This episode of Joe Knows Better warns about the widespread scams and exploitation targeting seniors during Medicare Open Enrollment (Oct 15 - Dec 7). Experts Joe Ducey (BBB) and Carol Brown (Area Agency on Aging) emphasize that misleading mailers, unsolicited calls, and "free dinner" seminars often push people into plans that benefit the broker's commission rather than the individual's health needs, potentially leading to devastating loss of coverage, high out-of-pocket costs, and difficulty changing plans. The most critical advice is to utilize free, objective resources like SHIP counselors at the Area Agency on Aging to review plan options, and for those turning 65, to always enroll in Part A (hospital coverage) to avoid a lifetime penalty, even if they have employer insurance.
Key takeaways
- Medicare Enrollment Scams are Rampant: Older adults are frequently misled or scammed during the open enrollment period (Oct. 15–Dec. 7) via postcards, phone calls, and "free dinner" seminars.
- Severe Consequences of Wrong Plans: Signing up for a plan that is not right for an individual's specific needs (doctors, medications, treatments) can lead to a devastating loss of coverage, high out-of-pocket costs, and difficulty obtaining necessary care.
- Prioritize Trusted, Objective Help: The best resource is the State Health Insurance Program (SHIP) counselor at the local Area Agency on Aging (AAA), which provides free, objective, and expert assistance mandated by federal law.
- Beware of Commission-Driven Brokers: While some brokers are excellent, many push plans that offer the highest commission to them, rather than the best benefit to the client. Do not trust unsolicited calls or mailers.
- Mandatory Part A Enrollment at 65: Individuals turning 65 must sign up for at least Medicare Part A (hospital coverage) during their initial enrollment window (three months before, the month of, and three months after turning 65) to avoid a permanent lifetime penalty, even if they have employer insurance.
- Always Review Your Plan: Even if you liked your plan last year, you must check during open enrollment to see if your doctors, hospitals, and current medications are still covered, as policies and networks can change annually.
