Medicare Insurance Archives

Want to stay sharp for years to come🧠?

Greetings! May this blog find you in amazing health😄, with your Medicare insurance coverage🏥working well.

The Open Election Period has ended, but if you want to review your Med Supp premiums to see if we can lower them💸…

Email Gray, Gray@TheBig65.com or book a time on my calendar. Med Supp plans can be changed any month of the year… if you are in good health.

Speaking of good health, my little brother Haas was all smiles last Saturday after catching (and releasing) this largemouth baas🎣. Don’t they make quite the pair😀!

Joy is an infectious emotion, in a good way. Plato was super excited when one of our former exchange students showed up from Mexico with his cousin Rafa and his best friend Jose.

It’s always a breath of fresh air to have young’uns in the house. Plus, new interactions sharpen the brain.

Their visit ties in to a great article in The New York Times about brain health.

Now you don’t have to be like Dottie and Eric in Doglick, SC, and adopt the entire litter of miniature poodles to have great brain fitness, but it certainly is an option.

Staying mentally sharp isn’t about doing anything extreme—it’s about small, consistent habits that support your brain over time.

Stay Physically Active:

Regular exercise increases blood flow to the brain, supporting the growth of new neural connections. Even moderate activities like walking or gardening can make a difference.

You may remember Q has been exploring Greece. She’s been getting in her steps exploring the ancient monasteries.

Engage Your Mind:

Challenging your brain with puzzles, reading, or learning new skills helps build cognitive reserve, potentially delaying the onset of memory-related issues.

Plato suggests signing up for any type of continuing education class… especially any class that teaches you how to make better dog treats!

Prioritize Social Connections:

Maintaining relationships and engaging in social activities can reduce stress and promote brain health. Consider joining clubs, volunteering, or simply spending time with loved ones.

My older brother Robert’s great joy in life comes from spending time with his granddaughter, but he also includes weightlifting, pickleball and book clubs in his schedule.

How can you build more daily low stakes interactions into your life?

Eat a Balanced Diet:

Consuming a variety of nutrient-rich foods supports brain health. Diets like the Mediterranean diet, rich in fruits, vegetables, and healthy fats, have been linked to better cognitive function.

According to a study from the University of Massachusetts, a baking soda solution is more effective than vinegar or plain water at removing pesticide residues from fruits and vegetables. We’ve gotten in the habit of soaking our vegetables with baking soda as soon we bring them home.

Get Quality Sleep:

Adequate rest is essential for memory consolidation and overall cognitive function. Aim for 7-9 hours of sleep per night. If your mind is racing, try this technique call “the cognitive shuffle.” It works amazingly well!

Implementing these simple strategies can have a profound impact on your cognitive well-being. It’s never too late to start!

Most importantly surround yourself with people and animals you love. Man’s best friend, right Dave?

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
Montana
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.

Got Teeth🦷? Let’s Talk Medicare & Dental😬!

Greetings! May this blog post find you in excellent health with your Medicare coverage 🏥working properly😄.

If your Medicare coverage ISN’T working, email Gray, Gray@TheBig65.com or book a time on my calendar.

March is the last month you can make changes to Medicare Advantage plans for 2025.

Quantz is making lots of new friends in Eldoret, a city in the Rift Valley in the highlands of Kenya.

Q joined our dear friend Cary LaCouture and his dental team on this dental service trip as a volunteer and it has been an incredible experience.

Over the past week, Cary and his team have treated hundreds and hundreds of patients. Don’t worry, Quantz hasn’t been pulling teeth. She’s filling in (pun intended) wherever she is needed.

While we have many issues with our healthcare system in the US, spending time overseas puts things in perspective. It’s a reminder of how fortunate we are.

That being said, original Medicare provides very little dental coverage and it is important to understand how to navigate your dental options.

If you have a Medicare Advantage plan, check your summary of benefits. Many plans offer basic dental (Cleanings, X-rays, and perhaps some dollars for other services).

