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HomeBusinessAvoiding Medicare Minefields: Three Frequent Missteps by Retirees

Avoiding Medicare Minefields: Three Frequent Missteps by Retirees

The 3 common mistakes retirees make with Medicare


Avoid these errors to save money and lessen stress in your retirement years.

Millions of seniors in the U.S. utilize Medicare for their health insurance. Whether you’re just starting the enrollment process or have been on Medicare for some time, it’s crucial to understand how to optimize your benefits.

 

Regrettably, not everyone fully comprehends how Medicare functions, which can result in confusion and unfavorable decisions. With this in mind, here are several significant Medicare mistakes you should strive to avoid.

1. Delaying enrollment

Signing up for Medicare late can lead to more than just a wait for coverage; it could mean a lifelong increase in your premiums for Medicare Part B.

Your initial sign-up period for Medicare lasts seven months. It begins three months prior to your 65th birthday and concludes three months after that month.

 

If you miss this initial enrollment window, you can still enroll later, but at the cost of a lifelong surcharge for Part B. Specifically, you’ll face a 10% penalty for each 12-month period during which you were eligible but did not enroll.

 

If you already have a qualifying group health plan when your Medicare enrollment window opens, you might qualify for an additional enrollment period once your group coverage ends. This allows you to postpone enrolling in Medicare without being penalized.

 

However, not all health plans offer this option. If you work for a smaller employer with fewer than 20 employees, you will encounter the aforementioned penalties for late Medicare enrollment.

2. Ignoring the limitations of a Medicare Advantage plan

When choosing Medicare coverage, you have several options. You can opt for original Medicare (Parts A and B, plus a Part D drug plan) or choose the all-inclusive coverage provided by Medicare Advantage.

 

Medicare Advantage may offer additional benefits that original Medicare does not and could even be more cost-effective.

However, a significant downside is that with Medicare Advantage, you’re usually restricted to a certain network of healthcare providers, which may complicate your access to necessary care or limit your choices of local doctors.

In contrast, original Medicare allows you to see nearly any doctor in the country who accepts Medicare, providing you with greater flexibility. This can also make traveling within the U.S. easier, as you won’t have to worry about follow-up care if you encounter health issues while away from home.

3. Neglecting to assess coverage options during open enrollment

Medicare hosts an open enrollment period each year from October 15 to December 7, during which current participants can alter their coverage—whether that’s switching Part D plans, changing Medicare Advantage plans, or moving from Medicare Advantage back to original Medicare.

 

If you’re satisfied with your current coverage, you might decide to skip this open enrollment period. However, this could be a costly mistake.

There’s always the chance that a more affordable plan might be available to you, or you could find a plan with similar costs that offers much better benefits. Therefore, it’s wise to explore your coverage options during the fall, even if you ultimately decide not to make any changes.

Understanding how Medicare operates is crucial for maximizing this program and keeping your healthcare expenses manageable during retirement. Keep these potential missteps in mind so you can avoid them.

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