Take Care

Melody Mulaik

Navigating the healthcare system can be overwhelming—Take Care is here to change that. Hosted by healthcare leader and industry expert Melody Mulaik, this podcast breaks down the complexities of healthcare so you can be empowered, informed, and in control. Whether you're managing your own care or supporting someone else, each episode delivers clear, practical insights to help you take care of what matters most. Subscribe wherever you listen to podcasts, and join us in making healthcare less confusing—and more human.

  1. 6d ago

    Whole-Body MRI: Is a Full-Body Scan Worth It?

    A whole-body MRI sounds reassuring: one scan that looks across much of your body, potentially finding a problem before you feel symptoms. But what happens if it finds something unexpected? And does a clear result mean you can skip your usual screenings? Listener Susie asked Melody Mulaik what a whole-body MRI is and whether she should consider one. In this episode of Take Care, Melody explains the basics from a healthcare advocate’s perspective. She covers how MRI uses magnets rather than ionizing radiation, why an unexpected finding may lead to more tests, and why the decision deserves a conversation about your personal and family history. Melody also explains why a whole-body MRI does not replace recommended screening, including mammograms, colorectal screening, or low-dose CT lung screening for people who qualify. She plans to bring a physician onto a future episode for a deeper clinical discussion. In this episode, you’ll learn: How a whole-body MRI differs from an MRI focused on one areaWhy avoiding radiation can be appealingWhat an incidental finding is and why follow-up may be neededWhy a clear scan cannot rule out every health concernWhat to ask about cost, results, and next steps before bookingEpisode guide: 00:00 Susie’s question: What is a whole-body MRI?01:40 How the scan works and what it images02:15 Potential benefits and early detection03:05 Who may have a clinical reason for broader MRI imaging03:35 Incidental findings and additional testing04:15 Why routine screenings still matter05:10 Out-of-pocket cost05:40 Questions to discuss with your physicianA question to take to your doctor: “Given my health and family history, would this scan change what you recommend for me, and what would we do with an unexpected result?” Related Take Care episodes: Understanding Medical Imaging and How to Advocate for Yourself, with Jason Newmark — MRI, CT, imaging safety, and the people involved in your scan.What Every Woman Should Know About Breast Imaging, with Dr. Dana Smetherman — mammograms, breast MRI, and screening conversations.Do I Have to Go to the MRI Center My Insurance Company Picked? — questions about imaging facilities and costs.Open Enrollment Health Insurance Guide: How to Choose the Best Plan — checking imaging rules and other coverage details. Listen and send a question: Apple Podcasts · Spotify · Ask Melody. Take Care podcast page. This episode is for education and is not personal medical advice. Talk with your physician about symptoms, screening, and imaging decisions. Take Your Healthcare Advocacy Further Navigating the healthcare system doesn't have to be a solo journey. For deeper dives into the topics we discuss on the show, plus exclusive "insider" tips delivered straight to your feed, subscribe to Take Care Newsletter. Subscribe to the Take Care Newsletter Connect With Melody on LinkedInGot a Healthcare Question? Ask Melody Now.

  2. Sep 22

    Vision Insurance vs. Medical Insurance: Which Covers Your Eye Exam?

    Why would an eye appointment go through vision insurance one day and medical insurance another? A listener named Mike asked this question after a recent Take Care episode about choosing health insurance. In this episode, Melody Mulaik explains how the reason for your visit can affect which plan applies and what you may pay. Vision insurance generally helps with routine care, such as a prescription check for glasses or contact lenses. Medical insurance generally applies when an eye problem needs diagnosis, monitoring, or treatment, such as eye pain, glaucoma, or cataracts. Coverage depends on your plan and how the visit is billed. Melody also discusses refraction: the test used to determine a glasses or contact lens prescription. It may appear as a separate charge during a medical eye visit. Before your appointment, tell the office everything you want addressed and ask which insurance they expect to bill, whether refraction is included, and what you might owe. In this episode, you'll learn: The difference between routine vision care and medical eye careWhy the reason for your visit matters when bookingHow a refraction fee can ariseQuestions to ask before your appointmentWhat to consider when deciding whether to add vision coverageEpisode chapters: 00:00 Mike’s question: Why are there two kinds of coverage?00:55 Routine vision care versus medical eye care02:05 Choosing the right insurance for an appointment03:05 Refraction and possible separate charges04:05 What to ask when booking05:10 Deciding whether vision insurance makes sense for youRelated listening:  Open Enrollment Health Insurance Guide: How to Choose the Best PlanResources: National Eye Institute: Keep Your Eyes Healthy American Academy of Ophthalmology: Ophthalmologist vs. OptometristHave a question for a future episode? Send it through the Take Care website.  Take Your Healthcare Advocacy Further Navigating the healthcare system doesn't have to be a solo journey. For deeper dives into the topics we discuss on the show, plus exclusive "insider" tips delivered straight to your feed, subscribe to Take Care Newsletter. Subscribe to the Take Care Newsletter Connect With Melody on LinkedInGot a Healthcare Question? Ask Melody Now.

