All About Medicare Advantage with ATRIO Health Plans CEO Gregg Kimmer
The Non-financial Aspects of Planned (And Unplanned) Retirement with Nancy Schwartz
SPECIAL EDITION WGN-TV, WBBM Chicago Prepare for Medicare – The Insider’s Guide Interviews
Rentals and Real Estate Investing in Retirement Basics and Beyond with Whitney Elkins-Hutten
Medicare Advantage vs. Medicare Supplement, Dental Insurance, Hidden Gaps in Medigap Plans, State vs. Federal Medicare Rules with Bryan Derheim

#020

All About Medicare Advantage with ATRIO Health Plans CEO Gregg Kimmer

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“There are hundreds and hundreds of benefits within a Medicare Advantage plan. The vast majority of them are what I call invisible benefits. The benefits a person may never use, the benefits a person may not even know they have. I like to focus on six core benefits to make a Medicare Advantage plan really stand out and again, benefit the consumer or the member. That's what this is all about.

Those six benefits are premium. Number one, what am I going to pay every month to be on this plan? I like to keep it at zero.

Number two, the PCP copay. How much are you going to charge me to go see my primary care doctor? I like to keep that at zero. Number three, specialist, if I need to go see a specialist for a pulmonary issue or orthopedic issue, cardiology, what have you. What are you going to charge me for each encounter with that specialist?

Okay, number four is inpatient. If I get admitted to the hospital, what is it going to cost me per day?

Number five, MOOP. You mentioned MOOP, maximum out of pocket. What's my maximum financial liability to be on this plan?

And number six, dental. Matt, dental is becoming the must have benefit in Medicare Advantage plans. Really the thing that makes these plans stand out and really gives the people the utility of these plans is something like dental. So again, premium, primary care copay, specialist, inpatient, maximum out of pocket and dental.”

- Gregg Kimmer, President and CEO of ATRIO Health Plans

My guest today is Gregg Kimmer, President and CEO of ATRIO Health Plans.  Based in Oregon, ATRIO administers Medicare Advantage plans for customers in Oregon, Nevada, Tennessee and Louisiana.

This edition of The Matt Feret Show will give you an Insider’s Guide to Medicare Advantage, from the perspective of a Medicare Advantage plan president and CEO. Enjoy!

All About Medicare Advantage with ATRIO Health Plans CEO Gregg Kimmer

Listen to the episode on Apple PodcastsSpotify, Deezer, Podcast Addict, Stitcher, Google Podcasts, Amazon Music, Alexa Flash Briefing, iHeart, Acast or on your favorite podcast platform. You can watch the interview on YouTube here.

Brought to you by Prepare for Medicare – The Insider’s Guide  book series. Sign up for the Prepare for Medicare Newsletter, an exclusive subscription-only newsletter that delivers the inside scoop to help you stay up-to-date with your Medicare insurance coverage, highlight Medicare news you can use, and reminders for important dates throughout the year. When you sign up, you’ll immediately gain access to seven FREE Medicare checklists.

“Our members actually walk into the door of our headquarters to ask questions. And I think that's pretty cool, and this happens very frequently. And I think that creates a certain stickiness with these members, such that they can go talk to a human being in our headquarters, ask a question, get guidance, versus calling a generic 1-800 number in the back of their ID card. I think that's really how we stand out as being that local health plan where people can literally come into the door and ask us questions, and they do.”

- Gregg Kimmer, President and CEO of ATRIO Health Plans

“Value-based care is at the core of what we do, and the consumer may not realize that they're benefiting from it, but they are. We are taking unnecessary costs out of the system. So for instance, making the primary care physician copay $0 instead of $20, you're encouraging the person to go create a relationship with the primary care physician such that they won't go to the ER for a headache. Okay? You're removing all financial obstacles from that person, creating that relationship, with that primary care physician. That's one core example of value-based care. And again, I don't think the consumer may realize our motivation here, but it's actually to help them such that we don't put more and more waste into the American healthcare system.”

- Gregg Kimmer, President and CEO of ATRIO Health Plans

00:00:00 Intro

00:02:02 Gregg’s professional background

00:03:44 What health insurance CEOs do

00:04:45 Three Medicare options and what’s changed over the years

00:06:56 Increasing popularity of Medicare Advantage

00:09:24 Medicare Advantage criticisms: networks

00:11:12 Gregg’s view of managed care in Medicare

00:12:46 Value-based care and Medicare

00:15:51 Smaller vs. large, national Medicare insurance companies

00:20:03 Use local independent Medicare agents to shop for Medicare insurance

00:22:06 Medicare Advantage and Prescription Drugs

00:24:19 Designing plans and the annual Medicare Advantage bid process

00:29:11 The six most important Medicare Advantage benefits to pay attention to.

00:30:35 How can $0 Medicare Advantage plans be $0?

00:32:51 The future of Medicare Advantage

00:34:21 Gregg’s favorite color

00:37:43 Show wrap

#019

The Non-financial Aspects of Planned (And Unplanned) Retirement with Nancy Schwatz

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“This either forced or unforced retirement happened. You need time. I suggest don't make any big decisions. Don't divorce people. Don't go into a partnership. Don't take on 5,000 board things. Don't do the crazy, right? Take a year and just... I felt that my body just had to settle, and I hear this from many people that you're so revved up that you're like, "Oh, man. Okay. This is something new here. I've got to test the waters."

- Nancy Schwartz, Founder of Envision Healthy Retirement

My guest today is Nancy Schwartz, Founder of Envision Healthy Retirement. A former executive at Korn Ferry, Nancy is also a successful entrepreneur and has worked across a variety of industries in markets ranging from global multinationals to early-stage private equity and venture capital.

This edition of The Matt Feret Show will give you an insider’s guide to addressing the non-financial aspects of a healthy retirement and the re-creation of an intentional life.

The Non-financial Aspects of Planned (And Unplanned) Retirement with Nancy Schwatz

Listen to the episode on Apple PodcastsSpotify, Deezer, Podcast Addict, Stitcher, Google Podcasts, Amazon Music, Alexa Flash Briefing, iHeart, Acast or on your favorite podcast platform. You can watch the interview on YouTube here.

Brought to you by Prepare for Medicare – The Insider’s Guide  book series. Sign up for the Prepare for Medicare Newsletter, an exclusive subscription-only newsletter that delivers the inside scoop to help you stay up-to-date with your Medicare insurance coverage, highlight Medicare news you can use, and reminders for important dates throughout the year. When you sign up, you’ll immediately gain access to seven FREE Medicare checklists.

“Then, there's the fear. There's a lot of fear of the unknown and like, "Well, if I just stay right here and don't do anything, then I'll be okay," but that freezes the person.  So, it's important to keep going, and it's important to raise your hand if you're not feeling well because retirement is universal. It crosses all countries. It crosses all cultures. How we deal with it is on you, and to raise your hand. So I think that that's really important. Fear can look like anxiety. It can look like many different things. So know your triggers.

- Nancy Schwartz, Founder of Envision Healthy Retirement

 “Thinking that your corporate buddies will have the time to play with you? They don't. They're running companies. Maybe they could see you Sunday afternoon for two minutes and play around to golf, but that's it. They can't go traveling with you and whatever. It's a shock because people will say, "I thought my buddies were my buddies. Well, what happened?" Well, you're out, they're in.”

“I have actually a neighbor who has been a CEO many, many times over - miffed, "How could they possibly make a decision like that in my company without running it by me?" But he's not inside, right? You have to point that out to him. It's those kinds of things that can really set people into tailspins.”

- Nancy Schwartz, Founder of Envision Healthy Retirement

00:00:00 Intro

00:02:51 Who Nancy usually works with

00:05:00 Nancy’s retirement journey to Envision Healthy Living

00:09:49 Difficulties faced when volunteering

00:11:58 I’m a horrible fisherman.  Really.

