Insurance Solutions
Medicare
Common Questions for New to Medicare recipients:
When do I need to enroll into Original Medicare Parts A & B?
When do I enroll into my Part B if I have employer insurance?
How do I avoid the Part B and Part D penalties?
Will my prescriptions be covered under Medicare Advantage or will i need a separate prescription drug plan?
What are my options after enrolling into Parts A & B?
What is MediGap?
What are Medicare Advantage Plans?
What will my out of pocket costs be?
Common scenerios faced for current Medicare recipients:
· Medication costs not affordable
· Recently moved to another county
· Prescriptions are no longer covered
· Doctors no longer take my plan
· What is the Donut Hole?
· Many more...
Assessing your current health needs, including doctors, and medications, will allow you and I to make the best decision for your health.
Lets not forget about the financial factor in choosing your health plan. Insurance is only as good as you can afford. We will discuss your out of pocket costs which include: premiums, deductibles, copays/coinsurance's. We can also check to see if you qualify for assistance with prescription drugs (Extra Help with Prescriptions), Part B premium help(Medicare Savings Program), or our state's low income assistance program (Medicaid).
Upon completion of a needs analysis, choosing the right option will be more evident; whether that is choosing a Medigap & Stand-Alone Part D plan OR a Medicare Advantage Route (HMO's or PPO's).
MediGap
Also known as Medicare Supplements. These plans work in tandem with Original Medicare. These are lettered Plans A, B, C D, F (only high deductible offered), G, K, L, M, & N. You must purchase a separate Prescriptions Drug Plan (PDP) with these plans.
Need more clarity on Medigap? schedule a one-on-one consultation.
Medicare Advantage
Medicare Advantage plans are known as Part C or All-in-one Plans.
These are HMO's and PPO's that typically include prescription drug coverage. Bound by law to cover all of Original Medicare's coverage, yet offers extra benefits. There are different types of Medicare Advantage Plans: Chronic Special Needs Plans (C-SNP) for those with certain chronic illnesses, Dual Special Needs Plans (DSNP)-for recipients of both Medicare & Medicaid.
Need more clarity on Medicare Advantage? schedule a one-on-one consultation.
Prescription Drug Plans
Stand Alone Prescription Drug Plans work with Original Medicare, Supps, and certain MA plans. It is important to know what Tier your prescriptions are and what your out of pocket expenses will be for the year.
Need more clarity on PDP? schedule a one-on-one consultation.
Health Insurance-Private On/Off the Exchange
On the Exchange (MarketPlace) & Off the Exchange.
On Exchange:
Another term for the Health Insurance Marketplace®, a service available in every state that helps individuals, families, and small businesses shop for and enroll in affordable medical insurance. When you fill out a Marketplace application you may qualify to save money when you enroll in a medical plan. These plans are required to provide essential health benefits and follow more guidelines as set by the Affordable Care Act (ACA).
Off-Exchange: Health insurance that is sold off the marketplace directly through a carrier or a broker. Off-exchange refers to plans that are ACA-compliant and sold outside the exchange. There are other insurances such as short-term medical that are not ACA-compliant, nor do they fall under the enrollment periods of Marketplace Plans.
Short/Tri-Term Plans
Short Term and Tri-Term Plans are designed as health coverage for a limited time when longer term insurance is not to your liking nor available for you. Unlike other Medical Insurance there are no enrollment periods for these policies, so you may enroll all year round.
Hospital Indemnity Plans
These plans cover your entire in-patient hospital stay for a low monthly premium, usually under $20/month. Most Medicare hospital copays are hundreds per day, depending on your plan. Your co-payments may be more than a month's worth of income. You may add an ambulance rider and/or a skilled nursing benefit rider for only a couple of dollars more.
Critical Illness Plans/Cancer/Heart Attack/Stroke
If you’re diagnosed with a serious illness, one of the last things you want to worry about is your finances. A Critical Illness insurance policy helps provide protection from a variety of covered conditions, so you can focus on getting well.
These plans cover:
· Hospital Confinement Benefit
· Non-Local Patient Transportation Benefit
· Family Member Transportation Benefit
· Patient Lodging Benefit
· Family Member Lodging Benefit
Cancer Specific Treatment such as; chemotherapy, radiation, transfusion, surgical procedures, transplants and more.
Life Insurances
-Term
-Whole
-Children's Whole Life
-Index Universal Life
There is nothing more important than family. Most people have car insurance, insurance to cover damage to their homes, and valuables, but none when it comes to their family. No one wants to think of passing away. Leaving your affairs in order is the an excellent legacy.
Explore which Life Insurance policies fit your circumstance. Whether it is Final Expense Insurance or a Term or Whole Life Policy, let's get you the peace of mind by taking care of your loved ones now.
Long-Term Care Insurance
Long-term care can be an expensive reality as we age. Without proper planning, the costs can quickly deplete the savings you've worked so hard to build. Understand the impact, tailor to your needs and secure your financial futures through long-term care insurance. It is a solution that not only covers the costs but also provides you with peace of mind.
Asset-Based LTC
Asset-based long-term care insurance is a life policy that includes long-term care coverage and an investment component. The policy works by providing benefits for long-term care expenses while also building cash value over time.:
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Death Benefit Leverage: Typically, life insurance provides a death benefit to your ones upon your passing, which can be used to cover funeral and burial expenses. However, with asset-based long-term care insurance, you have the to use a portion your death benefit to pay for nursing care if necessary. If you don't end up needing long-term care, your beneficiaries will still receive the full death benefit after you pass away.
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Two-in-One Policy: Asset-based long-term care insurance differs from a life insurance policy with a long-term rider, as it prioritizes long-term care benefits over death benefits. This policy can be funded using different assets, including savings, retirement accounts, home equity, existing whole life insurance, or annuities.
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Living Benefits: Asset-based long-term care coverage provides living benefits that pay out during your lifetime. While it requires upfront premium payment, it's typically the only premium you'll pay. Unlike traditional long-term care insurance, which offers lump-sum or monthly payments, asset-based coverage pays out when you need long-term care.
In summary, asset-based long-term care insurance provides a way to address both long-term care needs and potential death benefits within a single policy. It’s worth discussing with a financial advisor to determine if it aligns with your retirement planning goals1. If you’re considering this type of insurance, be sure to explore your options and understand the terms and benefits associated with different policies.
Disability Income
After dedicating yourself to forging a thriving career, the income you derive from it sustains your family, fuels your financial aspirations, and maintains your chosen lifestyle. Thus, your income stands as potentially your most invaluable asset, surpassing even possessions like your home, vehicle, or savings.
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Consider the repercussions if illness or injury were to incapacitate you, rendering you unable to work.
How significantly would the absence of your income affect your family's financial stability?
Annuities
Annuities present a solution to a pressing concern: the possibility of outlasting your savings. They provide you with assured lifetime income payments*, granting you the freedom to pursue your retirement aspirations and fostering financial tranquility. Moreover, annuities afford you the flexibility to utilize your funds according to your preferences.
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If you're nearing retirement or have already retired, seeking to mitigate tax obligations on your annuity earnings, or exploring alternatives to certificates of deposit, annuities offer a viable avenue to address these objectives.
Reverse Mortgage
A reverse mortgage is a financial product tailored for seniors, enabling them to borrow against a portion of their home's equity.
This loan is tax-free and offers flexibility in its usage, whether to bolster retirement income, fund home maintenance projects, or address medical costs.