Madagascar Archives

Get ready for the (Medicare) Fall

Greetings and may this blog find you in amazing health 💪 with your Medicare insurance coverage 🏥 working properly.

Q sends her greetings from Madagascar where she’s still exploring and making up for thirty plus years of working way too hard. Me? I am happily back home getting ready for the busy season, yikes!

We’re five weeks away from the Annual Election Period and I’m starting to feel a little bit like how this chameleon looks.

Changes are definitely coming. Even this lemur is curious.

If you have a Medicare Supplement (plan G, plan N, etc.), the changes will not be significant. If you’ve been in your plan for more than two years, and you are in decent health, it’s probably a good idea for us to shop the rates.

Medigap/Medicare Supplemental plans can be shopped any month of the year, so feel free to book a time in September if you like.

If you have a Part D drug plan or a Medicare Advantage Plan, here’s what to do to prevent sticker shock in January.

When “the Annual Notice of Changes” arrives, please open it and look at the costs, the benefits, and your drugs.

Reading through the changes will take less time than it took me to refinish these barrels (Plato refused to help).

Some Part D drug plans and some specific Medicare Advantage plans may be going away entirely😱 .

Some plans may have significant price increases 😡.

Some drugs may no longer be covered 😨.

Some drugs may be less expensive😊.

Some people won’t need to make any changes at all.

Please don’t stick out your tongue and forget about it.

If we’ve been working together, then I have a copy of your medications and your doctors.

You’ll get a letter from me at the end of the month telling you it’s time for us to chat, including this fancy schmancy jar opener/mouse pad.

After you book an appointment, please email Gray, Gray@TheBig65.com, and tell him you would like to update your medications before we speak.

Gray will send you a link with your current medications. You can update them yourself or chat with him on the phone and he will help you. October 15th till December 7th is when we can make changes.

Jeanne and Vincent should be back from their adventures in Scotland by then and I’ll have plenty of slots open if we need to speak.

Q tells me she should be home by then… assuming she learns how to cook onions, cassava, and salt.

Congrats Jim in Illinois, Betsy in Denver, Louie in Pennsylvania for guessing the mountains in this picture. The answer is Maroon Bells.

Thanks again to client Mike in Atlanta for the painting. He is getting a Starbucks card as well!

This week’s “don’t be a hero” award goes to neighbor John. John is one of the amazing guys who never stops hustling. Though retired, he still teaches part time, travels, has a yard way nicer than mine, and he loves to play pickleball.

That’s what got him in trouble…trying a little too hard to make the point… and then continuing to play after he was injured. The good news, he is definitely on the mend.

Everyone, repeat after John, “don’t be a hero ‍⚕️😊🎾👨‍⚕️!”

We got great news from our Air Force son in Britain. Knock on wood, come December, he’ll be deployed in Italy. We’re very proud of this young rascal and we can’t wait to visit. You know we love to travel.

In the meantime, Plato and I have decided to learn a new hobby, paddleboarding. Don’t worry, we’ll do our best not to be heroes.

Plato is a rule follower and he was exhausted after sanding the barrels.

Keep squeezing the juice out of life and look for ways to help others!

If family or friends need help… referrals are the lifeblood of my business.

If you know someone who might like to receive The Big 65 newsletter, forward this link.

Medicare questions or problems?

Book a time on my calendar or email Gray, Gray@theBig65.com.

Let us know what’s going on and please send pictures :).

Karl Bruns-Kyler
(877) 850-0211
Book a time on my calendar here
Happy with my Service? Click Here to Leave a Review.

Karl Bruns-Kyler is a Medicare insurance broker and independent Medicare agent licensed to help Medicare recipients in thirty states around the country, including:

Alabama
Arizona
Arkansas
California
Colorado
Connecticut
Florida
Georgia
Idaho
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maryland
Michigan
Minnesota
Missouri
Nevada
New Hampshire
New Jersey
New York
North Carolina
Ohio
Oklahoma
Pennsylvania
South Carolina
Tennessee
Texas
Virginia
Washington
Wisconsin

The Big 65 Medicare Insurance Services does not offer every plan available in your area. Currently, we represent 10 organizations that offer 50 products in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Wanna reduce your risk of dementia?

Greetings and may this blog find you in amazing health 💪 with your Medicare insurance coverage 🏥 working properly this Labor Day Weekend. I sure hope you get outside and enjoy the last days of summer with family and friends.

