The Transition to Medicare Podcast

In this episode, Cameron Giardini and Joanne Giardini Russell of Giardini Medicare dive deep into the crucial changes coming to Medicare Part D in 2025. With the summer break behind us, we're kicking things off with everything you need to know about how these changes could affect your prescription drug coverage.

We’ll cover the most critical updates, including:

- The new $2,000 cap on out-of-pocket Part D costs and what it means for you.

- The introduction of the Medicare Prescription Payment Plan, designed to help spread out your prescription expenses into manageable monthly payments.

- The end of the infamous “donut hole” coverage gap—finally!

- Increased financial responsibility for insurance companies and how this might impact your Part D premiums.

- The new Premium Stabilization Demonstration Program aims to control premium increases and offer more competitive plans.

Whether you’re already enrolled in a Part D plan or just beginning to explore your Medicare options, this episode breaks down the complexities in a clear and understandable way. We also share our expert insights on what these changes could mean for you, how to prepare, and what to look out for in the coming months.

So grab your coffee, sit back, and join us for this essential guide to navigating the 2025 Medicare Part D landscape! Don’t forget to subscribe, leave a review, and share this episode with friends and family who might benefit from understanding these upcoming changes.

To access our FREE online course, use this link: https://www.gmedcourse.com/

To schedule a call with one of our brokers, use this link: https://gmedicareteam.com/

Don't forget that you can also find more Medicare content from us by going to our TikTok and YouTube channels.

Episode Sources:

Inflation Reduction Act Timeline

Medicare Guidance for Prescription Payment Plan

Part D Premium Stabilization Program

KFF Explaining the Inflation Reduction Act

As we approach the peak of summer, we understand that learning about Medicare often takes a backseat during this time of year. Therefore, we will take a break from releasing our biweekly episodes of the Transition to Medicare podcast for the next few months. 

Stay Informed This Summer:

- Access Past Episodes: Our previous podcast episodes contain relevant information. Feel free to revisit them anytime.

- Watch Our Videos: We will continue producing new Medicare-related videos on TikTok and YouTube. Search for "Giardini Medicare" on these platforms for fresh content.

- Get Personal Assistance: If you have specific questions, email us at [email protected] or call our agency at 248-871-7756.

Enjoy Your Summer, and we look forward to reconnecting with you after Labor Day!

Are you fully protected with your current Medicare plan? In our latest podcast episode, we dive deep into the often-overlooked yet vital insurance options that complement Medicare. Discover how specific plans can shield you against unforeseen expenses related to cancer, hospitalization, travel, and more. Whether you’re enrolled in Original Medicare, Medicare Advantage, or Medigap, we’ve got insights that could save you from unexpected financial burdens.

In This Episode, We Explore:

Cancer Insurance: Learn how lump-sum cancer policies work alongside your existing Medicare Advantage or Medigap plans, providing financial aid during challenging times.

Hospital Indemnity Insurance: Understand how this type of insurance can alleviate out-of-pocket costs associated with hospital stays, especially for those with Medicare Advantage.

Short-Term Care/Home Health Care: We discuss options for short-term care insurance that fills gaps left by Medicare in skilled nursing and home health care scenarios.

Travel Insurance Needs: With Medicare coverage limitations abroad, find out why travel insurance is crucial for your peace of mind during overseas trips.

Contact Us:

Need personalized advice? Schedule a consultation with our experts at Giardini Medicare at https://gmedicareteam.com/ or drop us a message at [email protected]. Visit our YouTube channel for more content on making the most of your Medicare coverage.

Please register for our FREE Online Course here: https://www.gmedcourse.com/

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.

You can also connect with and learn more on TikTok and our private Facebook Group. While you're at it, check out our Google Reviews! Please get added to our mailing list so we can stay in touch with you.

Sources:

Milliman Report about 2024 MOOP

Medicare Skilled Nursing Coverage

Medicare Home Health Services

Medigap Foreign Emergency Coverage

Medicare Coverage Outside of U.S.

GeoBlue Travel Insurance

American Cancer Society Facts and Figures

In this essential episode of the Transition to Medicare Podcast, we break down the key milestones and timelines you need to be aware of to transition into Medicare stress-free. Whether you're a few years away or just months before turning 65, understanding when and how to enroll in Medicare, Medicare Advantage, or Medigap can save you time and avoid unnecessary stress.

We'll guide you through different stages—from 10 years before turning 65 to the months immediately preceding your birthday. Learn about the critical periods for enrolling in Medicare Part A and Part B, the implications of the IRMAA based on your income, and the advantages of different plans such as Medicare Advantage or Medigap. Plus, find out how to navigate changes if you're enrolled in employer group health insurance and how to compare it with Medicare options effectively.

Don't miss our take on the overwhelming amount of Medicare information out there. Stay tuned for practical advice on handling your enrollment as the big day approaches. Subscribe to stay updated on all things Medicare, and visit our website at gmedicareteam.com for personalized support from our expert brokers.

Please register for our FREE Online Course here: https://www.gmedcourse.com/

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.