Always be sure to make certain the dentist is accepting the plan you have! Otherwise, you might get stuck with a heavy financial burden, right Q?

Medicare Supplement plans do not include dental benefits. Many consumers choose to purchase stand-alone dental insurance. These plans can be added at any time of the year.

Another option is to ask your dentist if they have a “friends and family plan.” Often, dentists will offer their own coverage for a few hundred dollars annually.

These plans will often include cleanings, annual check-ups, and X-rays, plus discounted costs on major work.

For the adventurous of heart, many Americans are now trying dental tourism, visiting countries like Mexico, Costa Rica and Thailand. With the proper research, consumers can find US trained dentists in other countries capable of doing excellent work for much lower costs. As with everything, make sure to do your research.

And always remember the excellent advice of my friend Cary:

A young dentist is a student loan in search of a problem in your mouth. For major work, always consider getting a second opinion.

Plato agrees with Cary and he is happy I am still at home. If you have questions about Dental or Medicare coverage, please reach out.

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:

It’s NOT just about quantity👨‍🏫!

Greetings! We sure hope this blog post finds you in amazing health with your Medicare insurance coverage 🏥 working properly😄.

Email Gray, Gray@TheBig65.com or book a time on my calendar if you are having issues with your Medicare plans or you’d like to shop your coverage.

I’ve said it before and I’ll say it again: Gettin’ old ain’t for sissies👴😖😂!

After more than 20 years as a Medicare Insurance Broker, my perspective on aging has changed.

It’s not just about quantity…

It’s more about quality. Of course we all want to live a long life, but what’s the point if the years aren’t filled with joy, purpose, and good health?

Instead of just counting the years, let’s focus on making each year count.

Prioritize Connection:

Spend time with family and friends.
Join community groups or clubs that align with your interests.
Reach out to old friends or make new ones.

We just reconnected with two of our former exchange students and their family in Puebla, Mexico. It was so delightful to catch up on their adventures. These two boys are growing up!

Move Daily:

Incorporate enjoyable activities like walking, swimming, or gardening.
Try yoga or stretching to keep your body flexible and strong.
Even light exercise can boost your mood and energy.

One of the reasons we enjoy travel is that everyday, we get in a lot of steps. Quantz got to practice her vertical leap just after this picture was taken when she realized this crocodile on the table was still alive!

Nourish Your Body:

Focus on whole foods: fruits, vegetables, lean proteins, and healthy fats.
Stay hydrated and limit processed foods and sugars.
Enjoy occasional treats—balance is key!

I’m happy to report Dry January ended on February 1st. When you visit your local Mexican restaurant, ask them if they serve Micheladas, beer, clamato juice, Worcestershire, and other ingredients. It’s delicious.

As my Dad used to say, “Everything in moderation, even moderation😂.”

Find Your Purpose:

Volunteer or mentor others—sharing your wisdom can be fulfilling.
Take up hobbies that bring you joy and a sense of accomplishment.
Set small, achievable goals that give you something to look forward to.

My purpose is to help as many people as I can with their Medicare coverage and to see as much of the world as we can while we are still healthy enough to enjoy it.

You NEVER know when that will change, right? Make the most of each day.

Our Air Force son is now based in Sicily and he’s started skiing again. That smoking volcano behind him is Mount Aetna. Let’s hope it doesn’t blow😳😨!

Remember, it’s not just about adding years to your life, but life to your years. Let’s make every moment count❤️!

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 good old days ain’t what they was😮‍💨, neither are the drug plans💊!

Hello and may this blog find you in great health with your Medicare insurance coverage 🏥 working well😄.

If you’re having issues with your Part D drug coverage or you haven’t received your cards, and you’ve already called the carrier…

Please email Gray, Gray@TheBig65.com or book a time on my calendar. Drug max out of pockets for 2025 are now $2,000 (down from $8,000 in 2024) but they still are challenging.

