Medicare & Social Security

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  • I currently have a part-time job but I might go into forced retirement.  I know I have to sell my townhome due to associated costs, and would like to stay in the Bay Area where my friends and doctors are, but are there any realistic fairly inexpensive options?  I am also wondering if it is better to just take my social security now (I am 62) or wait (but I would be living on withdrawals from my 401K).  I've gotten stuck trying to figure out what to do.  Thank you for any tips or information you have.  

    Please approach this very thoughtfully and carefully - finding an expert would really be a good idea!

    For starters: the earlier you start to draw social security, the smaller the payment - and it doesn't catch up later! Looking at my own statement (I'm 64) it will go up by at least $100  a month until I'm 70. If I start drawing now, I would get $700 less per month than if I I wait until I'm 70. Maybe that would be worth it for you - I can't say - but finding a financial planner is a really good idea. Perhaps your 401K administrator has some services to offer you.

    Sorry to hear about your forced retirement! While everyone's situation is different, it's generally recommended to wait until full retirement age of 67 before accessing Social Security. Initiating at 62 can result in the loss of thousands of dollars per year in benefits.

    You may want to consider consulting with a financial planner. My partner and I have worked  with Cheryl at Balance Financial Planning. She is super reasonably priced and an honest human. Hope this helps!

    Are you contemplating "forced retirement" because of medical issues?

    If not, my advice would be to not start drawing Social Security for as long as you can possibly wait, or until age 67, whichever comes first.  

    There are "Now Hiring" signs up all over town.

    I am now 73; I retired at 65 and wish I could have stuck it out s bit longer in order to receive a higher retirement income. I have a friend who was in your position. She took Social Security at age 62 and does not benefit from cost-of-living increases as much as she would have if she had waited until age 85 or older. She's always complaining about how poor she is. 

    In terms of housing, the downside of owning a townhouse/condo is the unpredictable HOA dues and sudden assessments for things like roof repairs.  But unless you are lucky enough to be able to share a single family residence with a compatible housemate, all the "affordable units" in new, dense, highrise buildings have the same downside.

    Are you affiliated with UCB? Can you check the housing office?

    Would it be worth getting a housemate and keep your existing townhome?  Could you take in visiting faculty or postdocs who change from year to year?

    Wishing you all the best with a difficult situation.

    This is a very complicated set of questions, and I really think you should be getting advice from professionals.  That said, I will chime in on one aspect of your post.  

    "I am also wondering if it is better to just take my social security now (I am 62) or wait (but I would be living on withdrawals from my 401K)."  I recommend that you look at what your annual benefits would be at each age from 62 to 70.  The benefits go up each year, but you have forgone the prior year[s].  How long would it take you to recoup the unclaimed benefits solely because of that increase?  That was the critical question for me, and the tipping point point turned out to be around age 68/69.  I ran it by my older brother [a long-time actuary for the state of New Jersey insurance department], and he agreed.  But every case is different.  

    Can you make do for a period of time on 401(k) withdrawals?  Would that exhaust your assets?  Would you later be able to live on the increased Social Security benefits alone?  How much could you expect to gain from selling your townhouse?  Is that really a necessary step versus, say, a reverse mortgage.  These are the questions you need to ask yourself -- and preferably ask an experienced financial advisor.  A good place to start might be the North Senior Berkeley Center.  https://berkeleyca.gov/community-recreation/seniors  They may or may not offer this service themselves, but I would be very surprised if they did not at least have places to refer you to.
      
    Best of luck

    Hi, I have been contemplating similar issues for a while now. 
     As far as housing, you might try looking for an detached auxiliary dwelling unit (ADU) in a neighborhood that you feel safe. 

     as far as Social Security, the website has some good tools to see how your payments will increase over time, depending upon when you take it. 
     You should at least wait till 100% full retirement age if you; you can also figure that out online based on your birthdate, if you don’t know it already . 
    If you wait till full retirement age, you can work part time and also receive Social Security. 
     I went to the Social Security office and requested a phone call at a later date. A retirement specialist called yesterday and it was very useful. 
     particularly as I have ex-spousal benefits. 

    Finally, I hired a financial planning specialist to discuss retirement Planning.  If you happen to have money in any of the big financial institutions like Fidelity, you may be able to get that service free.

    Good luck, it’s not easy out here in the desirable Bay Area! But I do believe solutions are to be found and hopefully there will be more and more….

    Sue



     

    You got a lot of good advice related to social security and seeing a professional.  I will add that some research I've done about housing.  I think there are some interesting co-ops you might explore and housing advocates that could help.  https://phoenixcommons.com/ has shared spaces and expenses so it seems a bit less expensive than a traditional townhome.  It seems like other options like this might exist.  You might try calling united way at 211 to link you so some low cost or free advice on both housing and social security. 

    Recommended:

    Original poster here.  Thank you so much for the advice, tips, and recommendations.  It points me to getting some handle on the numbers, and also possibly co-housing opportunities.  I appreciate the help!

    I know you want to stay in the bay area but based on my mom's experience it's far easier finding less expensive options elsewhere. She found a nice and safe place in Seattle that she could afford on just her Social Security. https://www.humangood.org/northaven-west If things don't work here in the bay area you may want to consider widening your search to other cities.

