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Sixteen short films, one trap each

Every one is a few minutes long. Watch the one that matches the decision in front of you, not all sixteen.

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If you only watch one

This is the Chapter 5 method: how your own doctors, travel, prescriptions and budget decide which path fits, with nobody earning a commission on the answer. Once you have watched it, the interactive version asks you the same questions and shows its reasoning.

How the Medicare personality test worksChapter 5, about 10 MB

The Chapter 5 method in a few minutes: how your doctors, your travel and your budget decide the answer, rather than what an agent earns on it.

2 films

Making the decision

The fork everything else hangs off: Original Medicare with a Medigap policy, or Medicare Advantage.

Why Medicare Advantage is a one-way doorChapter 9, about 9 MB

Going in is easy. Coming back to Medigap usually means medical underwriting, and after twelve months an insurer can say no.

How the trial right protects youChapter 9, about 9 MB

There is a window where you can leave an Advantage plan and buy Medigap with no health questions asked. Most people never hear about it.

10 films

The traps that cost the most

Each of these is a specific way people lose money, and every one of them is avoidable if you see it coming.

How the observation trap costs thousandsChapter 2, about 11 MB

You can spend three nights in a hospital bed and still be an outpatient on paper, which means Part A never pays and the nursing home afterwards is yours.

The 20 percent trapChapter 3, about 8 MB

Original Medicare pays 80 percent and there is no annual maximum on the rest. Twenty percent of a big number is a big number.

How the HSA trap worksChapter 13, about 6 MB

Part A backdates up to six months. Pay into a health savings account during those months and you owe a tax penalty you never saw coming.

How formulary drift hides price risesChapter 10, about 10 MB

The plan keeps its name and its premium. Your drug quietly moves up a tier, and the bill arrives in January.

Why a zero dollar plan is not freeChapter 9, about 9 MB

A $0 premium is not a $0 cost. You pay in copays, in networks, and in asking permission before you get care.

Spotting phantom networksChapter 9, about 11 MB

The directory lists your doctor. The doctor is not taking that plan. How to check before you enrol rather than after.

How the dental benefit trap worksChapter 27, about 9 MB

Dental, vision and hearing are the biggest draw in the brochure. Look at what they actually cap out at before you decide on them.

Why Advantage traps snowbirdsChapter 25, about 7 MB

Advantage networks are county based. Spend winter in another state and you may be covered for emergencies only.

Why autumn illness breaks AdvantageChapter 9, about 8 MB

Getting sick in October, right as the enrolment window opens, is the worst possible timing, and it is more common than you would think.

How retirees forfeit lifetime subsidiesChapter 11, about 8 MB

One missed window at 65 and the penalty is not a fine. It is a permanently higher premium for the rest of your life.

3 films

How the system actually behaves

Not how the brochure says it works. How it behaves when you need it.

How denial algorithms workChapter 18, about 8 MB

A large share of denials are wrong on the law, and most are never appealed because nobody told the patient they could be.

How to beat the plateau trapChapter 17, about 8 MB

You do not have to be improving to keep therapy covered. That was settled in court, and plans still get it wrong.

How private insurance traps patientsChapter 9, about 9 MB

The incentives, laid out plainly. Not a conspiracy, just what happens when someone earns more by approving less.

One honest note

These do not replace the chapters

A few minutes of video can show you that a trap exists. It cannot walk you through your own numbers, your own state or your own deadlines. Each film names the chapter that does. Your dates are on the dates page, and the arithmetic is on the costs page.