Remember the good old days? This week, Q and I have been exploring the mountains of Chiapas, one of the poorest and most beautiful states in Mexico.

Chiapa de Corzo is a small village about an hour from San Cristobal. For the past two hundred years, every January, they celebrate “The Great Feast” in honor of three Catholic saints.

The masked dancers, called Parachios, start in the morning and continue all day. It’s an amazing celebration that connects the community to each other and to their beliefs.

To see something so beautiful makes us yearn for simpler times, for the old days, and yet…

The past isn’t as amazing as we think it was. Our memory typically let’s go of the negative memories and tends to remember the positive.

Nostalgia is Widespread

A 2023 Pew survey found that 60% of Americans believe life was better 50 years ago.
Popular culture fuels this nostalgia, with old songs dominating the music market and movies relying heavily on sequels and reboots.

The Reality: Life Has Improved Dramatically

Material Living Standards: Americans today are wealthier, with bigger homes, more cars, and advanced technology.
Education: High school and college graduation rates are significantly higher than in the past.
Global Advances: Extreme poverty has dropped from over 50% of the global population in 1950 to just 10% today, and life expectancy has increased by nearly 30 years.

Why Do We Yearn for the Past?

Shifting Expectations: Progress raises our standards, making us forget past hardships.
Selective Memory: We tend to forget negative events and idealize the positives of the past.
Loss Aversion: Fear of change makes us cling to the familiar, even when the present is objectively better.
Personal Nostalgia: Often, we’re longing for our younger selves, not the past itself.
While challenges exist, the broader trajectory of human history shows progress in health, wealth, and equality. Remembering how far we’ve come can help us appreciate the present and look forward to the future.
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.

AEP Countdown: Are You Ready 😛?

Greetings and may this blog find you in amazing health 💪 with your Medicare insurance coverage 🏥 working properly. Big prayers 🙏 to everyone in North Carolina experiencing the floods.

Remember, the Annual Election Period doesn’t begin until October 15th. Please don’t book a time BEFORE October 15th. Otherwise, Quantz and her friends in Ethiopia will be very put out.

You should have received our letter and the QR code on a jar opener like this to book a time for after October 15th. Here’s the link just in case.

If you’d like a small jar of honey🍯(smaller than Emerson’s cause he gets our mail), anyone with a Gmail address who writes a Google review with this link will get a jar. We have 297 and we’re trying to break 300 reviews!

If you don’t have a Gmail account, please leave a review on Facebook. That’ll be good for a jar of honey🍯 as well.

If you’ve already booked a time, Gray, Gray@TheBig65.com, or I will be calling to update your drugs and perhaps reschedule for later in October.

Don’t worry, we won’t give you any lip if you booked early😂.

From October 15th till December 7th, my mission is to get you out of any tight spots if:

Your plan was dropped😱.
Your drugs changed 💊.
Plan premiums went up 💵.
You’ve added or changed doctors👩‍⚕️.
You would like to make sure everything is ok 😬.

Here is my motto for the Annual Election Period:

I suspect Art and Esther’s new 5 month old Red Labrador Ruby will be well taken care of, too. Hopefully their Boxer Stella is on board with the project.

For those of you who are curious, Q did make it successfully out of Africa.

She had the trip of a lifetime, seeing extraordinary religious festivals like Meskel, commemorating the discovery of the Cross by Empress Helena (Constantine’s mother) in the 4th century. Ethiopia is a very religious country.

Q visited many different tribes and saw coming of age rituals (like this boy becoming a man jumping over the six white bulls).

I was tempted to join her in Madagascar and Ethiopia but even though Gray is available…

As your broker, I will only visit countries with excellent internet 💻📱so that you can always get a hold of me if you need me.

But after seven weeks apart, I couldn’t take it any more so…

I surprised her for a few days in this European capital famous for Mermaids…

Viking ships…

And excellent internet (which I used into the wee hours every night I was here). By the time you read this…I’ll already be back in Denver, ready for the busy season.

