You have a very polished teaching style, you're clear, concise and very informative, I appreciate your time and work, thank you.

I only ask because I am a Medicare claims rep and almost all of the information in this video is spot on

I worked for a major hospital for 25 years and incorrect coding was the major issue with claims. Coders are much to quick with applying codes to a charge just to move the volume of claims. It is actually a very lazy way to code and it creates a tremendous mess for the patient and facility with actually getting reimbursement smoothly. They should have a coding department that ONLY does Medicare billing and coding.

Before I was even 65 on medicare I was being treated for high blood pressure, acid reflux , chronic anemia, and high psa. So once you suspect an issue with your health they will pay for diagnostic tests or if being treated already prior to medicare they cover all the tests the doctor deems as necessary . The doctors know what medicare will pay for. Otherwise most people can’t pay out of pocket.

I’m 64 & retired now. I’ll will be calling you soon. Love the way you explain things.

Very helpful. Thank you!

Very good video. I am 62 but trying to learn what to expect.

Another awesome video. Many thanks to you!

Thanks Stephanie 👌.

I’m a new subscriber. I love how neatly you’ve stacked your books 😃

Having recently become eligible for Medicare I scheduled an annual wellness appointment w/ my provider. During the appt the Dr. suggested I get vaccinated against shingles and I was told the vaccine would be covered by insurance, so I completed the series of two shots several weeks apart. Medicare denied payment and upon investigating why found out the vaccine is not covered under Part B. However, the cost is covered under my Part D and if I'd had received the shots at my local pharmacy instead of the doctors office the claim would have been processed no problem. When I called the Atrium Health billing to request they bill CVS Caremark I was told they will not bill Part D insurance. So now I'm left to navigate the paperwork nightmare of asking Caremark to reimburse me for the $1k I'm out of pocket.

You always have the idea and are always on point.

Hi beautiful 😍❤️ thanks for the update have a great weekend

Hi,hope your doing well, could we send two claim for same patient, with same data of service under two different physical therapist. Please explain thanks

I was denied from getting a cat scan on my lungs. My doctor found a nodule in my left lung, said to get ct scan every 6 months to keep an eye on it. Last one I got medigap plan said they didn’t feel like I needed it.

Wow! Your first Medicare issue just happened to me. I left my employer insurance for Original Medicare (I'm still working). I thought all was well. But every time I went to my Medicare account I'd see 2 insurances: Original Medicare and my company's health plan (which I had left). I checked for a couple of weeks thinking my employer plan would eventually be deleted, but it wasn't. So I had an online chat (I wanted it in writing--no phone call) with the Medicare rep to explain that I no longer had company insurance. Then she asked: So you want original Medicare to be your primary insurance? Duh! Of course I said yes. Now my employer insurance is off the site and only Original Medicare and my Plan D Rx plan are there. Whew! I managed to dodge a bullet. I haven't used the insurance yet, so I don't see my Medigap Plan there. My Supplement plan (United Healthcare) said once a doctor sends a claim, then Medicare will know I have a supplement.

Please clear up a question I have. If I get a primary dr and make appointment for full panel bloodwork to start a baseline, and I have plan G supplemental what is my out of pocket? Just the $233. Deductible from Part B?

So if they don’t cover bloodwork say, a1c as you age, how do they know your risks? Also, bone density.

Could you speak about Medicare and Federal retirees health plans?

Charged for intake to new Dr in a new state with a new HD Supplemental plan in place!!