For Medicare questions, quotes, or quandaries, email Gray@TheBig65.com or book a time on my calendar and we’ll get it sorted.

Well, yours truly is happy as a clam to be home again and working from my office. Special thanks to client Mike for painting this portrait of Plato and me and the beautiful mountains of Colorado.

Starbucks cards for the first three people to name the mountains in the picture.

Of course my wife Q isn’t back home yet. She’s still exploring the wilds of Madagascar and having the adventure of her life. I’m fairly certain she’ll be coming home… eventually, right Quantz 🙏❤️?

She’s still making up for thirty plus years at a desk and she’s earned every moment of this journey. As Wayne Dyer used to say, “don’t die with the music inside.”

For each of us, living an authentic life has a different definition. For Plato, it’s chasing the squirrels and the racoons (and hopefully protecting the five remaining peaches) and snuggling as much as possible.

For me, it’s all about staying connected to family, friends, and clients. It’s also about spending time outside, drinking coffee in the back yard, and preparing to harvest the honey and the grapes.

Whatever a meaningful life means to you, I haven’t spoken with anyone yet who wants dementia to be part of the equation. We can’t control all of the risk factors leading to dementia, but…

Current research shows that there are several effective strategies to reduce the risks of cognitive decline. That means we have some control over the speed of decline and the quality of our lives.

Here’s a breakdown of the key findings and actionable steps we can take to maintain cognitive health.

Physical Activity: Regular exercise is one of the most effective ways to prevent cognitive decline. It improves blood flow to the brain, reduces the risk of cardiovascular issues, and helps maintain overall brain health.

You don’t have to climb a mountain to see the sunset, but a walk around the block is easy and you never know who you’ll meet on the way.

Mental Stimulation: Keeping your brain active through learning, puzzles, reading, or engaging in new hobbies can help build cognitive reserve, which protects against dementia.

Q told me the animal below is called a fossa. It’s only found in Madagascar, a cross between a mongoose and a cat and it hunts lemurs. Do you think it’d keep the squirrels out of my backyard?

Social Interaction: Staying socially engaged helps reduce stress, fosters mental health, and keeps your brain active.

The more time we are isolated from others, the more brittle we become. Connecting with others through church, volunteering, family time, or travel rewires the brain and creates new neural pathways. Remarkably neuroplasticity can continue as we age if we find opportunities to stay connected.

Healthy Diet: A diet rich in vegetables, fruits, whole grains, and healthy fats (like the Mediterranean diet) supports brain health.

I’m fairly certain my little brother Haas released this fish back to the river, but he eats a super healthy diet based on the food he catches and the plants he grows on his farm.

Here’s my favorite breakfast: black coffee, a slice of Dave’s bread with avocado, and a few pecans and avocados. You’re gonna laugh at this, but I chose to give up honey (for a while) because my triglycerides shot up this year.

Oh well, we’ll see if a few months of a sugar free diet changes the numbers, keep your fingers crossed. I guess that means I’ll have more honey for you guys!

Sleep: Quality sleep is crucial for brain health. It allows the brain to clear out toxins that accumulate during the day.

Are you doing everything you can to get a good night’s sleep? Here’s an article on cognitive shuffling, a technique that has proven very effective in helping people sleep.

Of course you could do what Brian and Denise do: they take sleep lessons from Miles. Now that’s a cute dog!

Stress Management: Chronic stress can damage the brain. Techniques like mindfulness, meditation, and yoga can help reduce stress.

Another great way to reduce stress is to be like Mark and go fishing with your buddies. These fellas hit their limit of Redfish in Matagorda Bay. Looks like good times to me.

Avoiding Tobacco and Excessive Alcohol: Smoking and heavy drinking are linked to a higher risk of dementia. The saddest news is that even one drink a day causes brain atrophy 😔🍷. Just remember my father’s favorite saying: everything in moderation, even moderation.

Regular Health Check-ups: Managing conditions like diabetes, hypertension, and high cholesterol can reduce dementia risk. Leverage the benefits in your Medicare Supplement plans and in your Medicare Advantage plans. That’s why we have them.

We don’t have to be perfect, we just have to try to do our best.

Take it from our son, Airman Nicholas: small improvements over a long period of a time will make a huge difference.

Keep squeezing the juice out of life and look for ways to help others!

If family or friends need help… referrals are the lifeblood of my business.

If you know someone who might like to receive The Big 65 newsletter, forward this link.

Medicare questions or problems?

