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This newsletter is quite long, so feel free to skip to the sections that interest you most. This edition also has the highest chance of me making you upset to where you hate me forever, which… it is unfortunate that we live in a time where trying to present information off of data and not news headlines gets me in trouble with people, but… it’s the world I’ve chosen to live in. We all have our ability to choose how we feel. I am not a political person. I hope we can still be friends, and any attempt to read into my political preference and try to find my slant, I promise, will be an incorrect assumption. BUT! I bare my soul in the words of wisdom and give an interesting book recommendation, so just skip to those if you don’t want to learn about Medicare and Social Security numbers. Read on at your own risk. Here is the agenda:
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Some Medicare NumbersI always need to start with a disclaimer that I am NOT recommending Medicare Advantage plans for everyone. I am not personally paid more if someone chooses an Advantage plan over a Supplement plan. Most agents are. My arrangement is different and I am not. I say this, because we are going to go over how much the Centers for Medicare and Medicaid Services (CMS) increased Medicare Advantage payments for 2026. People tend to get a little upset. I’ll hit you with some data and you can come to your own conclusions. 2026 Final Rule The Final Rule established a payment increase to Medicare Advantage plan insurance companies of 5.06%. Here is a chart for the past several years. The dark blue bars are the most meaningful.
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Every year, there is a proposed decision referred to as the Advanced Notice (green bars).
This is what CMS proposes they are wanting do – in our example here, it is Advantage payments. There are other topics like marketing rules, Part D payments, and a lot of other stuff. Lobbyists, insurance companies, healthcare systems, agents, congresspeople, and everyone else chime in on what they think about the Advanced Notice, and then adjustments are made. From this chart, you can see that:
Here’s where people go wrong. The reactions I’ve seen have been, “See! Trump and Dr. Oz are trying to force everyone to Medicare Advantage!” Again, I am about as non-party-loving-political person you will find, and I’m just telling you right now, this has nothing to do with them (Trump & Dr. Oz). Let’s look at what CMS says and another chart: |
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“Each year for the Rate Announcement, CMS updates the growth rates to be based on the most current estimate of per capita costs, based on the available historical program experience and projected trend assumptions at that time. The growth rates change between proposed and final as CMS incorporates updated data and assumptions. This year, the change in growth rates from the Advance Notice to the Rate Announcement is due primarily to the incorporation of additional FFS payment data, including through the fourth quarter of 2024.”
https://www.cms.gov/newsroom/fact-sheets/2026-medicare-advantage-and-part-d-rate-announcement Here’s the chart: |
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What does all of this mean? Well, the growth rate refers to the rising costs of healthcare in general, and more specifically to insurance companies. And this is also validated in the Medicare Supplement plan increases from 2024 to 2025 and what’s projected for 2026. There are some insurance companies in certain areas of the country that have a 40% increase to their supplement plans coming for 2026. So, this isn’t just an Advantage plan thing… it’s a healthcare in general thing. Healthcare costs have risen rapidly for years, and now the math is catching up – for both Advantage and Supplement plans. This past Annual Enrollment Period we saw a lot of Advantage plan insurance companies eliminate several of their plans across the country. Why? Why? A massive bailout was pushed through for standalone Part D drug plans (you would get going the supplement plan route) but not Advantage plans. This led to those plans exiting the market, slightly higher max out of pockets for many of the plans that stuck around, reduced benefits for many of the plans that stuck around, and other tweaks to coverages. So, it would appear that CMS noticed the cost differentials and made adjustments accordingly. As long as Advantage plan insurance companies do not see healthcare costs rise by more than 5.06%, they can maintain benefits and plans. If healthcare costs continue to go at anything over 5.06%, we continue to have problems. This isn’t meant to scare anyone. We’ll be here to get everyone through it, and plans will still be around with good coverage, but it’s important to understand the “why” behind the numbers that you may see and hear out there when it relates to Medicare. People are going to want you to panic and get angry at whomever that person presenting doesn’t like politically. Healthcare costs are not a pleasant topic. This leads me to Social Security. Social Security Updates and NumbersI put a video out there almost two weeks ago. It talks about the Social Security identity verification processes that went into effect on April 14th. You do NOT need to do ANYTHING if: If you want to sign up for Medicare, Social Security Disability Insurance (SSDI), or Supplemental Security Income (SSI) You do NOT need to go in-person to the office. If you want to apply for regular Social Security benefits, survivor benefits, auxiliary benefits (spousal or child), or change your Direct Deposit information for existing benefits: If you cannot go online for these four things… That is when you would need to verify your identity in person. Realities of Working with the Social Security Administration Now, in the 10-ish years I’ve been dealing with the Social Security Administration, I can tell you that the hold times are long. There are times when the people who do finally answer are not helpful and it feels like you can’t get to the right person. Scheduling an appointment may be months out. All of this was happening before and is happening now. However, with recent cuts to staff and attempts to make changes to the system, it hasn’t made the existing problems any better. So… if you are needing to call into Social Security, or go in-person, prepare for long wait times. This will vary depending on where you live and your local office’s staffing. Social Security Fraud The other big story is around Social Security fraud. The quick answer is no. Is there Social Security fraud out there? Is it from really old, dead people? Please be careful with what you watch and read. |
