PODCAST · health
Maximizing Medicare with Paul Sheldon
by Paul Sheldon
Medicare can be a confusing road to travel. Luckily, Paul Sheldon is here with the expertise and guidance to help you travel the maze and to find the destination that is right for you. Tune in each week for the latest news and information important to you.
Episodes
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Medicare and acupuncture
"Gospel" means Good News. Medicare and acupuncture. Part B and when acupuncture is covered. Plan G and increasing deductible in 2026. Farxiga. Useful website: pharmacychecker.com. Dealing with Social Security.
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A Thanksgiving Message
Thanksgiving special. God enjoys when we give thanks. Jesus died for our sins. Biden Harris Inflation Reduction Act. Mark Cuban and his website: CostPlusDrugs.com. Deductible increases coming up.
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A look at Medishare
A look at Medishare. Individual Health plan rates. Obama Care price increases. Whether health good or bad, rates are the same. Long term care insurance. Saving real people money. Retired real estate agent saves over $7000/year.
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Cutting commisions on drug plans
Cutting commisions on drug plans. Insurance companies no longer paying to sign people up. Skin substitue spending is up. Legal issues and reimbursement schemes. Why Aetna focusing on provider experience.
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Fewer companies offering drug plans.
Fewer companies offering drug plans. Price increases coming in 2026, max $50/year. 2027: May not have any drug plans. Government subsidies going away, Insurance companies may have to subsidize. Medicare Supplement Plan price increases.
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Which drug plan is #1 for you?
Which drug plan is #1 for you? Open enrollment time. Biden Inflation Reduction Act spent too much money on Green Energy and Climate change funding. Drug plans cutting commision to $0. Client stories: Customer save over 13K/yr. Rise in cancer possibly due to obesity.
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The Good & Bad of Medicare
The Good & Bad of Medicare. Client email shares their story about Medicare HMOs and they weren't interested in Medicare Advantage plan feeling it was substandard care. Advantage plans bring in more money but aren't that good for the client. Special Enrollment period. HRA: Health Reimbursement...
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Which companies are selling Medicare Advantage plans?
Paul has trouble with his hearing and shares a story about earwax. Which companies are selling Medicare Advantage plans? Kaiser Workers on strike. New prescription drug website: TrumpRX.com. GoodRx and generic drugs. Real life couple suffers from health issues.
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Changes to Drug Plans
Changes to Drug Plans. Medicare News: Insurance Commissioner Javier Bacerra. Effects on Drug Plans because of Biden's Inflation Reduction Act. Insurance Companies asked to subsidize costs, said no and left CA. Medicare Advantage PPO - no more in 2026.
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PPOs for vision care
PPOs for vision care. Medicare. Long term care is not covered. ETTDBC (Eating, toileting, transfering, dressing, bathing, continence) Life Insurance - it only gets more expensive as we age. Long Term care Insurance - may need a minimum of $200/day benefits. Real life appointment: Couple save over...
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Guest General Surgeon Roland Rodriguez
Guest General Surgeon Roland Rodriguez. Universal Health Care: Is it "right"? Socialized medicine - leads to rationing and scarcity. Can also compromise quality. Competition leads to improved quality and reducing costs. Medical School. Big Beautiful Bill.
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Guest Chris Graham of Graham Financial Group
Guest Chris Graham of Graham Financial Group, insurance agent in Florida. United American Insurance. Lapse in coverage could lead to rate increase. How to keep your policy when you move. Medicare Advantage Plans: pressure to cut costs. Financial incentive over care.
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Skin Substitutes
Real life example of couple from Frazier Park and an unexpected job loss, they could work in Medicare. Skin Substitutes - used to replace damaged skin, led to abusive pricing and fraud. Article " Social Security Shake Up in 2026 - 3 changes for retirees"
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Guest- Sam Olsen
Guest Sam Olsen - owner of Sam Olsen Insurance Agency and friends with Paul's son. We discuss Medicare, skin substitutes, Medicare Advantage Plans, and what to do about Cancer.