Book a time on my calendar or email Gray, Gray@theBig65.com.

Let us know what’s going on and please send pictures :).

Karl Bruns-Kyler
(877) 850-0211
Book a time on my calendar here
Happy with my Service? Click Here to Leave a Review.

Karl Bruns-Kyler is a Medicare insurance broker and independent Medicare agent licensed to help Medicare recipients in thirty states around the country, including:

Does Medicare Cover Travel?

Greetings and may this note find you in amazing health 💪 with your Medicare insurance coverage 🏥 working properly.

For Medicare questions, quotes, or quandaries, email Gray@TheBig65.com or book a time on my calendar and we’ll get it sorted.

Here are the responses to the contest: Where in the world is Quantz?

Jeanne posted Iceland. Joel posited Africa and South America. Susan wondered about Tibet, Greenland, or Norway. Peg & Will suggested Germany or Poland. Jan pictured Mongolia, Venezuela, or Sudan. Sharon guessed China.

I’m happily home in Colorado with Sus and Plato, Q went to…

Madagascar (an island as large as France). This country has been on her bucket list for as long as we’ve been married (and that, my friend, is a long, long time.)

Congratulations to each of you who guessed, you’ll be receiving a Starbucks card this afternoon!

Which brings us to today’s topic, Medicare and travel. What coverage do you need when traveling in the US and Overseas?

Whether you have a Medicare Supplement or a Medicare Advantage plan, emergency medical services are covered anywhere inside the United States. If you think you are experiencing a life threatening emergency, you know what to dial. You will be covered.

What happens if you find yourself in Tsingy de Bemaraha National Park in the middle of nowhere Madagascar and the lemurs haven’t completed med school?

Original Medicare coverage outside of the US is limited (see this chart).

Let’s break down how Medicare Supplement Coverage (Med Supp Plans) and Medicare Advantage Plans, (MAPD Plans) cover emergencies overseas.

First of all, there are no emergency evacuation services covered.

According to the 2024 Choosing a Medigap Policy published by CMS: “Some Medigap policies cover services that Original Medicare doesn’t cover, like emergency medical care when you travel outside the U.S. (foreign travel emergency care).”

As seen in the chart above and below, many Medicare Supplement plans will pay “80% to a lifetime maximum of $50,000 (less a deductible of $250.)” This is only for emergency care, not preventive care.

Consumers will then pay “20% until the lifetime maximum and then all costs.” This does not include evacuation services, this is emergency medical care only.

According to Medical News Today, “Medicare Advantage plans do not usually cover medical treatment needed when traveling internationally. However, plans may include coverage for emergency care.”

The most typical coverage I see in MAPD plans is something along the lines of an emergency allowance ranging from $150,000-$250,000, depending on the plan. Every plan is different.

If you want to know the exact amount of your MAPD plan’s international emergency benefit, call member services on the back of your card or shoot an email to Gray, Gray@TheBig65.com, and he’ll look it up for you.

Also keep in mind, if you’re outside of the US for more than 60 days consecutively, the insurance company may say that you are living abroad, not traveling, and benefits may not apply.

So what does that mean about your next trip abroad? Do you need to get extra coverage?

Every situation is different. Keep in mind that in most countries, the cost of emergency medical care is significantly less expensive than in the US.

Recent clients travelled to Mexico with some serious health problems.

Though their existing coverage probably would have covered the costs of an emergency, it gave them peace of mind to set up a Geo Blue International Plan that covered:

Pre-existing conditions
Accidents
Medical evacuation
Dental Care Required Due to an injury

If you’re traveling overseas, here are the details of that plan. I’m happy to review your situation if you’re thinking of travelling.

If you just want trip cancellation insurance, check out Squaremouth Travel Insurance, they do a great job of brokering all the options. I’m really hoping that Quantz never needs either, but, you never know!

Keep squeezing the juice out of life and look for ways to help others!

If family or friends need help… referrals are the lifeblood of my business.

If you know someone who might like to receive The Big 65 newsletter, forward this link.

Medicare questions or problems?

Book a time on my calendar or email Gray, Gray@theBig65.com.

Let us know what’s going on and please send pictures :).

Karl Bruns-Kyler
(877) 850-0211
Book a time on my calendar here
Happy with my Service? Click Here to Leave a Review.

Karl Bruns-Kyler is a Medicare insurance broker and independent Medicare agent licensed to help Medicare recipients in thirty states around the country, including: