WEBVTT
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We do not offer every plan available in your area. Currently,
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we represent twenty one organizations which offer over two of
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thousand products nationwide. Please contact Medicare dot gov one to
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eight hundred Medicare for your local state health insurance assistance programs.
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You get information on all your options, attention to individuals, families,
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and caregivers. It's Medicare Hour and More with Peter right
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here on k for HD Radio. This is the podcast
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for all types of insurance solutions while specializing in Medicare
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because we Medicare.
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Here's your host, Peter R. Joseph. Hey, Hey, good morning everyone.
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This is my first show, so I'm excited to have
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you guys here. We are going to be broadcasting live
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on Facebook and YouTube, so if you have any comments
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and you're on and you're listening, you know, definitely drop
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in a comment and we will respond as quickly as possible.
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We are excited to have you guys here. I've had
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a lot of reps in different insurance carrier spaces say
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that they are excited that I'm actually doing this because
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you know, Medicare is a very confusing journey for a
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lot of folks, and it's great to have an educational
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piece out there so people can better understand the process,
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get the tools they need, and the resources they need
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to better adapt and get through this process. So we're
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going to try to make this as un confusing as
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possible for you guys. And this is more than just Medicare.
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We are actually an insurance brokerage out here in southern California.
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We are licensed over thirty three states, so we do
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have clients all over the United States. We do specialize
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in Medicare and health insurance, but we also do quite
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a bit in other facets of insurance. So we do
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property and casualty, we do life insurance, long term care insurance.
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We also do travel insurance, earthquake insurance, you name it,
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we do it. The only thing we don't do is
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personal auto right now, so this is going to be
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a forum for all things insurance. We want to give
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you guys all the resources that you need to navigate
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this world. So today, though we are going to actually
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be talking about Medicare one oh one, we're going to
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break down what Medicare covers in terms of parts A, B, C,
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and D, and every every week that we broadcast, we're
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going to be doing something A little bit different in
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terms of the information that we give you guys. This
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will be helpful. This is all recorded for you guys,
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so if you guys can't come and watch us live,
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you can always catch us back on our Facebook business
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page or the YouTube page. Our YouTube pages Medicare a
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Minute with Peter. That's the channel for us, and then
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our Facebook page is just Insurance Broker LLC. So you
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can catch both of those things on there. All right,
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So I'm going to dive into Medicare one on one
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and what each part covers. There's so many different letters,
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I know, it gets really confusing. I just heard a
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rumor this last year that the government wants to introduce
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even more letters. I'm like, no, no, no, no, no.
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We've got enough letters to confuse our folks at this point.
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So these are the really important for you guys to
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know and have in hand. Obviously, you know CMS is
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the centers for Medicare and Medicaid. They release a booklet
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to you guys called Medicare in You every year that's
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updated with the most latest information. The problem with that
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booklet is it is pretty long and hefty. Not a
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lot of folks have the time to read through all that,
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and so that's why you know, I want to have
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this show to break down the different parts of metical
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care for you guys and how to actually enroll into mantercare.
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So Part A is something that most of us will
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get free if we've worked here ten years in the
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United States. You have a certain amount of units that
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you have to qualify for in Social Security. It's forty
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units and that equates to that ten years here in
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the United States, full time. Part A is free for
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everyone who's here a citizen in the US. So Part
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A covers hospital insurance, It covers inpatient hospital stays, skilled
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nursing facility care after qualifying hospital stay. It covers hospice
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care for terminal illness, and limited home health services. So
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it does cover a little bit of the home health
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not what you're thinking of in terms of the long
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term care, but there are coverages for home health care,
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so keep that in mind. So it does cover like,
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you know, your semi private hospital room, meals care, medications
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received during inpatient treatment, rehab services. So that's a big one.
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I do have a current client right now who's going
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through rehab. They are asking me, you know, does their
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Medicare plan cover rehab services and it definitely does, and
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then hospice support services, so that is all covered under there.
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So that is part A. Part A is free for
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everyone when they turn sixty five or they roll into
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Medicare after they come off an employer health plan. Now
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Part B is for medical insurance, so that covers like
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your doctor visits, your lab work, your outpatient hospital services,
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preventative services, mental health services, durable medical equipment, and medically
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necessary outpatient treatment. So Part B is something that everyone pays.
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It's not free. I do have some clients who always think,
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you know, once they get out to Medicare, oh, I
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don't have to pay anything. Well, yeah, we paid into Medicare,
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but it's not free unfortunately, so most folks have to
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pay usually a baseline if you're making about I think
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the last figure was about ninety two thousand dollars. It's
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that figure changes every year as well, and so if
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you're making that income and you're single, most folks are
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paying about two to oh two per month this year
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for Part B. So that comes out of either your
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Social Security or you're billed for it three months at
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a time, and so that covers your Part B if
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you're making more than that, or you're a married couple
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making more than that. So if you're married and you're
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making more than one hundred and eighty seven thousand dollars,
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you're basically pro rated a certain amount that's a little
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bit more than that two O two. So there's a chart.
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I don't want to overwhelm you with numbers at this point,
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so we'll we'll go over that next time that we
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have our show. So just know that most folks do
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pay about two hundred and two dollars a month for Medicare.
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And again, like I said, it covers your primary care visits, specialists,
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diagnostic imaging, preventive screenings, vaccines, outpatient therapy, and provider administrator
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medications such as chemotherapy or infusion therapy. All right, so
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that's what Part B covers. Here's the thing that people
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are not aware of is that Part B does not
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cover Medicare as a whole. Even does not cover long
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term care. And so a lot of folks find out
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the hard way when they're starting to, you know, unfortunately
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get those diagnoses of cancer. They're in skilled nursing field facilities.
