WEBVTT
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This program is designed to provide general information with regards
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to the subject matters covered. This information is given with
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the understanding that neither the hosts, guests, sponsors, or station
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are engaged in rendering any specific and personal medical, financial, legal, counseling,
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professional service, or any advice. You should seek the services
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of competent professionals before applying or trying any suggested ideas.
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Attention to individuals, families and caregivers. It's Medicare Hour and
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More with Peter right here on k for HD Radio.
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This is the.
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Podcast for all types of insurance solutions while specializing in Medicare.
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Because we Medicare, here's your host, Peter R. Joseph.
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Hey, good morning, good morning, good morning. Hey. We are
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excited to have you guys join us again. We are
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on episode eleven. We are just cruising along, got a
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great show for you guys today. Just to remind you guys,
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we are live on K four HD Radio. You can
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download that app. You can also see us on Facebook,
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live on Joseph Insurance Broker, LLC, as well as YouTube.
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Our channel is at Medicare a Minute with Peter, so
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we hope to see you there. If you have any
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comments or questions. Feel free to chime in. We will
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respond back quickly. We've had a crazy amount of viewers.
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I mean we've had twenty six hundred viewers already on
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a couple of our episodes, So I mean that is
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that's awesome. Thank you so much for your support, and
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we hope that we've been a great resource for you
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guys as we navigate this Medicare journey as well as
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other insurance products. Before I start, I do have to comment.
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I'm a big sports guy. So you know, last night,
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I don't know if you guys are watching the NBA playoffs,
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but everyone's been wanting the Spurs and the Oak a thunder.
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What a freaking amazing game. If you guys haven't seen it,
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you guys got to tune in. I went into Devil
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overtime and if you haven't seen this guy, Victor when
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Benama wenby, the guy is a freak of nature. Guy's
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an alien. I mean some of the plays that he does,
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some of the things he does that on the court,
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it is just it just blows my mind. I mean
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I've never seen anything like that. He's going to be
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dominating for years to come. But yeah, it was an
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amazing game. So hats off to the Spurs. I have
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a feeling it's gonna be Spurs Nicks in the finals
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and the Spurs are gonna win it all. But we'll
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see what happens. But anyways, enough about sports. We've got
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a great show for you guys today. Lisa Redberg is
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going to be joining us a little bit later on
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in the show. She's afe Insurance Settlements broker. We're going
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to be talking a little bit more about what that
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actually means and how that could be used you as
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a resource. Some very interesting stuff actually. So you know,
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we we do offer up life insurance whole life term
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i u LS. We also do a newity rollovers. So
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this is really upper alley because you know a lot
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of people have these term life insurance policies and it
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gets too expensive or they feel they just don't need
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it and they end up walking away from the policy
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and the policy just becomes deactivated. Right. Well, at least
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is gonna kind of dive into a little bit deeper
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on what we could do with in those situations. So
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so that'll be exciting stuff. And then we'll have a
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commercial later on about a how to set up small
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business group benefits. There's a couple of ways that we
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do it. We do it through cover California out here
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since we are in southern California. We also do it
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through another program where there are more options for insurance
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carriers that your company can access. So we'll walk you
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through that as well. And we've done quite a few
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small business group benefits. It saved them a lot of
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money tax wise, and we'll share tips on how to
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do that, and then we'll be going through a PowerPoint
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we've we've started a couple of weeks ago. It's the
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Medicare one on one that I do with my current
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clients as well as my prospects who are turning sixty five.
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It's a helpful guide just to walk you through the
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Medicare journey. So we'll be doing that as well. So
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a lot on the plate today. I just want to
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let you guys know our family is going on a
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summer vacation. We will be gone for three weeks. Our
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show will continue on though, So our next two weeks
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we'll have recorded sessions of some important resources for you
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guys to listen in on, and then the third week
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we'll have a replay one of our shows that got
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that twenty six hundred views, So we'll definitely replay that
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radio show for you guys. So let's carry on and
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move forward here. So first up, I'm gonna show you
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our PowerPoint, so let me present here. Awesome, okay, so
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this is Bettercare with Confidence twenty twenty six. There's me. Well, yeah,
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that is me. Like I said, if you've been listening
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in on our show, I've lost one hundred and forty pounds,
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so I definitely don't look like that anymore. But let
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and behold that's when we started our business. Just a
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little bit about myself. You know. We've been established back
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in twenty seventeen, so we've been around. It's coming up
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on ten years. I can't believe it. Based in Chino
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Chino Hills, California, which is an hour south of Los Angeles.
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We're licensed at thirty two states. My wife is a
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social worker. We've got two kids, my son age eleven
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and my daughter age fifteen. She's finishing up her sophomore
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year of high school. I can't believe that. As well.
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Time just flies the older you get. So before this
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and then we've shared the story over and over again,
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but just real quick, twenty two years experience in the
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nonprofit sector before this, and again, you know, our show
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is called Medicare Hour and More because we do more
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than specialize in Medicare. We do health insurance, life insurance,
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business insurance, liability, earthquake insurance, umbrella, you name it, we
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do it. We're you're one stop shop. We even do
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personal auto and home out here in California, so definitely
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reach out if you need help with those. An ambassador
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for the China Valley Chamber of Commerce, I sit on
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the board of directors for Rebel ranch to nonprofit organizations
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out here, and we've had awards upon awards, which is
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great and it's all because of you guys, the clients,
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so thank you for that. We actually awarded one of
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the fifty under fifty by New York City Journal. We've
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had the inter Net Award of Expertise for Chino and Pomona,
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and then for three years running we've been the best
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health insurance brokers here in the Chino Valley in twenty
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twenty three and twenty twenty four. So again we're going
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to quickly dive into the Medicare basics, important terminology, enrollment periods,
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which we've already touched on. This is hopefully a rehash
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for you guys, plan recommendations and cost assistance. So there's
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the part A and B coverage, that's what happens when
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you turn sixty five and you get onto Medicare. That's
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what we all pay into with our paychecks. And then
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original Medicare eligibility. We'll talk about who's eligible, the cost
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for Medicare. It is not free, yes, lo and behold.