    Recommended:
  • i teach part time. My school district wanted a renewed TB test. The city clinic is closed. I scheduled an appointment with my doctor for the TB test. i went for the prick on a Friday and returned the next Monday for the reading. It was all handled by an assistant or technician. At the reading I passed my doctor in the hall, and he waved at me. He may have stuck his head in the door to say "hi'. He certainly never examined me or came near me. I was shocked today to see the billing statements. He billed Medicare and my Medigap plan for about $350, which included a doctor patient visit. Most was paid by the Medigap Insurer, a bit by Medicare. I have a $21 co-pay.

    There are paid clinics that give these tests for about $38, but most of them are for specific groups like Asian Health Clinic, etc. which is why I went to my primary care doctor.

    Shall I report this as Medicare fraud? Or just let it go.

    By the way, looking for recommendations for another primary care doctor.

    For reference, my daughter (20 yrs old) got a tb test a few weeks ago from her primary care practice (Stanford Health) and they billed our insurance (Cigna) $48.00.  Cigna paid $8.67 and we paid nothing.  I am pretty sure they are not allowed to bill separately for the visit in this case -- if you have the CPT codes you can probably google them to learn more (unless maybe there are different rules for Medicare?).  Medical billing is fraught with errors.  Since this didn't really affect your bottom line, you could definitely ignore it.  But if it's going to gnaw at you (which I would totally understand), call the billing department at your doctor's office.  It could be a simple clerical error.  If you're still not satisfied, call your insurer.  I have found that true errors are usually eventually caught in an audit process on one end or the other (even months down the line you may receive an updated billing statement from your doc, or a revised EOB from your insurer).  

    Hi. I think your instincts are good and that this is likely to be fraud. Please take the time to report. You can report fraud by phone to Medicare. If you don’t report it…it will just keep going on. We’re all paying for fraud.
    1-800-633-4227. Thx!

    I appreciate your concern and sticker shock.  However PLEASE do not report this practice as fraud.  I am a physician--practice public health not clinical medicine--and am a Health for all --with Bernie on this one.  BUT the reimbursement policies in this country are INSANE (Medicare can get away with paying pennies on the dollar for actual cost) and the bureaucracy is astounding.  Let the bureaucracy go after the folks bilking all of us for millions with truly fraudulent billing, and take a deep breath over what this practice has chosen to do for likely their financial survival--(assuming they are an independent practice, and this isn't Sutter-- if it is-Sutter-go ahead and report them!!!)

    At UCSF (where I work) “assistants or technicians” are not allowed to place TB skin tests (PPDs) or read them (i.e. evaluate for a skin reaction) - you have to be a designated reader, which is a nurse manager, a nurse practitioner, Physician Assistant, or MD. I’m assuming someone in one of these roles conducted your visits, in which case the clinic needs to be reimbursed for their time and care. Who else would pay if they didn’t bill your insurance (Medicare)? If it was a mid-level provider (NP or PA) the visit would have been supervised by the MD (in the office, not necessarily in the room), but the MDs name would probably end up on the bill/charges. 

  • I have a family member who needs medication for depression. We cannot find a psychiatrist who will take Medicare as insurance or who at least will take cash.*

    We'd prefer Berkeley/Oakland but will travel around the Bay Area.

    Thanks in Advance.

    * (It's hard to find docs who will take cash since if they take Medicare from one person then by law they must take it from every patient they see who has Medicare.)

    Judith David in Berkeley is a psychologist, not a psychiatrist. She doesn't prescribe and I doubt she would rush to do so. But if your family member has medical coverage, she will work with the depression. She takes medicare, she's great, 30-40 years experience but quite her own style. She works from a somatic and transpersonal philosophy. I would recommend at least calling her to see if there's compatibility. 510-883-4656. Good luck.

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Questions Related Pages

Advisor for Sosial Security Benefits

Feb 2013

Does this role/profession exist?: Advisors for Social Security and Medicare benefits? e.g., how to plan, best steps to take? I have three people in my life very close to me who are turning 65, and need help navigating the system. I know you can call the agencies directly - I thought there might be people outside the systems who can advise, in order to maximize available benefits in each individual's situation. I do know that there are financial advisors who might advise on SS benefits as part of their services - but my impression is that they do this along with selling a financial product, like annuities, so that is their perspective. (Not rejecting the idea of purchasing financial products if that is the best solution - but we need an objective eye to see if that might truly be a best solution.)


HICAP gives free advice on Medicare issues and problems and they are volunteers who do it for free.I would call your local Senior Center and tell them you would like to meet with someone from HICAP for Medicare advice.Maybe they can point you in the right direction for your other concerns. Ellen


A financial advisor should be able to update you on current social security issues. You still, however, should be delving all the reading you can get your hands on to make it work for you. Some financial advisors know WAY more about it than others. There are no specific professionals for this area as far as I know. I would call social security also and find out about perhaps local seminars given by your community. Remember, the laws CHANGE. For instance, there was a provision where a person could draw social security at 62, the lower rates, then repay and recalculate at are 66. THAT practice is now gone. So the issues can be different all the time. almost at soc security age


I highly recommend Lan Shaw of Edward Jones Investments for social security and medicare benefits advice. Her office is in downtown Berkeley across from the Brower Center. She has extensive knowledge and experience on these benefits. She is very helpful in helping to understand how social security fits into the overall retirement income plan; when you should start taking the benefit; taxes and how they may affect your benefits. She also can help develop a strategy to maximize the benefit for you and your spouse. Her contact info is phone# 510-704-8854. Email: lan.shaw [at] edwardjones.com Lisa