00:13:32 You’ve filled your “bucket list” – now what?

00:16:59 Non-performing children and caregiving

00:18:41 When to start planning for the non-financial aspects of retirement

00:23:29 Physical, emotional, behavioral challenges in retirement

00:26:19 How to stop identifying yourself through your job and title

00:28:43 Don’t make any rash decisions for the first year

00:30:51 Defining your new self-identity in retirement

00:34:46 Impact to sense of self-worth

00:36:39 Fear and anxiety trigger example

00:38:35 Health in retirement is foundational

00:40:13 How to contact Nancy

00:41:14 Show wrap

#018

SPECIAL EDITION WGN-TV, WBBM Chicago Prepare for Medicare – The Insider’s Guide Interviews

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My guest for this episode is…me!

This Special Edition of The Matt Feret Show are re-broadcasts of two interviews I gave this month at WGN-TV Chicago, as well as on WBBM in Chicago.

It was a lot of fun to talk to the anchors off-camera, both of whom asked for Medicare advice for family members! I left each of them a copy of the updated second edition (2022-2023) of Prepare for Medicare The Insider’s Guide to Buying Medicare Insurance.

The WBBM one was taped over the phone, but the WGN interview was LIVE! It sure felt weird to be back on a live broadcast television news set after over 20 years!

I even slipped up. Can you find it?

SPECIAL EDITION WGN-TV, WBBM Chicago Prepare for Medicare – The Insider’s Guide Interviews

Listen to the episode on Apple PodcastsSpotify, Deezer, Podcast Addict, Stitcher, Google Podcasts, Amazon Music, Alexa Flash Briefing, iHeart, Acast or on your favorite podcast platform. You can watch the interview on YouTube here.

Brought to you by Prepare for Medicare – The Insider’s Guide  book series. Sign up for the Prepare for Medicare Newsletter, an exclusive subscription-only newsletter that delivers the inside scoop to help you stay up-to-date with your Medicare insurance coverage, highlight Medicare news you can use, and reminders for important dates throughout the year. When you sign up, you’ll immediately gain access to seven FREE Medicare checklists.

There are basically three ways you can consume your Medicare coverage when you're 65 or older. And the first way is what I call “Bare-with-Medicare”, and that's using your Original Medicare part A and Part B made in the sixties. It's a red, white, and blue card, and then adding a prescription drug plan or a Part D plan on top of it. The second way is to add a Medigap or a Medicare Supplement plan on top of that. There are a lot of gaps in Original Medicare that those plans cover. And then there's a third option called Medicare Advantage or Medicare Part C, that is kind of all in one combo plans. It takes the best of Medicare A and B and D and puts it in one plan."

-  Matt Feret, Author

No show notes available

#017

Rentals and Real Estate Investing in Retirement Basics and Beyond with Whitney Elkins-Hutten

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“I believe that everybody should have a real estate portfolio. And even if you're very heavy already into real estate, you should have a mixture of controlled real estate, real estate that you tangibly have your name on the deed or your company's name on the deed. And then also maybe pepper in some passive investments. I know some retirees have deep portfolio of passive investments, but I always encourage people to have their own controlled real estate.

- Whitney Elkins-Hutten, Director of Investor Education at passiveinvesting.com

My guest today is Whitney Elkins-Hutten and she’s the Director of Investor Education at PassiveInvesting.com and a real estate professional.

This edition of The Matt Feret Show will give you an insider’s guide to cashflow real estate investing before or during retirement. We talk about the basics of house-hacking, using single family homes as rentals, being a landlord vs. using a property manager, real estate syndication deals, commercial real estate, apartment buildings, carwashes, and a whole lot more!

Rentals and Real Estate Investing in Retirement Basics and Beyond with Whitney Elkins-Hutten

Listen to the episode on Apple PodcastsSpotify, Deezer, Podcast Addict, Stitcher, Google Podcasts, Amazon Music, Alexa Flash Briefing, iHeart, Acast or on your favorite podcast platform. You can watch the interview on YouTube here.