  3. Sep 15

    The Future of Medicaid Funding: What to Expect in 2027 with Nathan Baugh

    When major legislation passes in Washington, it often feels completely disconnected from our daily lives. However, the upcoming changes driven by the One Big Beautiful Bill will eventually ripple through the entire healthcare system. Starting in 2027, the federal government will begin scaling back its financial support for Medicaid, leaving individual states to make incredibly difficult choices. In this episode of Take Care, host Melody Mulaik sits down with healthcare policy expert Nathan Baugh to decode these upcoming changes. They discuss how a nearly trillion-dollar reduction in Medicaid funding over ten years will force states to either raise taxes, cut provider reimbursements, or limit enrollment. Whether you are on Medicaid, rely on private insurance, or work in a hospital, this conversation explains exactly why you need to pay attention to your state legislature. What You'll Learn: How the funding structure of Medicaid works and why federal reductions place the ultimate burden on state governments.Why new community engagement and work requirements will be the first major changes you hear about in 2027.How cutting reimbursements to hospitals for Medicaid patients could threaten access to essential services, including maternity care.The "squeezing the balloon" effect, which explains how Medicaid cuts could lead to higher premiums for people with private commercial insurance.Why the impact of these changes will vary drastically depending on which state you live in.TIMESTAMPS: 00:00 Introduction00:50 The 2027 Timeline for Healthcare Cuts02:10 How States Co-Fund Medicaid03:50 The 80-Hour Work Requirement05:00 Why States Must Make Difficult Financial Choices06:00 Downstream Impacts on Uninsured Patients08:00 Why Private Insurance Premiums Might Increase10:00 Perspectives from the Paragon Institute11:00 Could Future Elections Pause These Changes?13:00 Researching Your State's Federal FundingThe upcoming changes to Medicaid will be felt differently across the country, making state-level politics more important than ever. Because states must decide how to handle the federal funding gap, your local representatives and governor will ultimately determine how these healthcare shifts impact your community. Do you know how much your state relies on federal Medicaid funding? The answer might surprise you. Listen to the full episode to understand the downstream effects of these new laws so you can advocate for your community effectively. Take Your Healthcare Advocacy Further Navigating the healthcare system doesn't have to be a solo journey. For deeper dives into the topics we discuss on the show, plus exclusive "insider" tips delivered straight to your feed, subscribe to Take Care Newsletter. Subscribe to the Take Care Newsletter Connect With Melody on LinkedInGot a Healthcare Question? Ask Melody Now.