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Medicare is not free. Yes, we pay into it, but
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we pay into it to keep the costs down, not
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to make it free. So people are stunned when they're
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turning sixty five gay on Medicare and they call me
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up and go, I thought Medicare was free. It's not, folks.
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I'm sorry. And then we'll talk about additional Medicare plan
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options and how to enroll. So again, the more you know,
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the easier it will be to choose the plan that's
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right for you. So what is Medicare well. Medicare is
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a federal health insurance program. It's run by CMS, which
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stands for Centers for Medicare and Medicaid Services. It's part
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of the US Department of Health and human services. So
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just keep these terms in mind. There is the premium,
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the price you pay typically on a monthly basis. You're deductible,
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the amount you pay prior to plan coverage, your copays,
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so every time you visit the doctor or a specialist,
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you're going to pay an office copay usually, and then
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co insurance the amount you pay for a service. Some
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of you guys are already familiar with these terms because
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you're on health insurance for under sixty five. So a
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regional Medicare covers many, but not all, healthcare relate services.
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And we've stressed this before in other shows. It does
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not cover long term care, so keep that in mind.
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You want to get on the ball with us when
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you're around fifty fifty five years old, because the older
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you get, the higher the cost and the more expensive
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long term care becomes. It becomes to a place where
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it might not be affordable for you guys. So please
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get with adviser like myself when you're around fifty to
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fifty five years old. But we'll talk about what medicare
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does cover. So Part A is your free coverage. Everyone's
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automatically on this when they're eligible, so inpatient hospital stays,
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skilled nursing, facility care, hospice. Yes, hospice is covered, as
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well as home health care. And again for most people,
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there's no premium. For those who don't qualify, you've been
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like a a you have a green card, let's say,
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and you've only been here for a few years, there
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is a buy in option. It is pretty pricey, but
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it's not as expensive as right their health insurance. So
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you can talk to me about that if that's a
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situation you find yourself in. So what is Part B cover? Well,
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Part B is the one where you do pay. Medicare
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is not free on this part, so it covers doctor visits,
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outpatient care, home health care, durable medical equipment, some preventive
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services such as certain vaccines and cancer screenings. Cost is
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based on income and determined by the Center for Medicare
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and Medicaid. So for twenty twenty six, that's it should
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say twenty twenty six. This year, the standard Part B
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premium for most folks is two hundred and two dollars.
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There is an ERMA chart, so based on your income,
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it could be higher. So for example, if you make over,
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you know, I think it's one hundred and ninety seven
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thousand to about two hundred and thirty thousand dollars. Your
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premium is actually going to be two hundred and eighty
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dollars per month, so you could see that it's adjusted
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the more income that you make. They do a two
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year look back. So if you get onto Medicare at
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age sixty five, they're going to look at your income
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at age sixty three, So if you're making more at
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that point, they're going to base it off of that,
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and it's your joint income tax return. It is your
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adjusted gross income that they look at. But again it's
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a two year lookback, so that premium can be adjusted
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because let's say in retirement you're going to be making
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less than what you did when you were working. Well,
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Social Security will take a look at that at some point.
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All right, So qualifications you have to be sixty five
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or older. If you're under sixty five, you have to
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have certain disabilities. You have to be on long term
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disability for twenty four months consecutively to actually qualify for Medicare,
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So keep that in mind. If you have end stage
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renal disease or have als in the first month of diagnosis,
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you have to be a citizen of the US or
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a legal resident for at least five consecutive years. So
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remember that you have to be here for five consecutive years.
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All right, So this is how you apply for Medicare.
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We've talked about this. We're going to show commercial for
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you guys next week about how to actually enroll into
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Medicare parts A and B. Option one is you go
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to your local Social Security offices. Yes, offices are now
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open with service hours after you know for a long
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time they've been closed because of COVID, So that is
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option one. Option two is you apply online. So if
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you're tech savvy, you're going to create an account at
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SSA dot gov. You're going to do what's called a
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two factor authentication, So you have to have an email
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address and a cell phone number, So if you don't
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have both of those, and that's not going to be
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a good option for you, guys. And then option three,
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which I highly don't recommend, call Social Security. The reason
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being as you're going to be on wait for hours
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on end. They are short staffed right now, and so
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I just don't recommend you calling unless you have no
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other options at that point, all right. And then the
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number is one eight hundred and seven seven to two
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one two one three. Keep that number in mind, all right.
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So initial enrollment period this is the seven month window
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that allows you to apply for and enroll in Medicare.
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It's three months prior to your sixty fifth birthday, so
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that's when you need to start getting with an advisor
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if you haven't already. My recommendation is when you're sixty
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four to start looking for an advisor, and then the
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month of your sixty fifth birthday and three months following.
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So if you enroll in that window, there is no penalty,
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all right. Funeral after there is a penalty ten percent
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per year for life. So it's really important that you
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find when your enrollment period is and you get on
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the ball to get onto Medicare. Now there is a
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special enrollment period. If you did not sign up for
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Parts IN and B and you're still on your employer
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health plan, then that means eight months after employment our
239
00:14:13.000 --> 00:14:17.559
group coverage ends, whichever is first. That's your window, so