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Book Recommendation |
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The One by John Marrs
I don’t know how this one came across my radar, but I’m glad it did. Would you take the test? This book really got me thinking about life and relationships. Read it, and then watch the TV Series. Words of WisdomThe Scariest Moments of My Life April 16th, 2015. Ten years to the day from when I’m writing this. What’s happening in my life on this day is that Caitlin and I are expecting our second child. Which means we will have completed the set (we already had a beautiful daughter). Caitlin starts having intense contractions. It’s go time. At the Hospital The attending physician and nurses notified our OBGYN that Caitlin had come in, and I guess the “normal” time to be in labor is a couple-to-many hours, so everyone just assumed we wanted our regular doctor to deliver our baby. The reality was, Caitlin doesn’t have long labor times and we couldn’t care less who delivered our baby, we just wanted everyone to be safe. 8 o’clock rolls around. Caitlin tells her nurse that she is uncomfortable and she almost feels like she’s holding the baby in because she’s been ready to go for an hour and a half. Finally, the doctor arrives, and it’s go-time. Warning: Things get a little graphic She instructs Caitlin to push. Seriously… it was like… her 2nd push, so Caitlin was right… she had been ready to go for a while. It’s at this moment that I need to take you into the inner workings of my brain, and a problem I’ve had my whole life. Deep, dark thoughts that have haunted me for as long as I can remember. I’m Not Worthy The luck, the good-fortune, the blessings… whatever you want to call it… deep down in my mind, I’ve always been planning for the day when the universe says, “You know what Erik, you’ve had too much good in your life… it’s time to experience the bad.” I had seen so much sadness and heartbreak and tragedy around me, but I hadn’t ever experienced anything like that myself, so… my brain thinks, “Erik, buckle up. Yours is coming.” As a result, with each of our kids and their births, I’m a nervous wreck. I keep it all inside. There aren’t any external signs or panic attacks. My mind is just always planning for the worst. “Is everyone going to be okay, or will my worst nightmare happen right in front of me?” Anytime an unknown caller pops up in my phone, there is a split second where I think, “There’s been an accident involving my family, and this could be the police calling.” It is with this understanding of my psyche that you and I are going to relive this moment on April 16th, 2015. My Baby Boy Caitlin pushes once… But… there’s a problem. As his tiny little face appears, I notice that it is a deep shade of purple. And time, in some, supernatural… unexplainable way… seems to crash to a halt. The doctor and nurse get deathly quiet. The only sounds I can hear are Caitlin’s quick breaths and her pushes. More of our son’s body appears. He isn’t moving. I don’t know what to do. In my mind, I start to think, “It’s happening. What I’ve always known was coming, is here.” I notice the doctor wraps her finger between the umbilical cord and my son’s neck and there is this quick, almost imperceptible exchange of glances between her and the nurse. The doctor reaches for this little communicator/pager device around her neck where she can push a button and call on different departments of the hospital. She presses the button and calmly says, “Prepare the NICU,” while telling Caitlin to keep pushing. Jared still is not moving Caitlin continues pushing and the doctor pulls Jared’s shoulders clear. Why isn’t he crying? The Timing We’ll say it was 20 seconds… and it is at that moment, Jared moves. I don’t know if you’ve ever been sleeping and you had a dream where you are falling, and then you jolt awake trying to catch yourself from falling. That’s the movement I would describe Jared having. This jolt, and then his eyes open, and he starts crying. I don’t think I was holding my breath this whole time, but as soon as he moves and is crying, it felt like I let out every ounce of air in my lungs with this exhale, feeling like, “Okay, he’s alive. But, will everything be okay? That didn’t feel normal.” The tension in the room between the nurse, doctor, and myself immediately evaporates, and both of their hands start working on Jared. The traditional dad’s cutting of the umbilical cord was not offered to me at this point, which made me feel like they were still being cautious around what they saw and experienced. The Aftermath She couldn’t see anything because of the whole setup and blankets blocking her view. I asked the doctor if I saw what I thought I saw, and she confirmed that yes, his face was abnormally purple and yes, the umbilical cord was on his neck. She went back through what she saw and did, mentioning that she wrapped her finger between the umbilical cord and his neck to see how tight it was. She then said that babies will often have bruising on their faces from making their way down the birth canal, but his face seemed to be more bruised because he had been sitting there ready to go for a while as we waited for her to show up. Everything has an explanation, I guess. |