Check out our website at  https://gmedicareteam.com/. Also, see our additional educational content on our YouTube Channel.

You can also connect with and learn more on TikTok and our private Facebook Group. While you're at it, check out our Google Reviews! Please get added to our mailing list so we can stay in touch with you.

Sources:

Average Medicare Advantage Premium 2024

2024 Medicare Costs

Medicare Application Forms

How to sign up for Medicare

2023 Medicare Trustees Report

Ever found yourself pondering the complexities of changing your Medicare Supplement (Medigap) coverage? You're not alone. Whether you're eyeing a switch from one Medigap plan to another, considering a transition to Medicare Advantage, or simply looking to update your Part D coverage, this episode of the Giardini Medicare Podcast is your go-to resource. Join Cameron Giardini and Joanne Giardini-Russell as they delve into the nuances of Medigap changes.

This episode isn't just about what to do; it's about understanding your options and the optimal times for making changes, underscored by different scenarios and streamlined processes. Whether it's leveraging the Medigap Open Enrollment Period, navigating the waters of Guaranteed Issue Rights, or tackling underwriting challenges, we've got you covered.

Plus, for those considering a switch to Medicare Advantage or merely tweaking their Part D plan, we break down the critical timelines and procedures to ensure a seamless transition.

Remember, changing your Medigap coverage isn't a decision to take lightly. With the right knowledge and guidance, you can make choices that best suit your health and financial well-being.

Please register for our FREE Online Course here: https://www.gmedcourse.com/

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.

Check out our website at  https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.

You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews!  And please get added to our mailing list so we can remain in touch with you.

Sources:

List of Special Enrollment Periods: https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods

2024 Choosing a Medigap Policy: https://www.medicare.gov/publications/02110-medigap-guide-health-insurance.pdf

2024 Medicare and You Handbook: https://www.medicare.gov/Pubs/pdf/10050-medicare-and-you.pdf

In this episode, we're tackling a common question among Medicare Advantage enrollees: How do you switch to a new Medicare Advantage plan or transition to Medicare Supplement (Medigap) and Part D coverage? If you're considering a change or want to understand your options, this is for you.

Hosted by Cameron Giardini and Joanne Giardini-Russell of Giardini Medicare, we provide clear, actionable information on navigating Medicare changes. Our agency, based in southeast Michigan, assists consumers across 13 states in finding suitable Medicare coverage. For those living outside of these states, we connect you with reliable agents who can help.

In This Episode:

- An introduction to Medicare Advantage plans and how they compare to Original Medicare.

- A breakdown of when and how you can switch Medicare Advantage plans or move to Medigap and Part D coverage.

- Real-world examples to illustrate the change process and what to expect.

Before you go, consider subscribing for more Medicare insights and visit our website for personalized support. Schedule a call with our licensed brokers at gmedicareteam.com or contact us at 248-871-7756 for direct assistance.

Tune in to demystify the process of changing your Medicare Advantage plan and equip yourself with the information needed to make informed healthcare decisions.

Please register for our FREE Online Course here: https://www.gmedcourse.com/

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.

Check out our website at  https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.

You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews!  And please get added to our mailing list so we can remain in touch with you.

Sources:

Medicare Advantage Special Enrollment Periods: https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods

Medigap Guaranteed Issue Rights: https://www.medicare.gov/health-drug-plans/medigap/ready-to-buy

2024 Medicare and You Handbook: https://www.medicare.gov/Pubs/pdf/10050-medicare-and-you.pdf

2024 Choosing a Medigap Policy: https://www.medicare.gov/publications/02110-medigap-guide-health-insurance.pdf

Ever heard Medicare myths that made you think twice? This episode cuts through the confusion, debunking the most common Medicare myths to help you avoid costly mistakes. From the real costs of Medicare to eligibility misconceptions, we're covering essential truths:

- Medicare Isn't Free: Unpack the real costs behind Part A, Part B, and why Medicare Advantage or Medigap might cost you extra.

- Not Everyone Needs Medicare at 65: Discover when you can delay enrollment without penalties, depending on your current health coverage.

- Medicare Before 65: Learn how disabilities, ALS, or ESRD can qualify you for Medicare earlier than you thought.

- No Family Coverage: Medicare coverage is individual—what this means for you and your loved ones.

- Enrollment Isn't Automatic: Find out when you need to sign up for Medicare yourself to avoid being left without coverage.

- Medicare Advantage vs. Supplements: Clearing up the confusion between these two very different options.

- Changing Plans Can Be Simple: Demystifying the process of switching your Medicare or Medigap plans.

Tune in for a straightforward breakdown, designed to guide you through the Medicare maze with ease. Subscribe for more insights, and don’t hesitate to reach out for personalized assistance. Do you have questions or experiences to share? Drop us a comment below!

Please register for our FREE Online Course here: https://www.gmedcourse.com/

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.

Check out our website at  https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.

You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews!  And please get added to our mailing list so we can remain in touch with you.

