Leslie S McMillan, Benefit Broker

11/18/2025

One of my clients has already gotten a call.  MEDICARE will not call you.  These people are trying to steal your Social Security number or your Medicare card number. Be careful. There’s a lot of not nice people out there.

(WDNews) — Medicare recipients across the country are being warned about a growing scam falsely claiming that “new,” “plastic,” or “chip” Medicare cards are being mailed out. Officials say the calls, texts, and messages are fraudulent and part of an effort to steal personal information...

11/15/2025

This is from my United Health Broker Representative so its official:

WakeMed Chooses to Leave UnitedHealthcare’s Network
WakeMed has allowed our contract to expire after refusing to move off its demands for an unreasonable price hike. As a result, WakeMed’s facilities and specialty providers are out of network for people enrolled in the following plans, effective Nov. 15, 2025:
Employer-sponsored and individual commercial plans
Medicare Advantage plans, including Group Retiree and Dual Special Needs Plan (DSNP)

Primary care physicians employed by WakeMed are not impacted by this negotiation and will remain in our network. People enrolled in our Medicaid plans will continue to have network access to WakeMed’s hospitals and providers. People enrolled in a Medicare Supplement plan can also continue accessing care with WakeMed on and after Nov. 15, 2025.


Here are a few things we want our members to know:

UnitedHealthcare members in active or ongoing treatment for a serious or complex condition at a WakeMed hospital or with a WakeMed provider at the time they left our network are eligible to continue care for a period of time at in-network costs.

Continuity of care allows people in ongoing or active treatment for a serious or complex condition at the time a provider leaves our network to continue accessing care with their provider at in-network rates for a period of time. Some examples of people who qualify for continuity of care include, but are not limited to:

Women who are pregnant
Patients with newly diagnosed or relapsed cancer, or those currently in active cancer treatment.
Any member who believes they are eligible for continuity of care or has questions on how to apply should contact us at the number on their health plan ID card.

We know WakeMed choosing to leave our network is difficult. We want our members to know they continue to have access to a broad network of hospitals and physicians across the Raleigh area, including, but not limited to:

UNC Rex Hospital
UNC Medical Center
UNC Health Johnston
UNC Health Johnston in Clayton
Duke Raleigh Hospital
Duke Regional Hospital
Duke University Medical Center
Wilson Medical Center
Cape Fear Valley Central Harnett Hospital

For support finding in-network hospitals, members can call the customer care number on their health plan ID card or visit their plan’s website:
myuhc.com
myuhcmedicare.com
retiree.uhc.com for Group Retiree plans

People should always go to the nearest hospital in the event of an emergency. Services will be covered at the in-network benefit level, regardless of whether the hospital participates in UnitedHealthcare’s network.

11/12/2025

WakeMed’s contract negotiations with United Healthcare have stalled. An agreement must be reached by this 11/15/25 or Wake Med will no longer be an in network provider for United Healthcare Medicare Advantage plan members. This article explains both sides of the situation. Praying this is resolved by Friday.

The contract between the Raleigh health care system and insurance giant UHC expires on Nov. 15. Patients will pay more without a new deal

11/09/2025

 Are you turning 65 in 2026!!!

There are lots of questions you should be asking about Medicare. Should you sign up for Medicare or wait? Should you leave work or stay?
When’s the best time to maximize your Social Security benefit?
What are the benefits of Medicare and how do I sign up?
What’s the timeline to enrolling in Medicare?
These are the topics that I will be discussed on my MEDICARE 101 CLASS on Tuesday, November 18th at 7 pm.  Register at https://www.LSMINSURANCE.net/events

Hope you can join us!

10/28/2025

Thank you Jesus!

10/21/2025

My mother always said “you can do whatever you think you can do.” I never realized that she was quoting Proverbs verse 23:7. “As a man thinketh in his heart, so is he". For a child to “see” (imagination) what they can do and believe what God says is fueled by a mother’s love. Enjoy the video.

10/17/2025

Notice anything different?? I’m wearing hearing aids! I waited longer than I should’ve to address this.  Thank you, Heritage Audiology for working with my insurance provider so that the cost was  more affordable.  Getting these puppies reduces the risk of dementia as we age.♥️

10/14/2025

Medicare’s Open Enrollment starts tomorrow! If you are only taking generics, you don’t need an expensive RX plan. BIG SURPRISES! The Medicare Rx deductible is $615! The copay benefit for Preferred Name Brand Drugs has been eliminated in many plans. Most Medicare RX & Medicare Advantage plans will be charging a coinsurance percentage for name brand medications in Tiers 3, 4, and 5 after the plan’s deductible. The “GOOD NEWS” is that the maximum annual out of pocket you pay is capped at $2,100! Make sure to check the 2026 formulary list from your Medicare Rx provider to confirm that your current name brand medications will be covered in 2026.

Fewer choices may be on the menu again as Medicare patients shop for prescription coverage this fall.

10/04/2025

Great News! So glad this was resolved before the October 20 deadline!

Duke Health and Aetna on Friday announced a new multi-year agreement.

10/03/2025

The Medicare Open Enrollment is from 10/15/25 to 12/07/25. Current clients can reach out to us to schedule an appointment. 919-568-3595.  Be sure to tell us if you want us to text or email you our Medicare health questionnaire. Once we have it, we will schedule an appointment.

09/28/2025

Be sure to remind family members of the importance of protecting their medicare and social security number!

Fraudsters will do anything to get your Medicare number. If you receive a text, call, or email asking for your Medicare number, don’t share it. Learn more at...

09/28/2025

MEDICARE ALERT! Medicare's open enrollment starts October 15th and FRAUD is rampant. If someone representing Medicare or your health insurance carrier reaches out to you by text, phone or email be extremely cautious! I recommend that you contact your Medicare carrier’s member service department # that is on the back of your Health/Rx Medicare plan's ID card. Please remind your elderly friends and family as they could be put into a plan that they didn’t ask for by unscrupulous people. If you suspect Medicare fraud, report it to the Department of Insurance directly: ncdoi.gov/reportfraud You call Report fraud, waste, and abuse in Medicare and Medicaid programs to the US HHS Office of Inspector General. Call 1-800-477-8477.

Fraudsters will do anything to get your Medicare number. If you receive a text, call, or email asking for your Medicare number, don’t share it. Learn more at...