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Noel holding baby Jared. |
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But wait… there’s more…
Fast forward to April 7th, 2016. Jared is 8 days away from his 1st birthday, and our family is in Bend, Oregon, visiting my wife’s sister and her family. After a 10 hour drive, we are settling in for the night. I’m feeding Jared a bottle and putting him to sleep. I’m totally confused about what’s happening. It felt like he was trying to do a super big stretch, pushing his head back and continuing to arch his back, but then he started twitching, and he started making this sound that I can only describe as a choking noise. I was in a guest room and I came out to Caitlin and her sister. Caitlin and her sister start to panic. Caitlin immediately starts crying as she sees Jared’s expression and the sounds he is making. I lay him on the ground and try to tilt him on his side as his face starts to turn an eerie shade of pale blue. I just can’t figure out what’s happening. He was drinking milk, not eating anything solid. And again… time… freezes. I’m trying to make sure he is breathing and has a pulse. I’m begging whatever higher power may exist to not let this happen, and those thoughts I shared with you before hit me… “Erik, it’s your turn to experience tragedy.” He’s not moving and his eyes have this glossy, unfocused look to them, and he lets out this long, slow exhale that has this little moan to it during the entire breath out. He pauses. His body loosens up. He starts these slow, calm breaths, with these little moans on every exhale. The total elapsed time of all of this felt like an hour. The Ambulance Arrives The adrenaline coursing through me has me pretty jittery and trying to compose myself to explain what happened to the gentleman who’s talking to me as they look at Jared while I hold him. They take his temperature and he has a pretty high fever. The EMT explains that this was a febrile seizure, and they are common in small children when they run a high fever. As long as the seizure doesn’t last too long, there’s nothing wrong. He said it way nicer than this, but as I played it back in my brain, he basically said, “It’s no big deal and you kind of freaked out over nothing.” Later, my youngest girl had one of these while I was at work. |
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Baby Jared the day after this episode at the park with big sister.
A Father and Son I’ll try to explain this as delicately as I can. I love all of my children equally. There is a slightly different bond to my son. Jared has grown up to be a mini-me. And, today, as I write this, it is his 10th birthday. My mom always told me that you should never go to school or work on your birthday, so in her memory, he skipped school today and hung out with me. We went to lunch with my dad – a Wednesday tradition. We went to his favorite sports store and got him a basketball jersey of one of his favorite players and a new pair of shoes. I don’t know how many of you remember what it’s like living with 10-year-old boys, but he goes through shoes like all of my kids go through candy. We stopped off at the local mini-golf course and had a round of mini-golf on the haunted house course. We came home, relaxed on the couch watching his favorite NBA player (Steph Curry), and when his sisters got home from school, we ate cake and ice cream. It was a good day. |
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Me trying to take a selfie with Jared at Mini-Golf.
The Importance of Life While he and I were at a stoplight driving home from mini-golf, I just looked over at him, he looked over at me, and I noticed how blue his perfect little eyes are, and the freckles on his cheeks and nose, and his big smile, and it’s hard to believe that those are the same eyes, and smile that I felt were slipping away from me 9 and 10 years ago. All the memories he and I have had together over these 10 years are precious, and there were a couple moments there, where I believed I’d never get these years. Given the size of those who receive this newsletter, the odds are quite high that one or more of you reading have actually lived what I was fortunate enough to escape. You lost a child, a parent, a friend, and you have spent however many years since that occasion wondering – what if? I’ve since lost people close to me. I genuinely hope you are doing okay. I think that if we were able to sit down across from one another, no matter the race, religion, political stance, or age… I think we would find that we, as humans, have so much more in common with each other – especially within the core essence of what makes us the individuals we are.. I think we all want to be healthy. THAT is what I think humanity is (or should be) all about. My Big 3 My big 3 passions in life are (in order):
I’ll continue keeping you up to date on all things retirement related. Thank you so much for reading. As I’ve made it to this point, I am now realizing that I probably need to leave a secret code word for those who made it this far… Hmm… how about… what have you felt has been a moment in your life where you’ve realized your calling? Please know how much I appreciate you for the human and person you are, and I hope you have a wonderful month, and I’ll see you in the next newsletter 🙂 Erik |
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Look at that slobbery face and curly toes… |
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5-year-old Jared golfing with dad and grandpa |
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Even bigger Jared helping me interview his favorite high school basketball player in our state. |