Sources:

Medicare Savings Program Qualifications

SSA Full Retirement Age

Medicare Card with Medicare Advantage

2024 Medicare Costs

Medicare Guide for Turning 65

Medicare Eligibility Under Age 65

In this episode of our podcast, we delve deep into the intricacies of Medicare Advantage (Part C) plans, a popular choice among Medicare beneficiaries. With many  $0/month premium options that offer additional benefits not covered by Original Medicare, many are left wondering, "What's the catch?" Join us as we answer that very question!

Key Highlights

• Understanding Medicare Advantage: A concise overview of how these plans work, their history, and why they're an attractive option for seniors.
• Funding Insights: Insight into the funding process, including federal budget impacts and the shift in Medicare payments towards these plans.
• Differences Unveiled: A look at how Medicare Advantage and Original Medicare funding diverge, emphasizing the capitated payments model.
• Key Terms Explained: Simplified explanations of benchmarks, risk scores, and quality payments, and their roles in Medicare Advantage funding.
• Challenges Addressed: Discussion on the systemic issues like risk adjustment, coding practices, and their implications for beneficiaries and Medicare's future.
• Our Take: Reflecting on the balance between offering valuable benefits to beneficiaries and the financial realities facing Medicare Advantage plans.

Please register for our FREE Online Course here: https://www.gmedcourse.com/

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.

Check out our website at  https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.

You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews!  And please get added to our mailing list so we can remain in touch with you.

Sources:

We used far too many sources in the making of this episode to list here, but here is a link to a Google doc that includes the sources so you can take a look and do a deep dive on your own! https://docs.google.com/document/d/1kpE8TX-cXcEzVK5FFbZ7EUcgdD3qfdIRLFXxiuHefx0/edit?usp=sharing

Dive into our latest podcast episode where we tackle some of the most pressing Medicare questions asked by our audience! From Medigap enrollment nuances to managing Health Savings Accounts post-65, we've got you covered. This episode is a treasure trove of insights, ensuring you navigate Medicare with confidence and ease.

Key Highlights:

• Medigap Enrollment Post-65: Discover if you're eligible for Medigap after delaying Medicare Part B.
• HSA and Medicare: Learn how enrolling in Medicare impacts your Health Savings Account.
• Avoiding the Donut Hole: Strategies to manage medication costs and avoid the Medicare coverage gap.
• Medicare Advantage for Under-65s: Understand why Medicare Advantage plans are often recommended for those eligible before 65.
• Switching Medigap Plans: Explore the possibilities of changing your Medigap plan with your current provider.

Why Listen:

This episode is packed with practical advice, demystifying Medicare and empowering you with the knowledge to make informed decisions. Whether you're just transitioning to Medicare or looking to optimize your current plan, this episode is a must-listen!

Please register for our FREE Online Course here: https://www.gmedcourse.com/

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country. Please fill out the form linked to our map.

Check out our website at  https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.

You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews!  And please get added to our mailing list so we can remain in touch with you.

Sources:

States' unique Medigap underwriting rules

Medigap Pricing Under age 65 in Virginia

Medigap pricing for those under age 65

Official Choosing a Medigap Policy Handbook

New 2023 Part B SEPs from BENES act

Whether you're a first-time enrollee or a seasoned Medicare beneficiary, understanding yearly Medicare cost changes is key to managing your healthcare expenses effectively. In this episode, we cover everything from Original Medicare costs to Medicare Advantage, Medigap, Part D, and even unexpected Medicare costs, ensuring you're well-prepared for the year ahead.

1. Original Medicare Costs for 2024:
   • Part A Premiums: $0/month for most, up to $505/month based on work history. 
   • Part B Premiums: A base premium of $174.70/month. Part B OOP Costs: $240 yearly deductible, 20% coinsurance
2. Medicare Advantage Costs:
   • Average Premium: $18.50/month, with 66% of plans offering $0/month premiums.
   • Out-of-Pocket Costs: Maximum in-network MOOP of $8,850
3. Medigap (Medicare Supplement) Costs:
   • Premiums vary by plan letter and geography, with significant differences across states and insurance providers.
   • Out-of-Pocket Costs: Affected by the annual Part B deductible changes.
4. Part D Prescription Drug Plan Costs:
   • Average Premium: $55.50/month, with a wide range of premiums available.
   • Deductibles and Coverage Limits: Maximum deductible of $545, with the initial coverage limit increased to $5,030.
5. Unexpected Medicare Costs:
   • IRMAA: Additional charges for higher-income individuals.
   • Penalties for late enrollment in Part B and Part D.
6. Future Projections for Medicare Costs:
   • Insights from the latest Medicare Trustees' report on expected cost increases in the coming years.

Please register for our FREE Online Course here: https://www.gmedcourse.com/

Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.

Check out our website at  https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.

You can also connect with and learn more on TikTok and our private Facebook Group, and while you're at it, check out our Google Reviews!  And please get added to our mailing list so we can remain in touch with you.

Sources:

2024 Original Medicare Costs

2024 Max out-of-pocket limit

Part D 2024 Landscape File

KFF 2024 Medicare Part D Costs