  4. Sep 8

    Open Enrollment Health Insurance Guide: How to Choose the Best Plan

    It is open enrollment season, the crucial time of year when individuals and families select their health insurance coverage for the upcoming calendar year. In this episode of Take Care, host Melody Mulaik breaks down the essential factors to evaluate when reviewing your plan options. From analyzing cost increases and in-network provider changes to spotting fine print restrictions like prior authorizations, this guide will help you make confident, cost-effective decisions for your family's future healthcare needs. What You'll Learn From This Episode: How to conduct an effective side-by-side comparison between your current health plan and new plan offerings.The critical financial differences between in-network contracted rates and out-of-network coverage risks.How changes to copays, deductibles, drug formularies, and mental health benefits impact your annual out-of-pocket costs.Fine print details to watch out for, including prior authorization requirements, designated imaging facility mandates, and physical therapy session caps.Practical strategies for projecting your family's upcoming healthcare needs instead of looking backward.Timestamps: 00:00 - Introduction: Open Enrollment Season is Here00:30 - Has Your Employer or Insurance Provider Made Changes?00:58 - Cost vs. Coverage: Why Side-by-Side Plan Comparisons Matter01:45 - High Deductibles vs. Out-of-Pocket Monthly Payroll Deductions02:00 - In-Network vs. Out-of-Network Care and Travel Emergency Risks03:05 - Checking Copays, Prescription Drug Formularies, and Mental Health Benefits03:40 - Asking Questions: Who to Contact Before Finalizing Your Decision04:10 - Reading the Fine Print: Prior Authorizations, Imaging Rules, and Therapy Limits04:50 - Projecting Future Family Healthcare Needs for the Year AheadDo not let open enrollment pass by on autopilot. Listen to the full episode of Take Care now to learn how to spot fine print restrictions, compare options effectively, and choose the best plan for your budget and care needs. Take Your Healthcare Advocacy Further Navigating the healthcare system doesn't have to be a solo journey. For deeper dives into the topics we discuss on the show, plus exclusive "insider" tips delivered straight to your feed, subscribe to Take Care Newsletter. Subscribe to the Take Care Newsletter Connect With Melody on LinkedInGot a Healthcare Question? Ask Melody Now.

  5. Sep 1

    What Is a Medical Credit Balance and How Do Refunds Work?

    Have you ever paid an upfront fee at the doctor's office only to realize later that you paid more than your insurance company actually required?  Navigating deductibles and upfront billing estimates can leave even cautious patients vulnerable to overpayment. When healthcare providers charge their overall billed rates rather than your insurance company's contracted allowed amounts, your money can get tied up in what the healthcare industry calls a credit balance.  In this follow-up episode of Take Care, host Melody Mulaik breaks down how credit balances happen, what rights you have to get your money returned, and how a simple 50 percent rule can protect your wallet at checkout. What You'll Learn: How to spot the critical difference between a provider's full billed charge and your insurance plan's contracted allowed amount.What a medical credit balance actually means and why healthcare facilities are legally obligated to return your overpayments.Why doctors' offices can legally ask for upfront payment for elective care before billing your insurance company.A simple strategy to request paying 50 percent of an estimated deductible upfront to prevent overpaying and waiting on refunds.Stop letting healthcare providers hold onto your hard-earned money unnecessarily. Listen to the full episode of Take Care now to learn how to identify overpayments, ask the right questions at checkout, and confidently advocate for your financial health. TIMESTAMPS: 00:00 Introduction and Dermatology Follow-Up Story00:45 Billed Charges vs. Insurance Allowed Rates Explained01:25 What Happens When You Ask the Business Office About Overpayment01:50 Understanding What a Medical Credit Balance Is02:25 Why Healthcare Providers Are Required to Return Your Money03:00 How to Handle a Statement Showing a Credit Balance03:35 Is It Legal for Doctors to Ask for Upfront Payment?04:20 Emergency Care vs. Elective Service Billing Rules04:50 The 50 Percent Rule of Thumb for Deductible Estimates05:30 Tips for Reconciling Insurance Claims and Protecting Your WalletTake Your Healthcare Advocacy Further Navigating the healthcare system doesn't have to be a solo journey. For deeper dives into the topics we discuss on the show, plus exclusive "insider" tips delivered straight to your feed, subscribe to Take Care Newsletter. Subscribe to the Take Care Newsletter Connect With Melody on LinkedInGot a Healthcare Question? Ask Melody Now.