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Signa PPO dental plans vs HMOs.
Signa PPO dental plans vs HMOs. Teens & Diabetes. Health & Human Services recinds undocumented immigrants access to healthcare. Medicare Plan D - deductibles rising. Skin substitutes.
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The importance of advertising correctly.
Real life appointment: client retiring from school district saves over $7000 per year. Frank Becher and the importance of calling back people. Minimum 2 per day. The importance of advertising correctly.
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Guest Mike Lemar, president of Sunshine State Agency
Guest Mike Lemar president of Sunshine State Agency. The importance of picking the right plan for you. United American and their automatic claims filing. Medicare advantage plans and why they're a mistake.
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What Are Pharmacy Benefit Managers.
Pharmacy Benefit Managers. Reimbursements not covering cost of drugs. Wegovy/Zepbound prices fall but access is still limited. Bill 242 Medicare Supplements coverage and open enrollment period will doom lower prices.
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Medicare at risk due to lobbyists
Medicare at risk due to lobbyists. Proposed law mandates enrollment in Medicare Advantage. Top 20 Hospitals in the United States. United American is most stable, including rates.
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Understanding Medicare coverage while incarcerated.
Hims & Hers companies expand into Canada. Paul recaps his trip to Greece & Turkey. Understanding Medicare coverage while incarcerated. Client savings when switched to Medical. Medicare Advantage Plans & Fraud.
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What does the Federal Gov pay for?
Paul goes to the DMV. Why its important to take Medicare. What to look for when finding a dentist. Whole Life Insurance. Long term care expenses. What does the Federal Gov pay for?
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Co-pay VS Co-Insurance
Dental & Vision Plans. Dental coverage explained. July 4th and USA. Inflation Reduction Act. Rising Deductibles. Co-pay VS Co-Insurance. Lobbyists and their role. United Healthcare Fraud Case.
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Why Medicare Advantage Plans are not efficient.
Salvation is a person - Jesus. Room & Board Rates. Medicare Payment Advisory Commission. Why Medicare Advantage Plans are not efficient. Explanation of Medicare HMOs.
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Difference in premiums with Medicare Supplements.
Difference in premiums with Medicare Supplements. Importance of Callbacks. Rite Aid closures. Cuts to Medicare. Spousal discounts.
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What is MEDPAC?
Salvation through Jesus. Contact Paul 3 months before turning 65. MEDPAC - Medicare Payment Advisory Commision. Breakdown of Medicare Advantage Plans. Not efficient. HMOs. Role of Lobbyists.
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Inflation and Medicare
Getting rates, which are tentative on exam. Whole life insurance with dividends. Medicare Supplement Premiums. The effect of inflation on rates. Plan G comparisons. Real life example - Canyon Country couple.
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Medicare Supplement C
Client story Retired from Kern Co. HMOs vs PPOs. Tehachapi Couple retiring. Medicare Supplement C and why not recommended. Inflation Reduction Act and difficulty finding medications.
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Medicare Late Enrollment Penalties
Social Security Act with FDR. Lyndon B. Johnson amended so that it includes Medicare. School district retirees, helped save them $21K per year. Medicare late enrollment penalty.
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Importance of Life Insurance
Client who's husband passed away, importance of life insurance. Beware of commercials for Medicare and dental. 5 recommended PPO plans. Getting rid of Medicaid??
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Things To Know About Taxes
Taxes - filing married or separately: check your Medicare Rates and ask you CPA. Loss Ratio: Money received vs claim payouts. Medicare Part D.
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Guest: Becky Jones
Beck Jones joins Paul as well as a special Easter message.
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Diabetes Treatment Has Pricing Increases
Diabetes treatments sky rocket. Drug prices up. Patients up 142K to 1.5 million. Hairloss and ED meds not covered. "Upcoding" beware of fraud (United Healthcare says accusations are false) Agentic AI - Using AI as agents to help the customer. 23 and me files for bankruptcy.
