Medicare Blog

get what’s yours for medicare by philip moeller

by Prof. Lilla Streich Published 2 years ago Updated 1 year ago
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How can I contact Medicare president Phil Moeller?

On Twitter @PhilMoeller or via e-mail: medicarephil@gmail.com. Consumers already are upset about growing difficulties paying for health care. Imagine how they’d take to the streets – or perhaps the voting booth -- if they knew the real size of their health care bill. Medicare’s open enrollment can be confusing. Here are some last-minute tips.

Should Medicare move from fee-for-service to a payment system based on value?

"Medicare needs to move from fee-for-service care to a payment system based on value," he said. And, Moeller added, "potentially, widespread adoption of successful models would mean better care for less money."

What happens if the specialist I want isn't part of Medicare?

If the specialist you want isn't part of the Medicare Advantage plan, you either won't be able to see that physician or you may need to pay extra.

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Who is Philip Moeller?

Veteran journalist Philip Moeller has won a Gerald Loeb award for distinguished business and financial journalism. He coauthored the New York Times bestseller Get What’s Yours: The Secrets to Maxing Out Your Social Security and is the author of the companion volumes, Get What’s Yours for Medicare: Maximizing Your Coverage, Minimizing Your Costs and Get What’s Yours for Health Care: How to Get the Best Care at the Right Price. He wrote the “Ask Phil” feature for PBS NewsHour and has also worked for Money and US News & Report as well as several newspapers.

What insurance did Phyllis have?

Phyllis wound up with Original Medicare, the hoped-for Part D plan, and a Medigap policy. This is one of two classic paths into Medicare. The other involves a Medicare Advantage plan, usually bundled with Part D drug coverage. She later admitted she chose her Medigap insurer because it was the only company that answered the phone when she called.

What is open enrollment in Medicare?

Open enrollment is the annual equivalent of a Medicare do-over. It permits people to choose new plans, usually with no adverse coverage or pricing consequences . It’s a great deal, but like much else about Medicare, people often don’t understand how it works.

What was Carol's husband's health insurance?

Carol’s husband, Ernesto, had a Medicare Advantage plan in Texas, when he was diagnosed in June 2014 with pancreatic cancer. Little more than six months later, Ernesto would be dead following complications from surgery. During this time, when Carol wanted to spend as much time as possible with her partner, she instead had to fight insurance company rules and respond to unexpected surprises about what his Medicare Advantage plan did not cover.

How long was Phyllis' first phone call with the SSA?

Phyllis’s first phone call with the Social Security Administration (SSA) began to make her see that thirty days was a laughably short time frame, even for someone as skilled as she in figuring out how things worked. Social Security, it turns out, does a lot of Medicare enrollment work and is the official Medicare traffic cop when it comes to determining if people have enrolled for various parts of Medicare on a timely basis.

When did Glen and Margie file for Medicare?

When they realized their error in 2014, they had missed one of the many enrollment periods available during the year, and were told they had to wait until the beginning of 2015 to file for Medicare. Under its rules, their coverage would not become effective until July 2015.

What's yours Social Security?

A coauthor of the New York Times bestselling guide to Social Security Get What’s Yours authors an essential companion to explain Medicare, the nation’s other major benefit for older Americans. Learn how to maximize your health coverage and save money.#N#Social Security provides the bulk of most retirees’ income and Medicare guarantees them affordable health insurance. But few people know what Medicare covers and what it doesn’t, what it costs, and when to sign up. Nor do they understand which parts of Medicare are provided by the government and how these work with private insurance plans—Medicare Advantage, drug insurance, and Medicare supplement insurance.#N#Do you understand Medicare’s parts A, B, C, D? Which Part D drug plan is right and how do you decide? Which is better, Medigap or Medicare Advantage? What do you do if Medicare denies payment for a procedure that your doctor says you need? How do you navigate the appeals process for denied claims? If you’re still working or have a retiree health plan, how do those benefits work with Medicare? Do you know about the annual enrollment period for Medicare, or about lifetime penalties for late enrollment, or any number of other key Medicare rules?#N#Health costs are the biggest unknown expense for older Americans, who are turning sixty-five at the rate of 10,000 a day. Understanding and navigating Medicare is the best way to save health care dollars and use them wisely. In Get What’s Yours for Medicare, retirement expert Philip Moeller explains how to understand all these important choices and make the right decisions for your health and wealth now—and for the future.

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Community Reviews

My sincere thanks to Edelweiss, Simon & Schuster Publishers, Philip Moeller and my reading friend Robin Beerbower for bringing my attention to this book due to be published October 4, 2016.

Listeners also enjoyed..

Medicare For Dummies, 3rd Edition will help you navigate the complicated, often confusing maze of the Medicare system. In simple language, with clear step-by-step instructions, the book helps you determine how and when to enroll, avoid costly mistakes, and find a plan that is right for you and your family.

Publisher's Summary

A coauthor of the New York Times bestselling guide to Social Security Get What's Yours authors an essential companion to explain Medicare, the nation's other major benefit for older Americans. Learn how to maximize your health coverage and save money.

What listeners say about Get What's Yours for Medicare

I liked the audio book so well that I also bought the physical book. It will serve me well as a reference. The author takes mind-numbing cemplexity, and organizes it for presentation that is logical, practical, and often makes his points with stories. This helps the reader to understand and remember. Well done!

Who is Philip Moeller?

Veteran journalist Philip Moeller has won a Gerald Loeb award for distinguished business and financial journalism. He coauthored the New York Times bestseller Get What’s Yours: The Secrets to Maxing Out Your Social Security and is the author of the companion volumes, Get What’s Yours for Medicare: Maximizing Your Coverage, Minimizing Your Costs and Get What’s Yours for Health Care: How to Get the Best Care at the Right Price. He wrote the “Ask Phil” feature for PBS NewsHour and has also worked for Money and US News & Report as well as several newspapers.

Does Social Security cover Medicare?

But few people know what Medicare covers and what it doesn’t, what it costs, and when to sign up.

Editorial Reviews

"In this easy-to-understand guide, Moeller clearly explains this country’s confusing medical system . [Moeller] is an old hand at giving wise advice, historical context, and helpful statistics.

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Who is Phil Moeller?

Phil Moeller is the author of “Get What’s Yours for Medicare: Maximize Your Coverage, Minimize Your Costs” and the co-author of the updated edition of The New York Times bestseller “How to Get What’s Yours: The Revised Secrets to Maxing Out Your Social Security,” with Making Sen$e’s Paul Solman and Larry Kotlikoff.

When does Medicare open enrollment end?

Medicare’s annual open enrollment period ends on Dec. 7. A recent Trump executive order could permit older employees to claim Social Security and continue contributing to their HSAs. 2020 brings more private insurance plans for Medicare patients. Here’s why you need to look closely.

How much more Medicare Advantage plans will be available in 2020?

Nearly 15 percent more Medicare Advantage plans will be available to patients in 2020.

About The Book

At a time when healthcare and medical insurance are more important than ever comes this authoritative, unbiased new volume in the acclaimed Get What’s Yours series. Healthcare expert Philip Moeller has written a reliable, concise guide to healthcare and health insurance basics.

About The Author

Veteran journalist Philip Moeller has won a Gerald Loeb award for distinguished business and financial journalism.

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