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Over one hundred and twenty days. Those things need to
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be covered by long term care policy, which is something
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that we do offer, but it's something that you want
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to prepare for when you're a lot younger because the
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older you get, the more expensive it gets, and so
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it's important to cover those costs. Medicare is not going
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to cover every everything. And just so you know, if
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you're just on original Medicare, there is no cap on
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the limit of what you're going to spend out of pocket.
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And so we'll dive into that a little bit more,
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but that's why, you know, folks need to get a
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long term care policy to cover for those situations that
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you can't really prepare for and you don't want to
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be you know, I have a lot of out of
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pocket expenses at that point. You know, I do have
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some clientsho say, well, I'm going to have a family
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member take care of me. Well, A, you don't want
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to put that burden on your family member and be
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you don't know what the situation is going to be
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in ten fifteen years, and so you don't know where
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that family member is going to live, You don't know
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if it's going to be doable for that person, and
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so you want to be made sure that you're taking
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care of well and good. So that is Part B.
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Now Part D as Dog covers your prescription drug coverage,
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so that covers your standalone prescription drug plans. It covers
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the cost of medications at retail pharmacies and mail order pharmacies.
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You know, covers your brand name as well as your
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generic medications. There is a formulary list that each insurance
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carrier has and so you want to make sure your
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prescription is on that formulary list so that it's covered.
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If it's not, then it's not going to be covered.
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So but it covers your pharmacy networks, It has tiered
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formularies and also has protection from catastrophic catastrophic drug costs.
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Sorry about that. So that is what Part D covers.
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Part D is a plan that you have to get
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on top of original medicare that it has an additional cost.
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It just depends on the carrier. Sometimes it's a zero
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dollar premium, sometimes it's a little bit more. So again
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let's break it down Part as hospital. Part B is
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your doctor's and lab work. Parts C, which is what
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we'll talk about next, and then Part D covers your
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prescription drugs, all right, So just keep that in mind.
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I know there's a lot of letters to keep straight,
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but I want to make sure you guys have everything
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kind of covered in that regard. Now, Part C that
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includes sometimes dental vision, hearing, fitness programs, prescription drugs, care coordination,
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annual maximum out of pocket protection. So Part C is
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like a Medicare advantage plan. And we'll talk about the
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different journeys that people can take with original Medicare versus
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Medicare advantage versus a Medicare supplement. But we won't go
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we won't dive too deep into that in this session
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right now, but just let you guys know Parts C
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is a Medicare advantage plan, and that's what you hear
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about a lot in add in newspaper readings as well
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as in the media, and that's usually you know, the
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big annual enrollment time in the fall is all usually
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centered around Medicare advantage plans. So that's that's it for
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those letters. Now today, for my first show, we actually
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have a special guest, and so just to let you
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guys know, we do have we're going to have guests
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from time to time. We are going to have quite
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a few sponsors. We already have an FMO a marketing
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organization called Everything Senior Insurance that is sponsoring us, another
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company called Lead Heroes. We have a couple of local
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businesses out here in Chino and Chino Hills, California that
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will be sponsoring us and coming on as guests. We
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want to bring these guests on because we want to
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show you the companies that we work with that we
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feel are reputable, and whether we're working with them directly
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or indirectly. We want to make these resources available to
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all our clients. So all our seniors, all our families,
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all our small businesses that we work with directly, these
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are going to be resources that you can reach out to.
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We're going to have their contact information. We will have
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a website for our podcasts, and all their sponsor information
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will be on there as well. So I'm excited that
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we're going to have Andrew Soksa, and so I'm going
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to kind of talk about what Andrew does. He's the
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vice president of Strategic Channels at a Central Engine, where
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he leads strategic partnerships and distribution initiatives designed to help
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insurance agents and final financial advisors grow their practices. Through
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relationship driven marketing. With more than a decade of experience
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in the insurance and financial services ecosystem, Andrew has specialized
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in building innovative marketing channels and strategic alliances that help
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professional strength and client relationship chips and generate referrals. In
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addition to his leadership role at a Central Engine, Andrew
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serves on the advisory board of Agent Review, where he
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helps guide initiatives that connect consumers with trusted insurance professionals
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through technology and marketing and innovation. Andrew is very passionate
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about helping advisors stand out in competitive markets by combining brand, storytelling,
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technology partnerships, and client first marketing strategies. So I am
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so excited to have Andrew as our first guest in
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our inaugural show. He's going to be coming on here shortly.
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Hey Andrew, how are you? Peter?
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I fantastic, What a great first show.
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I love you.
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We really broke down basically what all these letters that
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we stand for. I go to so many conferences I
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hear this stuff thrown around. It was such a nice
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way to start to show your first show by breaking
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it all down and then just also to share something
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about that long term care. So my uncle who lives
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in Ventura, not too far from you, actually a great guy,
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you know, grew up in southern California, surfer, hiker, all
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this really great stuff. His wife has now gotten to
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the stage of her dementia that they are out visiting
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a lot of these facilities and oh my gosh, the
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cost is just astronomical. So, boy, I'll tell you what
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if you don't plan ahead of time for these types
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of things, that really set aside assets and work with
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someone like yourself, Peter, who really is an expert in
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these fields. Boy, you really need to start. So that's
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again a message. I know this is a pretty broad audience, right,
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It's gonna be some clients. It's also gonna be some
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fellow agents. I love your sponsors, by the way, Christian Brandle,
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one of the greatest guys in the business. Clinn Shelton,
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one of the best people in the business. If you're
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an agent, you're not going to the seven figure Medicare
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agent somemmit this year? You uh, that's in June. You
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definitely want to be attending that event. So with all