Brought to you by Prepare for Medicare – The Insider’s Guide  book series. Sign up for the Prepare for Medicare Newsletter, an exclusive subscription-only newsletter that delivers the inside scoop to help you stay up-to-date with your Medicare insurance coverage, highlight Medicare news you can use, and reminders for important dates throughout the year. When you sign up, you’ll immediately gain access to seven FREE Medicare checklists.

“Be very strategic in how you are going to leave your assets to the next generation. I do talks on multi-generational wealth all the time. And the number one thing that I saw in my own family, but also that I see with other people, is that they start gifting things, they start giving things away, and it's creating tax impacts for the people that they're giving to.”

“They're not being as effective with how they could pass on their assets. And so really just sit down with a good retirement strategist and really think through how can you hold onto these assets to create the most cash flow and appreciation for me now in tax benefits, and then how can we organize it and make sure that when it goes onto my heirs, that the (tax) basis get stepped-up for them and we can create win-wins for everybody.”

- Whitney Elkins-Hutten, Director of Investor Education at passiveinvesting.com

“I would really encourage anybody listening, ask that question, what do you want? Why do you want it? And who do you need to become? Those are three questions to ask. And that will really help inform you, do I really want to be a hands-on investor, or do I want to place it with property management? I will tell you, when I added in property management, that allowed me to scale faster, and that property manager was able to work with the tenant far better than I could. They could do so many things far better than I could. I also encourage people, don't get into the real estate game with the idea that you're only going to have one rental property.”

- Whitney Elkins-Hutten, Director of Investor Education at passiveinvesting.com

00:00:00 Intro

00:02:34 Whitney’s Background and real estate qualifications

00:03:26 The Five Freedoms of Life

00:04:38 Single Family Home rentals in retirement

00:05:42 Real estate investment diversification thoughts

00:07:4 How to get into real estate investing

00:08:40 House hacking

00:10:54 Buying a duplex and renting one out

00:11:27 Online rental property tools

00:15:21 How do you know if you’ll make a good real estate investor?

00:18:00 Life goals and real estate

00:19:10 Passive real estate isn’t always passive!

00:22:05 Thoughts on REITS

00:23:17 What are real estate syndication investments?

00:26:02 Apartment investing qualifications

00:29:00 Real estate and “Accredited Investors”

00:31:34 Real estate coaching options

00:34:10 Financial planning, financial planners and real estate investing

00:37:15 Lawyers and due diligence

00:39:14 Goals, risk tolerance and investing horizon

00:21:29 Medigare.gov and online shopping for Medicare Supplement plans

00:23:27 Medigap, Medicare Advantage DIY frustrations

00:44:49 Provisional income and real estate

00:46:45 Inflation, home price appreciation and real estate investing

00:48:41 Cost segregation and real estate

00:51:48 Car washes and self-storage as alternatives to residential real estate

00:59:34 Final thoughts on investing in real estate in your 40s, 50s and 60s

01:02:53 Show wrap

#016

Medicare Advantage vs. Medicare Supplement, Dental Insurance, Hidden Gaps in Medigap Plans, State vs. Federal Medicare Rules with Bryan Derheim

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“One thing the Medicare does a good job of is making it complicated, and frankly, that's why I think that the need for a trusted source has never been higher. If you put yourself in the shoes of someone who's turned 65, they don't know where to turn. Why? Your phone's ringing off the hook. People are calling you like crazy. Your mailbox is getting flooded with stuff. Agents and agencies are reaching out to you.

I say the most important thing first and foremost, is just go to a source that you trust. Whether that source is someone on YouTube, whether that source is your trusted insurance agent that you already work with, whether that source is your financial advisor who you trust with your wealth, and they also can help you with your health, whether that source is The Matt Feret Show, whatever that source is. I think that's the biggest thing.”

