunt
@rnrbunt Жыл бұрын
Tell your physician that this is cost prohibitive. Quite often they will give you the prep stuff.
@donnam1257
@donnam1257 2 жыл бұрын
I was surprised that not all the blood tests that the doctor ordered were covered. The phlebotomist let me know ahead of time though. Also, still trying to figure out what to call a check up that will go over ongoing medical issues that wouldn´t be a physical.
2 жыл бұрын
Other insurance dont cover all blood tests the doctor ordered either, not just Medicare - very frustrating !
@billman6364
@billman6364 2 жыл бұрын
when you go to the Dr. have a specific concern it will be covered not some wellness Bs
@genxx2724
@genxx2724 2 жыл бұрын
Call the labs and negotiate the bill. Maybe they’ll accept the same nominal amount the insurance companies pay.
@user-ov4wr5yu4r
@user-ov4wr5yu4r 5 ай бұрын
"follow up appointment"? I also get regular blood tests outside the US. I am dreading returning.
@jimfournier9065
@jimfournier9065 Жыл бұрын
Thank you for the video and congratulations on your new baby!
@sl1020
@sl1020 Жыл бұрын
Very informative thank you
@iamanempoweredone6064
@iamanempoweredone6064 Жыл бұрын
Does not cover: 1 Eye exams 2 hearing aids 3 dental services 4 full routine annual exams that include blood work ups. Some parts will cover wellness yearly exams but not “full” routine physical exams. Wellness exams yes 5 Long term custodial care is not covered.
@jamesrobertson504
@jamesrobertson504 Жыл бұрын
Those averages for long term nursing home care are a lot higher on the East Coast in NYC metro area. More like 200-250K/year. Another thing Medicare does not cover, nor any insurance, is in-home care for the elderly by private home care agencies. I'm using a local agency for my Mom. They have different levels-companion care, where they can't touch the person and nurse supervised care where they can wash/bathe, etc. For 7 day/week-6 hours weekdays and 5 hours weekends, over $70,000/year. I care for Mom most of the time but need help for several hours as I retired, but still do some part time work from home. Nobody tells you about these home care costs for the very late stages of life when you lose the ability to care for yourself when you go to experts in financial planning for retirement.
@lesahenderson7365
@lesahenderson7365 Жыл бұрын
Absolutely Wonderful! God bless you and your family ❤️
@AbtInsuranceAgency
@AbtInsuranceAgency Жыл бұрын
Thank you!
@franciss.3298
@franciss.3298 2 жыл бұрын
So for prescriptions to continue most policys require a yearly doctor visit and blood testing to set dosage changes if needed. What is the best low cost route?
@ginger1549
@ginger1549 9 ай бұрын
I am on an advantage plan that pays for my eye exam & $300 toward glasses - gives a discount on hearing aids -pays $2000 toward dental procedures - includes my drug coverage - of course pays 100% for my annual physical - I have a CPAP and it pays for 80% costs with that . And my monthly premium is zero - yes zero monthly premium.
@Melanie-ix4nq
@Melanie-ix4nq Ай бұрын
Do you have an HMO or a PPO plan?
@youngtimer964
@youngtimer964 2 жыл бұрын
Thanks as always. We have found that vision exams are covered under part B IF you are a diabetic. It’s a much more in-depth examination. PS, loved the kids video at the end!
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Yes, that's true!
@keithmonahan909
@keithmonahan909 2 жыл бұрын
That’s great !! Thank you. I never knew it was covered. I guess my old optometrist either was unaware, or he was “taking me to the bank.”
@smileytow1925
@smileytow1925 2 жыл бұрын
@@keithmonahan909 optometrist gives you prescriptions for glasses. An eye doctor does more of an exam.
@genxx2724
@genxx2724 2 жыл бұрын
So if you spend your life eating junk and not exercising and earn Type II diabetes for yourself, costing the medical system more, you get vision exams. But if you do the right things for good health and not to be a burden, you get told to go pound sand. As usual, government rewards the wrong actions.
@youngtimer964
@youngtimer964 2 жыл бұрын
@@genxx2724 well, there’s no way for you to know the circumstances. Life is too short to be so bitter.
@WildFoxHermit7
@WildFoxHermit7 Жыл бұрын
Holy Cow! I actually understood everything you said! The first time! Thanks for that....
@AbtInsuranceAgency
@AbtInsuranceAgency Жыл бұрын
Wow thanks for that compliment!