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When To Contact For Medicare
When to contact Paul for Medicare - 3 months before turning 65. Cataracts: various surgeries, Medicare doesn't cover elective surgeries, patient pays the difference. Dr. Oz and the Center for Medicare and Medicaid. VA & Tricare.
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Guest Ryan Sykes Part 2
Discusses Screening, billing cycles, preferred pharmacy and prescriptions. Business is more than just the bottom line. Paul helps a client save over $10K a year.
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Guest Ryan Sykes
Ryan's story into self-employment. Selling Medicare Supplement Insurance. Personality gets you leads. Listen & hear clients. Make friends then sell
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Guest - Lisa Rehburg discusses Life Insurance Settlements
Plus- Owner can sell Term Insurance before it ends.
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HSA Contributions with Medicare Are Illegal
Plus Appealing late enrollment penalty
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Medicare Advantage Cuts in 2025
Plus Did United Healthcare put patients at risk.
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Insurance Companies Leaving Medicare
Plus no more walk ins at local Social Security office.
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Medicare for those under age 65
Plus Hospitals are opting out of Medicare Advantage Plans
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What is a Charter Life Underwriter
Plus Doctors incentives set by Medicare Hikes
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Long Term Health Care
Parents should plan for the time when unable to do daily activities. Nursing homes, wheelchairs, scooters, etc. Long Term Health Care Insurance. Life Insurance Policy for kids. Dividend paying. Whole Life Policy.
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DOJ Suing CVS over Opiods
Ridin bikes with pea shooters when young and buying records. DOJ sues CVS over opioid crisis. CMS states Health Care Spending up - alot to do with anti obesity drugs. Medicare Advantage Open Enrollment Jan 1 to Mar 31
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Happy New Year!
Happy New Year. Biden Inflation Reduction Act. Insulin max $35 co-pay. Dollar Cap $3300 - in 2025 $2000. Real life example - Man recently divorced - boss will pay Medicare currently $900/mo will be $231/mo saving over $8K a year. CMS sunsets Medicare Advantage because too costly.
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Christmas Message
Christmas. Trump and Health Insurance. 2 Most important prepositions in the Bible. I Peter 1 vs 1-12 - Inheritance imperishable & Galatians 3 - All one in Jesus Christ.
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Inflation Reduction Act & Trump
Costs per area - Kern Co lowest. We prefer United American not about commission. Ex-Retired photographer from $515 to $295 month & drug plan from $170 to $1.80 month. Inflation Reduction Act and Trump.
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Last Day For Medicare Changes
Last day for changes to Medicare - can still do online. Real life appointment - Neighbor's Mom - Plan went from $1170 to $174 per month. PPO mo Medicare VS Medicare Supplement
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GEM Care partners with Blue Shield
GEM Care partners with Blue Shield. Gov wants you to pay Medicare Part B premium.
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Thanksgiving
Thanksgiving Episode, GEM Care Jan 1st move to BFMC. Medicare Supplement B, Jesus "It is finished". Forgiveness. Call Paul after Nov. 30th.
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ABOUT THIS SHOW
Medicare can be a confusing road to travel. Luckily, Paul Sheldon is here with the expertise and guidance to help you travel the maze and to find the destination that is right for you. Tune in each week for the latest news and information important to you.
HOSTED BY
Paul Sheldon
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Frequently Asked Questions
How many episodes does Maximizing Medicare with Paul Sheldon have?
Maximizing Medicare with Paul Sheldon currently has 100 episodes available on PodParley. New episodes are automatically indexed when they're published to the podcast feed.
What is Maximizing Medicare with Paul Sheldon about?
Medicare can be a confusing road to travel. Luckily, Paul Sheldon is here with the expertise and guidance to help you travel the maze and to find the destination that is right for you. Tune in each week for the latest news and information important to you.
How often does Maximizing Medicare with Paul Sheldon release new episodes?
Maximizing Medicare with Paul Sheldon has 100 episodes. Check the episode list to see recent publication dates and frequency.
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Who hosts Maximizing Medicare with Paul Sheldon?
Maximizing Medicare with Paul Sheldon is created and hosted by Paul Sheldon.
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