- Bryan Derheim, Vice President – Medicare Senior Product Sales & National Accounts

Bryan Derheim is a Medicare insurance insider who has spent more than fifteen years in and around the Medicare Advantage, Medicare Part D and Medicare Supplements, also called Medigap insurance space.

This episode will give you an insider’s view into the differences between Medicare Advantage and Medigap plans, why what state you live in can determine the amount of coverage a Medicare Supplement plan can give you, unknown, little-thought-of gaps in Medigap coverage and how dental insurance, vision, hearing and other types of insurance and other plans play into your Medicare health insurance equation.

Medicare Advantage vs. Medicare Supplement, Dental Insurance, Hidden Gaps in Medigap Plans, State vs. Federal Medicare Rules with Bryan Derheim

Listen to the episode on Apple PodcastsSpotify, Deezer, Podcast Addict, Stitcher, Google Podcasts, Amazon Music, Alexa Flash Briefing, iHeart, Acast or on your favorite podcast platform. You can watch the interview on YouTube here.

Brought to you by Prepare for Medicare – The Insider’s Guide  book series. Sign up for the Prepare for Medicare Newsletter, an exclusive subscription-only newsletter that delivers the inside scoop to help you stay up-to-date with your Medicare insurance coverage, highlight Medicare news you can use, and reminders for important dates throughout the year. When you sign up, you’ll immediately gain access to seven FREE Medicare checklists.

“It's kind of a recognition of the moment that this is really difficult to do on your own. It really comes down to finding a trusted source. And so, I think, in our current environment, having a trusted local Medicare agent that knows your state laws through and through, knows your instances, has served many folks in your community before, that have been in the same situation that you have been, because every situation is different.”

- Bryan Derheim, Vice President – Senior Product Sales & National Accounts

“Another thing that can really affect (Medicare Supplement) pricing is what state you live in. Every state is managed by a DOI, Department of Insurance, and they dictate and set the rules of how Medigap plans are going to work in their specific state. And for states that are more open for consumers, and have options to say, switch their plans every single year, versus states that are more restrictive, and those same options don't exist, that can lead to different pricing. And if a state does, I'll call it, more restrictive for the consumer, what that does mean, generally, is that price is actually a little bit lower. And if the state gives a consumer more rights around (Medicare Supplement) Guaranteed Issue and have other things that are tilted more in the benefit of the consumer, that also is generally reflected in the premium, and those states will have a little bit higher premiums.”

- Bryan Derheim, Vice President – Senior Product Sales & National Accounts

00:00:00 Intro

00:02:12 The Three Types of Medicare Plans

00:02:58 Hospital Indemnity insurance and Medicare Advantage plans

00:03:27 Dental, Vision and Hearing insurance plan and Medicare

00:03:56 Medicare Supplements – Medigap

00:04:42 Medicare Advantage vs. Medicare Supplement or Medigap

00:06:15 Plan G – Medicare Supplement or Medigap

00:06:35 High Deductible Medicare Plan G

00:08:37 How to decide which Medicare Supplement plan to buy

00:10:05 Find a good Medicare advisor

00:10:52 Medicare Advantage MOOPs (Maximum-Out-Of-Pocket)

00:11:44 Can Medicare Supplement benefits run out?

00:13:44 Medigap Lifetime limit on hospital days Medicare Supplements

00:14:03 Medicare Supplements and Skilled Nursing limits

00:15:07 Introductory Pricing for Medicare Supplements

00:15:56 Medigap discounts and annual rate increases

00:16:23 Medicare Advantage vs. Medigap premium

00:17:14 State Medicare Supplement price differences

00:19:05 New Birthday Rule Medigap States

00:19:40 Guarantee Issue Medicare Supplement states and expansion

00:21:29 Medigare.gov and online shopping for Medicare Supplement plans

00:23:27 Medigap, Medicare Advantage DIY frustrations

00:24:56 Online research and Medicare insurance agents

00:27:40 How to evaluate dental, vision, hearing insurance and Medicare coverage

00:29:58 Dental insurance policy pricing and benefit approach

00:31:08 What to look for in a dental insurance policy

00:31:44 Importance of the dental insurance network

00:35:16 Dental Missing Tooth Clause

00:37:11 DIY Medicare insurance coverage and finding a trusted source

00:41:19 Show wrap

#015

Unpacking Gender Bias in Healthcare, and How Women Can Overcome It with Author Susan Salenger

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“Some doctors do respond differently to some women. I'm being careful because truly it's not a generalization. There is gender bias. I mean, it's still out there. There's no question about it.