@nashtn11
@nashtn11 2 жыл бұрын
Thank you so much❤️
@sandiwalker761
@sandiwalker761 2 жыл бұрын
Very informative but the end of the video is cuteness overload. 😄 Sandi
@vapeking466
@vapeking466 Жыл бұрын
The thing that surprised me was the lifetime fine I have to pay each and every month until I'm dead because I didn't buy Medicare part D when they suddenly sent me a Medicare plan not because I requested Medicare but because if you file for disability and win then you are automatically enrolled. At the time I was taking no medication so saw no point in buying part D. After a few yrs go by I tried to get Medicare advantage and they said the plan was free however you will have to pay the penalty for late enrollment of medication coverage! This was the first I had ever heard of the penalty and I was shocked! Maybe they could find a better way to let folks know and remind them until they know for a fact the customer realizes the drawback to not enrolling in medication coverage ASAP! I'm totally disappointed in the whole mess! The only way out of it be poor yep you can enroll whenever the hell you want as long as your are low income you will never ever pay this fine that I pay every single month oh and it gets better this fine is determined by the average that everyone pays for medication coverage so this fine goes up each yr! This is sick they need to come up with a different setup. If it's so critical you have Medicare part D then include it when you auto enroll those who have won SSD! Shame on you SSD! I don't even see a point in a penalty when the person doesn't take any medication! Why would any person looking to save money buy insurance for something they have not used in yrs? 🤷
@SandfordSmythe
@SandfordSmythe Жыл бұрын
They want you pay into the insurance pool, not just when you need it. And then cost it money.
@gloriajohansen9728
@gloriajohansen9728 Жыл бұрын
That happened to me too. They really should do a better job of informing us before a nasty surprise such as a penalty.
@julieross546
@julieross546 Жыл бұрын
Happened to my husband also. Pretty sad state of affairs
@imxploring
@imxploring Жыл бұрын
Opting not to take insurance until you "need" it is the problem. If that was the way things worked no one would pay until they got sick or needed medications. The system only works when there are healthy (non claiming) people supporting it. Just like auto or home insurance.
@IHeartQuilting2
@IHeartQuilting2 Жыл бұрын
You aren't typically eligible for Medicare for 2 years after being awarded Disability, so I'm surprised you 'suddenly' received the plan info. Most people are getting Medicaid from their state until Medicare kicks in.
@paulpugh2480
@paulpugh2480 Жыл бұрын
You are a wealth of information .Thx.
@TC-yi3ue
@TC-yi3ue 6 ай бұрын
Very knowledgeable...thank you for sharing this valuable information in an easy to understand way.
@AbtInsuranceAgency
@AbtInsuranceAgency 6 ай бұрын
Glad it was helpful!
@Happybidr
@Happybidr Жыл бұрын
Be very wary about Long Term Care insurance plans. Even an independent insurance agent who sold various types of insurance pointed out that a significant amount of time (months) must pass before their coverage even starts paying out. The cost is so high and the coverage so meager that many found it made more sense to refrain from buying it.
@IHeartQuilting2
@IHeartQuilting2 Жыл бұрын
Coverage doesn't typically start until Medicare no longer covers (which I think is 100 days).
@karenday9109
@karenday9109 11 ай бұрын
Agree Read the fine print!
@mrsmith1339
@mrsmith1339 2 жыл бұрын
Attention Veterans. The Va is the largest dispenser of hearing aids in the world. Once you are in the VA medical system, you can request a hearing test. If you need hearing aids, there might be 2 or 3 co pays of $50, and you can have state of the art hearing aids. If you had a combat MOS ( Military Occupational Specialty) you might get them for $0 co pay. You can enroll in the VA medical system on line. Do your research. I wanted Phonak Paradise P90's and that's what I got. The retail price is $7500 plus. Being in the VA medical system has no bearing on your Medicare. I use the VA for expensive RX's with a $8 or $11 copay. I get three RX's through medicare with a $2 co pay. VA RX coverage is credible for medicare. For the vast majority of Veterans, the VA is not going to provide dental or vision coverage.
@loricurry
@loricurry 2 жыл бұрын
My dad is a vet from Korean War. He gets all hearing aids and glasses for free. He got his walker for free, and prescriptions are extremely inexpensive. It pays to check it out if you're a vet.
@deannahigginbotham1777
@deannahigginbotham1777 2 жыл бұрын
My hubs is a Vietnam veteran. He was injured in the war and gets all exams and meds, any glasses, shoes, and any other devices free.
@user-pp8ly2wn6t
@user-pp8ly2wn6t 24 күн бұрын
Thank you a lot for this video. This is very interesting and informative. Keep posting like those amazing videos, this is awesome.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
Have you found any other surprising things that Medicare doesn't cover? How are you getting them covered (or not)? Share your comments below!