  6. Aug 25

    The Medigap Trap: Why Medicare Advantage Is a Lifelong Decision with Nathan Baugh

    Navigating the healthcare system can be overwhelming, especially when it comes to helping your parents choose the right Medicare plan. Every year, millions of Americans are drawn to Medicare Advantage plans by the promise of zero-dollar co-pays, free dental care, and vision perks. However, what most people do not realize is that picking Medicare Advantage can easily become a permanent, lifelong decision. In this episode of Take Care, healthcare leader Melody Mulaik sits down with expert Nathan Baugh to discuss the critical differences between Traditional Medicare Part B and Medicare Advantage. They uncover the realities of the "Medigap Trap" and explain why switching back to Traditional Medicare down the road could leave you without supplemental coverage. Whether you are managing your own care or supporting an aging parent, this conversation delivers clear insights to help you make informed decisions. What You'll Learn The structural differences between government-run Traditional Medicare and private Medicare Advantage plans.Why the zero-dollar premiums and extra perks of Medicare Advantage come with strict network rules and referral requirements.How the "Medigap Trap" works and why pre-existing conditions can prevent you from getting supplemental insurance later in life.The risks of Medicare Advantage plans leaving your local area and forcing you to find new coverage.How the six-month guarantee issue period works when you first become eligible for Medicare.Resources Mentioned Centers for Medicare & Medicaid Services (CMS)AARP Medicare Supplement Insurance PlansTimestamps: 00:00 Introduction01:00 Why Medicare Advantage is a Lifelong Decision01:50 Understanding Traditional Medicare Part B02:30 The Distinction Between CMS and Private Insurers03:30 Coinsurance and Medigap Plans Explained04:30 Caveats of Medicare Advantage Rules and Referrals05:50 What Happens When Plans Leave Your Area07:15 Melody's Experience with Medigap Coverage08:20 The Medigap Trap and Supplemental Insurance09:20 Pre-Existing Conditions and Medicare Rules10:15 The Guarantee Issue Period12:10 Where to Find Reliable Medicare Information13:50 State Protections for Medigap Plans14:35 Final Thoughts on Making the Right ChoiceIf you or your parents are approaching Medicare enrollment, this episode is essential listening. Tune in to the full episode to understand your rights, avoid costly mistakes, and take control of your healthcare journey. Disclaimer: This episode is for educational and informational purposes only and should not be considered medical, insurance, legal, or financial advice. Medicare rules and plan availability can vary by individual circumstances and location. Always verify current Medicare information and coverage options before making a decision.  Take Your Healthcare Advocacy Further Navigating the healthcare system doesn't have to be a solo journey. For deeper dives into the topics we discuss on the show, plus exclusive "insider" tips delivered straight to your feed, subscribe to Take Care Newsletter. Subscribe to the Take Care Newsletter Connect With Melody on LinkedInGot a Healthcare Question? Ask Melody Now.

  7. Aug 11

    Health Insurance Terms Explained: The A to Z Guide Every Patient Should Know

    Health insurance can feel like learning a new language. Between deductibles, copays, coinsurance, prior authorizations, and Explanation of Benefits (EOBs), it's easy to feel overwhelmed when reviewing your medical bills. In this episode of Take Care, Melody Mulaik walks you through an easy-to-understand A-to-Z glossary of the most important health insurance and medical billing terms every patient should know. Whether you're reviewing a medical bill, choosing a health plan, or simply trying to understand what your insurance covers, this episode will help you become a more informed healthcare consumer. By understanding these common terms, you'll be better equipped to avoid billing surprises, ask the right questions, and make confident decisions about your healthcare. In This Episode, You'll Learn: What the allowable amount really meansThe difference between copays and coinsuranceHow deductibles affect what you payWhy your Explanation of Benefits (EOB) mattersThe purpose of FSAs and HSAsWho the guarantor is on a medical billHow HIPAA protects your medical informationWhy you should request an itemized statementWhat medical necessity means to insurance companiesThe difference between in-network and out-of-network providersHow your out-of-pocket maximum protects you financiallyWhy prior authorization can delay careWhat qualifies as a qualifying life eventHow timely filing affects insurance claimsWhat a write-off really means on your medical billWhy understanding your financial responsibility is essentialResources Mentioned: Explanation of Benefits (EOB): https://www.cms.gov/medical-bill-rights/help/guides/explanation-of-benefits Flexible Spending Account (FSA): https://www.uhc.com/understanding-health-insurance/understanding-health-insurance-costs/flexible-spending-accounts Health Savings Account (HSA): https://www.hsabank.com/Products/HSA.html HIPAA: https://www.melodymulaik.com/blog/the-patients-guide-to-hipaa-access-privacy-and-confidentiality Prior Authorization: https://www.verywellhealth.com/prior-authorization-1738770 Related Episodes: Paying Medical Bills Before You Meet Your Deductible: A Simple Tip That Can Save You MoneyOffice Visit Fees Explained: What Patients Need to KnowWhat Patients Need to Know About Surprise BillingWhy Did I Get a Separate Lab Bill? Understanding Unexpected ChargesWhen to Choose the Self-Pay Option Instead of InsuranceTimestamps: 00:00 Introduction00:45 Allowable Amount01:35 Copay vs. Coinsurance02:20 Deductible02:55 Explanation of Benefits (EOB)06:20 Medical Necessity07:00 In-Network vs. Out-of-Network08:00 Out-of-Pocket Maximum08:45 Prior Authorization11:05 Timely Filing13:30 Know Your Financial Responsibility13:55 Final ThoughtsIf you found this episode helpful, subscribe to Take Care so you never miss practical advice that helps you better understand healthcare, medical billing, and health insurance. If you have a question or a medical billing topic you'd like covered in a future episode, send it through our website. We'd love to hear from you. Take Your Healthcare Advocacy Further Navigating the healthcare system doesn't have to be a solo journey. For deeper dives into the topics we discuss on the show, plus exclusive "insider" tips delivered straight to your feed, subscribe to Take Care Newsletter. Subscribe to the Take Care Newsletter Connect With Melody on LinkedInGot a Healthcare Question? Ask Melody Now.