As soon as women start talking about their feelings, and we all do that, it leads to a psychological diagnosis. There is no question that doctors see what they expect to see and sort of hear what they expect to hear, and that is partly because that's what they do but it's also partly because of how women talk to doctors. We're much more emotive than men are.”

-Susan Salenger, Author

Susan Salenger is the author of Sidelined: How Women Manage & Mismanage Their Health. While acknowledging the existence of gender bias, Susan writes a lot about helping women change this dynamic by showing them how to advocate for themselves, how to get past embarrassment, communication issues, shame and loneliness and proactively changing their approach to the healthcare system so they are less affected by gender bias.

This episode will give you an insider’s view into the latest links between gender and healthcare, gender differences in outcomes, approaches and attitudes towards self-care, second opinions and how women can change their approach to their doctors and the healthcare system.

Unpacking Gender Bias in Healthcare, and How Women Can Overcome It with Author Susan Salenger

Listen to the episode on Apple PodcastsSpotify, Deezer, Podcast Addict, Stitcher, Google Podcasts, Amazon Music, Alexa Flash Briefing, iHeart, Acast or on your favorite podcast platform. You can watch the interview on YouTube here.

Brought to you by Prepare for Medicare – The Insider’s Guide  book series. Sign up for the Prepare for Medicare Newsletter, an exclusive subscription-only newsletter that delivers the inside scoop to help you stay up-to-date with your Medicare insurance coverage, highlight Medicare news you can use, and reminders for important dates throughout the year. When you sign up, you’ll immediately gain access to seven FREE Medicare checklists.

“I did interview women with all kinds of different diseases. What was so interesting to me was that they had several behaviors in common regardless of their particular disease.

The first thing I found, which did not surprise me at all, is that women put themselves last. There was this study done where they gave women a list of five items to prioritize, which would they care for first, and first we care for our children. Second, you'll love this, we care for our pets, then we care for our significant other and elderly family members. Last but not least, we care for ourselves.”

- Susan Salenger, Author

“I really learned was that women hesitate to get second opinions much more often than men do. I thought that was interesting because, really, the chapter in my book on second opinions is perhaps one of the most important chapters because it's so important to get a second opinion.

Women have been taught to play nice. We don't want to be rude, we don't want to hurt the doctor's feelings. All of that goes on, and so we just... I have so many women said to me, "Well, he was the professional. Who am I to question him?"

- Susan Salenger, Author

00:00:00 Intro

00:01:56 Sidelined: How Women Manage and Mismanage Their Health

00:02:38 What led Susan to write her book!

00:03:54 How doctors can treat men and women differently

00:05:08 Should you go to a male or female doctor?

00:06:38 Doctor age and gender bias

00:07:55 Book interview methodology and findings

00:10:49 Are women socialized to not challenge healthcare professionals?

00:11:58 Post-treatment regret

00:13:43 Healthcare advertising aimed at women

00:14:27 Anxiety, hesitancy and shame in the doctor’s office

00:17:12 Successful approaches to doctor’s visits – make a list!

00:19:03 Repeat back what you heard and write it down

00:20:58 Susan’s approach to focus groups and interviews

00:22:39 Loneliness and health

00:26:00 Women and clinical trails

00:28:10 Pushing back against a diagnosis of, “it’s all in your head.”

00:30:09 Advice for women in caretaking roles

00:32:25 Stress and healthcare

00:33.04 I manage to use the word “flummoxed.”

00:33:50 Pharmaceutical advertising and payment research

00:35:41 Show wrap

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