And though I’m back home, ready to catch up with everyone who needs me, Q is still exploring. She’s the one who inspired the motto at the end of every newsletter. That’s why I love her❤️.

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:

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:

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:

Ready to Take the Pressure Off Your Heart❤️?

Hello and may may this blog find you in great health 💪 with your Medicare insurance coverage 🏥 working well. Are you getting through the summer heat?

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

It was over 90 degrees this week so Quantz decided we needed to visit the mountains to try to climb Mount Bierstadt, one of the many fourteen footers (mountains over 14,000 feet) here in Colorado. Now that is what we call “Rocky Mountain High!”

Fortunately, we are still in good health, but it is important to remember: visiting high altitudes can be dangerous for people with high blood pressure, especially those with severe heart conditions. So today, let’s talk about high blood pressure and how to manage this condition.

High blood pressure, or hypertension, is a condition that affects about half of adults in the United States. It’s known as the “silent killer” because it often doesn’t show symptoms until it has caused significant damage to the heart.

A normal blood pressure reading is less than 120/80 mm Hg. While medications can help, there are also various lifestyle changes you can make to reduce high blood pressure.

Start an Exercise Routine

• Staying active is key!
• Exercise helps lower blood pressure, boosts mood, strength, and balance.
• Reduces the risk of diabetes and heart disease.
• Start slow if you’ve been inactive and gradually increase activity.
• Not a gym fan? Walk, jog, swim, or try YouTube exercise routines. Chair and low-impact exercises are great too.
• Include muscle-strengthening activities at least twice a week.

Follow the DASH Diet

• The DASH diet can lower systolic blood pressure by up to 11 mm Hg.
• Focus on:
o Fruits, vegetables, and whole grains.
o Low-fat dairy, lean meats, fish, and nuts.
o Limit high-fat foods, processed items, and sweetened beverages.
• Small tweaks to your diet can make a big difference.

Even though it is June, there was still a bunch of snow on the mountain. Unfortunately, we didn’t bring crampons to make it up the final section. So we only made it up to 13,500 feet. My type A wife was a little disappointed, but that was plenty high enough for me. It’s all about the journey, right?

Limit Salt

• Reducing sodium is vital for lowering blood pressure.
• Limit sodium intake to 1,500-2,300 mg per day (about 1 teaspoon of salt).
• Use herbs and spices instead of salt.
• Check food labels and choose low-sodium alternatives.

Last time we climbed this peak was in July a few years back. A month makes a huge difference in the amount of wildflowers you see, but we did see some wildlife on this hike.

Maintain a Moderate Weight

• Losing just 10 pounds can help lower blood pressure.
• Keep an eye on waist measurements: less than 40 inches for males, 35 inches for females.
• Talk to a healthcare professional about safe weight loss methods.

We saw marmots, ptarmigans, and quite a few ravens.

• Quit Smoking
o Smoking raises blood pressure and increases heart disease risk.
o Quitting improves overall health and lowers blood pressure.

• Limit Alcohol
o Men: up to 2 drinks/day. Women: up to 1 drink/day.
o 1 drink = 12 oz beer, 4 oz wine, or 1.5 oz liquor.
o Excessive drinking can worsen blood pressure and medication effectiveness.

You don’t actually have to climb a mountain to the see the mountain goats. Just ask the locals in Georgetown and they’ll tell you where you can see them.

Practice Relaxation
• Stress raises blood pressure.
• Try deep breathing, meditation, or yoga.
• Find and address stress triggers to manage pressure.

Definitely, DO NOT do ice bathing if you have blood pressure issues. Boy was that water cold!

Why It Matters

Untreated high blood pressure can lead to serious issues like stroke, heart attack, and kidney damage. Regular check-ups and monitoring at home can help manage it. Consult your doctor for a tailored treatment plan.