  8. Aug 4

    Paying Medical Bills Before You Meet Your Deductible: A Simple Tip to Help You Avoid Overpaying

    Have you ever been asked to pay hundreds of dollars at a doctor's office simply because you haven't met your health insurance deductible? Many patients assume the amount requested at check-in is exactly what they owe. In reality, that amount is often only an estimate and may not reflect what your insurance company will ultimately allow after processing your claim. In this episode of Take Care, Melody Mulaik shares a real-life story from her husband's recent dermatologist visit to explain how deductibles really work, why provider charges and insurance allowed amounts are different, and how you can avoid paying more than necessary before your insurance has finalized your claim. Whether you're covered by employer-sponsored insurance, an ACA Marketplace plan, or another commercial health insurance plan, this practical episode will help you become a more informed healthcare consumer and avoid unnecessary out-of-pocket costs. What You'll Learn In This Episode: What a health insurance deductible actually meansWhy the amount a medical office requests isn't always your final responsibilityThe difference between billed charges and insurance allowed amountsHow insurance companies calculate what counts toward your deductibleA simple strategy to reduce the risk of overpaying before your claim is processedWhat to do if you've already overpaid a healthcare providerWhy reviewing your Explanation of Benefits (EOB) is one of the most important steps before paying your balanceTimestamps: 00:36 Don't Assume the Office's Estimate Is Final 01:03 Understanding Health Insurance Deductibles 01:42 Billed Charges vs. Insurance Allowed Amounts 02:34 What Actually Applies to Your Deductible? 03:00 How to Avoid Overpaying Your Medical Bill 03:48 Why Paying Half First Can Save You Money 04:07 Getting a Refund If You Overpaid 04:35 What Every Patient Should Remember  If you found this episode helpful, be sure to subscribe, leave a review, and share it with family and friends. Every episode of Take Care is designed to help you make informed healthcare decisions with practical tips you can use in everyday life. Take Your Healthcare Advocacy Further Navigating the healthcare system doesn't have to be a solo journey. For deeper dives into the topics we discuss on the show, plus exclusive "insider" tips delivered straight to your feed, subscribe to Take Care Newsletter. Subscribe to the Take Care Newsletter Connect With Melody on LinkedInGot a Healthcare Question? Ask Melody Now.

5
out of 5
14 Ratings

About

Navigating the healthcare system can be overwhelming—Take Care is here to change that. Hosted by healthcare leader and industry expert Melody Mulaik, this podcast breaks down the complexities of healthcare so you can be empowered, informed, and in control. Whether you're managing your own care or supporting someone else, each episode delivers clear, practical insights to help you take care of what matters most. Subscribe wherever you listen to podcasts, and join us in making healthcare less confusing—and more human.