Medicare 101: Choosing the Right Coverage and Avoiding Costly Mistakes

Medicare can feel confusing — but it doesn’t have to be. In this episode, we break down everything you need to know to make confident decisions about your healthcare coverage.

Join us as we explain how to choose the right Medicare plan, avoid common mistakes, and take advantage of the new updates — including the $2,100 out-of-pocket cap on prescription drugs and other major reforms.
Whether you’re nearing retirement, helping a family member enroll, or simply want to understand Medicare better, this guide will help you plan smarter and save more.

147 document link: https://www.medicare.gov/publications...

This content was provided by Retirement Planning Services. We are located in Knoxville, TN. You can learn more about us, or schedule an insight call by visiting our website at https://www.seriousretirement.com.

Timestamps:

00:00 – Intro & Episode Overview
Austin and Spencer introduce the 2026 Medicare changes and Claris Fleming’s re-release interview.

00:45 – Key Medicare Updates for 2026
New $2,100 out-of-pocket prescription cap and expanded primary care options.

02:35 – Move Health Partnership Explained
Caribou transitions to Move Health—improving enrollment and support.

04:45 – Meet Claris Fleming
Claris shares her background and education-first approach to Medicare planning.

06:30 – Why Medicare Planning Matters
Rising healthcare costs and how most retirees overpay for coverage.

08:10 – How Medicare Evolved
Brief history of Parts A–D and major law changes, including the Inflation Reduction Act.

10:00 – Upcoming Drug Cost Reforms (2025–2026)
How the new caps and negotiations impact prescription affordability.

12:40 – When & How to Enroll in Medicare
Life events that trigger enrollment and what to review each year.

14:55 – Understanding Your Options: Original vs. Advantage
Claris breaks down the two main Medicare paths and who they fit best.

18:45 – Medigap & Prescription Coverage
Supplemental plans explained—Plan G, Plan F, and how Part D integrates.

26:10 – Avoiding Common Medicare Mistakes
Tips for choosing plans, reviewing formularies, and preventing penalties.

46:00 – Preparing for the Future of Medicare
Final thoughts on what to expect in 2026 and how to stay proactive.


Advisory services offered through Retirement Planning Services, LLC.

The information in this recording is intended for general educational and informational purposes only, and should not be construed as investment advisory, financial planning, legal, tax, or other professional advice based on your specific situation. Please consult with your professional advisor(s) before taking any action based on its contents.