Stay active, eat well, and take care of your heart! We got in over 25,000 steps and now it’s back to the normal stuff, painting the boxes for our bee hives. Plato was glad we made it back safely.

I keep hearing good things from clients about drug savings. Before filling an expensive refill, reach out to Cori at the Canadian Med Store in Florida (yes, in Florida). No guarantees, but it’s always worth a second look to shop your drug costs.

It was a great adventure, but it’s always great to be home. This weekend, we will be taking it easy… or at least until Q tells me what we’re doing next! Stay curious!

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:

Changes to your Medicare Prescription Drug Plans for 2024

Greetings and may this note find you in great health with your Medicare coverage working properly. Today, I want to discuss changes to your Medicare Prescription Drug Plans for 2024. But first …

If you’re having problems, reach out to Gray or book a time on my calendar if it’s complicated.

Don’t you love the smile on this guy’s face? He’s enjoying the day tooling around the old town sharing his city with travelers in this classic car.

That’s the way I’d like to feel every day.

My reality is a little closer to this old tortoise who sleeps behind the planters in this old hotel.

Every morning, getting up and out is a little harder. I’m a little achier and often a little grumpier, but, a good cup of coffee makes all the difference in the world.

Once we get up and out, there are adventures waiting, especially when Quantz twists my arm and gets me to do something I’d enjoy but wouldn’t do on my own.

If it weren’t for her, I’d work more and enjoy less. Traveling with Q pushes my comfort zone.

This is an old German freighter off the coast of Aruba. Instead of letting it fall into Allied hands in 1942, the captain chose to sink her himself by flooding the boiler room and causing the engine to explode. I’m glad I wasn’t on board.

Our daughter Sus had to return to her home in Colorado because she had a burst pipe. As you can tell, Plato was happy to see her but he’s still mad at us for leaving him at home with her boyfriend.

Now Quantz, our Air Force son Nicholas, and I have moved on to explore Colombia.

Thanks to Tim in Firestone, Colorado for sharing an interesting article from the Wall Street Journal about drug trends for Medicare. Here’s the gist:

In 2024, Medicare Part D plans will have a ceiling of $8,000 for how much they and consumers (combined) will pay out of pocket.

Changes brought about by the 2022 Inflation Reduction Act mean that people on Part D plans will pay no more than roughly $3,300 on drugs annually (subject to variation based on brand or generic medications).

In 2025, the cap will change to a flat $2,000.

The 5% coinsurance that patients had to pay after reaching the “catastrophic” spending threshold has been eliminated. This change is expected to offer significant savings to approximately 1.5 million people.

The cap on drug costs will force insurers and drugmakers to cover a larger part of the cost.

Potential downsides for Medicare patients include higher premiums and more complicated paperwork.

The changes represent a significant makeover to the Part D prescription-drug benefit.

Cancer drugs in pill form can be costly for people on Part D plans, and these changes are expected to provide substantial savings for patients with expensive medications.

Despite all the good news, drug costs seems to be one of the biggest frustrations everyone has.

Remember the following strategies when filling a prescription:

Often, physicians will prescribe a brand name medication without taking into consideration a client’s financial situation. Check with the doctor’s office to see if they can provide you with a sample before you shell out your own money.

If you are a prescribed a brand name drug, check with your pharmacist and find out if there is a generic alternative.

A single medication is always easier but sometimes, a combination of drugs can be used successfully and perhaps keep down your costs. Every situation is different so do your homework.

Before filling the prescription through your drug plan, ask the pharmacist if they have a cash price that is lower than your copay.

If you get into the catastrophic phase every year (which means the total cost of your drugs {paid by you and the drug plan, $8,000 for 2024} then you may want to run all of your drugs through plan but…

If you barely reach the donut hole each year ($5,030 paid by you and the drug plan) or never reach the donut hole, paying the cash price or using a third party tool like GoodRx, Amazon, or Cost Plus Drugs might save you some serious coin.