@timb6985
@timb6985 2 жыл бұрын
Shingrix (vaccination against Shingles) is surprisingly expensive if you wait until you are on Medicare (not covered by Part B and not cheap on Part D). If you are on private insurance at the workplace and are putting off getting Shingles vaccine, do it BEFORE you switch to Medicare -- and bear in mind it takes 2-shots separated by 2 - 6 months, so don't wait too long.
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
@@timb6985 very true! Definitely a good idea to take advantage of getting it while still on an employer plan.
@davenone7312
@davenone7312 2 жыл бұрын
All those items1-5 are covered, plus so much more, under a good Advantage plan! But finding one or an agency that will sell you one is the issue. Not sure if you guys dont like the pay you get from the sale of an advantage plan or what but you seem to avoid C plans a lot! Thats a total disservice to everyone!
@AbtInsuranceAgency
@AbtInsuranceAgency 2 жыл бұрын
@@davenone7312 funny you say that, on average Medicare Advantage sales pay a higher commission to most brokers than Medigap sales. We work with both and help our clients with whichever plan best meets their needs. Thank you for watching!
@Agent-jj4cc
@Agent-jj4cc Жыл бұрын
@@timb6985 I experienced this too. Paid $35 cash for the shingles vaccine at a Walgreens pharmacy. Didn't need a doctor's prescription either. My part D didn't cover it.
@johnscott2746
@johnscott2746 Жыл бұрын
I get my medical care through the Indian health service and my tribe also provides free hearing aids. But for everyday care , I go to the Indian clinic and get primary care, dental and vision care as well as blood work and prescriptions. It is a misnomer to call it a clinic really. I can get X-rays and ultrasounds, just about anything but surgery. If I ever need surgery I can go to an Indian hospital for that. Medicare is just extra for me.
@deetlesbug3008
@deetlesbug3008 Жыл бұрын
I have noticed that my Medicare wellness questions are different from my friends who have similar medical conditions as myself. Could you do a video showing the medical wellness questions that your doctor would normally ask her patient? They are asking me questions that have nothing to do with my health. They ask me if I have fire extinguishers in my home, Fire alarms, carbon dioxide dioxide alarms and oh yeah, do I have any guns in my home? Those don't have to do with my health necessarily. Does anyone else have that problem with their doctor asking them questions that do not pertain to their health. They really throw a fit when I refuse to answer. I find it against my rights to answer some of those questions. Thank you for the informative reply video.
@kitsiewr
@kitsiewr Жыл бұрын
I would be afraid they'd try to "commit" me if my home wasn't up to their requirements !
@sherri8347
@sherri8347 Жыл бұрын
Great information. Thank you
@jbbling
@jbbling Жыл бұрын
Congrats on your baby! Also, did you get a better microphone? Audio sounds much better in this clip.
@trac-ken
@trac-ken 2 жыл бұрын
My wife’s dentist took Medicare for her visit I April this year. She went for a cleaning and the doctor decided not to accept Aetna Medicare coverage. They let her know this after the cleaning.
@Carol120454
@Carol120454 Жыл бұрын
I have Aetna Medicare advantage HMO. I do have a dental allowance. I have to pay the dentist up front, submit forms and the receipt, and I get 50% back. It's better than regular Medicare, which paid nothing. Most dental plans only cover 50%-60% anyway. Also, since Aetna is affiliated with CVS, routine prescriptions have no copay, which saves a lot of money in a year.
@Carol120454
@Carol120454 Жыл бұрын
Also, eye exams have a $35. Copay, because it's considered a specialist visit.
@Larry30102
@Larry30102 2 жыл бұрын
Well after retiring and going to my Dr of 25yrs, I go to my Annual Wellness visit, supposedly free. Right off the bat I was greeted with a $300 charge upfront. I thought weird, but I’ll get reimbursed. I was wrong. My Dr said they just don’t make any money off the wellness visit and have to charge extra. I was/am pissed. I wish the government and even my Dr not say that it was free. $300 extra, on top my Medicare premiums I would consider a heavy charge for such little work. They get the Medicare reimbursement plus my$300. I’d call it a rip.
@marywiggins7411
@marywiggins7411 2 жыл бұрын
Just tell them you will not be doing an annual Wellness visit, just schedule a regular appointment for a med check or blood work- tell them you are overly tired - oh let's check your blood work LOL
@Larry30102
@Larry30102 2 жыл бұрын
@@marywiggins7411 👍👍
@richardcranium5839
@richardcranium5839 Жыл бұрын
if they accept medicare at all report them. they cant do that up front.
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