Life continues to be filled with a million moving pieces but if you take thirty minutes and make a few calls and check a few websites, it might really save you some money.

Please know that even though we are traveling, I have slots open every week if you need me.

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

Medicare questions or problems?

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

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

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
Louisiana
Maryland
Michigan
Minnesota
Missouri
Nevada
New Hampshire
New Jersey
New York
North Carolina
Ohio
Oklahoma
Pennsylvania
South Carolina
Tennessee
Texas
Virginia
Washington
Wisconsin

Please don’t ever pay your bill immediately!

Greetings and may this blog post find you in great health with your Medicare coverage working properly.

If you changed plans in the fall, you should have received your new ID cards by now.

If you haven’t, or if you’re having a carrier issue (and you’ve already spoken to the carrier), reach out to Gray and he’ll get you squared away.

In talking with clients this week, I’m hearing a lot about issues with billing.

According to this article, up to 80% of all medical bills have at least one error.

Client Stan tells me he’s pulled out most of his hair trying to get a shingles vaccine bill properly coded and submitted. He received incorrect information from the doctor and from Medicare ☹. Stan is a retired engineer so if someone as logical as he is can’t get the right answer, it sure is frustrating.

I wish I could tell you there was a single step you could take to avoid billing issues, but complicated problems are never solved that easily.

However, if you have a Medicare Supplement, Plan G, your only out-of-pocket for Medicare approved services (excluding drugs, dental, and vision) is $240.

If you have a Medicare Advantage plan, the summary of benefits should you provide you with exact costs for deductibles, copays and the maximum out of pocket each year.

Nevertheless, here are some suggestions to help you avoid over paying:

Check Your Information:

Billing errors can happen due to small mistakes on your insurance claim form.
Even a single missing digit in your insurance ID or a misspelled name can lead to denied claims and premature billing.
Verify that your insurance details on the bill are accurate and have been processed by your insurance company.

Compare to EOB:

After your health insurance processes claims, you’ll receive an Explanation of Benefits (EOB).
Compare your medical bill to the EOB to ensure the amount on the invoice matches what your insurance says you owe.

Beware of Aggressive Billing:

Some providers may send bills while your insurance is still processing your claim.
Don’t pay these bills without checking with your insurance company.
Look for phrases like “Due Now,” “Estimated Amount Due,” or “Amount You May Owe.”

Request an Itemized Statement:

Medical bills often lack a detailed breakdown of charges.
Ask for an itemized statement to ensure you’re only paying for services and items you received.

Check Billing Codes:

Each medical procedure has a billing code (HCPS/CPT), and there are diagnosis codes (ICD-10) for medical conditions.
Review these codes to ensure they’re correct.
Mistakes in codes can lead to claim denials or unjustified procedures.
Research codes independently and take action if there’s an issue.

Negotiate a Reduction:

If your bill is more than you can afford, negotiate with the provider.
Find resources online to determine fair service costs.
Make your financial constraints known and ask for a discount or a payment plan.
Paying a lump sum may increase your chances of getting a discount.
Ask for zero interest on a payment plan.

Act Quickly:

Address your medical bills promptly to avoid collection agency involvement.
Hospitals must wait six months before reporting to credit bureaus, but late reporting can affect your credit for years.
Taking quick action can prevent future financial issues like higher interest rates or difficulty securing loans.

The bottom line: be slow and extra careful BEFORE you remit any payment to healthcare providers and call the insurance company for help as well. This process will not eliminate the number of mistakes, but hopefully it will reduce them.

In case you couldn’t tell, the Bruns-Kyler family is celebrating their first vacation as a family together in almost three years. We finally got our Air Force son together with the rest of the family at the same time. We are giving thanks for warm weather and this time together in Aruba. Can you tell Q was happy to see our son?

Remember, life is short. Don’t take anything or anyone for granted!

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

Medicare questions or problems?

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

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

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: