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ANNUITIES & RETIREMENT

10 Important Ages for Retirement Planning


The link below is to an article from the U.S New & World Report - Money section by Emily Brandon, with a breakdown of what you can do at different important ages in your life to boost your retirement benefits.

http://money.usnews.com/money/retirement/articles/2012/02/21/10-important-ages-for-retirement-planning


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews 


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

10 Things Social Security Won’t Tell You


Enlightening Wall Street Journal article by Jonnelle Marte regarding a lot of things you may not know about Social Security, but should. Also the article includes tips from how to keep your social security number safer even when you don't give it out, to saving money by following certain rules in order to get the most from Social Security. Click the link below to read more.

http://www.marketwatch.com/story/10-things-social-security-wont-tell-you-2013-06-28


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews 

4 Large Expenses You Should Consider When Planning For Retirement!


When planning for your retirement along with other normal expenses, etc., don’t forget to include these 4 large expenses in your budget:

  • Health Care
    According to a Nerdwallet / Associated Press article and Fidelity, the average 65 year old retired couple will need about $300,000 in after tax savings to handle health care costs in retirement.1
    Note: Of course your specific costs will depend on where you live, how long you live, and your overall health.

  • Long Term Care
    Note that 70% of people over the age of 65 will require Long Term Care during their lifetime!
    Long Term Care expenses can wipe out your entire life’s savings relatively quickly! Depending on where you live, how much you have in your savings, and how long you need to stay in a Long Term Care facility (or even just plain home health care). It is very expensive for even a short stay at a Long Term Care facility!
    Long Term Care Insurance is highly recommended while you are still healthy and relatively young, to keep premiums down.
    Examples of some AARP 2023 Annual “Estimated" examples for the local Sarasota, FL area are:

    Assisted Living Approx. $3,159 / Month and Up! ($4,500 / Month on average)
    Semi 
    Private Nursing Home Approx. $7,756 / Month and Up!
    Private Nursing Home Approx. $8,668 / Month and Up!

  • Dental Care
    The average senior on 
    Medicare using dental services paid nearly $900 a year out of pocket, according to Kaiser Family Foundation. 1 in 5 Medicare beneficiaries spend more than $1,000.1

  • Prescription Drugs
    Since 2015, at least 1 million enrollees per year in Medicare Part D (Prescription Drug Plan) have had drug costs high enough to exceed the 
    catastrophic coverage threshold. which was $7,050 in 2022.1
    The good news is that new laws have been recently put in place. Starting in 2025, the maximum out of pocket for Part D drugs will be capped at $2,000 annually.



1. Source: Nerdwallet/Associated Press article by Kate Ashford.

Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Annuities - 5 Things You Should Know


I read an AARP Bulletin article by Ellen Stark about annuities and thought I’d share the information.

The very brief overview of the 5 points she mentioned in her article were:

  1. Annuities can be simple and/or they can be complicated, depending on what type you choose. Some fixed annuities such as MYGA’s (Multi-Year Guaranteed Annuities) are relatively basic. But all annuities aren’t basic and some can be actually quite complex. Annuites come in many varieties: variable, fixed, equity indexed and more. Some annuities can help defer taxes; while others allow people to invest in stocks and bonds while protecting against steep losses.

  2. Annuities require a long term commitment.
    Annuities can have high penalties (called Surrender Charges) if you decide to get out of an annuity earlier than the matured term set in your original annuity agreement. (In a way, similar to a penalty would you pay to break a CD at a bank to get out of a CD early, but generally with an annuity it will be an even higher penalty.)


  3. You need to know specifically what you want.
    You need to decide what type of annuity accommodates your needs before purchasing one.

  4. Safety can come at a cost, depending on what type of annuity and/or rider you purchase.

  5. Which agent or agency you use, matters! You can save yourself money by using an independent agent, since independent agents can shop multiple insurance companies for you at one time. You can also shop online, but won’t have the benefit of personalized service of a local independent agent that explains things and also should be able to get you the same rates as online. It is also very important to choose an insurance company with a high rating grade such as at least an A- (by one of the rating firms such as A.M. Best.) 



The article is no longer available online, but was originally located at:

https://www.aarp.org/retirement/retirement-savings/info-2019/annuities-buying-advice.html


Source: AARP Bulletin January/February 2019
https://www.aarp.org/retirement/retirement-savings/info-2019/annuities-buying-advice.html


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Annuities - Pros, Cons, and Levels Of Risk



I read an article in the Washington Post by Thomas Heath and I thought I’d share.

The article discusses some of these basic topics: 

  • There are many types of annuities that can be used for various goals. But ultimately, annuities are the only type of product that can be turned into lifetime income.
  • Guaranteed Lifetime Income Annuities (Guaranteed checks come every month.)
  • SPIA (Single Premium Immediate Annuities - You can start getting guaranteed monthly checks immediately.)
  • Joint Life Annuity (Payments last until the death of the surviving spouse.)
  • Some annuities are taxed and some are not, depending on the source of money.
  • Annuities have pros and cons. So he neither endorses them or warns you to stay away from them either. (As they say, one size doesn’t fit all. You need to review your individual circumstances to decide if an annuity is the right fit for you.)
  • There are many different types of annuities. (It is important to understand the particulars of the type of annuity, as well as the details of your specific annuity, before signing up for one.)
  • Annuities can be relatively simple or they can be complicated, depending on the type you choose.


Excerpts from his article:

"The dumbed-down definition of an annuity — the one I am most comfortable with — is a fixed amount of money paid to someone each month. You typically purchase an annuity from a financial services company, and the firm guarantees income the rest of your life.

Buying an annuity is buying insurance. You pay a company to give you a guaranteed paycheck instead of paying yourself from assets that are exposed to the whims of the stock market. How well or poorly the annuity-issuer invests the money, or the condition of the stock market, is not your problem. You get your fixed payment whatever happens.”1



Final Note: Annuities are long time contracts and they generally have large penalties, if you try to get out of them early before they mature. (Similar to a CD, where there is a penalty for early withdraws before the CD matures.) So you shouldn’t put “all" your money into an annuity, since it will be locked up for a long period of time.  You should diversify by having some liquid savings for emergencies, as well as for future planned expenses.


Please click on the web link below to read the entire article:

https://www.washingtonpost.com/business/economy/when-it-comes-to-annuities-there-are-pros-cons-and-certain-levels-of-risk/2019/07/05/c6caa588-9f3d-11e9-9ed4-c9089972ad5a_story.html


1. Source:  Thomas Heath / The Washington Post
https://www.washingtonpost.com/business/economy/when-it-comes-to-annuities-there-are-pros-cons-and-certain-levels-of-risk/2019/07/05/c6caa588-9f3d-11e9-9ed4-c9089972ad5a_story.html


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 


Annuity Dreams And Contractual Realities


A Wall Street Journal article by Stan Haithcock made some good points about annuities. One thing to keep in mind is to base your decisions and expectations on the guarantees within the policy. Don't base your decisions only on the best case scenarios and set yourself up for possibly disappointing results. Also understand that there are many type of Annuities. 

According to the article, fixed indexed annuities were actually designed to complete with CD returns. It goes on to say that the good news about an indexed annuity is that it is a fixed annuity, which means that your principal is protected. In addition, gains (if any) are locked in on an annual basis and typically on the contract anniversary date. He tells people that the upside to an indexed annuity is that there is no downside (which is a good thing), and the downside is that there is typically very limited upside (i.e. CD type returns). You can't have it all, which is OK when you align your return expectations with the realities of the policy.

Unfortunately his original web article is no longer available, but the original source web link is below.

Source: http://www.marketwatch.com/story/annuity-dreams-and-contractual-realities-2013-10-22/print?guid=E75291F6-772A-40E9-B94E-8DD76E4B7FAF


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Benefits of IRA Accounts & Some of The Rules


An informative MarketWatch article by Bill Bischoff regarding how IRA accounts are tax smart and better then before.

This article mentions that making meaningful contributions to IRAs have gotten a lot easier over the past years and also goes over the ground rules for both traditional IRAs and Roth IRAs.

The bottom line is that you can contribute more to IRAs than in the past, so it is definitely worth the effort.

Click on link below to read the entire article:

IRA accounts are tax-smart and better than ever


Click below to read related article:

1. Everything You Need To Know About Your IRA

2. Understanding the IRA mandatory withdrawal rules


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Claiming Social Security: Should You Wait?


Informative Wall Street Journal article by Anne Tergesen regarding the age that is best for you to claim Social Security. The gist for most retirees is that they are going to be better served delaying Social Security until full retirement age or later. Although to determine the best strategy for you it is worth hiring an independent financial advisor.

http://blogs.marketwatch.com/encore/2013/04/23/claiming-social-security-should-you-wait/tab/print/

Also a link, that was mentioned in the article, is pasted below to Social Security's web site that shows when you are entitled to full retirement  (Full retirement age is the age at which a person may first become entitled to full or unreduced retirement benefits.)

http://www.ssa.gov/retire2/retirechart.htm


Related Blog Post:

Taking Social Security Too Soon Can Cost You


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Don’t Ignore Your Social Security Statement


I found this MarketWatch article by Kerry Hannon (NextAvenue.org) to be very informative. It briefly guides you through your Social Security statement and tells of the importance of actually reading it.

The article mentions that if you receive your statement from the Social Security administration, don’t just toss it out or file it away unread. It is very important and probably one of the most crucial financial planning documents for every American to review and understand. 

For those of you that didn’t get a Social Security statement in the US Mail in a long while, you can set up an account at SocialSecurity.gov and log in online to find the same information.

The main reason to read your statement (whether a paper copy that came in the mail or electronic version by logging on and viewing online) is to give you an idea how much you can expect to receive from Social Security, which will depend on the age you apply for benefits. This information can help you decide when to start claiming your Social Security benefits.

It is also very important to verify that your earnings record information is correct. If your earnings record is incorrect, you may not receive all the Social Security benefits you are entitled to receive.

It read the full article, click on the web link below.

http://www.marketwatch.com/story/dont-ignore-your-social-security-statement-2015-01-13


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Everything You Need To Know About Your IRA


This MarketWatch article by Bill Bischoff is very informative and should be a must read for those that aren’t that familiar with rules regarding their own IRA!

The articles expands on the following topics:

  • Who is eligible for traditional IRAs 
  • Who is eligible for Roth IRAs
  • How much you can contribute
  • Taxes due after age 59 1/2
  • Early Withdrawal (before 59 1/2) for higher education expenses
  • Early Withdrawal (before 59 1/2) for first time home purchase
  • Early Withdrawal (before 59 1/2) for death or disability
  • Early Withdrawal (before 59 1/2) for other reasons
  • SEP & SIMPLE IRAs for self employed folks and small business owner
    • Eligibility
    • Contribution limits for 2015
    • Withdrawals after age 59 1/2
    • Withdrawals before age 59 1/2
    • What is AGI?
    • What is earned income?


To read the full article, click on the web link below.

Everything You Need To Know About Your IRA


Click below to read related articles: 
1. IRA accounts are tax-smart and better than ever

2. Benefits of IRA Accounts & Some of The Rules

3. Understanding the IRA mandatory withdrawal rules


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

If Social Security is Plan A, it’s time for Plan B


Link below to an article from Wall Street Journal's Marketwatch by Robert Powell, advising folks to reconsider on how to handle their planning for retirement and not to just depend on Social Security. Basically saying if you’re retired, don’t worry; if you’re under 40, worry!

http://www.marketwatch.com/story/if-social-security-is-plan-a-its-time-for-plan-b-2012-04-25


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Important Documents To Get In Order While You Are Still Healthy & Able To!


Below is a list of some of the important legal documents you should prepare now while you are still healthy!

  • Durable Power Of Attorney
    (For Legal Matters - It allows you to name someone to act on your behalf for any legal task and it stays in place if you become unable to make your own decisions.)

  • Advance Directives
    (Let you make arrangements for your care if you become sick.)

    There are two ways to do this:

    1. Durable Power Of Attorney For Health Care 
      (For Medical Decisions - It lets you name the person you want to make medical decisions for you if you can’t make them yourself.) Note: Make sure the person you name is willing to make those decisions for you.

    2. A Living Will
      (For Medical Decisions  - It gives you a say in your health care if you become too sick to make your wishes known. In a living will, you can state what kind of care you do or don’t want. This can make it easier for family members to make tough healthcare decisions for you.


  • Wills and Trusts
    (They let you name the person that you want your money and property to go to after you die.)


NOTE: It is best not to attempt to complete these documents yourself, but rather work with an attorney you can trust. Each state may have different laws and may interpret these documents differently and in some cases can be voided if completed incorrectly.


Source: https://www.nia.nih.gov/health/publication/getting-your-affairs-order


Other Related blog posts and articles:

Get these documents in order while you’re healthy and able to

The Essential Pieces of Estate Planning Paperwork You Need



Note: Both Medicare and Life Insurance can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in an insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Indexed Annuities Are Becoming More Popular Again


I found this InvestmentNews article by Darla Mercado to be interesting by pointing out how some things come full circle. The article mentions how indexed annuities became popular after the bond market massacre of 1994 and that indexed annuities were created for an environment like the one we're in today. Thus fixed indexed annuities have become popular once again in today’s low interest setting.

In general, annuities are retirement planning vehicles that can allow you to transfer significant risks, like market uncertainty and life longevity, over to the insurance companies that can shoulder these type risks, given their access to large pools of individuals and their access to institutional pricing. The main concept of most annuities is their ability to minimize the potential loss to their owners, often completely shielding their owners from any potential loss depending on the how the fixed indexed annuity is set up, as well as giving them the option to have income for life if they choose.

"Indexed annuities" are a type of fixed annuity that credits owners' accounts with a minimum guaranteed rate of interest and combines that with an interest rate tied to movement of an index. However, fixed index annuity owners don't fully capture all of the index's performance in most indexed annuities due to the fact that owners also get the benefit of being shielded against downside loss. So if the market index goes down, many Index annuities have a zero percent floor. Meaning owners can’t lose when the market goes down. Owners will either get zero percent when the market goes down or their will receive interest crediting for a portion of the market index when it goes up. A safe, but conservation way to grow your retirement savings without the worry of losses, that is if you leave your money in until the end of the prearranged agreement period.

To read more click on the link below:

http://www.investmentnews.com/article/20140223/REG/302239998/indexed-annuities-gain-popularity-while-rates-remain-low


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Is It Better to Buy Annuities vs. Life Insurance When Planning for Retirement?


Most insurance companies provide annuities and life insurance products. The main difference between “life insurance” and an “annuity” is how the payments are paid out.

An overly simple explanation is: An annuity is almost like the opposite of life insurance. It continues to pay you a stream of income until you pass away. Life insurance on the other hand pays out to your beneficiaries once you pass on. So the difference between annuity and life insurance lies in the benefits and the timing of it. An annuity intends to support the investor's future income requirements while in life insurance, meets the need of the beneficiaries. Life insurance is mainly a financial product which protects your loved ones when the insured has passed away.

Annuities pay a stable steady income to secure your future income needs. It is a safe, secure stable source of income, ideal for retirees. You can start receiving payments “immediately” or “deferred.” Annuities can provide tax-deferred savings for retirement.

Life insurance generally pays out one “lump sum” payment to the beneficiaries, upon death. It is absolutely essential to provide for the future needs of surviving loved ones so you can meet, or even exceed their expenses such as: living costs, covering the cost of the funeral, or to satisfy any other financial obligation you desire for your loved ones after you pass away.

Both annuity and life insurance products provide death benefits. For example if you pay $100 to an insurance policy, when you die, your surviving beneficiaries could receive up to several hundreds of thousands of dollars. With an annuity, when you pay $100 as premium and die, your beneficiaries will only receive paid premium with interest, minus any payouts made. So if your main need is a death benefit, opt for life insurance.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Longevity Annuities - What are they?


A longevity annuity provides protection against outliving your money late in life. Also known as an advanced life delayed annuity, this type of annuity requires you to wait until you reach age 80 or so to begin receiving a payout. Once the payout begins, the annuity provides a guaranteed, regular amount of income for the rest of your life.1

As with any deferred annuity, your money in a longevity annuity grows until you start receiving payouts. The later you choose to begin your payments, the larger your payments will be.1

Buying a longevity annuity is like buying a homeowner’s or health insurance policy with a very large deductible. You’re insuring yourself against a catastrophic risk you can’t handle on your own – in this case, running out of money late in life – while holding your premium to a minimum. You typically would invest just a portion of your retirement nest egg in a longevity annuity – say, 10% to 25% – and leave the rest in your other retirement accounts. It’s only worth tying up a small portion of your savings in a longevity annuity, because should you die before you start receiving payouts, the entire balance of your account will be lost.2

Click the web links below to read more:


1. Source: CNN Money http://money.cnn.com/retirement/guide/annuities_longevity.moneymag/index.htm

2. Source: Time Money http://time.com/money/collection-post/2791259/what-is-a-longevity-annuity/


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

MYGA - What is a MYGA?


MYGA is short for Multi-Year Guaranteed Annuity and is a type of fixed annuity.

A MYGA has a fixed interest rate that is applied to invested funds for multiple years in a row.   MYGAs are kind of like bank CD’s (certificates of deposit) in many ways. One similarity of MYGA’s to CDs are that they grow funds at a fixed interest rate for a set period of time and have a penalty for early withdrawals. MYGA’s are some of the simplest forms of annuities.1

A Withdrawal Provision is a feature of almost all MYGA’s. (Although there are some exceptions in some MYGA’s that do not allow penalty free withdraws until full maturity, but most MYGA’s do offer up to 10% withdrawals per year that are penalty free.) The Withdrawal Provision allows you to withdraw a percentage of your account value. For example, if a MYGA had a 10% Free Withdrawal Provision at the end of each year you could withdraw up to 10% of your account value each year penalty free. If you withdraw more of your money earlier then the MYGA agreement allowed, then you would have to pay substantial surrender charges to the insurance company, as well as possible tax penalties. (Withdrawal of any funds prior to age of 59 1/2 are subject to an IRS Penalty of 10% of the funds withdrawn. This is in addition to any penalties incurred as part of the annuity contract.)

MYGA’s are usually purchased by people in retirement or nearing retirement. The reason why MYGA’s are typically purchased by people older than 55 is because of the tax treatment of annuity funds mentioned above.

MYGA’s have several strengths over bank CDs. Probably the most significant strength is that their fixed interest rates tend to be quite a bit higher for MYGA’s than for CD’s of the same number of years. Another key advantage is that MYGA’s grow funds on a tax-deferred basis. That means you do not have to pay taxes on gains each year. With MYGA’s, funds grow tax-deferred within the annuity and no taxes are due until your funds are withdrawn. However on the other side with CD’s, you are taxed each year on the interest earned.

How do you buy a MYGA? Since MYGA’s are insurance products, they may be purchased through a licensed insurance agent. You can call me directly at 941-404-5334 if you like to purchase a MYGA or if you just have any questions.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


1. Disclosures:  I have provided this information as courtesy service. The material on this page for informational and educational purposes only. It is not intended to provide, and should not be relied upon for, accounting, legal, tax or investment advice.It is neither a legal interpretation nor a statement of SEC policy. If you have questions concerning the meaning or application of a particular law, please consult with an attorney. 

An annuity is an insurance product that can be used as part of a retirement strategy. Annuities are not FDIC insured, not bank guaranteed, and may lose value if surrendered early. An annuity is subject to the claims-paying ability of the issuing insurance company. Before buying an annuity, consider the objectives, risks, charges, and expenses of the annuity. Please read all disclosures carefully before buying an annuity. Please review your issued annuity policy during any “free look” term offered by the insurance carrier to ensure accuracy. 


Source: http://www.montanalifegroup.com/2014/05/myga



Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Nice Increase Expected For 2023 Social Security Checks!


I thought I would share some good news that I read in a recent USA Today Newspaper article by Paul Davidson. It is predicted that there will be a 8.3% increase in Social Security checks! (With all the inflation recently, every little bit helps!)

Excerpts:

"The roughly 70 million people – retirees, disabled people and others – who rely on Social Security could receive an 8.6% cost-of-living adjustment, or COLA, next year, according to an estimate from Mary Johnson, a policy analyst for the Senior Citizen League, an advocacy group.

For the average retiree who got a monthly check of $1,657 this year, the bump would mean an additional $142.50 a month in 2023, boosting the typical payment to $1,800.”1


To read the entire article, click on the web link below:

https://www.usatoday.com/story/money/2022/05/13/cola-2023-social-security-cost-living-boost-inflation/9762924002/


1. Source: USA Today Article by Paul Davidson
https://www.usatoday.com/story/money/2022/05/13/cola-2023-social-security-cost-living-boost-inflation/9762924002/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Older People Fear This More Than Death!


I read an interesting MarketWatch article by Catey Hill regarding that the number one thing that scares older people the most is running out of money in retirement. 

8 Things older people fear about retirement:

  1. Outliving savings and investments 43%
  2. Declining health that requires long-term care 38%
  3. Social Security will be reduced or won’t exist 33%
  4. Lack of access to adequate and affordable health care 27%
  5. Cognitive decline, dementia and Alzheimer’s 25%
  6. Finding meaningful ways to spend time and stay involved 11%
  7. Being laid off/not being able to retire on my own terms 10%
  8. Feeling isolated and alone 9%

Source: Transamerica Center for Retirement Studies


To read the entire article click on the weblink below:

http://www.marketwatch.com/story/older-people-fear-this-more-than-death-2016-07-18


My suggestion to avoid running out of money during retirement:
One solution that gives you an option to receive steady income in retirement is purchasing an annuity well in advance of retirement. However, there are many different types of annuities. For example: deferred annuities if you have years before retirement versus an immediate income annuities for those that need monthly income right away, etc.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews 


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Retirement - Keep More Of Your Savings

This web page has intentionally been deleted

Retirement costs confuse soon-to-be retirees


An interesting Wall Street Journal's MarketWatch article by Anna Andrianova that states one third of people close to retirement said that they don't know how much money they will need to cover basic expenses in retirement, according to a new study. Click on link below to find out more.

http://www.marketwatch.com/story/retirement-costs-confuse-soon-to-be-retirees-2012-07-31


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Simple Annuity Guarantees You A Consistent Monthly Income As Long As You Live


I read this MarketWatch article by Michael Edesess and found the latter part very informative, so I thought I’d share.

Excerpts:

A simple annuity, also called a “Single Premium Immediate Annuity" (SPIA), is a financial instrument that guarantees you a consistent monthly income as long as you live. It should not be confused with the much more complicated, expensive, and much less useful annuities with other names, such as variable annuities or fixed-income annuities.1

His calculations show that for an investor to be 95% certain of not running out of money with a safe withdrawal strategy from a 60%/40% stock-bond portfolio, the strategy would be to withdraw 3.5% of the initial investment in real (inflation-adjusted) dollars each year.1

If the portfolio started with $500,000, for example, the average annual lifetime income would be $23,000. With the SPIA, the average annual lifetime income would be $33,500, and the certainty of achieving it is greater than 95%.1

Thus, both the certainty of not running out of money, and the lifetime income, are much greater with the SPIA than with the “safe withdrawal” strategy. This, of course, assumes that the investor has essentially zero interest in leaving a bequest. But this is the case for many baby boomers. Their children are independent, or they want them to be, or they have no children.1

In these times of relative hardship for most middle-class retirees, the majority of baby boomers in the United States are more concerned that they will not have enough money to live out their years with a degree of relative comfort than they are with leaving a legacy. Given this objective only, it’s almost impossible to beat a simple annuity.1


Note: It is important to know that there are some payout options for SPIA’s that are not mentioned in the article. One important payout option is that you still can leave a legacy (via a beneficiary) however that will cost you a little bit more by lowing the amount of your monthly payout.


Below are some payout options that many insurance companies offer.

  • Period certain: (Fixed Number of Years)
  • Single life only
  • Single life with period certain:
  • Single life with cash refund
  • Single life with installment refund
  • Joint life with survivorship
  • Joint life with survivorship and period certain


Definitions of each of the options listed above: (Each insurance company the options may vary)

• Period certain only: This option provides income 
for a fixed number of years set at the beginning of the annuity. If the annuitant passes away during that
 time, payments would continue.


Single life only: Payments are only during the 
life of the annuitant. If the annuitant passes away, then 
no further payments are made to an estate or any 
other person.


• Single life and period certain: Selecting this 
option provides income for the life of the annuitant
 - with a guaranteed payment period for a fixed number of years set at the beginning of the annuity. If the annuitant passes away
 before the period ends, payments will continue 
for the remainder of that period.


Single life with installment refund: This option 
guarantees that payments will continue during the 
life of the annuitant. After the annuitant passes 
away, payments continue until the total payments
 are equal to the single premium originally paid.


Single life with cash refund: Payments are only 
during the life of the annuitant. If the annuitant
 passes away before the total payments received
 equal the premium, a lump-sum payment is made
 equaling the difference between the original single
 premium and any payments already received.


Joint life with survivorship: Selecting this option
 creates an income stream paid for the life of the 
annuitant and the lifetime of his or her spouse.
 After the annuitant passes away (or his or her
spouse), payments continue for the remainder
 of the surviving spouse’s life.


• Joint life with survivorship and period certain: 
This option provides income for the annuitant and 
his or her spouse’s lifetime – with a guaranteed 
payment period for a fixed number of years).
Should the annuitant or his or her spouse pass
 away, payments continue for the remainder of
 the surviving spouse’s life. If both annuitants 
pass away before the period ends, payments 
will continue for the remainder of the period.


Click on the web link below to read the entire article OR just scroll about half way down the article to the heading section called "Simple Annuity."

https://www.marketwatch.com/story/this-one-investment-move-can-give-you-lifetime-yearly-income-in-retirement-2019-04-29


1. Source: MarketWatch article by Michael Edesess
https://www.marketwatch.com/story/this-one-investment-move-can-give-you-lifetime-yearly-income-in-retirement-2019-04-29


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews 


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Social Security - 12 Top Things to Know


After reading an AARP Bulletin article by Kenneth Terrell, I wanted to share what he considered the 12 top things to know about Social Security and he busts some of the incorrect myths about Social Security.

Below is quick bullet point list:

  • Social Security is not going bankrupt
  • Congress probably will not take up Social Security reform anytime soon
  • Some ideas to reform funding are starting to take shape
  • Lawmakers do not raid the trust fund
  • Many believe it can be run better
  • Your Social Security benefits can be taxed
  • Social Security is not meant to be a retiree's sole source of income
  • The purchasing power of social security is diminishing
  • You can work and get Social Security
  • Social Security has gone digital
  • Social Security is not just a retirement program
  • Most people get back more than they put in


For details on each of the bullet points above and to read the entire article, click on the web link below:

https://www.aarp.org/retirement/social-security/info-2018/12-fact-about-ss.html

Source: AARP Bulletin November 2, 2018 Article by Kenneth Terrell https://www.aarp.org/retirement/social-security/info-2018/12-fact-about-ss.html


Click on web link below for related topic:

Top Social Security Questions Answered


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Social Security Tips For Married Couples (Includes A Video)


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Taking Social Security Too Soon Can Cost You


I recently read some interesting articles from both CNBC and U.S. News regarding taking Social Security too early and how it can affect you. I thought I’d share the articles.

Basically everybody's circumstances are different and when you should start taking Social Security is based on many factors. They suggested that it is best to contact a financial advisor to help you decide well in advance before making any decisions.

One excerpt from the U.S. News article by Emily Brandon:
"Your Social Security benefit increases by approximately 7 percent each year you delay taking it from age 62 to 66 and by 8 percent a year until age 70, Kotlikoff found.“


Click on the web links below for each of the articles you would like to read.

Retirees pay for claiming Social Security too early

http://www.cnbc.com/2015/08/26/retirees-pay-for-claiming-social-security-too-early.html

When to file for Social Security retirement benefits early

http://www.cnbc.com/2015/08/07/when-to-file-for-social-security-retirement-benefits-early.html?trknav=articlecarousel:inline:1:102945654

Taking Social Security Too Soon Can Cost You

http://money.usnews.com/money/retirement/articles/2008/01/09/taking-social-security-too-soon-can-cost-you


Related Blog Post:

Claiming Social Security: Should You Wait


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

The Essential Pieces of Estate Planning Paperwork You Need


I read this informative Money (time.com) article by Jill Schlesinger regarding estate planning and thought I’d share.

One important take away is that you need to prepare these items now, so they will be available if and when needed. Many people mistakenly like to put off this task until another time down the road.

"Below is their checklist:

Estate Planning Documents

Note: Parents should complete the following legal paperwork.

  • Will: A legal document that ensures that your assets are passed to your designated beneficiaries, in accordance with your wishes. In the drafting process, you'll name an executor, who is the person or institution that oversees the distribution of your assets. If you have minor children, you need to name a guardian for them.
  • Power of attorney: Allows you to appoint someone to act as your agent in a variety of circumstances, like withdrawing money from a bank, responding to a tax inquiry or making a trade.
  • Health care proxy: Allows you to appoint someone to make health care decisions on your behalf if you lose the ability to do so.
  • Trusts (if applicable): Depending on your family needs and tax situations, you may have either revocable (changeable) or irrevocable (not-changeable) trusts. One factor is the size of your estate: For 2016, the first $5.45 million of an estate is exempt from federal estate taxes. If an estate is above the threshold (or twice that for married couples), a revocable trust may be suitable.
  • "DNR" order (if applicable): You may need to complete a "do not resuscitate" order each time you enter a hospital or nursing home.


Account List

You should also complete, and share, a list of multiple accounts that heirs might need to access.

  • Bank and brokerage accounts
  • 401(k) accounts
  • IRAs and Roth IRAs
  • All auto-pay accounts, with name and contact information for each payee
  • Safe-deposit boxes
  • Pension documents
  • Annuity contracts
  • Savings bonds (with copies of the actual bonds)
  • Life insurance policies
  • Long Term Care insurance policies

If there are related online usernames and passwords that someone will need to access, print out a list, stash it in a safe or other secure location, and then (this is important)  make sure that your executor or heirs know how to find it.


Other Documents

Finally, there are several other pieces of paperwork that, if applicable, can be quite helpful to heirs.

  • Previous three year's tax returns
  • Housing, land and cemetery deeds
  • Mortgage accounts
  • Proof of loans made
  • Vehicle title
  • Partnership and corporate operating agreements
  • Marriage license and/or divorce papers, if applicable
  • Military discharge information

Important contacts: Names and current addresses for all people named in the legal documents, as well as the contact information for the estate attorney and CPA who will be handling the estate.”1


Click on web link below to read their entire article and view video:

http://time.com/money/4300166/checklist-estate-planning-documents/


1. Source: Money web article “24 Essential Pieces of Estate Planning Paperwork You Need” by 
Jill Schlesinger located at: http://time.com/money/4300166/checklist-estate-planning-documents/


Click below web link to read one of my related blog posts:

Important Documents To Get In Order While You Are Still Healthy & Able To


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Top Social Security Questions Answered


After reading an AARP Bulletin article by Stan Hinden, I wanted to share what he considered the top Social Security Questions and his answers.

  • When should I start Social Security?
  • How much money will I get?
  • Can I keep working after taking my benefits? Is there a limit on my earnings?
  • I am divorced. Can I get benefits from my former spouse’s work record?
  • I was a stay-at-home mom and never worked, but my husband did. Can I get Social Security benefits?
  • If my spouse dies before taking Social Security, can I still get a widow’s benefit?
  • Do I pay federal taxes on my payments?
  • Can I have federal taxes withheld from my payments?
  • What is Social Security disability insurance (SSDI) and how does it work?
  • What can my spouse and I do to increase our benefits?


For the answers to the above questions, click on the web link below and then click on the right arrow of the picture to move to the next slide:

https://www.aarp.org/work/social-security/info-2014/social-security-questions-photo.html#slide1

Source: https://www.aarp.org/work/social-security/info-2014/social-security-questions-photo.html#slide1


Click on web link below for related topic:

Social Security - 12 Top Things to Know


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Turning 50? Time For A Retirement Tuneup


This Wall Street Journal Article by Elizabeth O'Brien gives a wake up call as well as advice on evaluating whether you are on track to enjoy financial and physical well-being when you retire. At age 50, experts say, there is still time to play catch up and make adjustments if needed for the next phase of your life. She goes on to say that you should fight the impulse to put retirement on the back burner in your early 50's. Advisers say that the timing may not be opportune at that age, but it is actually the most critical time! She includes a checklist in the article to help 50-year olds stay on track for a healthy retirement. Click the link below to read more.

http://www.marketwatch.com/story/turning-50-time-for-a-retirement-tuneup-2013-06-11


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

What Happens To Your Debt When You Die?


I just read an interesting MarketWatch article by Karen Carr and thought I’d share it.


The article covers these main topics below:

  • Who has to pay the debt?
  • What if the estate is broke?
  • When family members must pay


Excerpt:

"When someone passes away, their estate — or cumulated assets — is generally responsible for paying any outstanding debts. It’s up to the executor of an estate (the person who has been deemed legally in charge of taking care of the estate after someone passes away) to see that debts are paid.

Most debts must be paid back, provided there is enough money in the estate. The types of debts that must be paid back include credit card debt, car loans, private student loans (federal student loans are discharged at death), home equity lines of credit, and mortgages.

If you owe money on a mortgage at the time of your death, things can get a little complicated.”1


Click the link below to read full article:

http://www.marketwatch.com/story/what-happens-to-your-debt-when-you-die-2016-03-14


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


1. Source: MarketWatch Online Article by Karen Carr
http://www.marketwatch.com/story/what-happens-to-your-debt-when-you-die-2016-03-14

What To Do If You Inherit Your Spouse’s IRA


I read an informative MarketWatch article regarding "what to do if you inherit your spouse’s IRA" by Bill Bischoff and thought I’d share it.

The article mentions that you could have huge tax implications by doing the wrong thing with your inherited IRA. You should NOT just sit on your hands. Because if you fail to withdraw at least the required minimum amount from your inherited IRA, you will be charged a penalty equal to 50% of the shortfall! It is very important to pay attention and read his article to learn how to calculate required minimum withdrawals from an IRA you inherited from your spouse.


Click on web link below to read the entire article:

http://www.marketwatch.com/story/what-to-do-if-you-inherit-your-spouses-ira-2015-03-18

What’s the Best Age to Retire?


Ever wonder what age would be best age to retire? No matter if your retirement dreams are supposedly right around the corner or way down the road in life for you, this article should be helpful. Click on the link below to read the article from The Wall Street Journal's MarketWatch by Robert Powell and find out more about helping you plan properly.

http://www.marketwatch.com/story/whats-the-best-age-to-retire-2012-09-13


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Why It Might Be Better To Take Social Security At Age 66 Instead Of Age 70


I read an informative MarketWatch article by Mark Hulbert regarding what age you may want to start taking Social Security and I thought I’d share it.

Some excerpts:

Most financial planners recommend that if you can afford to do so, you should wait until age 70 to begin receiving your Social Security benefits. Your monthly payment in such an event will be 32% higher than if you begin receiving benefits at age 66. As long as you live to your early 80's, those higher monthly payments should make up for the foregone income over the four years from age 66 to 70.1

A couple of reasons on why that conventional strategy could be wrong:

For the first reason, click this web link to read this related article:

When it’s best to claim Social Security before age 70

An additional reason traces to Social Security’s uncertain fate at the hands of our elected officials. If you take at face value some of the proposals being given serious consideration in Congress and in President Trump’s administration that reduce future Social Security benefits, then the financial planners could be giving the wrong advice to wait until age 70.1


For more information, click on web link below to read the entire article:

https://www.marketwatch.com/story/why-it-might-be-better-to-take-social-security-at-age-66-instead-of-70-2018-02-02


1. Source: MarketWatch online article by Mark Hulbert
https://www.marketwatch.com/story/why-it-might-be-better-to-take-social-security-at-age-66-instead-of-70-2018-02-02


Disclaimer: I am not a financial advisor or social security advisor. I am insurance licensed only, thus regarding social security advice always be sure to check with your financial advisor or social security advisor first for your individual situation before making any decisions.


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 

Younger Adults Can Buy Fixed Annuities, Too


This AnnuityNews.com article by Linda Koco mentions that fixed annuities purchased by buyers under the age of 50 has been increasing recently. Not just under 50, but also under 40, and even under 30 years old!

Many advisors and agents don’t even think of offering annuities to people under the age of 50. One main reason is that they just don’t want to sell annuities to people who might face a tax penalty if they withdraw their annuity funds before age 59.5. It goes on to say that as far as the 59.5 penalty concerns, the same can be said for IRA’s, however younger adults still purchase IRA’s.

The younger purchasers that can benefit from purchasing fixed annuities, could be people that have exhausted their maximum contributions to their 401(k) or other defined contribution retirement plans since they are using fixed annuities to supplement their retirement savings.

To read the full article, click on the link below.

http://insurancenewsnet.com/print.aspx?id=551141


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Annuities can be confusing to many people. As an "independent licensed agent" I try to explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose an annuity that you feel best fits your needs from a large choice of different insurance companies. Plus if you choose to work with me you will have personalized service by a local independent agent that can shop rates for you, rather than working with a captive agent working for just one insurance company. If you would like my assistance to discuss and/or start the process of getting an annuity please call me at 941-404-5334. 


LIFE INSURANCE

10 Questions You Should Ask & Understand Before Buying Life Insurance


  1. How much life insurance do I need?
    A: The suggested amount of life insurance to buy will depend on a number of different factors. Talk to an insurance agent. He/she can help you evaluate your insurance needs and give you information about different types of policies. Determining how much coverage you need by getting important questions answered such as: How much of the family income do you provide? Does anyone else depend on you financially? How will your family pay final expenses and repay debts after your death? Based on the answers to these type questions and more, you can together intelligently decide how much coverage you need, for how long, and what you can afford to pay. You want to make sure that you buy enough life insurance to cover the financial effects of an unexpected or untimely death. 

  2. What type of life insurance should I buy?
    A: It will depend on your individual circumstances and needs. You will need to decide if you want Permanent or Term life insurance. Term life insurance is commonly known as "Temporary" insurance because just as the name implies it only provides a death benefit for a specified number of years. On the other hand, “Permanent” life insurance doesn't end as long as you continue to pay your premiums. In addition to providing a death benefit, permanent life insurance can accumulate cash value, and then you have the ability to access cash that has accumulated, in the form of loans and/or withdraws after a certain period of time. Keep in mind, permanent life insurance will have more expensive premiums for the same death benefit coverage, then term life insurance.

  3. Is permanent life or term life better?
    A: It will depend on your individual circumstances. It will depend on what you are trying to accomplish and also how much you can afford to pay in premiums. There are two schools of thought. In my opinion, there is no right or wrong answer. Again it depends on your particular circumstances. Talk it over with your independent insurance agent to determine what you feel best fits your needs.

  4. Will my life insurance have cash value, if I plan to cancel the policy or if I just take a loan from an existing policy?
    A: That will depend on the type of life insurance policy you purchase. Term life insurance does not have cash value built it, which helps keep the premiums very low. On the other hand, many permanent life insurance policies (but not all), can (or already do have) cash value built into your specific policy. So be sure to ask and understand if your policy will have cash value built in. (Although if you feel cash value is not an important feature or determining factor of your life insurance policy that you desire and you still want a permanent life insurance policy, you can reduce your premiums by having the cash value portion stripped out by customizing a universal life permanent policy.)

  5. Who should be my beneficiaries?
    A: First you need to know that a beneficiary of a life insurance policy has to be an "insurable interest.” Someone having an insurable interest in you, means that they would experience financial loss and hardship should you die. Therefore, for someone to purchase an insurance policy on your life and be considered the beneficiary (making them beneficiary owner), they must be able to demonstrate an insurable interest. With regard to a life insurance policy, an insurable interest is based on a relationship whereby there is a common interest in another person continuing to live or a financial loss that would result at that person’s death. Therefore, in order to insure the life of an individual, an applicant for life insurance coverage must have a greater financial concern in the insured living than in them dying. For more on insurable interest info, click on this web link below to read another blog post I wrote. 
    https://mgildarinsurance.com/blog/life-insurance/life-insurance---can-anybod.html

    Generally, your spouse (if married), your children, grandchildren, an aging parent, other blood relative, etc. would be some good examples for your beneficiary choices. You should also choose one or more contingent beneficiaries, if for some reason your beneficiary is not living when you pass. (Example: If you and your immediate family were all in accident together and there were no survivors.)
    Important note: Keep in mind with children under the legal age (minors), their guardian may have control of the death benefit money until the child or children were of legal age, unless you create a trust in advance for them and name that trust as a beneficiary.

  6. What is the insurance company’s financial rating?
    A: Pick a well established insurance company with an “Excellent" rating! Check the insurance companies’ ratings for financial strength first before completing an application. You want your insurance company to be there when your family needs it the most! Some of big name companies that rate the insurance companies financial strength are: AM Best, S&P, Moody’s and Fitch! Keep in mind a rating scale from one rating company, may differ from another company’s rating scale. 

  7. Do I need to take a Medical Exam in order to buy life insurance?
    A: To get the least expensive premiums for same amount of death benefit, generally traditional life insurance that requires a medical exam is the way to go. That is, if you are in good health and have lots of time to go through the insurance company’s approval process.

    However, if you are either in a hurry and/or don’t want to have a medical exam, then Simplified Issue may be an option, if you are in relatively good health. Simply Issue generally doesn’t require a medical exam, but they will ask you medical questions about any medical conditions you may currently have or have had in the past. If your answers don’t fall within the guidelines of the insurance company’s requirements, you most likely will not be approved. Simplified Issue premiums are more expensive than traditional life insurance premiums with the same death benefit, due to more risk on the insurance company’s side.

    There is yet another option that doesn’t require a medical exam (or even any medical questions for that matter). So even if you are in very poor health, you can still get approved! That type of life insurance is called Guaranteed Issue. However, Guaranteed Issue is the most expensive type of life insurance since there is an increased amount of risk the insurance company is taking on.
    Note: Full death benefits on most Guaranteed issue don’t start until after two full years. If an insured were to pass before that full two year period, the beneficiary would just get the premiums paid in to that point, plus interest.

  8. Will my medical conditions/history increase my premiums?
    A: It all depends on what your medical conditions are, and your medical history. If you can get approved, yes many medical conditions can increase premiums.

  9. Does it matter what type life insurance agent I use?
    A: I highly recommend using an Independent Insurance Agent rather than a captive agent. Independent agents don't just use one main insurance company and possibly some of their affiliates for quotes, like a captive insurance agent from a single big insurance company does. Independent insurance agents can shop a very large number of insurance companies across the market at once for the very best quotes and are also able find specific insurance policies that are best suited for their clients. That way you can choose from a broad number of insurance companies and compare their quotes as well as financial strength all within a chart provided by an independent agent.

  10. How should I choose an independent agent?
    A. Check the agent’s reviews, testimonials, and/or recommendations. You should choose a trustworthy independent agent. Select an agent that will be there for you to answer your questions and also give you excellent customer service even after the sale.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

12 Benefits Of Converting Your Term Policy To A Permanent Policy


Keep in mind that part of the reason that term insurance can be obtained at a lower cost than a permanent policy is because a term policy is designed to provide only a temporary duration of protection for a temporary need. So with "term" policies the original term length (number of years the policy is set up for) can expire before people die, and if that happens the insurance company gets to keep all the premiums paid over the years and doesn’t have to pay out a death benefit. 

Where as permanent insurance is generally designed to last your life time and eventually the life insurance company will have to pay out a death benefit to your beneficiaries. (That is, if you kept your policy in force until you die. In other words, you didn’t let your policy lapse due to non-payment, etc.)

  1. No underwriting required on term conversions. Keep the rate class you had when you were younger and healthier without a med exam.
  2. Protection throughout your lifetime.
  3. If you are unhealthy and currently own a Term policy, then converting your existing policy to a permanent policy before the term expires can guarantee continuation of coverage. (If the policy provides for conversion rights.)
  4. Permanent life insurance can be set up to accumulate cash value, and you have the ability to access cash that has accumulated, in the form of loans and withdraws after a certain period of time. 
  5. Conversion Credits. Some carrier may offer conversion credits for converting your term policy.
  6. Level Premiums. A new permanent policy can ensure that your premiums will never increase. 
  7. Avoid a new surtax to fund ObamaCare. Income from a life insurance policy is not subject to the new 3.8% surtax to fund the Healthcare Bill.1
  8. Supplement Retirement Income – Tax Free! At retirement you can take withdrawals from your policy up to cost basis, then switching to loans thereafter. These payments are income tax free as long as the policy is not a Modified Endowment Contract (MEC).1
  9. To mitigate taxation of Social Security Benefits. Currently, income from life insurance policies does not impact the income calculation for taxing social security benefits.1
  10. Creditor Protection. Some state statutes protect cash value from the claims of creditors.
  11. To provide for business continuation. Permanent life insurance is typically a better solution than term for funding a business continuation plan. It ensures that the policy will be in force regardless of how long the business owner stays active in the business. Policy cash values may be available to fund a lifetime buyout or supplement an owner’s retirement.
  12. Cash Value Life Insurance is not a factor in determining eligibility for financial aid. As a general rule, policy cash value is not a factor used in determining eligibility for financial aid for college.


Feel free to call me directly at 941-404-5334 to set up an appointment to help determine if converting an existing term policy is right for your situation.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?


1. Disclaimer: I am not a tax advisor. I am insurance licensed only, thus regarding tax advice always be sure to check with your tax accountant first for your individual situation before making any decisions.






5 Reasons You May Have To Pay More For Life Insurance


I read a MarketWatch article by Katia Iervasi regarding 5 reasons you may have to pay more for Life Insurance and thought I would share.

However before I start with that article, I would like to mention there are many factors that may determine the premiums for Life Insurance due to risk that the life insurance company is taking to insure you. The more risk, the more expensive the premium is. (That is, if you can even qualify for approval, if you are considered a very high risk by the insurance company.)

Some factors that may affect the price of your life insurance premiums are:

  • Age
  • Gender
  • Current Health
  • Health History
  • Family Health History
  • Weight/Height Ratio
  • Smoking
  • Alcohol Consumption
  • Drugs You Take
  • Occupation
  • Driving Record
  • High Risk Hobbies
  • Policy Type and/or Length
  • Death Benefit Amount
  • Where You Purchase Your Policy (An independent agent can shop many insurance companies for the best price that suits your needs.)


For details on the above, click on this web link to a blog post I wrote a long while back:

https://mgildarinsurance.com/blog/life-insurance/price---important-factors.html


Back to the original article regarding 5 reasons you may have to pay more for Life Insurance:

  1. You have a pre-existing health condition
    Some pre-existing conditions such as: cancer, diabetes, autoimmune disorders, etc. Morbid obesity is also considered a big risk.1

  2. You have a dangerous job.
    Some jobs are considered high risk such as: Piloting, Car racing, Bomb Squad, even certain types of scuba diving, etc.1


  3. You are a thrill-seeker
    Some extreme sports like car racing, piloting, skydiving, scuba diving or mountain climbing, etc.1


  4. You are getting drug or alcohol treatment.
    The type of drug and the length of time you’ve been clean come into play. I
    nsurers carefully consider relapse rates, as well as the likelihood of contracting diseases through drug use, such as hepatitis C.1
    “Heroin, opioids and meth are problematic. Typically, you can’t get coverage for a year after drug treatment,” says Hallett.1
    As for alcohol treatment, insurers want to see you sober for one to two years before offering a lower rate.1

  5. You have a recent DUI 
    If you got a DUI in the past year, you can expect a higher premium when you apply for life insurance.1 
    If you got multiple DUIs over five years ago, you’ll likely pay more than twice as much for coverage as someone with a clean driving record.1
    However, your insurer might not penalize you for just one DUI that happened five or more years ago.1

To read the entire MarketWatch article by Katia Iervasi, click on the weblink below:

https://www.marketwatch.com/story/5-reasons-you-might-have-to-pay-more-for-life-insurance-11642793545?mod=hp_minor_pos25

1. Source: MarketWatch Article by Katia Iervasi
https://www.marketwatch.com/story/5-reasons-you-might-have-to-pay-more-for-life-insurance-11642793545?mod=hp_minor_pos25



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

7 Benefits Of Life Insurance


Below is a short list of seven general benefits life insurance can provide, that Marvin Feldman listed in his "Life Happens" blog post. He mentioned (and I agree) that is a good list to pass on to existing clients and also people that are just thinking of purchasing life insurance as a great reminder of just some of the things that life insurance can do for the insured's beneficiaries.


  1. Buys time: Allows loved ones to focus on their grief by helping to pay for the funeral and other costs.
  2. Provides a fresh start: Lets loved ones start with a clean slate by helping to pay off credit card bills, outstanding loans and even the mortgage.
  3. Generates income: Helps replace lost income for years to come so that surviving family members can continue to pay for life’s necessities.
  4. Offers flexibility: Gives a surviving spouse the chance to take time off or to switch to a job that offers a more flexible work schedule.
  5. Creates opportunities: Can provide funding to start a business, or pay for schooling so surviving family members can train for a new career.
  6. Funds the future: Offers a way to fund longer-range goals like a college education for the kids or a secure retirement for a surviving spouse.
  7. Leaves a legacy: Gives parents the chance to leave future generations with the legacy of long term financial security.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?



Source: www.lifehappens.org (Martin Feldman)

Advantages Of Permanent Life Insurance


There really isn’t one specific type of life insurance that best suits everybody’s different circumstances.

The two main types of life insurance are permanent life insurance and temporary life insurance. There are different types of permanent insurance, including whole life, universal life, index-universal life, variable life and variable-universal life. Term insurance is generally known as temporary insurance because it only provides protection for specified number of years. (Example: 10, 20, 30 year terms are common options). However, I’m mainly going to focus on permanent insurance in this blog post.

Some of the advantages of permanent insurance are:

  • Permanent Insurance can provide protection throughout your lifetime! Permanent Life Insurance can provide guaranteed lifelong protection (or to a specific age) as long as necessary premiums are paid. Although after a pre-determined period, many times premiums can even be made from the cash value of the policy depending on how the policy was set up. 

    Side Note: Since the face amount of the policy is payable upon the death of the insured person, the element of risk to the insurance company is much different than it is for say, an automobile policy. When an insurance company issues an auto policy, it hopes you will be a safe driver and will never have an accident, so you will never file a claim. Likewise, a Term policy is initially set for a specified number of years and when that period ends, generally the term life insurance policy terminates. Then if the insured passes away after that policy has terminated, the insurance company is not required to pay a death benefit at all! I read in a Forbes article that 95% of all term policies go unpaid. In other words, if you took a random sample of 100 people who purchased term insurance, 95 of them would outlive their terms. The insurance companies know this. That is how they can afford to offer very low premiums for term insurance. 
    In contrast, when an insurance company issues a "permanent" life insurance policy, it knows it will be called upon to pay a claim someday, because every human being dies sooner or later, thus the more expensive premium. For the insurance company, the only unknown is whether the claim will be made in the first year or in a number of years in the future.


  • Ability to access cash that has accumulated, in the form of loans and withdraws after a certain period of time.  (Cash can be accessed Tax Free. Either in the form of loans or you can withdraw funds up to the amount you have put into the policy via premiums tax free!)

  • Policy owners don’t pay taxes on the gains within the policy each year, and that money can be used in retirement to supplement their retirement planning.

  • Depending on the type of permanent insurance, but most can be set up with level premiums. (Payments stay the same & never increase throughout the entire policy.)

  • Provides for business continuation. Permanent life insurance is typically a better solution than term for funding a business continuation plan. It ensures that the policy will be in force regardless of how long the business owner stays active in the business. Policy cash values may be available to fund a lifetime buyout or supplement an owner’s retirement.

  • Creditor Protection. (Some state statutes protect cash value from the claims of creditors.)

  • Cash Value Life Insurance is not a factor in determining eligibility for financial aid. As a general rule, policy cash value is not a factor used in determining eligibility for financial aid for college.

  • In contrast to a tax qualified account such as 401(K), IRA, etc., life insurance death benefit amount paid out when the insured passes is completely tax free to the beneficiaries! (Although that benefit is also the same as for term life insurance, but I just thought I’d mention it here anyway as reminder.)



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Can I Qualify For Life Insurance If I Have Major Health Issues?


It depends on what your individual circumstances are, but almost always the answer is yes for "Guaranteed Issue" type policies. However depending your specific health issues, with "impaired risk” you may possibly even qualify for traditional life insurance, but at a higher premium than a healthy person of the same age and gender would pay. 

Broadly speaking, people with higher mortality risk due to health issues, are labeled "Impaired Risk." Impaired risk life insurance is defined differently and approached differently by each life insurance company. Since I am an independent agent, my team has the ability to impartially shop pricing with the various insurance companies allowing me to deliver the best rates with top insurance carriers for my client’s individual circumstances. With that said, we can't always get everybody approved (such as cases with active cancer, suicide attempts, etc.) with traditional life insurance and for those cases we offer other types of alternative life insurance policies that are Guaranteed Issue.  

So if you have previously been charged high rates or declined altogether for life insurance? You have come to the right place and may be pleasantly surprised!

Contact me via email by clicking here or call me at 941-404-5334 to assist you! 


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Catastrophe Struck When My Husband Was Killed! Creating A “What If” Plan.


I read a MarketWatch article by Chanel Reynolds and thought I’d share. Some good points were brought up in the article.


Some Excerpts:

Making big and often very hard decisions during a stressful and emotional situation adds more pain, suffering and confusion to what is already a terrible time.1

“Four years after my husband was killed in an accident. I had mostly gotten my sh-t together (completed my will and power of attorney documents, created an emergency fund, got more life insurance, specified my end-of-life wishes, recorded important account and password information, etc.) and encouraged my parents, friends (and the whole world via my website Get Your Sh*t Together) to make it easier on everyone after they die, too.”1 

And after my husband spent a week in the emergency room and intensive care, before I had to remove him from life support, I know how dramatically having a few basic things completed in advance can make a very impossibly hard and painful time a little bit softer. Having had some plans in place (like some life insurance and a strong support community) was lifesaving for me.1

Not knowing the password to my late husband’s phone to reach some of his family members? No emergency savings? Let’s just say there was a permanent red spot on my forehead after the hundreds of times I slapped myself.1

I didn’t have answers to these “what-if” scenarios when I really, really needed them. 

Start now. Taking five minutes to write down a few essential passwords and updating your beneficiaries (online, it’s super easy!) can make a huge, huge difference. Then, do another five minutes the next day, or following week.1 


To read the entire article for more tips, click on the web link below:

https://www.marketwatch.com/story/catastrophe-struck-when-my-husband-was-killed-heres-what-i-learned-about-creating-a-what-if-plan-2019-03-19


1. Source: MarketWatch Online Article by Chanel Reynolds entitled: "Catastrophe struck when my husband was killed. Here’s what I learned about creating a ‘what if’ plan"


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Chances are very good that you need Life Insurance!


"Life Insurance is a simple answer to a very difficult question: How will my family manage financially when I die? It’s a subject no one really wants to think about. But if someone depends on you financially, it’s one you cannot avoid.

There are many types of life insurance, but for all of them the bottom line is the same: They pay cash to your family after you die, allowing loved ones to remain financially secure. Life insurance payments can be used to cover daily living expenses, mortgage payments, outstanding loans, college tuition and other essential expenses. And, importantly, the death-benefit proceeds of a life insurance policy are almost never subject to federal income taxes.

If you’ve worked hard to establish a solid financial framework for your family—investments, home equity, a savings plan, retirement accounts—life insurance is the foundation upon which it all rests. It can guard against the need for your loved ones to make drastic changes to future plans when you die. Certain types of life insurance even have a built-in cash-accumulation feature that can help you reach savings goals.

Most Americans need life insurance, and many who already have it may need to update their coverage." 1 

Insuring Important Milestones Of Your Life For Purchasing or Increasing Life Insurance:
* Married or Getting Married
* A Parent or About to Become One
* Being A Homeowner or  Buying a New Home
* Changing Jobs
* Retired or Planning for Retirement
* Single (While providing financial support for parents)

1Source: www.lifehappens.org


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Convert Your Term Life Insurance To Permanent Life Insurance Before You Retire


There are two schools of thought when it comes to buying Term Life Insurance versus permanent life insurance such as: Universal Life or Whole Life. However, that is a completely different topic that I’m not going to discuss in depth in this particular blog post. For more info on that topic, please check my other blog posts such as: Whole Life Insurance vs. Term Life Insurance and Types of Life Insurance.

Term Life Insurance can be an efficient way to protect your loved ones with the appropriate protection you need, at a low cost during your working years since term life insurance cost is far less than that of a permanent type policy. Part of the reason that Term life insurance can be bought less expensive than a permanent policy is that a Term policy is designed to just provide temporary coverage for a specified number of years, generally for a temporary need.

Retirement is a life event that uncovers a whole new set of needs and concerns. Life insurance can often be a valuable asset during those years. When a Term policy lapses, in most cases that insured would have to go through a new paramedic exam involving blood work, urinalysis, answering their own medical health questions as well as some of their family's medical history, and possibly many additional health qualification tests in order to be approved for a new life insurance policy. At retirement age, these type tests and questions may uncover current health issues that were not present when the original term policy was bought many years ago. Then the underwriting rating could end up being less favorable costing you a higher premium, or possibly you may not even be insurable any longer.

Fortunately, many Term Life insurance policies off a convertibility option. This valuable feature allows the policy owner to convert the Term policy, or portion of it, to a permanent policy such as: Whole Life or Universal Life, at the same heath rate classification without submitting evidence of insurability. Meaning that the insured won’t be required to go through the health qualifications such as: a new paramedic exam,  answer health related questions, etc. However keep in mind that some insurance contracts only allow conversion in the first few years of the policy, while others allow it at any point during the entire term, yet others only allow conversion up to a certain age. One other important point, is that some insurance companies only have limited choices of permanent products to choose from when converting, while other insurance companies give you more flexibility on your product choices when you convert to a permanent policy.

Please note that even if you have maintained favorable health, age is still a primary factor in the cost of a life insurance policy. So as you get older, the more a policy will cost. This applies to both newly underwritten policies and term conversions. 

Converting term insurance as early as possible can effectively lock in a more cost effective premium in retirement.

Feel free to call me directly at 941-404-5334 to set up an appointment to help determine if converting an existing term policy is right for your situation.


Other related blog posts: 

12 Benefits Of Converting Your Term Policy To A Permanent Policy

Use Of Your Term Life Insurance Policy's Conversion Option



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Converting Term Life Insurance


I wrote several blogs on this topic, but to make it easier to find them I pasted the links below.

Click on any of the weblink below:

12 Benefits Of Converting Your Term Policy To A Permanent Policy

Convert Your Term Life Insurance To Permanent Life Insurance Before You Retire

Use Of Your Term Life Insurance Policy's Conversion Option


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Do You Need A Last Will?


Do You Need a Last Will? 

Traditionally the answer has been “Yes,” regardless of the value of your property in your estate at the time of your death. A Last Will is a legal document that sets forth your choices on who gets your property and who is in charge of administering your estate after you pass. If you do not have a Last Will, some of your property in your estate may be distributed under Florida’s “intestate succession” laws. A Last Will is kind of a “must have” legal document if you have a spouse, minor children, valuable tangible personal property (such as: jewelry, collectibles, artwork, etc.), a home, or want to give something to a stepchild, friend, or charity upon your death. You’ll need to have special language in your Last Will to protect disabled beneficiaries, otherwise they may lose their public benefits, such as Supplemental Security Income and Medicaid benefits.1 

Many people mistakenly believe that having a Last Will enables them to avoid probate. Probate is a court-supervised process for identifying your property after your death, paying your debts, and appointing a personal representative (often referred to an executor in other states) to oversee the distribution of your property to your beneficiaries named in your Last Will. Going through probate can be more costly than the cost of creating a Last Will. Only probate property and assets are subject to probate, which typically excludes bank payable on death accounts and investment transfer on death accounts. Homestead residences typically go through probate unless certain steps are taken before death.1

For more information or assistance, it is best to contact an elder lawyer to assist you. Kevin Pillion, Esq. was the author of this shortened version of the article found in the Sarasota Herald Tribune on 8/01/2020.

1. Source: Article in the Sarasota Hearld-Tribune Prime Times section 8/01/2020 by Kevin Pillion, Esqhttps://sarasotaheraldtribune-fl.newsmemory.com/token=dea1e082e5870eaae6089299a60684be_60fb5800_34584



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Do You Need Life Insurance in Retirement?


Many seniors don't know if they still need life insurance in their retirement. To find out, click on web link below to read more and see if your thoughts change after you finish reading.

Web link to a U.S. News & World Report LP article by Jeff Rose: 

http://money.usnews.com/money/blogs/On-Retirement/2012/01/24/do-you-need-life-insurance-in-retirement


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Employer Sponsored Life Insurance Plans - Is My Coverage Enough?


Several questions you want to ask yourself (or ask your HR representative, if you don’t know the answers):

  • Is your employer sponsored life insurance plan “portable?” Meaning: Do you have the option to take the plan with you when you leave? (Regardless if you are fired, you quit, or you leave for any other reason.)
    • If your plan is portable, another question to ask: Will you be guaranteed to keep your current premium or will you have to go thru underwriting when you leave your company to determine your new premium amount? If you need to go thru underwriting, that may make your premiums a whole lot more expensive depending on your age and health at that time when you leave your company.
    • If your plan is NOT portable and you still want to continue being covered, you would have to purchase a new individual life insurance policy when you leave your employer.
  • Who is responsible for the premium payments? You or your employer? 
    • If you are responsible for the payments, do you have guaranteed level premiums for the rest of the policy term or do your premiums increase annually, like the majority of employer sponsored plans do?
  • Is the death benefit a fixed amount or a multiple of your salary? Does the multiple increase to a higher tier level if you get promoted?


Once you understand exactly what coverage you have thru your employer, you can take that info to your professional life insurance agent to help you determine if you have enough coverage and also the correct type of coverage. Or if you don’t, what are your best options?

There are many things to consider regarding an employer sponsored life insurance policy versus an individual life insurance policy. One point being that after an individual life insurance policy is underwritten, you can have the option to have level payments guaranteed for a specified number of years or even for the life of the policy, depending on what you choose when you purchase it. That way you don’t have to worry about losing your policy when switching jobs or having annual premium increases.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Fewer Women Than Men Have Life Insurance, Leaving Families Vulnerable


In this Omaha.com article by Steve Jordon (World-Hearald staff writer), it provides insight with statistics on the gender gap between men and women with life insurance.

The article mentioned that fewer women than men have life insurance. (52 percent to 62 percent.) Women have policies with 31% less dollar coverage than men.

The article goes on to mention further that a life insurance death benefit claim doesn’t always make a family rich, but that money can help by providing time to adjust to being a one income family. That extra time can make a difficult transition manageable, rather than desperate.

Many married couples don’t think ahead regarding that a wife’s work at home can’t be replaced inexpensively. Also that if a wife dies, the husband may have to take more time off work for family duties, in addition to hiring outside help.

To read the entire article click on the web link below:

http://www.omaha.com/money/gender-gap-fewer-women-than-men-have-life-insurance-leaving/article_9c0276cf-2e6e-57c8-a45c-32af51c30c6f.html


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

How Does NOT Getting A COVID-19 Vaccine Effect Insurance Premiums?


I read an interesting MarketWatch article by Kosali Simon and Sharon Tennyson, regarding how COVID-19 vaccines can effect insurance premiums and thought I’d share. 

It really depends on the type of insurance, etc. on whether insurers can charge people higher premiums if they are unvaccinated?

Life insurance companies have the freedom to charge different premiums based on risk factors that predict mortality. Purchasing a life insurance policy often entails a health status check or medical exam, and asking for vaccination status is not banned.1

Health insurers are a different story. A slew of state and federal regulations in the last three decades have heavily restricted their ability to use health factors in issuing or pricing polices. In 1996, the Health Insurance Portability and Accountability Act began prohibiting the use of health status in any group health insurance policy. And the Affordable Care Act, passed in 2014, prevents insurers from pricing plans according to health – with one exception: smoking status.1

Insurers and companies kind of have a way around charging more for for health insurance premiums for the unvaccinated. Since employers commonly offer discounts for things like trying to lose weight or stop smoking, they are also permitted to reduce the health insurance premiums that vaccinated employees pay.

Click web link below to read entire article.

https://www.marketwatch.com/story/health-insurers-cant-charge-higher-premiums-to-those-who-dont-get-a-covid-19-vaccine-but-those-people-still-could-wind-up-paying-more-11629303208


1. Source: MarketWatch article by Kosali Simon and Sharon Tennyson
https://www.marketwatch.com/story/health-insurers-cant-charge-higher-premiums-to-those-who-dont-get-a-covid-19-vaccine-but-those-people-still-could-wind-up-paying-more-11629303208


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

How Much Life Insurance Do I Need?


There really isn’t a simple answer. Generally if you asked several different insurance professionals, you are likely to get many different answers. However, in my opinion the amount of insurance actually depends on your individual situation, your personal goals and needs. 

Some things to consider when determining how much life insurance you need are:

  1. How much total debt do you currently have including your mortgage, car loans, credit cards, other loans? Do you add to your debt each month?
  2. How much do you spend each month on things other than your debt?
  3. Generally one of the biggest factors to consider is that you should have at least enough coverage to replace your existing income for your survivors.
  4. Do you have children that will need funds to go to college? If so, how many children and how much per child? You may want to plan additional funds for educational expenses.
  5. Add enough in your planning for final expenses such as funeral, burial, and related expenses.
  6. Add additional funds in your planning for unknown future emergency expenses.
  7. Keep inflation in mind when planning. (Because today’s dollars won’t buy the same in the future!)


You really can’t protect your family correctly if you don’t know how much they will need each month to survive. (In at least the manner they are accustomed to living.) One of the key factors to consider is what kind of lifestyle you want your survivors to have if you pass away. You shouldn’t just guess at a number! If you pick an amount out of your hat, such as $500,000 or even $1,000,000, that may seem like a lot. You may think that is sufficient coverage, since that is a lot of money. However after careful thought, considering inflation and other factors, you may find that is not enough! Calculating how much income your survivors need if you aren’t around is the only thing that truly matters! 

There are other general methods and formulas such as buying coverage that is equal to 8 to 10 times your annual income. But in my opinion, those methods are inadequate shortcuts. Life insurance is a personal affair and should be customized to your individual needs and goals. There are also online calculators that can help you figure out how much coverage you need.

If all this seems complicated, one of many licensed independent life insurance agents can help by sitting down with you, getting a fact finder worksheet completed with your personal information, and help you calculate your the recommended amount of life insurance that you should purchase, customized for your individual situation. At that point it is up to you to decide how much you can afford and are willing to purchase. If I can be of assistance, please call me at 941-404-5334 to set up an appointment or click here to contact me by email.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

How To Buy Life Insurance


  1. Decide How Much Coverage You Need: Talk to an independent insurance agent. He/she can assist you in evaluating your insurance needs and also give you information about different types of policies. Determine how much coverage you need by getting important questions answered such as: How much of the family income do you personally provide? Does anyone else depend on you financially? How will your family pay final expenses and repay debts including mortgage payments, after your death? Based on the answers to these type questions and more, you can together intelligently decide how much coverage you need, for how long, and what you can afford to pay. You want to make sure that you buy enough life insurance to cover the financial effects of an unexpected sudden death.
    Click on my blog subject: How Much Life Insurance Do I Need?

  2. Determine What Type of Life Insurance You Need: 
    Decide if you need Permanent or Temporary life insurance.
    Term life insurance is commonly known as "Temporary" insurance because just as the name implies it only provides a death benefit for a specified number of years.
    Permanent life insurance on the other hand, doesn't end as long as you pay your premiums. In addition to providing a death benefit, permanent life insurance generally accumulates cash value, and you have the ability to access cash that has accumulated, in the form of loans and/or withdraws after a certain period of time.

  3. Assess Your Current Life Insurance Policy: If you already have a life insurance policy, do not cancel it until you have received the new one. You then have a minimum period to review your new policy and decide if it is what you want. Keep in mind that you may not have to cancel your current policy. You may keep the old one and add a new policy in addition to the old one. Or you possibly may be able to change your existing policy (depending on the policy) to get the coverage or benefits you want now.

  4. Read Your Policy Carefully: Will the premiums or benefits vary from year to year or are they fixed level payments? How much will the benefits build up in the policy? What part of the premiums or benefits are not guaranteed? What is the effect of interest on the money paid and received at different times on the policy? These are all questions that you should be able to answer by reading your policy thoroughly. Your agent can help you understand things that are unclear.

  5. Understand Renewal Policies: You may renew most term insurance policies for one or more terms even if your health has changed. Each time you renew the policy for a new term, premiums most likely will be higher. Many times premiums can skyrocket at renewal time. Ask what the premiums will be if you continue to renew the policy. Also ask if you will lose the right to renew the policy at a certain age.

  6. Choose a Trustworthy Agent: Select an agent that will be there for you to answer your questions and also give you excellent customer service even after the sale. Check the agent’s reviews, references, testimonials and/or recommendations. It is important to see how previous clients were treated.
    Please take a few seconds to read about what my actual clients have to say about my personalized service in their own words by clicking this link. Agent Reviews.

  7. Pick a Well Established Insurance Company with an Excellent Rating: Check the insurance companies’ ratings for financial strength first before completing an application. You want your insurance company to be there when your family needs it the most.

  8. Be Sure You Can Afford the Premium Payments: Before purchasing a life insurance policy, be sure that you can handle the premium payments. Can you afford the initial premium? If the premium increases later, will you still be able to afford it?

  9. Always Answer the Questions on Your Application Truthfully: A company will use this information to evaluate your risk and set a premium for your coverage. When it’s time to submit a claim, accurate and truthful answers will enable your beneficiary to receive prompt and full payment. Dishonest answers in certain circumstances could allow the insurance company to deny a claim.

  10. Ask for an Independent Insurance Agent: Independent agents don't just use one main insurance company and possibly some of its affiliates for quotes like captive insurance agents from a single big insurance company do. Independent insurance agents can shop a very large number of insurance companies across the market for the very best quotes. Independent insurance agents are also able find specific insurance policies that are best suited for their clients.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

How To Find Life Insurance Policy Information, If Lost?


If you feel a deceased relative might have had a life insurance policy and you think you may be a beneficiary on the policy, but you don’t know any of the life insurance policy information, below are some helpful steps to try to get the policy information and/or claim the death benefit.

  1. First try to contact the insurance agent. (If you know who he or she is.)

  2. Or contact the insurance company directly. (If you happened to know the name of the insurance company.)

  3. If neither of the above apply and you are pretty sure a deceased relative had a life insurance policy with you as a beneficiary, but you don't know the insurer's name or the agent. Then try using either using unclaimed.org web link and/or the Life Insurance Policy Locator at naic.org, a service run by state insurance regulators. (The NAIC's Life Insurance Policy Locator provides nationwide access for assistance with finding life insurance policies and annuities.)

  4. For life insurance policies covering pre-Vietnam era service members and service disabled veterans, conduct a search at insurance.va.gov/unclaimedfunds.


Hope that helps!


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

How To Keep Your Kids From Blowing Their Inheritance


I watched a short CNBC informative video regarding "How to keep your kids from blowing their inheritance” and I thought it may be useful, so I decided to share it.


Click on web link below to watch very short video:

https://www.cnbc.com/video/2017/11/21/how-to-keep-your-kids-from-blowing-their-inheritance.html

Note: Sometimes there is a short video ad (no relationship to me) before the actual video starts.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

How To Simplify Sorting Out A Loved One’s Estate


I stumbled across this informative MarketWatch article by Bill Bischoff entitled "Sorting out a loved one’s estate is more work than you think — how to simplify the process” and thought I’d share.

Some of the things he explains in the article:

  • The role of the executor
  • How to determine if you need a “professor" executor?
  • If you decide to be the executor, he lists some of the skills you will need.
  • Determine if the estate must go through probate. (Hopefully Not!)
  • You’ll need to get a death certificate. (Get at least 5 originals)
  • Married couple’s revocable trust probably needs updating (If applicable)
  • Selling a high-end home. (If applicable)
  • Miscellaneous other items.



To read the entire article, clink on the web link below:

https://www.marketwatch.com/story/sorting-out-a-loved-ones-estate-is-more-work-than-you-think-heres-how-to-simplify-the-process-2019-09-03


Source: MarketWatch online: https://www.marketwatch.com/story/sorting-out-a-loved-ones-estate-is-more-work-than-you-think-heres-how-to-simplify-the-process-2019-09-03

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Important Things You Need To Know About Life Insurance


Below are just some of the important things you really need to know about life insurance:

  • Life insurance is considered one of the pillars of personal finance.
    It really deserves the consideration of every household!

  • If anybody relies on you financially, you absolutely need life insurance with yourself listed as the insured and with your dependents as the beneficiaries. That is especially important if you are the parent of dependent children. Or if your spouse depends on you for your income. There are many other examples of when you really should have life insurance. However, I am not going to go into that topic today of who you else you should cover as the insured, or who you should list as your beneficiaries in this particular blog post. 

  • A Life insurance policy is a contract between a life insurance company and a person or sometimes “something” (for example: a trust or company). Be sure to read the entire policy and understand it before signing or at very least before the free look trial period expires.

  • Life insurance doesn’t determine or assign somebody a monetary value of their life.
    However, life insurance does help compensate for the unavoidable consequences that accompany the loss of life. It helps those left behind to cover outstanding debts, final expenses (such as burial and funeral expenses), mortgage payments, educational expenses (such as college for dependent children), and the loss of income from the person that was insured.

  • The primary roles in a life insurance policy:
    • The Insurer (The insurance company that is responsible for paying the claims.)
    • The Owner of the policy. (Responsible for the premium payments and able to make some revisions to the policy, such as changes of the beneficiaries, etc.)
    • The Insured (Person on who the life insurance policy is based on. If that insured person passes away, the death benefit claim is paid to the beneficiaries.)
    • The beneficiary or beneficiaries. (The person or persons, trust, or other entity that receives the death benefit claim in case of when the insured dies.)

  • Two Main Types of Life Insurance: See blog post Types of Life Insurance
    • Term (Temporary) Life Insurance 
    • Permanent Life Insurance (Universal Life or Whole Life)

  • Consider an independent agent to help you with life insurance decision making and to shop for the best prices. Life Insurance - Why Choose Independent Agents?




Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Insurance Policy Forms: Ignorance of The Commodity Perception


This web page was intentionally deleted.

Is Your Life Insurance Or Annuity Safe?


It is important to have a financially strong insurance company to back up your life insurance policy or annuity. Otherwise, when you need the funds the most from your policy, the money may not be there for you or your beneficiaries!

  • Check out the insurance company’s ratings from several different sources. Companies with the highest grades are least likely to become insolvent. However with that said, keep in mind that insurance companies can pay some of these sources and that can be a conflict of interest. So you need to do some research with different sources to get a more accurate picture before you buy. Weiss Ratings seem to be the toughest grader and also doesn’t accept compensation from the companies it rates. Also the specific ratings for the exact same insurance company can vary from one source to another. In addition, the rating grade systems of each source can be very confusing. 

    Some of the rating sources are listed below. 
    • A.M. Best
    • Fitch
    • Moody’s
    • Standard & Poor’s
    • Weiss Ratings (Doesn't accept compensation of any kind from the companies it rates.)

  • What if your insurance company goes bankrupt?
    State guaranty associations can provide some protection to their residents, depending on the type and source where they purchase their life insurance or annuity from. There are also limits on our protection and they vary from state to state. Keep in mind that some Life Insurance “Certificates" issued by say for example, a Fraternal Benefit Society, possibly may not even be covered at all by the state guaranty association! A Guaranty Fund excludes coverage for “Policies” (Certificates) issued by a charitable organization, a fraternal benefit society, a mandatory state pooling plan, a mutual assessment company, or by an insurance exchange, or a grants and annuities society holding a certificate of authority under Section 11520.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?


Source: http://www.consumerreports.org/cro/money/insurance/life/life-insurance-safety/overview/life-insurance-safety-ov.htm  However, article is no longer available at this web link.





Life Insurance & COVID-19 Vaccines


I get many questions about Life insurance and COVID-19 vaccines. I thought it warranted me to write yet another blog post regarding the same. 

The rumor that life insurance companies will deny a life insurance death claim just due to getting a COVID-19 vaccine is FALSE! Whether someone received COVID-19 vaccine is not a consideration for life insurers deciding whether to pay a claim.1

Below is a link to a USA Today article by Rick Rouan backing up that statement.

Click web link below to read entire USA Today article.

https://www.usatoday.com/story/news/factcheck/2021/05/23/fact-check-covid-19-vaccine-wont-jeopardize-life-insurance-coverage/5203188001/


1. Source: USA Today article by Rick Rouan (Dated May 23,2021)


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance - An Important Act For An Unselfish, Generous Person


From the bottom of their hearts, most people want the financial protection that life insurance provides their loved ones. An insured policy owner will even endure the tedium, intrusiveness, and expense of the purchase of life insurance. He or she will cooperate with every step of underwriting, which is probably one the most comprehensive vetting processes in the market today for a financial product. On top of all that, he or she will do this all with the full understanding that they will not personally reap one penny from the death benefit, because it will eventually just be paid out to their beneficiaries when they pass away.

A person that purchases a life insurance policy for that reason is really an upstanding, responsible, good-natured, caring person that will be remembered with integrity and honor, not only while living, but especially when they are gone!


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance - Are You Worth More Dead Than Alive?


A New York Times article by James Vlahos about some people with existing life insurance policies that become terminally ill, (or sometimes even non-terminally ill folks) and they sell their life insurance policy to a 3rd party in exchange for an immediate cash payment while still alive. The immediate cash settlement is generally a much smaller portion then what their beneficiaries would have received if they had kept their life insurance policy and died. A transaction that is known as a vatical settlement (for terminally ill patients) or a life settlement (for everybody else). Click on link below to read more.

http://www.nytimes.com/2012/08/12/magazine/are-you-worth-more-dead-than-alive.html?pagewanted=all


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance - Can Anybody Be A Beneficiary?


A beneficiary of a life insurance policy has to be an "insurable interest.” 

Someone having an insurable interest in you means that they would experience financial loss and hardship should you die. Therefore, for someone to purchase an insurance policy on your life and be considered the beneficiary (making them beneficiary owner), they must be able to demonstrate an insurable interest. With regard to a life insurance policy, an insurable interest is based on a relationship whereby there is a common interest in another person continuing to live or a financial loss that would result at that person’s death. Therefore, in order to insure the life of an individual, an applicant for life insurance coverage must have a greater financial concern in the insured living than in them dying.


Technical Definition from Investopedia.com:

"What Is Insurable Interest? 

A person or entity has an insurable interest in an item, event or action when the damage or loss of the object would cause a financial loss or other hardships. To have an insurable interest a person or entity would take out an insurance policy protecting the person, item or event in question. The insurance policy mitigates the risk of loss should something beset the asset.

Insurable interest is an essential requirement for issuing an insurance policy which makes the entity or event legal, valid and protected against intentionally harmful acts. People not subject to financial loss do not have an insurable interest. Therefore a person or entity cannot purchase an insurance policy to cover themselves in the event of a loss.”1


State laws can differ, however, generally the following individuals would be considered having an insurable interest.

  •     Yourself
  •     Your spouse (or former spouse)
  •     Your children or grandchildren
  •     A special needs adult child
  •     An aging parent
  •     Any person under a legal obligation to you for payment of money, services, or property and whose death or illness could prevent or delay such a payment or performance.


So what about a significant other or partner? (When they are not married or even engaged, but are just living together.)

You will need to prove that the beneficiary (referring to an unmarried significant other or partner in answer to the question above) has an insurable interest. You will also need to have consent from each other.

Some examples of insurable interest for a significant other or partner can include:

  •     Both individuals being named on a lease
  •     Jointly owning a home or business
  •     Debts naming both individuals (such as a car loan)
  •     Having children


There are situations in which it may prove difficult or even impossible to buy life insurance on each other.

  • Life insurance companies won’t allow you to buy life insurance on someone you’ve just begun to date.
  • If you and your significant other or partner do not live with each other, it may be more difficult to get insurance approval.
  • If you and your significant other or partner are not financially dependent on each other, it will also be difficult to be approved.


Click web link below for another related topic regarding beneficiaries:

Life Insurance - Choosing Beneficiaries


1. Source: Investopedia.com -  https://www.investopedia.com/terms/i/insurable-interest.asp



Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Life Insurance - Choosing Beneficiaries


Beneficiary:

The party designated by the owner of the life insurance policy to receive the life insurance policy’s proceeds upon the insured’s death.


Primary Beneficiaries & Contingent Beneficiaries (Life Insurance)

Generally there are two basic types of life insurance beneficiaries.

  • Primary Beneficiary: 
    The primary beneficiary is the person (or persons) who will receive the proceeds of the life insurance policy when the insured person dies.
      
    Note: Although, the primary beneficiary will not receive any proceeds if he or she dies before the death of the named insured.

  • Contingent Beneficiary:
    A contingent beneficiary is also known as the secondary beneficiary. The contingent beneficiary will not receive any of the life insurance proceeds if the primary beneficiary is still alive when the insured person dies. The contingent beneficiary is only entitled to receive proceeds if the primary beneficiary dies before the named insured dies.

Keep in mind, it usually best to have both a primary beneficiary and a contingent beneficiary.


If you have multiple beneficiaries, you would also need to specify how the proceeds will be distributed.

 Your choices are:

  • Per Capita, under which if a beneficiary dies ahead of the insured the other beneficiaries will get an equal share of the proceeds, or,

  • Per Stirpes, under which the benefits are passed on to the beneficiary's descendants.


Note: If you have multiple beneficiaries, it is best to designate that proceeds will be distributed as a percentage rather than a dollar amount.


Revocable and Irrevocable Life Insurance Beneficiaries

There are also two classes of beneficiaries. One class is revocable and the other class is irrevocable beneficiaries.

  • Revocable beneficiaries: The owner of the life insurance policy has the right to change the beneficiary designation at any time without the consent of the previously named beneficiary.

  • Irrevocable beneficiaries: The owner of the life insurance policy cannot change the designation of the beneficiary without the consent of the original beneficiary.


Determining the proper beneficiary in your life insurance policy is a matter of the utmost importance.

Below are some of the choices of who you should consider as your beneficiaries:

  • Family
  • Legal Guardian
  • Estate
  • Trusts
  • Charity
  • Key Person Life Insurance


Some Common Mistakes To Avoid:

  • Naming a minor child:
    Naming children as life insurance beneficiaries sounds like a good idea but can backfire. Insurers won’t pay life insurance benefits directly to minors. If you haven’t created a trust or designated a guardian to manage the money, a court will have to appoint a guardian until the children turn 18 or 21, depending on the state. This can cause a delay in providing financial support to the children.1

    Instead, set up a trust to benefit the child, and name the trust as the life insurance beneficiary. Or designate a trusted adult as custodian to administer the benefit.1


  • Forgetting to update beneficiaries
    Be sure to review your life insurance beneficiaries every couple of years, especially if you marry, divorce or have a child.1

    If a beneficiary passes away, you’ll want to update your designations.1

    Failing to update your beneficiaries could cause big problems if you die, particularly if an ex-spouse is still listed on the life insurance policy and shouldn’t be. Stay ahead of the game and review your policy from time to time.1


  • Naming only a primary beneficiary
    Naming just one person as your beneficiary isn’t the best option, since that person could die before you do. Or, if you name only your spouse, you could both die at the same time, such as in an accident.1

    So consider naming a secondary and even a tertiary beneficiary. That way, if the primary beneficiary dies, the money goes to the secondary beneficiary. If that beneficiary has died, then the death benefit goes to the tertiary beneficiary.1


  • Not naming any beneficiaries
    On the other end of the spectrum is not designating anyone as a beneficiary — whether intentional or not. When there’s no living beneficiary, the proceeds typically go to your estate and are then subject to probate. This can leave your loved ones with a long wait to get the money. Also, when life insurance benefits go to an estate, they can then be claimed by creditors of the estate.1

  • Naming a person with special needs
    Setting up a lifelong dependent, such as a special needs child, as your life insurance beneficiary can cause big problems. The life insurance benefits can put that person at risk of losing government assistance such as Social Security, on which many adults with disabilities rely for income.1

    Instead, work with an attorney to set up a special needs trust and name the trust as beneficiary. The proceeds can then be used to supplement that person’s government benefits instead of eliminating them.1

This is just a basic overview and there is a lot more to know about beneficiaries. Before applying for your new life insurance policy with your independent life insurance agent, ask him/her for their assistance in helping you pick your beneficiaries.


Disclaimer: These are basic descriptions, be sure to read the life insurance policy you plan on purchasing for specifics before signing!


Related blog post regarding beneficiaries: 

Life Insurance - Can Anybody Be A Beneficiary?


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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1. Source: https://www.nerdwallet.com/blog/insurance/life/top-mistakes-designating-life-insurance-beneficiary/

Life Insurance - Delaying Your Decision To Purchase


Deciding to delay your decision to purchase life insurance until later can turn out to be a costly decision or even a disastrous mistake! Since it will cost more to purchase later on. There is also a possibility you may not even be able to be approved as you age and/or your health deteriorates due to an unexpected sudden illness or accident, which at that point you could become uninsurable. I’m guessing you probably know somebody that has passed away over the years that didn’t have any life insurance and how it affected their surviving family members. So don’t take a chance to possibly let that happen to your loved ones, act now!

Keep in mind that life insurance is a subject most people don’t like to think about and many tend to put off making a decision as long as they can! So often times they delay purchasing a policy, until it is too late! It may always tend to seem like the timing just isn’t right to purchase life insurance for one reason or another. Examples: You are just too busy to purchase life insurance at this time. OR It is not in my budget at this time. Accidents and illnesses can happen suddenly and unexpectedly. So unless you start the process while you are initially looking into getting life insurance, your loved ones may not be protected when they need it most!

Life Insurance can provide an instant tax free estate in your absence, heaven forbid something unexpected should happen to you. 

The gist is that waiting to purchase life insurance later on only worsens the matter by at best, making your premiums more expensive and at worst, you may not even be able to be approved later on even though you are ready to purchase then.


Related Blog Post: (Click one web link below to read)

Why do some consumers procrastinate buying life insurance?


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Life Insurance - Differences Between Long Term Care Or Chronic Illness Riders


What are some of the main differences between a Long Term Care Rider and a Chronic Illness Rider?

Well the differences are significant! Benefits can differ significantly across policies, so be sure to read the fine print on what the rider covers before you purchase a policy. Below I just list couple of the main differences but there are many more differences and you should consult your insurance agent for all of them, or at the very least research on your own before purchasing a policy.

Generally a Long Term Care Rider gives broader coverage and benefits are available when an insured is diagnosed with an illness, or suffers from an accident, that requires substantial assistance with at least two ADLs for at least 90 days. Benefits for one or more Long Term Care events are available throughout the insured’s lifetime, and all under the same rider

Generally a Chronic Illness is defined as a one time permanent situation and is more restrictive. In other words, the condition must be non-recoverable! For example, conditions such as mild to moderate strokes, orthopedic repairs, physical complications from cancer recovery, and other recoverable conditions, etc. would not be eligible to go on claim. 
Certified by a physician, the chronically ill individual has a severe cognitive impairment or requires substantial assistance with at least two activities of daily living (ADLs) for the rest of their lifetime. ADLs include bathing, continence, dressing, eating, transferring, and toileting.


Summary: All riders are not created equal, so do your research and understand all the differences before purchasing!


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Life Insurance - How Can You Check The Financial Ratings Of Life Insurance Companies?



When you’re deciding what insurance company to purchase your life insurance from, it is important to have a financially strong insurance company to back up your life insurance policy. Otherwise, when your beneficiaries actually need the death benefit funds the most from your policy, the money possibly may not be there for them!

You should definitely check out the insurance company’s financial ratings from several different sources. Insurance companies with the highest grades are least likely to become insolvent. However with that said, keep in mind that insurance companies can pay some of these financial rating sources and that can be a conflict of interest. So you need to do some research with different sources to get a more accurate picture before you buy. Note that the specific ratings for the exact same insurance company can vary from one rating source to another. In addition, the rating grade systems of each source can be different and very confusing. Another option is to get an average score of the major insurance rating organizations.

A Comdex ranking is a composite score averaging the ratings of the major insurance rating organizations including A.M. Best, Fitch, Moody’s and S&P. The Comdex is not really a rating, but rather a ranking based on the average of all the different ratings these different organizations give an insurance company. The Comdex rating is based on a number scale of 1 to 100, with the higher the number, the better ranking.  If an insurance company’s Comdex ranking is 90, that means it scores higher than 90% of all other insurance companies with multiple ratings. An insurance company must have ratings from at least 2 insurance rating organizations to have a Comdex ranking.


Some of the rating sources are listed below. 

        A.M. Best

        Fitch

        Moody’s

        Standard & Poor’s

        Weiss Ratings (Doesn't accept compensation of any kind from the companies it rates.)

        

Rankings:

        Comdex Ranking



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334.

Life Insurance - How To Avoid The Federal Estate Tax When Collecting Life Insurance Proceeds



I read an informative MarketWatch article by Bill Bischoff regarding how to avoid the federal estate tax when collecting life insurance proceeds and thought I’d share.

A few of the important take-aways from the article are listed below. However I recommend you read the entire article by clicking the web link below.

  • In general, a policy beneficiary can receive life insurance death benefit payments free of any federal income tax (and usually free of any state income tax too).1
  • Under the current rules, when you are considered to own a policy on your own life, the death benefit is included in your taxable estate - unless the money goes to your surviving spouse and he or she is a U.S. citizen. When death benefits go directly or indirectly to a non-spouse beneficiary, such as a child or sibling, without passing through your estate, the money is still included in your taxable estate.1
  • If the value of your estate - including any included life insurance death benefits that go to someone other than your surviving spouse - exceeds the federal estate tax exemption of: (1) $5.49 million if you’re unmarried or (2) a combined $10.98 million for you and your spouse if you’re married, your heirs will stand in line behind the IRS (and possibly the state death tax collector too). For unmarried folks, having lots of life insurance coverage (often through work) is the most common cause of exposure to the federal estate tax or state death taxes. The larger $10.98 million federal estate tax exemption for married couples makes it less likely that life insurance coverage will trigger a federal estate tax bill. But it can still happen.1 


Click on web link below to read entire article for the rest of the tips, etc.:

http://www.marketwatch.com/story/how-to-collect-life-insurance-proceeds-without-paying-any-federal-estate-tax-2017-07-19



1. Source: MarketWatch article by Bill Bischoff (http://www.marketwatch.com/story/how-to-collect-life-insurance-proceeds-without-paying-any-federal-estate-tax-2017-07-19)


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance - How To Get Tax Free Retirement Income


For people that also have a need for protecting their loved ones with life insurance, they can use their life insurance policy as an accumulation vehicle by paying in additional dollars over and above the premiums required to support life insurance. (Note: There are certain limits on the additional amount you can put in, relative to the death benefit). Those additional dollars go into separate accounts. Depending on the type of policy, those accounts could be called either sub-accounts or index accounts. Then those additional dollars grow tax-deferred over the years. The nice part is that you can take out your “basis” (the money you put in) first and that comes out tax free. Then when you depleted that basis amount, you can switch over and start taking out the gains as income free loans against the income tax free death benefit. Finally when you pass on, the remaining death benefit money, after subtracting the loan amounts you took out, goes tax free to the beneficiary.

Keep in mind that there will be additional costs associated with using life insurance in this manner, but those costs are substantially offset compared to the taxation you would have had, because you would have been able to take loans against the death benefit. Note: The policy needs to stay in force until the insured passes on, in order to enjoy the tax free retirement distributions while living. 

Another benefit is that you can take out your retirement income before age 59 and a half without an additional tax penalty. That is in contrast to other types of deferred retirement income assets such as: 401(K)’s, IRA’s, and annuities that do have an additional 10% tax penalty if funds are taken out before age 59 and a half.

Lastly, in contrast to a tax qualified account such as 401(K), IRA, etc., life insurance death benefit amount paid out when the insured passes is completely tax free to the beneficiaries!


Disclaimer: I am not a tax advisor. I am insurance licensed only, thus regarding tax advice always be sure to check with your tax accountant first for your individual situation before making any decisions.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Life Insurance - How To Save Money When Buying It!


If you are on a budget and can only afford a certain amount for life insurance premiums each month, some of the tips below may help.

  • Buy life insurance now! The premiums only increase as you get older. In addition, the longer you wait, the more risk of developing a health condition that could increase your premiums even more, or disqualify you altogether from purchasing traditional life insurance.

  • Have an independent insurance agent (such as myself), shop quotes around for you through a large number of top rated insurance companies. The same exact amount of coverage with exact same type of life insurance for yourself with one reputable insurance company, may be a lot less then another.

  • If you desire permanent life insurance but you are on a budget, you may consider less expensive term (temporary) life insurance for a specified number of years. Or you could even choose a combination of both term and permanent in the meantime at a lower cost, until you can afford all of your coverage to be permanent life insurance. If you purchase a term life insurance policy now, generally you can convert it to a permanent life insurance policy later as long as it is converted within the given timeframe specified in your term life insurance policy.

  • You can also reduce the premium amount by decreasing the death benefit amount. Then as long as you stay healthy, you can add more life insurance coverage later on when you can afford to pay more.

  • Lastly you can additionally reduce the premium amount by decreasing the term length. The shorter the term length, generally the lower the premium. Then as long as you stay healthy, you can add a new term life insurance policy with a longer term length or permanent life insurance later on when you are able to afford to pay more later on down the road.




Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance - Is A Medical Exam Required?


With traditional life insurance a medical (paramed) exam is normally required to get approved. The reason the paramed exam is required is that the insurance company wants to assess the risks involved with insuring you. Including whether or not to even offer you coverage, if you happen to have a history of poor health, etc. With traditional life insurance if it turns out after the insurance company reviews your medical exam results, medical history, your entire application, etc. and determines that you are in excellent health and a low risk, you will be offered a lower premium then say a person in just average health and a lot less than a person in poor health may be offered, if they are even approved. If you are in average health you will be offered premiums for your rate classification. Lastly if you are in poor health, if they happen to approve you, then you would be offered higher rates that match your rate classification.

However not all types of life insurance policies require a medical (paramed) exam. Some types of life insurance like Simplified Issue, may just ask medical questions without requiring an actual medical exam. A Simplified Issue Policy will be offered if your answers to certain questions fit the underwriters guidelines of the insurance company to which you are applying to for coverage. Although Simplified Issue can be sometimes 2-4 times higher then traditional life insurance that requires medical exams. Although it may be more convenient and a lot quicker to get approved then traditional life insurance.

Other types of life insurance such as Guaranteed Issue don’t require any medical questions OR medical exams, however those types of policies are a lot more expensive then traditional life insurance (and even more expensive then simplified issue) and also may have other limitations. One of the major limitations is that the full death benefit is not available until after the policy has been in force for a given amount of time, usually two full years. In the insurance industry, this is called graded benefits. In some cases, if the insured person dies before the beginning of the 3rd year of purchasing the policy, then the beneficiaries only get refunded the premiums paid up to that point, plus interest. Guaranteed Issue is probably the most expensive life insurance you can buy since they accept everybody regardless of health. Guaranteed Issue is basically designed to pay for funeral expenses, plus other final expenses and is typically known as a last resort type of life insurance policy because you can’t get insurance elsewhere.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

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Life Insurance - Is It A Good Investment?


I read a MarketWatch article by Clark D. Randall. I decided to share some very basic life insurance concepts from their article in this blog post.1

Life insurance can be very complex. However, their article doesn't go into all the intricacies of life insurance policies, nor am I going to, in this blog post. Their concepts cover just enough to help decide if life insurance should be used as an investment or only as a death benefit.

Two essential components of life insurance are: the death benefit (what the beneficiary receives when the insured dies) and the premium (what you pay).

Term Life insurance is basic life insurance that pays a death benefit to the beneficiaries if the insured dies during the specified term of the life insurance policy. Term life insurance does not have a cash component built into the policy, as most permanent life insurance policies do. Term insurance is many times referred to temporary life insurance, since it only covers the insured for a limited number of years that is determined in advance, before the policy is effective. Therefore premiums are much less expensive than permanent insurance since the insured is only covered for a limited amount of years listed in the policy and there isn’t a cash value component built in. 

Note: Keep in mind that a life insurance policy payout can create a TAX FREE instant estate to the beneficiaries to help protect them financially after the insured passes away.

Permanent Life Insurance generally has cash value built into the policy and can come in many varieties such as whole life, universal life, indexed life, variable life, adjustable life, or a combination of those types. With permanent insurance you will pay a higher premium than term insurance and the difference is essentially deposited into some underlying investment component. Each year the straight cost to insure your life plus other policy charges are deducted from the cash accumulation and the balance grows inside of the policy on a tax-deferred basis. In addition, keep in mind with permanent insurance you are generally covered for your entire life, not just a specified number years like with term life insurance. That is another reason the permanent life insurance premiums are higher, since the insurance companies know that eventually they will have to pay out the death benefit. Unlike term insurance which may never have to pay a death benefit claim, if the original term lapses and policy owner opts not to pay the skyrocketed premiums yearly after the original term ends.

Another benefit of permanent life insurance is that the cash value policies have several choices to get money back out of their policy. Money can be borrowed as a loan and that amount would be tax free as long as they keep paying the premiums so the policy doesn’t lapse. They could take "tax free" withdraws, as long the total amount doesn’t exceed the total premiums paid in over the years. Or they could stop paying premiums and have the premiums deducted from the cash value.


To read the entire MarketWatch article, click the web link below:

https://www.marketwatch.com/story/is-life-insurance-a-good-investment-2019-02-11


1. Source: MarketWatch article by Clark D. Randall
https://www.marketwatch.com/story/is-life-insurance-a-good-investment-2019-02-11


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance - Some Of The Most Common Mistakes


Some of the most common mistakes made with life insurance are:

  1. Not having any life insurance at all!
    Lots of people simply overlook the importance of life insurance. Life insurance may not seem to be something they need at the time and it can incorrectly be viewed as just an added expense. However if you actually stop to consider all the people most important to you in your life and how would they be impacted financially if you weren’t there, that is when it starts to make sense. Hopefully you can begin to understand that life insurance is a critical tool to ensuring that your family will be financially supported should anything happen to you. Keep in mind that if you have any outstanding debts or other financial obligations, a life insurance policy can create a “tax free instant estate” to cover all those expenses and more. Remember, it is also important to get life insurance sooner rather than later because the cost can increase exponentially as you age.

  2. Relying only on employer provided workplace life insurance or group insurance
    Several questions you want to ask yourself (or ask your HR representative, if you don’t know the answers):
    --Is your employer sponsored life insurance plan “portable?” Meaning: Do you have the option to take the plan with you when you leave? (Regardless if you are fired, you quit, or you leave for any other reason.)
         -If your plan is portable, another question to ask: Will you be guaranteed to keep your current premium or will you have to go through underwriting when you leave your company to determine your new premium amount? If you need to go through underwriting, that may make your premiums much more expensive depending on your age and health at that time when you leave your company.
         -If your plan is NOT portable and you still want to continue being covered, you would have to purchase a new individual life insurance policy when you leave your employer. Which could be very costly depending on your age and health. (That is if you can even get approved at that future time.)
    --Who is responsible for the premium payments? You or your employer? 
         -If you are responsible for the payments, do you have guaranteed level premiums for the rest of the policy term or do your premiums increase annually, like the majority of employer sponsored plans do?
    --Is the death benefit a fixed amount or a multiple of your salary? Does the multiple increase to a higher tier level if you get promoted?

  3. Only considering term (temporary) life Insurance
    The two main types of life insurance are permanent life insurance and temporary life insurance.

    Term insurance is generally known as “temporary" insurance because it only provides protection for specified number of years. (Example: 10, 20, 30 year terms are common options). Then when that term life insurance policy term expires, you do not have any cash value built up.  If you still want life insurance, you will need to purchase a new policy at considerably higher rates due to your older age and possibly health issues at that future time. (If you have major health issues at that time, you may not even be eligible for a new life insurance policy!)

    Permanent life insurance can provide protection throughout your lifetime and may build cash value at the same time! Permanent Life Insurance can provide guaranteed lifelong protection (or to a specific age) as long as the necessary premiums are paid. A nice feature is that after a pre-determined period, many times premium payments can even be made from the cash value of the policy depending on how the policy was set up. To read more, click on these web links below:

     Life insurance - Advantages Of Permanent Life Insurance

     Life Insurance - Whole Life Insurance vs. Term Life Insurance

  1. Rate increases
    With a level premium term life insurance policy, you are guaranteed that the premiums will not increase during the initial coverage period. However after that initial coverage period, watch out since premiums may skyrocket. When the stated period is up, you are likely to get an invoice for the latest premium that is many multiples of what you had been paying previously.
    One the other hand, with a permanent life insurance policy the premiums may be set to be level (not increase) for your "entire life" as long as you continue to make your payments on time.

  2. Beneficiaries
    Listing beneficiaries is a part of the initial insurance company application process indicating who should inherit the death benefits of your insurance policy. You fill out the form when you buy the life insurance policy, but beneficiaries can later be revised by contacting the insurance company in writing. It is crucial that you keep these beneficiary designation forms up to date. You should review your life insurance policies annually or whenever there is a major life events, such as having a new baby, a divorce, a new marriage, spouse passes away before the insured on the policy, etc.

  3. Procrastinating and/or being under insured!
    Almost 1/3 of Americans think they need more life insurance, and 43% say they would feel a financial hit within six months if their family’s primary wage earner died, according to the 2015 Insurance Barometer Study by industry groups LIMRA and Life Happens. Yet 54% of Americans don’t plan to buy life insurance in the next 12 months.
    If you need life insurance, it’s better to buy sooner rather than later. Life insurance rates increase as you age and develop health conditions. That is if you can still get approved, since if you have major health issues at that time, you may not even be able to get approved for a new life insurance policy!

  4. Naming a minor as a beneficiary
    You might buy a life insurance policy for your children’s benefit, but naming them as beneficiaries on the policy while they are still minors is a very bad idea. If you die before they have reached legal adulthood, the life insurance company can’t pay benefits until the court appoints a guardian. That takes time and money for attorney fees and court costs. Plus the money decisions of the minor will be in the guardian’s control. Instead, name your spouse or other trusted adult as the beneficiary. Or better yet set up a life insurance trust for your children, and name the trust and trustee as the beneficiary on your life insurance policy. You can stipulate how the money should be used. Then when they become of legal age, you can always revise the beneficiaries by contacting the insurance company in writing at that time.

  5. Don’t keep your life insurance policy a secret!
    Many people don’t like to talk about their personal finances, even with their close family members. However somebody needs to know about the life insurance policy, so that the beneficiary can make a claim if/when the time comes. People with a good reason to know about your policy should be: your spouse, adult children, financial advisor, an estate planning attorney, and anyone you appoint in your will as the personal representative or executor of your estate.

  6. Naming your estate as a beneficiary.
    The mistake of naming your estate as beneficiary of your life insurance policy condemns the proceeds (in many states) to needless state inheritance taxes or to a higher rate than if the proceeds were payable to a named beneficiary. This mistake also allows that creditors will have full access to the life insurance proceeds even though most states’ laws provide full or significant exemption from the claims of creditors for life insurance payable to named beneficiaries such as a spouse, children, parent or sibling. So by the mistake of naming your estate as your beneficiary, you guarantee that the precious dollars you wanted to go to a loved one will be subjected to the expense and potential aggravation and delay of probate.
    The solution would be that you should change the beneficiary of your group insurance at work and your individually owned policies to the persons or organizations you really want to receive it. That way you can legally cut out the tax middleman and others whom you don’t want to be recipients of your life insurance.

  7. You didn’t list at least two contingent beneficiaries on your life insurance policy.
    If the beneficiary you named dies before you do (even if only minutes before you), and you hadn’t named other beneficiaries, the proceeds will be paid to your estate. This needlessly subjects the proceeds to all the problems of the above paragraph, just as if you had named your estate as your life insurance beneficiary.
    You should name at least list two contingent beneficiaries for every person named in your life insurance policy as a beneficiary.

  8. You don’t check your life insurance polices annually for any changes that may need to be made to keep them up to date.
    For example: Many policies are payable to former spouses or others, whom the owner of the policy would not have wanted to receive the proceeds. Children born after a policy was purchased are often inadvertently omitted. This can happen because it’s easy to forget whom you named as the beneficiaries of your life insurance many years ago. Forgoing an annual checkup also makes it likely that you may not have the best possible type of policy to meet your present needs. So check your life insurance policies annually (or better yet have your agent sit down with you and review together) to see if the beneficiaries named are the people you still want currently as your beneficiaries and also that the policy proceeds are payable to them in the manner that best meets their needs, abilities and circumstances. Lastly, check to see if you still have the best possible type of policy and coverage amounts to meet your present needs.










Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Choose Independent Agents?


Life Insurance - Understanding Rating Classifications


I found an informative "Life Happens” article that helps explain life insurance rating classifications and thought I’d share and add to it.

Everyone who applies for “traditional" life insurance is assessed for coverage. Insurers provide coverage and premium rates in accordance with an applicant’s risk level. To that end, insurance companies typically place applicants in categories relative to their risk which involves their health as well as lifestyle choices. Smoking, for example, as a behavior associated with health risks, will impact which category an applicant will be assigned. Sometimes a person, due to health issues or lifestyle factors, may not fit into standard categories and will, instead, be assigned a table rating. While obtaining a policy is still quite possible, table ratings are associated with higher premium rates.

Note: While each insurance company has different underwriting policies, below are some generalized definitions of each classification. Not all insurance companies will agree on these same generalized definitions for each classification. Some insurance underwriters may be more lenient, than others, in regards to fitting a person into a specific classification. Hence it is important to note, that since all insurance companies do not follow the same rating criteria, you could be rated as "preferred select" by one company and just “preferred" by another for example, simply because of that company's individual underwriting guidelines. Also please keep in mind that not all insurance companies have all six of the classifications listed below. For example, one insurance company shows only to have three basic categories plus substandard ratings for non-smokers under age 70.

What Do Basic Classifications Mean?

  • Preferred Select: Sometimes referred to as preferred elite, preferred best, super preferred, or preferred plus, this category is associated with excellent health, a normal weight and height profile, and no other factors that might suggest increased health risk such as the death of a family member due to heart disease before age 60, for example.
  • Preferred: This category is associated with excellent health, though there may be a few minor issues like a slightly elevated cholesterol level, for instance.
  • Standard Plus: While associated with optimum health, there may be some factors that prevent the applicant from falling into a preferred category like high blood pressure or being overweight.
  • Standard: This category is associated with average health as well as a normal life expectancy. Minor health issues may be present or, perhaps, weight is not optimum. Factors such as these coupled with the death of a parent due to disease before age 60 could also be relative to this category.
  • Preferred Smoker: This category is for a person who would otherwise fall into the regular preferred category but smokes. Some insurers will place an occasional smoker in this category such as someone who smokes cigars only from time to time.
  • Standard Smoker: A smoker who is in otherwise standard health will be placed into this category. Since some providers offer non-smoker rates, someone in this category is apt to pay more than a non-smoker for the same type of policy.


What Happens When an Applicant Doesn’t Fall into a Category?

Many applicants do not fall into these categories yet are still eligible for coverage. Their health issues or lifestyles may prevent them from falling into a standard classification, but they can still be rated in accordance with their coverage risks. Insurers call this further classification system table rating system. Instead of preferred or standard categories, an applicant might be given a table rating with a number or letter to designate their rating. Depending on that rating, the applicant will pay an additional percentage if approved for a life insurance policy.


Understanding Table Ratings

Table ratings allow an insurer to further assess an applicant in accordance with their risk level. The rating allows the insurer to provide coverage but at an increased rate depending on that applicant’s table rating. For example, an applicant that has a table rate of A can typically expect to pay the standard rate plus an additional 25%. Someone with a table rate of G can expect to pay the standard rate plus an additional 175%. Usually table rates are issued for applicants that have definite health conditions. If the condition is deemed stable, the insurer will provide coverage and charge the rate associated with that applicant’s table rating.


Table Ratings and Life Insurance

Table ratings carry a higher rate, of course, but they do help insurers assess risk. Moreover, they also allow someone with a health condition to obtain life insurance which can be immensely important to the applicant and their families. If you are assigned a table rating, your insurer can discuss how that determination was made and why the rate is priced as it is. These table ratings are mostly standard throughout the industry. However, some life insurance providers are well-known for providing coverage to people with existing health conditions and may have more optimum rates and different coverage criteria than other providers.


Obtaining Coverage

If you are turned down for life insurance by one company, you may still qualify for coverage from another. The key is to work with a knowledgeable agent. One insurance company may deny you, while another insurance company may be happy to insure you even if it is at an increased premium rate.


To read entire post, click on link below:

https://www.lifehappens.org/blog/understanding-life-insurance-ratings/

Note: Their web link is no longer available.


Source: Life Happens Post by Liran Hirschkorn 


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Choose Independent Agents?

Life Insurance - What Are Some Of The Advantages & Disadvantages Of Replacing An Existing Life Insurance Policy?


What are the advantages and disadvantages of replacing an existing life insurance policy?


Some of the possible advantages:

  • Overall Cost - If the new life insurance policy will cost you substantially less than your existing policy, it may make sense to replace the existing policy. Possibly the premium for the new coverage could also have greater cash value potential.
  • Flexibility - A new life insurance policy could possibly be better suited to your cash flow.
  • Existing loans - if you have an older cash value permanent life insurance policy that you have stripped bare, it may make more sense to replace the existing policy with a new life insurance policy. (However be aware you may create a tax liability consequence.)
  • If you have a term life insurance policy and the original term will expire before you are ready to go without coverage, you may want a new life insurance policy to extend the coverage. That is, if your existing term life insurance policy can’t be converted or it is too expensive for your budget to do so.
  • You may want to simply increase the value of your death benefit. Keep in mind you can still keep your existing policy and add a new life insurance policy, rather that replacing your existing policy, if you so desire and it makes financial sense.


Some of the possible disadvantages:

  • If you have had a cash value permanent life insurance policy for more that 3 years, you probably have already gotten most of the upfront costs out of the way and your cash value will start to accumulate value. Since you pay most of the fees and costs of a new life insurance policy upfront.
  • Generally the older you get, the higher the cost of life insurance. However there may be some exceptions to that rule. For example, if you were in poor health and/or a tobacco user and now you are in good health and quit using tobacco for quite some time, you may qualify for better classification, meaning lower premiums. Plus there are other factors that could affect the premiums. So it is worth checking out, since I’ll generate life insurance quotes for free with no obligation.
  • Another thing to keep in mind when replacing a life insurance policy is the fact that you will be subject to new incontestability and suicide periods with your new coverage.
  • Consider any tax consequences of dropping your existing life insurance policy before committing to a new life insurance policy.
  • Be sure to check the new policy to determine if you will be insurable under the same conditions as your existing policy, based on your age and health.
  • Check to see if you have a surrender charge on your existing policy. If so, how much?
  • Possible loss of features of your existing policy, such as riders that aren’t available with the new policy you are considering, etc., are worth checking out in advance.


Some very important things to remember if you do decide to replace your existing policy:

  1. Never cancel your old life insurance policy before the new life insurance policy is in force! Otherwise you will have a lapse in coverage!
  2. Make sure you fully understand your new policy and any advantages/disadvantages that go along with it.
  3. Check to see if your existing life insurance policy can be modified or converted first, before just replacing.
  4. Be aware of illustrations that show high level interest rates. Just because they are shown in an illustration, it doesn’t mean you will actually get that high interest every year.
  5. If you are considering purchasing Universal Life insurance, ask for a “Guaranteed" Universal Life Policy. (GUL)


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance - What Is A Temporary Insurance Application And Agreement (TIAA)?


A temporary insurance application and agreement (TIAA) in many cases can be a receipt for the first full premium that is collected at the same time as a completed signed term (or permanent) life insurance application is taken by an insurance agent. It provides temporary insurance coverage while the insurer processes the policy, as defined in the receipt. However each insurance company, as well each state, can have different requirements, so it is important to read the receipt offered to you carefully to make sure you understand it correctly before signing. 

Many receipts will have different terms and conditions. Some examples could be, but are not limited to:

  • A certain time limit on the agreement until it expires (End Date of Coverage)
  • Limited to a maximum amount of coverage for the temporary agreement. (i.e. : $1,000,000)
  • Insured would have to answer to “no" all questions listed on the Temporary Insurance Application and Agreement (TIAA) to qualify.
  • Limited to return of premium if any part of the life insurance application or TIAA contains a misrepresentation material to the insurer.
  • Limited to return of premium if proposed insured dies due to suicide.


Other terms you may hear that may similar (or even slightly different) meanings may be: 
Conditional Receipt, Conditional Receipt Agreement, Binding Receipt, Temporary Insurance Application and Agreement, Limited Insurance Agreement, etc. and some may differ from each other, so as I mentioned it is important to read the fine print. 

Generally conditional insurance coverage continues until the insurance company either refunds the premium or accepts the risk and issues the policy. Coverage under a Conditional Receipt is conditional on the person being insured having completed all medical requirements and being insurable on the premium basis applied for.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Choose Independent Agents?

Life Insurance - What Is Final Expense Insurance?


"Final Expense" life insurance policies are generally similar to most other life insurance policies with a few exceptions: 

  1. "Final Expense" life insurance policies are basically designed for final costs such as funeral/burial costs which could include cremation or funeral costs. Some examples could be: payment for a casket, funeral service, funeral procession, cemetery plot, headstone, and/or other miscellaneous related costs. Keep in mind that your beneficiaries are not obligated to use the death benefit payout for these specific costs. Like other life insurance policies, they are free to use the payout in any way they feel fit.
     
  2. These type policies come in a wide range of coverage amounts. They can range from as low as $5,000, but are usually limited to as high as $50,000.

  3. There are many different types of policies that many refer to as “Final Expense." Some examples of Final Expense insurance are listed below.

  • Final Expense Life policies that you need to get underwritten to get approved.
  • Simplified Issue. (Normally no medical exam is needed. However they do ask you medical questions and if your answers satisfies the underwriters, then no medical exam is needed.)
  • Guaranteed Issue. (No Medical Exam or Medical questions are ever needed to be approved.) There are at least a couple of reasons a person may choose this type policy. One reason could be strictly for convenience and speed of putting policy in place. However the main reason a person would choose this type policy is that they can not get approved through traditional life insurance due to medical issues, etc. Keep in mind that due to the fact you don’t have to be approved through underwriting, the premiums for this type policy are generally the highest. Also understand that full death benefits don’t kick in until after the second or third year the policy is in place, depending on the insurance company.
  • Some types of final expense are permanent life insurance (lifetime) and build cash value. However other final expense policies can be “Term" policies that can expire at certain age (such as age 80 for example), don’t build cash value, and also the premiums can increase for example every 5 years.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Life Insurance - What Is Simplified Issue?


What is Simplified Issue Life Insurance? (Also known as a "No Medical Exam Policy")

A simplified issue application generally only requires you to answer a relatively short set of health questions, instead of having to additionally complete a required Medical Exam (also known as a Paramed Exam) in order to be approved for traditional life insurance.
If you truthfully answer the Simplified Issue questions and all your answers, etc. meet the insurance company’s guidelines, once information is verified, you may be approved in a short amount of time.


Can anyone buy simplified issue life insurance?

No. You will need to truthfully answer knockout questions as part of a set of health questions on the application, such as whether you are in a wheelchair, or if you have a disability or have you been recently diagnosed with a serious disease like cancer or HIV. You will also still need to fall within the insurance company’s underwriting guidelines with other factors as well as such as height, weight, etc. Note: Even though it is a simplified policy, the insurer has the right to look up your existing and past medical records to verify you are telling the truth.


Some of the advantages of Simplified Issue:

  • No Medical exam required. (Ex. If you don’t like nurse/doctor visits or your blood drawn)

  • Since no major research needs to be completed by the underwriting department after a paramed exam, as with traditional life insurance underwriting, these Simplified Issue type of policies can be approved in a lot shorter amount of time. (Ex. You don’t want to wait the normal average of 4-8 weeks for an approval as you do with traditional life insurance.)

  • Generally offer higher death benefits than Guaranteed Issue policies and at lower premiums.

  • Convenience (No scheduling an appointment for a Medical Exam.)

  • Privacy (Without a Medical Exam, no nurse needs to come to your home or office to examine you.)


Some of disadvantages of Simplified Issue:

  • Premiums generally are more expensive than traditional life insurance, since the insurance companies are assuming more risk without a Full Medical Exam on a Simplified Issue type of policy.

  • Limited number of companies or policies that offer Simplified Issue.

  • Limited coverage. (Generally a standardized cookie cutter coverage. You won’t have as much flexibility to customize your policy as with a traditional life insurance policy.)

  • Death benefit amount is generally limited to a certain maximum amount determined by the insurance company. (Much less than traditional life insurance.)

  • Keep in mind even with Simplified Issue, depending on your answers to your medical questions, whether you meet their other guidelines, etc., approvals are not guaranteed. You will still need to meet the Insurance company’s underwriting guidelines in order to be approved.



For those of you that don’t qualify for Simplified Issue Life Insurance due to health issues, etc., you can still purchase Guaranteed Issue Life Insurance.
Call me at 941-404-5334 if you have concerns and still want to purchase life insurance.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334.

Life Insurance - When Doesn’t It Pay & For What Reason?


What could be some of the exclusions for when a life insurance company won’t pay a claim?

Well it really depends on which state you live in, your life insurance company policies, and more specifically what your individual policy states in writing. Generally older policies may have had more exclusions then some of the newer policies but again it depends on what your specific policy states, so be sure to read it.

In many cases (individual states can differ) there is a two year incontestability provision in which the insurance company may contest your insurance benefits claim based on a material misrepresentation made by you and used by the insurance company to determine your insurability.

Some of the most common exclusions depending on your policy could be:

  • Suicide clause (Generally only with a 2 year waiting period from the start of the policy)
  • Dangerous activity (if not stated in the application, such as auto racing, scuba diving, etc.)
  • Aviation exclusion (Generally will only pay if insured is killed in a commercial plane crash as a passenger. Not flying as a pilot, unless stated in the original application with most likely a higher premium if approved.)
  • Act of war exclusion (Depending on the insurance company and specific policy)
  • Depending on the circumstances and the actual policy, other exclusions could include:
    Drug or Alcohol abuse, participation in illegal tasks, etc. 



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334.

Life Insurance - Who Should You Insure?


There are many specific reasons for different people (or companies, trusts, etc.) to have life insurance to protect their beneficiaries should the insured pass away.

Below I will list just a few examples of who or what entity you may want to insure and which type beneficiaries you want to list on a life insurance policy.

  • Insure: Yourself
    Especially if you are the breadwinner and have a spouse and/or dependent children or sometimes even dependent elderly parents that rely on your income.
    Possible beneficiaries you may want to consider: Spouse, children over legal age, or a trust for minors. (Possibly even dependent elderly parents listed as beneficiaries, if applicable.)
    Note: Be careful not to list children under legal age as beneficiaries since their legal guardian (if both you and your spouse pass away) would have control over the money, not your actual children that are minors. You may want to consider creating a trust for that type situation unless you have a predetermined designated legal guardian in place which you feel is trustworthy and will have your children’s best interests at heart.
  • Insure: Spouse 
    If you have dependent children you should also insure your spouse. (Even if your spouse is not the breadwinner.) Consider that you, as a survivor, may need to start to pay for full time child care, etc. since you may still need to work full time to earn income after the death of a spouse, thus not allowing you to devote your full time attention to your children.
    Possible beneficiaries you may want to consider: Yourself, children over legal age, or a trust.
  • Insure: Key Person (Key Man)
    Life insurance taken out by a business to compensate that business for financial losses that would arise from the death or extended incapacity of an important member of the business.
    Possible beneficiaries you may want to consider: Company that employs the key person.
  • Insure for: Buy-Sell Agreement
    A buy-sell agreement (may also be known as a buyout agreement), is a legally binding agreement between co-owners of a business that governs the situation if a co-owner dies or is otherwise forced to leave the business, or chooses to leave the business. It may be thought of as a sort of premarital agreement between business partners/shareholders or is sometimes called a "business will". An insured buy–sell agreement (triggered buyout is funded with life insurance on the participating owners' lives) is often recommended by business-succession specialists and financial planners to ensure that the buy–sell arrangement is well-funded and to guarantee that there will be money when the buy–sell event is triggered.1
    Possible beneficiaries you may want to consider: Partners / Shareholders

    1. Source: Wikipedia Partial Definition https://en.wikipedia.org/wiki/Buy%E2%80%93sell_agreement


For other circumstances, below are some choices of who you should consider as your beneficiaries:

  • Family
  • Legal Guardian
  • Estate
  • Trusts
  • Charity


Insuring Important Milestones Of Your Life For Purchasing or Increasing Life Insurance:

  • Married or Getting Married
  • A Parent or About to Become One
  • Being A Homeowner or  Buying a New Home
  • Changing Jobs
  • Retired or Planning for Retirement
  • Single (While providing financial support for parents)


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334.

Life Insurance - Who Wins? A Beneficiary On A Life Insurance Policy Or On A Divorce Decree?


I read this interesting MarketWatch article by Quentin Cottrell and thought I’d share it.

The gist: A spouse has an existing life insurance policy, gets a divorce, but during the divorce settlement it was written, agreed upon, and signed by both parties that the life insurance policy be retained and paid for by the spouse during the spouse’s entire lifetime with the same beneficiaries specified in the policy at the time of divorce.

The article has some other examples with some different scenarios and what happened with each scenario as well. 

For the answers, click below to read the entire article:

http://www.marketwatch.com/story/my-ex-husband-asked-our-sons-to-pay-off-his-life-insurance-policy-contrary-to-our-divorce-decree-2017-05-25


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334.

Life Insurance - Why Buy It?


Purchasing life insurance for your dependents can be one of the most caring, thoughtful, and unselfish acts you can do for your loved ones. Life insurance allows your dependents to be financially provided for after you are gone by creating a TAX FREE instant estate.

Life insurance can show how much you love and truly care for your dependents, especially when you are not there to support them any longer. Life insurance helps compensate for the inevitable financial consequences that accompany the loss of life.

Life insurance is often known as of one of the pillars of personal finance, deserving of consideration by every household. If anyone relies on you financially, you need life insurance for them. (Life insurance's main concept is NOT meant to solely benefit yourself!) Although life insurance should give you peace of mind knowing that your loved ones will be taken care of financially. So if you truly care about the wellbeing of your dependents, life insurance is certainly a very good way of showing it.

So don’t procrastinate!
Get started with the process of purchasing a policy today by contacting me at 941-404-5334! 

Or if you already have an existing life insurance policy, you may want to consider increasing the death benefit coverage amount!


Side Note: You don’t wait until you have an accident to buy auto insurance, same thing should be true about buying life insurance. If you think about it, what is more important your home, your car, or yourself? You insure your house for probably $250,000 (or whatever the value of your house is worth), so why not insure your life for the same amount or more? Some people could go their entire life without their house burning down or getting in a car accident, but yet they still purchase those types of insurance without really thinking about it. However, unfortunately you literally can’t go the rest of your life without dying sooner or later. So it is wise to purchase life insurance now while you can. (approval will depend upon your health.) Keep in mind as you get older when applying for life insurance your premiums will only increase with age, and that is if you can even still get approved since your health could deteriorate by the time you finally decide to apply in the future! So it is best to act now.



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance - Why Choose Independent Agents?


  • Independent life insurance agents don't just use one main insurance company (and possibly some of their affiliates) for quotes, like captive insurance agents are required to do. (Captive agents are agents that work specifically for one main insurance company and can sell only their company’s products.) In contrast, since independent agents are not tied to just one company, they can offer a wider choice of products. Then they can “shop” around a very large number of insurance companies across the market all at once to find out what fits your needs the best and at the lowest premiums. So unlike when using captive agents, you are not beholden to any one company when you choose to use independent agents. Also by choosing an independent agent you do not need to change insurance agents, if you want to purchase a new policy (or replace your old policy) with a different insurance company later on in life, as your insurance needs may change in the future.

  • Independent life insurance agents, such as myself, allows us to find particular types of life insurance policies that are best suited for our clients’ specific needs. (For example: One life insurance company may specialize and be accommodating with approvals and lower rates in one area and yet another insurance company may specialize and be more accommodating in a totally different area.)

  • Independent life insurance agents, such as myself, also offer personalized customer service rather that some automated voice prompt menus, etc. I work with your best interests in mind rather than just the insurance companies. I will also try to customize your insurance policies to meet your specific insurance needs.

  • The good news is that independent life insurance agents do not add extra charges to insurance companies’s rates, like some other industries do. So why not take advantage of personalized customer service of independent agents, that will also shop around for you to find the best rates, all at no additional charge?

  • Convenience -  Local independent life insurance agents will come to your home, your work, or somewhere else that you choose, so you don’t even have to travel to an office. Also independent agents will try to accommodate your schedule. (For example: If you work during the day and prefer to meet in the evening or on the weekends generally that is not a problem.)

  • Understanding – Independent insurance agents understand that life insurance can seem complicated, daunting, and confusing, especially when you don’t deal with insurance on a regular basis. As an insurance agent, I will work to try to ensure that you fully understand your coverage, by explaining things in simple easy to understand terms, and at a pace you prefer.

  • After you purchase your policies, our work as independent agents are not over. I am available the following years to help answer your questions, update your policy and make coverage recommendations.

  • Reputation – Reputation plays a crucial role in finding an independent agent that you can trust. I am committed to maintaining the highest standards of integrity and professionalism in my relationships with my clients. My quality client relationships are built on a foundation of honesty, integrity, trust, and caring. Please Click Here for reviews from my actual clients to find out more about the quality of my services I offer and how my clients are treated in their own words.

  • Peace of Mind – Above all, working with an independent life insurance agent will provide you with peace of mind, knowing that when you save money on your insurance, it won’t come at the expense of comprehensive coverage. Also when it comes to protecting your loved ones or your business, relying on an independent agent that you can trust is certainly a great place to start!


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance - Why Quotes Can Vary For The Same Coverage Amounts?


Why do some life insurance quotes vary?

Many factors will affect quotes, so let’s explore some of the answers:

  1. Your age, health, height/weight ratio, and whether you are a tobacco user or non-tobacco user are big factors that will help determine your quotes. With many insurance companies, even your family health history can be a factor. Risky habits and/or hobbies can also be additional factors when determining your rate classification.

  2. In the beginning of the quoting process with different agents is where the quotes can vary quite a bit from one agent to another. Some unscrupulous (or unknowledgeable) agents may quote the lowest amounts in order to just get your business from the start, knowing very well that they will not be able to deliver by getting you approved at that same rate class and quote they originally gave you. Then they will try to bump you up to a higher premium once you have gone through the whole lengthy approval process and they only got you approved at a higher amount then they originally quoted.

    On the other hand, having an experienced honest agent ask you the correct questions upfront will help that agent preliminarily determine your rate classification more accurately so you may hopefully get approved at your original quote. However, keep in mind even the most experienced and honest agents are really only making an educated guess on quotes based on their previous experience and with the preliminary limited information they have at the time. However once a full application is completed and submitted, along with Paramed examination results, ultimately your rate classification decision will be determined by the insurance company’s underwriters. So for example: An experienced honest agent may quote you higher in the beginning, which may turn out to be a lot more accurate to what you will actually get approved at by the insurance underwriters. Rather than a bait and switch with a low quote in the beginning by another agent and then they try to bump you up to a higher quote later on, once you are approved. Keep in mind, even if an experienced agent happens to quote you higher in the beginning, and you then you get approved at a lower quote by the insurance company, you still would only pay the lower rate you got approved at. (Not the original higher quoted amount!) I feel it is best, if there is a going to be a surprise, for the surprise to be to your benefit and not the other way around! 

  3. It is also important for your independent agent to try to place you with the insurance company they feel is best suited to approve you at a better rate classification then possibly other insurance companies, due to your specific circumstances or health conditions. The underwriting process varies among life insurance companies. For example: one insurance company might offer better life insurance quotes for applicants with diabetes than other insurance companies may offer. Some insurance companies are more lenient for risky habits, such as cigar smoking, than others, and some insurance companies are more comfortable than other insurance companies with covering people who have risky hobbies, such as scuba diving. Having an experienced insurance agent (or his/her team), know the correct insurance company to place you with, can end up saving you lots of money as well as extra time shopping around!

  4. As they say, compare apples to apples. 
    • When comparing quotes make sure the death benefit coverage and term length are exactly the same.
    • Also make sure you are comparing the quotes for exact same type of policies, whether it is term, universal life, or whole life.

  5. Lastly, make sure to review life insurance company ratings of the company you chose. You want the insurance company to be there when your beneficiaries need them the most.


See Related Blog Posts by clicking links below:


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance - Will My Premiums Increase?


Well, it really depends on the type of life insurance policy you have on whether or not your premiums remain level. 

Premiums for a term policy may be either level or increasing. It will depend on the type of term policy you purchased. For example: With the most common type of term life insurance your premiums are level for the entire term period with a fixed death benefit amount. Or if you wanted your death benefit to increase each year, concurrently your premiums would increase each year to accommodate that increased death benefit. 

With "Guaranteed Level Premium Term Life Insurance” premiums are guaranteed in the policy to remain level for a specified period of time and may increase thereafter. With most term life coverage, your premiums start out lower than comparable permanent coverage and stay fixed for the initial term. However with term policies if you choose to keep your policy in force past the initial locked in term period, then the premiums will likely skyrocket at the end off your initial term. The reason is that the term policies are designed to basically just cover the specific number of years it was initially designed for to keep premiums inexpensive. So when you buy Guaranteed Level Premium Term life insurance, the company can’t increase the rates during the initial term. For example: if you buy a 20-year term policy, your premiums are fixed for 20 years. However after the 20 years, your premiums could skyrocket up if you chose to keep that same policy.

With permanent life policies such as Whole Life or Guaranteed Universal Life, as long as you don’t let your policy lapse, your premium amounts are guaranteed not to increase for the rest of the owner’s life.

Keep in mind that Universal Life policies and other permanent life policies can be structured in a number of different ways. They generally all use premiums to build up a cash value that contributes to the death benefit, but how that money grows can differ. Some Universal Life policies offer a "no-lapse guarantee" which secures the death benefit and fixes the cost of your premiums over the life of the policy. Then there are other policies that are without the guarantees, often cheaper and project a growth rate based on historical calculations that, they claim, should keep premiums steady and build up a large death benefit over time. However when those projections don't pan out, policyholders can be left with very little to show for their years of premiums. An example of this is when many people who bought their policies in the 1980s, when interest rates were high, and now due to interest rates being low, the balances did not grow fast enough to cover the cost of the policy, let alone build a death benefit. As a result, balances may have actually decreased as the insurance company deducted money to cover the annual costs associated with the policies. If the balance hit zero, then the policy lapsed and any death benefit with it evaporated. The issue was that many longtime policyholders never understood this variable nature of the insurance when they signed up. Most people didn't find out about this problem until they received a letter telling them that their cash value was zero, and in order to continue their policy they had to increase their payments! That is why it is very important to have a No-Lapse Guarantee Universal Life policy to avoid this type of situation from happening to you.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance 101 - The Basics


In the simplest sense, life insurance is something that pays a death benefit to a beneficiary when you die. Life Insurance's primary purpose is to protect against the risk of you dying too soon. Your premature death would expose your family or business to certain financial risks, such as burial expenses, paying off debts, loss of family income and loss of business profits, etc.

Since the face amount of the policy is payable upon the death of the insured person, the element of risk to the insurance company is much different than it is for say, an automobile policy. When an insurance company issues an auto policy, it hopes you will be a safe driver and will never have an accident, so you will never file a claim. When an insurance company issues a "permanent" life insurance policy, it knows it will be called upon to pay a claim someday since every human being dies sooner or later. For the insurance company, the only unknown is whether the claim will be made in the first year or in a number of years in the future.

None of us can be certain that we will live for a long time, even if our ancestors are long-lived. There is always the possibility that a disease or accident will result in a premature death. Anyone can become a victim of a natural disaster or an act of violence.

Death benefits are the one thing that all types of life insurance have in common. If it doesn't pay a death benefit, it isn't life insurance. The death benefit is the pure life insurance protection portion of a policy. The product gets its name from the fact that a life is being insured and it is the loss of life that triggers payment of the benefit. Death benefits represent the true insurance element, the pure protection aspect, of all life insurance policies.

In addition to death benefits, many life insurance policies include other features, such as savings or investments. These non-life insurance benefits may be included in a policy or they may be attached as optional riders. They make it possible to use life insurance as a vehicle for building capital for accumulating assets or funds designed to serve specific purposes. Thus, some people use life insurance to accumulate funds for children's education, to provide retirement income, to create or add to an estate and for other purposes.

The death of an insured person creates an instant estate for the benefit of the individual's family. From a personal perspective, life insurance may be used to provide peace of mind and financial security for a family.

 

Source: Florida School of Insurance

 

Related Blog Posts:


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance 101 Video


To view a very short video about life insurance basics and how important it is for protecting your loved ones, click on the web link below:

https://www.lifehappens.org/videos/life-insurance-101/


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?


Source: www.lifehappens.org

Life Insurance and Investment Goals


Should you use life insurance as an investment option? Well there are two schools of thought on that topic. However let me first start with the basics first.

Life insurance fulfills a vital financial need in protecting dependents (many times their children, their spouse, or both, or possibly even other beneficiaries) in case an income earner (or both earners) of the household pass away. In exchange for paying a predictable relatively small premium for life insurance, the insured person of a life insurance policy can protect his/her family from financially devastating events. Life insurance can assure your dependents of having enough funds to replace the financial impact of losing an incomer earner and still allow the dependents to be able pay off their mortgage, final expenses, and any other debts, etc. Depending on how much the life insurance death benefit was set up for in advance in your life insurance policy, it will possibly even have enough left over to pay for children’s future college expenses, etc. 

So the one school of thought is to have your goal of life insurance just to be able replace only what’s needed and invest the rest elsewhere. Similar to term insurance for a set number of years, with no cash value, but keeping the premiums very inexpensive. Or a Universal Life set for a longer period of time up to lifetime, but stripping out the cash value component to keep premiums lower. In this scenario, you keep your expenses you intend to protect, separate from your savings that are intended to grow.

The other school of thought is to go with a permanent life insurance policy that does have an investment component with cash value built into the policy. Such as whole life or universal life with cash value built in, variable life, etc. It may seem convenient to address several financial goals by buying one policy, but their investment component of these type policies can be complex and easy to hide high expenses and some type policies may even put a ceiling on your potential returns. You possibly may even be required to lock up your money for an extend period of time. Or even if you are not required to lock up your money, it may cost you a lot if want to cash out of your contract early, possibly even losing your principal protection.

Bottom line, it is a personal decision which direction you choose. One person may tell you one direction and another advisor may tell you a different direction. Only you can really decide what you feel is the best solution for you and your family. Just try to get all the facts first to make an educated decision.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance Can Be Important At Any Age!


This StarHerald article by Irene North mentions how important life insurance is, even at young ages. 

Stating that when you’re young, life insurance is one of the last things you think is necessary in your life. Yet, every year, families suffer from the loss of a family member with no safety net to help them.

Many people don’t even think about purchasing homeowners insurance or auto insurance, yet they purchase those types of insurance almost automatically each renewal period. Although when it comes to life insurance, not always so much! Material things can be replaced, but when you die with no life insurance to protect your loved ones financially, that is pretty final and can leave your survivors in desire consequences.

The article goes on to say that for those under age 25, it is a great time to invest in life insurance, since they are generally very healthy at that age and the cost is very inexpensive compared to later in life. 

Another good point made in the article is that even while most people agree having life insurance is important, we are experiencing the lowest level of ownership in 50 years and even those that do have coverage have far less than experts recommend.

Online searching is great for some things, but for life insurance and financial planning it is really best to sit down with a professional who can make it easier to understand, and also make some recommendations.

To read more, click on the link below.

http://www.starherald.com/news/local_news/life-insurance-important-no-matter-what-your-age-is/article_d3f0dfd7-ed3f-553d-91f3-b8dbbeb3250f.html


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance During COVID-19 Pandemic


During the COVID-19 pandemic a lot of questions came up by many of my clients and even new prospects in regards to life insurance coverage during the pandemic. So I though it would be a good topic to write a blog post on.


Some common questions that seems to come up regarding life insurance and COVID-19 are: 

  • Question: Will my existing life insurance still cover me if I got COVID-19 and passed away.
  • Answer: Yes, as long as you have an active life insurance policy in good standing, your beneficiaries will get a death benefit should you die of COVID-19 related complications.1


  • Question: If I don’t already have life insurance, will I be able to purchase it during the COVID-19 pandemic?
  • Answer: As of this writing, the answer is yes. Life insurance companies continue to offer new life insurance policies for those who would otherwise qualify without the pandemic happening. However, getting covered could take longer, particularly if you are in a high-risk group, have recently traveled to a hot zone or had COVID-19 yourself.1


  • Question: Will age be considered in life insurance approvals due to a higher risk factor for older applicants during COVID-19 pandemic?
  • Answer: Several large insurers restricted sales of new life policies for older adults. However, some companies have loosened age restrictions put in place early in the pandemic “as they’ve gained more information and data about what constitutes a higher COVID-19 risk.”
    “Insurers will continue to evaluate the situation as more data becomes available, and they are watching the vaccine rollout closely,” Spinello says
    .1



To read more on this topic click on the web link below to read full article:

https://www.aarp.org/money/budgeting-saving/info-2020/insurance-policies-during-coronavirus-faq.html


1. Source: AARP Answers: Your Insurance Coverage and the Coronavirus by Andy Markowitz
https://www.aarp.org/money/budgeting-saving/info-2020/insurance-policies-during-coronavirus-faq.html


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334.

Life Insurance For Younger Buyers Have Jumped Due To COVID-19


Life insurance applications for Americans have jumped in 2020 as the COVID-19 pandemic has made us more aware of our own mortality.1

No one has been more interested in their own life insurance gaps than the under 45 crowd. Application activity has grown almost twice as fast this year for Americans 44 and younger as for those 45-59, according to research through September from MIB Group, a data-sharing service for insurance companies.1

In October, nearly 1 in 3 millennials said they feel an increased need for life insurance due to COVID-19, according to consumer research from LIMRA.1

  

To read the entire article click on the web link below:

https://apnews.com/article/virus-outbreak-millennials-life-insurance-ca8badedec4910701b6057414515c813


1. Source: Article by Andrew Marder (Nerdwallet) AP News
https://apnews.com/article/virus-outbreak-millennials-life-insurance-ca8badedec4910701b6057414515c813


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance Myths


Myths:


  • Life insurance is expensive!
    This is one of the biggest misconceptions. Many people overestimate the price for a given policy! People tend to think life insurance is more expensive than it really is, for protection that they truly need.


  • I don’t need life insurance!
    Most people don’t want to think about their own mortality in advance. However all of us are human and we will eventually die at some time in the future, we just don’t know when. It is just a fact of life. Even though we really don’t like to think about our own mortality, it is prudent to plan ahead by purchasing life insurance so your loved ones will be financially taken care in the event of your passing. Many people only start to think of purchasing life insurance when a family member, relative, or close friend passes away. That event jolts them into taking action of purchasing life insurance for themselves. Think back of when somebody close to you unexpectedly passed away. Did the departed have life insurance? If not, what happened the survivors?  You really shouldn’t wait for a jolting event like that to happen to “somebody" close to you before taking action and purchasing life insurance! That “somebody" could be you instead!


  • Once you buy life insurance, you just set it aside and forget about it!
    You should revisit your life insurance policy annually or upon major life events such as: 
    • Birth or adoption of a child
    • Deaths, Divorces and Marriages
    • Employment, career, or income changes
    • Sale or purchase of a home
    • Taking on the care of a parent or relative
    • Planning or nearing retirement
    • Planning for a child’s education or wedding
    • Starting or selling a business
    • Tax-law changes

Note: Changes to the amount of coverage should be considered to determine if you still have enough to meet your beneficiaries future needs. Example: A $1,000,000 may seem like a lot to many people, however if you have a spouse, a couple or more children that plan on going to college, and also have some existing debt that same $1,000,000 may not get them very far!


  • Having life insurance through your employer is enough and I’ll have it when I leave!
    The first point is the amount of coverage your employer provides. Is it enough?
    The second point is your life insurance policy portable? Meaning can you take the life insurance with you if your employment with that company gets terminated? (Regardless whether you quit or got fired.)

  • I’m young and don’t need life insurance. It is for old people!
    You may be young but that doesn’t prevent you from accidents and illnesses!
    You can lock in the best rates for your entire life while you are young and healthy! Rates increase with age and deteriorating health.
    Second point is that younger people are more likely to have small children, big mortgages, and very little savings. That is a recipe for disaster should the breadwinner unexpectedly pass away, leaving the survivors to fend for themselves.

  • It is not available for older people.
    Even if you are over 80 and in very good health, you can generally buy life insurance. Key factor of your approval would depend on your health. At that age, you may want to consider a shorter term policy to help keep the cost down. Of course the cost of the coverage for older people is much higher. Older folks may also want to consider final expense insurance. That type policy is designed to pay off final debts and burial expenses as not to burden their surviving family members with large expenses when they pass.
     
  • The choices are overwhelming.
    Yes it is true that there are many varieties of life insurance, but with the guidance of a professional licensed insurance agent he or she can guide you to the type of policy that best fits your needs and/or budget.

  • If you have health issues, you can’t get approved.
    Barring a terminal health condition, chances are good that you can still get approved depending on your individual circumstances. However your life insurance premiums most likely will be higher due to the additional risk.

  • I can lie about a medical condition to get the best rates.
    Lying doesn’t work! Eventually the truth will come out and your claim may be denied when your beneficiaries need the money the most!

  • The Internet offers the best deals!
    You will not only be missing out on having a real live person who will listen to your specific needs, understand and process all the information to meet those needs, but the actual pricing is pretty much the same whether you go online or through a live in person agent! With a live person you can get personalized service who can explain all the confusing insurance jargon, answer your questions, come directly to your house, work, or where ever convenient for you. Plus if your live agent is like me, you’ll have great service!


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance Myths About COVID-19


I had several concerned people contact me and ask three common questions about COVID and Life Insurance. I answered their questions. However I thought I’d create another blog post to address these three common myths regarding life insurance and COVID-19.


Myth 1: Insurers won’t pay out if you’ve had a COVID-19 vaccine

Answer: False

The COVID-19 vaccine does not impact an insurer’s decision to pay out claims, as confirmed by the American Council of Life Insurers in March 2021. In addition, the vaccine is typically not used to determine your eligibility for coverage. In fact, it may open up coverage for those with underlying health conditions, as the vaccine reduces the risk of dying from COVID-19.1

Concerns over whether life insurance covers deaths from COVID-19 are also largely unfounded. In most cases, life insurance policies cover infectious diseases, such as COVID-19.1


Myth 2: My existing life insurance won't cover me, if I got COVID-19 and passed away.

Answer: False

As long as you have an active life insurance policy in good standing when you got COVID-19, your beneficiaries will get a death benefit should you die of COVID-19 related complications.2


Myth 3: If I don’t already have life insurance, I won’t be able to purchase it during the COVID-19 pandemic?

Answer: False as of this writing

Life insurance companies continue to offer new life insurance policies for those who would otherwise qualify without the pandemic happening. However, getting covered could take longer, particularly if you are in a high-risk group, have recently traveled to a hot zone or had COVID-19 yourself.2


1. Source: NerdWallet Article by Georgia Rose, Entitled: "The 6 Biggest Life Insurance Myths About COVID, Cost and Coverage” https://www.nerdwallet.com/article/insurance/the-6-biggest-myths-about-life-insurance
2. Source: ARP Answers: Your Insurance Coverage and the Coronavirus by Andy Markowitz
https://www.aarp.org/money/budgeting-saving/info-2020/insurance-policies-during-coronavirus-faq.html


See more COVID-19 related life insurance blog posts, by clicking the web links below:

Life Insurance During COVID-19 Pandemic

Life Insurance For Younger Buyers Have Jumped Due To COVID-19



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334.

Life Insurance Quotes & Application Process - Demystified


Ever wonder how life insurance quotes are generated? It is not magic. There are many criteria that are considered.

The death benefit amount and the length of the policy will be some of the major pricing factors. Also underwriters will review your income, lifestyle, medical history, overall health, your family's medical history and any hazardous recreational sports or occupations to help determine your risk, which will be additional considerations greatly affecting your quotes as well.

There are several types of criteria that can affect the pricing factors and need to be gathered in order to make life insurance quotes more accurate. But ultimately the type of policy (including the death benefit amount & the length of the policy term), your completed application, your paramed exam results, and complete information gathered for your underwriting review will determine your exact premium amount.

Some of the basic preliminary information that will need to be obtained will be:

  • Birth Date 
  • Gender
  • Height and Weight
  • Do you currently, or have you in the past, used tobacco?
  • Your current and past health (including blood pressure and cholesterol levels)
  • Your family’s health history, including ages when parents or siblings may have passed away if applicable. (If they passed away after age 60, it generally shouldn’t affect your premiums.)


As I mentioned above, those items above are the main basic preliminary information items needed to start, but there many other types of criteria that are considered as well that are usually gathered in your completed application. Not always asked during the preliminary questions but questions about other risk factors, such as but not limited to: your driving record, scuba diving, motor vehicle racing, piloting planes, hand gliding, sky diving, etc. are normally on the application. So it is a good idea to volunteer any of this type information at the same time to get a more accurate preliminary quote. Otherwise you may have a higher quote after the application is completed, reviewed, and approved. 


Once preliminary accurate information is gathered, an independent agent can then shop the quotes for you. It is strongly recommended that an “independent agent” assist in helping you pick a top rated life insurance company that best fits your information given.  Unlike captive insurance agents working for one insurance company, independent agents can shop a very large number of insurance companies across the market for the very best quotes suited specifically for you. Since some insurance companies specialize in certain areas and are more aggressive in determining a client’s risk class, they may put you in a more preferred class (meaning lower premiums) than another insurance company would. Independent agents knowing which top rated insurance company to submit your application to, generally can save you a lot of money in the long run with the same coverage. A couple of examples could be:

  • One insurance company may be more lenient toward people of a certain age & health thereby offering lower rates than another insurance reviewing the exact same information from the same exact person!
  • Another example is that one insurance company may be more lenient toward people with diabetes, while another insurance company may be more lenient for folks that had another long term illness or disease.

After an application is completed, most (but not all) types of Life Insurance require a paramed exam, which is performed at no cost to the insured. The insurance company pays for the exam.

Finally, once the completed application and the paramed results are both submitted, then the insurance company’s underwriting department reviews all the information, which can take a while since they like be very thorough. When the underwriting department review is complete, they will either approve or deny the application. If approved, the underwriters will determine which risk classification you fall into. That risk classification assigned to you will ultimately determine the premium amount. The better your risk class, the lower your premiums will be. A majority of the time the premium amount will stay the same as quoted. However sometimes after receiving the full completed application with more thorough information than just the preliminary questions answered to get a preliminary quote, during the review the underwriter may find you to be more at risk than originally anticipated with just limited information. Then the premium may be higher than originally quoted. At that point you will have the chance to accept the new revised quoted premium amount and continue to move forward or stop the process.


Below is a reference for some typical life insurance rate classifications. However many insurance companies use similar but different names for each of the same classes and other insurance companies may vary their rate classifications altogether. Not all insurance companies have all those different classifications listed below. 

Keep in mind that the “Standard” classification is generally considered for average health, see below definition. So only if your health, etc is above average, would you even be considered for one the higher approval ratings.

Standard: This category is associated with average health as well as a normal life expectancy. Minor health issues may be present or, perhaps, weight is not optimum. Factors such as these coupled with the death of a parent due to disease before age 60 could also be relative to this category.

Non-Smoking or Non-Tobacco User

  • Super Preferred (Sometimes also called Preferred Best)
  • Preferred Plus
  • Preferred
  • Standard Plus
  • Standard
  • Substandard

 

Smoking or Tobacco User

  • Tobacco (non-cigarette)
  • Preferred Smoker
  • Standard Plus Smoker
  • Standard Smoker
  • Substandard

 

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance Video - Embracing Uncertainty


Click on the web link below to view a short but informative 2 minute YouTube video by Penn Mutual explaining the some of the benefits of permanent life insurance. Even though the video was created by Penn Mutual, the main principals can apply to most permanent life insurance policies.

Video - Protect yourself today for the uncertainty of tomorrow!


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Life Insurance Video - If You Still Haven’t Purchased Life Insurance Maybe This Will Change Your Mind!


I viewed this Transamerica Life Insurance video and thought I was important to share it with folks that might have procrastinated and haven’t purchased life insurance for their loved ones quite yet. Or for those that already have life insurance, it will give them peace of mind knowing they did the right thing!

I suggest you view the entire 6 minute video. Don’t close it after just a few seconds. Give it a chance to get the message across. It is enthralling, a bit dramatic, but very appropriate.

Some of the messages in the video I particularly liked were:

  • When it is needed the most, a check appears with a memo line that may as well read:
    Despite the fact that my body is no longer here ….I still am!
    1
  • My love lives on, even though I don’t!1
  • We don’t buy life insurance for when we die, we buy it from when they don’t!1
  • The answer is "No" when the question is: Are you interested in preparing for your death? But when asked the question: Do you want to take care of your family?  The answer is always yes!1
  • Life insurance is the final loving act of a person who at the end, didn’t see flashes of his own life, but instead saw he saw the future he wanted for his loved ones. If he knew their pain could somehow be lessened, their financial load lightened, that perhaps their grief would be less sharp then it might have been.1


Click on web link below to view Transamerica Legacy Of Love video:

https://www.youtube.com/watch?v=YfMYEX6TQgM


1. Source: Transamerica Legacy of Love Video at https://www.youtube.com/watch?v=YfMYEX6TQgM


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance With Health Issues? - Charged High Rates or Declined Altogether?


Have you been charged high rates or declined for life insurance? Broadly speaking, people with higher mortality risk due to health issues, are labeled "Impaired Risk." Impaired risk life insurance is defined differently and approached differently by each life insurance company. Since I am an independent agent, my team has the ability to impartially shop pricing with the various insurance companies allowing me to deliver the best rates with top insurance carriers for my client’s individual circumstances. 

If you feel you have a tough case where you don't think that you will be able to get approved due to your health issues or have already been declined, please contact me. You may be pleasantly surprised! You have come to the right place. My team specializes in getting people approved with "difficult to get approved cases!" With that said, we can't always get everybody approved (such as cases with active cancer, suicide attempts, etc.) with traditional life insurance and for those cases we offer other types of alternative life insurance policies that are Guaranteed Issue. 


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Life Insurance Without Medical Exam Becoming More Of A Trend


One good side effect of the COVID-19 pandemic is that life insurance with no medical exams are becoming more popular. Many clients prefer no medical exams since the process is faster and also generally there aren’t any needle pokes for blood work, etc. (Unless in some rare exceptions where red flag pops up in your answers to the medical questions on the application. Then the insurance company may want a medical exam at that point, but you would have a choice to continue at that stage or decline to move forward.) 

There are different types of "No Medical Exam” life insurance. Accelerated underwriting is one type and more than a third of life insurers have expanded accelerated writing due to the pandemic. However, just like the pros of being faster and easier, there are also some disadvantages. Some of the disadvantages are that you lose flexibility and generally pay a higher premium. With accelerated underwriting, rather than go through the traditional more lengthy approval process with a medical exam that would include blood work and urine samples, the insurance company would still require a completed application which includes asking medical questions and history. Also the insurance company uses big data and generally will check things like: 

  • Your prescription drug history
  • Data from the MIB (an information sharing service for insurers)
  • Credit history
  • Driver record
  • and even shopping habits!

Keep in mind that approvals are not guaranteed but are generally faster to get an answer.

The another type of no exam life insurance is called simplified issue which considers the answers on your application and doesn’t really tap into big data.

The reason these type policies typically cost more and offer less coverage than standard traditional life insurance policies is that they rely on limited information which is more risk for the insurance companies. The more the risk for the insurance company, the more expensive the premium is for the client.

 

To read their entire article click on the web link below:

https://www.nerdwallet.com/article/insurance/covid-19-accelerates-no-exam-trend-in-life-insurance


Source: NerdWallet article by Georgia Rose
https://www.nerdwallet.com/article/insurance/covid-19-accelerates-no-exam-trend-in-life-insurance


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

Life Insurance: Who Really Needs It?


This web page had been deleted.

Mortgage Protection Insurance Versus Term Life Insurance


If you are in the process of buying a home, or even just getting a home equity line of credit, it probably won’t be very long before you start to receive a ton of mortgage protection insurance offers in the mail. (I personally received over 20 such offers, in a matter of months!)


So what is Mortgage (Protection) Insurance?

Sold by mortgage lenders and insurance companies, mortgage life insurance (sometimes called mortgage protection insurance) pays off your mortgage loan (and only your mortgage loan) if you die with a balance. Generally mortgage protection insurance is really nothing more than a term life insurance policy for the amount of your mortgage with the added words “Mortgage Protection” in front of Insurance and it would pay off your home loan, if you die with a balance.  

More specifically, mortgage (protection) insurance is simply a term life policy that is designed to cover your mortgage if you die during the mortgage term length. For example, if you have a 30 year mortgage you can purchase a 30 year term mortgage insurance policy that covers the amount owed on your mortgage, ensuring that family left behind will be able to pay off your home and continue to live there.


Some of the benefits of choosing a "Term Life Insurance" policy in place of a Mortgage Protection Insurance (MPI) policy are:

  1. You can choose the death benefit amount yourself, which includes all your expenses up to your coverage limit. (Allowing you to meet all your family’s needs including future income, rather than just your mortgage balance!) Keep in mind with many mortgage protection insurance policies, the death benefit steadily declines to match the mortgage balance. With most term life insurance policies they are set up with a fixed (level) death benefit amount!

  2. Term life insurance gives you more flexibility, by allowing you to chose your beneficiaries. Those beneficiaries can use the money however they choose, not just to pay off the mortgage. (However on the other hand, with many mortgage protection life policies, the benefit is paid directly to your lender, NOT to your family.)

  3. Term life insurance generally gives you more bang for the buck by often being less expensive, depending on your health, etc. The majority of mortgage life insurance policies don’t require applicants to go through a life insurance medical exam for underwriting purposes. This may sound convenient, but you will pay for the privilege of not providing health information. The more insurance companies know about your medical history, the more accurately they can quote coverage, which translates into lower rates for many term life applicants.

  4. Lastly, term life insurance can extend past the length of your mortgage. For example, if you get a 15 year mortgage, depending on your age, you may still qualify for a 30 year term life insurance policy.


Note: Don’t get confused with private mortgage insurance, (PMI), which is another product you might encounter during the home buying process. PMI pays the lender, NOT YOU OR YOUR BENEFICIARIES, if you default on the loan for any reason. You’re generally required to purchase PMI if you put less than 20% down when buying a home. The cost is factored into your monthly mortgage payment.




Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

One In Three Americans Who Get An Inheritance Blow It


An interesting MarketWatch article by Elizabeth O’Brien on things you should do to avoid blowing a new found inheritance. The article mentions one study found that one third of people who received an inheritance had negative savings within two years of the event. 


To read the article, click the link below:

http://www.marketwatch.com/story/one-in-three-americans-who-get-an-inheritance-blow-it-2015-09-03


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Permanent Life Insurance - Related Blog Posts


Due to my many blog posts, I decided to group my blog posts related to permanent life insurance in one post by listing my blog post web links below:

Advantages Of Permanent Life Insurance

What Is The Difference Between Universal Life Insurance And Whole Life Insurance?

What Is Universal Life Insurance?

Whole Life Myths Debunked

Whole Life Insurance vs. Term Life Insurance


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Price - Important Factors That Affect Your Life Insurance Premiums


These important factors listed below can affect the price your life insurance quotes / premiums:

  • Age
    If all other factors are equal, the younger you are the lower your premium will be.

  • Gender
    Woman tend to live longer than men as a general rule, thus women generally get a lower rate for life insurance than men. (Again if all other factors are equal)


  • Current Health
    Depending on the type of life insurance you are buying, you will generally have to go through a medical exam. The insurance underwriters will search for things that may possibly make you a higher risk. (Examples could be: High blood pressure, high cholesterol, or other health concerns that might be a sign of future problems.) People who are currently in good health will generally have lower rates. (Again depending on the policy type.)

  • Health History
    If you have a history of chronic disease or other potential health problems that makes you a higher risk for the insurance company, that may result in higher rates also.

  • Family Health History
    If your family members have a major history of serious illnesses such as heart disease and cancer, which can be hereditary, you may end up paying more for life insurance as well.

  • Weight
    If you are overweight based on a height to weight ratio scale, you generally will pay more for life insurance. Being overweight is known to come with potential health problems that could result in earlier death, which means a higher risk for the insurance company.

  • Smoking
    Smokers pay more for life insurance because of the increased risk of earlier death. However, if they quit smoking, they may qualify for lower rates within a year.

  • Alcohol Consumption
    Heavy alcohol consumption can also have a major adverse effect on your health. Those who drink heavily are likely to pay more for their insurance rates.

  • Drugs You Take
    Whether prescription drugs, Illegal drugs, or sometimes even "Over The Counter” drugs all depending on what they are, can not only affect the premiums, but could possibly cause a denial of your approval for life insurance.

  • Driving Record
    DUI or too many traffic violations can adversely affect your premiums as well. If too many, you possibly may not even be able to get approved with a traditional life insurance policy.

  • Occupation
    It’s pretty clear that some trades and professions are more risky than others. For example, if you are a tower climber or race car driver, you will certainly pay more than an office worker since insurance companies have good reason to see your job more risky than the average office worker. Certain dangerous occupations may result in an increase in rates or even denial of coverage because they carry such a heavy risk of accidental death.

  • High Risk Hobbies
    Some hobbies are considered high risk, such as sky diving, scuba diving, repelling off mountain tops, racing, etc. thus increasing your premiums. If considered too risky by the insurance companies, you possibly may not even be able to be insured with a traditional life insurance policy.

  • Policy Type and/or Length
    The type of life insurance policy can effect the price of your premiums.
    Examples:
    "Whole Life Insurance" and "Universal Life Insurance” (which are considered permanent life insurance policies and are generally the most expensive) can last your entire life and also can have cash accumulation built into the policy, thus increasing your premiums.
    Whereas "Term Life Insurance" (also known as temporary life insurance since it is set for a predetermined number of years, such as 10 years, 20 years, etc.) can strictly be purchased for the death benefit without any cash accumulation. Term Life Insurance is generally considered the least expensive type of Life Insurance since it is not guaranteed to last your entire life time. The term policy is designed only to last the predetermined number of years agreed upon and listed in the policy. Depending on the number of years listed in your term policy, you may possibly outlive that guaranteed term and thus not have any coverage when you pass away. (Unless you convert the policy or buy more life insurance.)

  • Death Benefit Amount
    Lastly and it kind of goest without saying, but the more death benefit amount you request, the higher the premium will be!

  • Choose an Independent Agent
    Choosing an independent agent allows your agent to shop a large number of insurance companies for the best rate regarding your specific circumstances, rather than working with captive agents that may be just allowed to use one insurance company or their affiliates. Rates can vary a lot from one insurance company to another insurance company for the exact same coverage for a person with the same circumstances. So it is prudent to let your independent agent find which insurance company best suites your needs and budget. Since you may be able to get the exact same amount of coverage and term length through a highly rated insurance company at a less expensive premium. 


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

September Is Life Insurance National Awareness Month


If you have been putting off purchasing Life Insurance, make Life Insurance a Top Priority in September!

Life insurance pays tax free cash to your family after you pass, allowing loved ones to remain financially secure. 

Keep your family financially secure in your absence by planning ahead and acting now. 

Do not delay, call me today at 941-404-5334 to get started protecting your loved ones!

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Term Life Insurance With Living Benefits



There is a new type of Term insurance that includes living benefits (with no additional charge for those riders in most cases.) Meaning that this type of term life insurance with living benefits provides access to money for a chronic illness, critical illness, and terminal illness. This new type of term life insurance provides an extra level of protection with living benefits and death benefits all in one life insurance solution. Chronic diseases - such as heart disease, stroke, cancer, diabetes, and arthritis - are among the most common and costly of all health problems in the U.S.


Chronic Illness

In this type policy, Chronic illness is described as when an insured is determined by a licensed health care practitioner to be unable to perform two of the six activities of daily living (bathing, continence, dressing, eating, toileting, and transferring) for a period of 90 consecutive days, or to be suffering from severe cognitive impairment for a period of 90 consecutive days or more.1


Critical Illness

In this type policy, it enables the policyholder to access his or her death benefit in advance of death when he or she is determined by a licensed physician to have suffered a critical health condition, such as cancer, heart attack, stroke, a major organ transplant, end stage renal failure, Amyotrophic Lateral Sclerosis (ALS), blindness, or paralysis due to the loss of two or more limbs.1


Terminal Illness

In this type policy, it provides the ability to access a portion of the policy’s death benefit as a lump sum payment in advance of death when a licensed physician has diagnosed the insured to have less than 12 months to live.1




1 There are specific differing maximum percentage amounts of death benefit for each of the above and certain conditions apply for each type. Contact me for specific details if you'd like know more.



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Types of Life Insurance


There are many types of Life Insurance too numerous to list here, but most of them fall under two basic kinds of Life Insurance: Temporary and Permanent

Temporary life insurance is commonly known as "Term" insurance because just as the name implies it provides a death benefit for a specified number of years, such as ten, twenty, or even thirty years. (Or other number of years specified.)

Permanent life insurance however can provide lifelong protection (or to a specific age) as long as the necessary premiums are paid. In addition to providing a death benefit, permanent life insurance accumulates cash value, and you have the ability to access cash that has accumulated, in the form of loans and withdraws after a certain period of time. Permanent life insurance has many different types that fall under this category. Typical examples include Whole Life, Universal Life, Variable Universal, and Index Universal Life. Other variations include Guaranteed Issue Graded Benefit Life in which applicants are *Guaranteed to be issued a policy if they are between the ages of 40 and 80. (Policy issue ages may vary depending on the actual individual insurance company's requirements.) Meaning no medical questions, examinations, or tests to be approved and applicants can't be turned down due to their medical history. Contact me for more details.

*Note: An individual that is a patient or resident in any form of health care or nursing home facility is not eligible for this type coverage. Other factors that make an individual not eligible could be: If an individual is not of sound mind, or an individual is incarcerated, on parole, or on probation.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Use Of Your Term Life Insurance Policy's Conversion Option

 

As you may already know, a Term Life Insurance policy is considered a "temporary" type policy, for a specified number of years. Keep in mind with a term policy, if the policyholder outlives the initial predetermined term length, the new premiums for that same policy can skyrocket or that life insurance policy can terminate and the insurance company keeps all your premiums you paid over the years without having to pay a cent to any beneficiaries. So you may want to consider a permanent type policy like Universal Life or Whole Life. Permanent insurance can provide guaranteed lifelong protection (or to a specific age) as long as the necessary premiums are paid.

After your initial "term" is up on Term policy, generally you are allowed to keep the policy in force for a certain amount of time, but the premiums skyrocket going forward and can become prohibitive. So at that point (or preferably way before then, by planning ahead) you'll need to shop around for a new policy. Unfortunately when your specified term is up, you also will be older then when you first purchased your existing term policy. Many times people's health may have deteriorated by then also. Making it difficult and sometimes impossible to get approved for coverage with a new traditional life insurance policy. That is when this conversion option may be a good idea such as, if you are not in good health and fear you may not be approved thru normal traditional life insurance. However if you are still in good health, it most likely pays to shop around for a new policy and compare rates since conversion premiums are not always the most competitive rates for something similar thru another company.

Each insurance company has different time periods when you are still able to convert. It is stated in your policy when you are permitted to convert your term policy to a permanent policy (with the same insurance company) without having to get another medical exam and go thru underwriting. So if you were healthy when you first got the original policy and were approved with a good rate classification, you should be able to keep that same rate classification even if your health has deteriorated when you are planning to convert to a permanent life insurance policy with the same company.

I can assist you with both the conversion process or shopping for a new policy, if you have any questions, feel free to give me call to assist you.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

What Good is Life Insurance if No One Collects?


Some very important tips are mentioned in this WSJ article by Jennifer Openshaw.

Make sure to inform your beneficiaries that you have a life insurance policy and that they are listed as one of the beneficiaries (or the sole beneficiary.) In addition, give them the name of the life insurance company and your policy number.

Mention the policy in your will or keep a copy of the policy with your other important documents in a safe place, but make sure it is accessible to the executor or person that will need it when the time comes.

Many life insurance policy benefits go unclaimed due to the beneficiary not knowing money is owed to them. Make sure your loved ones are NOT one of those!
To read more click on the link below: 

http://www.marketwatch.com/story/what-good-is-life-insurance-if-no-one-collects-2013-02-20


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

What is a Life Insurance Rider?


A rider is simply a separate add-on document that has special provisions not included in the main policy it is attached to. Generally you can request to purchase a rider for extra coverage or protection not originally covered in the main policy. However, depending on the type of insurance policy you are applying for, which riders, if any are offered. Some riders may even be included at no extra charge depending on the type and the insurance company. 

There are many types of Life Insurance riders. Just to name a few common examples with their definitions, I made a short list below :

·         Accidental Death Rider: When added to a life insurance policy, this rider provides an additional amount of money to be paid to the beneficiary if the policyholder dies as a result of an accident. Since in most cases this life insurance rider usually doubles the amount of the death benefit, it is often referred to as a Double Indemnity Rider.

·         Accidental Death, Disability or Dismemberment Rider:  The accidental death rider can be sometimes extended to include any permanent or long term disability lasting at least for 6 months or loss of limbs or sight due to accident.

·          Child Term Rider: The Child Term Rider protects your children with a small benefit, typically from $1,000 to $10,000, until they reach the age of 18 in most cases. This rider alleviates the need to complete an entire application on behalf of your children and instead covers all of children under a certain age for one low fee. Children covered under the Child Term Rider do not have individual life insurance policies but are offered the chance to convert the term rider benefit into their own plan, in most cases at age 18.

·         Critical Illness Rider: Also known as an Accelerated Death Benefit Rider. This life insurance rider allows an insured to collect either all or a portion of their life insurance policy while they are alive. The insured can claim this rider if he/she is diagnosed with a terminal illness, requires long term care or admission to a nursing home, by withdrawing part or whole amount of death benefit from the basic insurance policy. The basic insurance policy reduces by the amount withdrawn under rider. The rider helps the insured and his family meet immediate financial needs of medical treatment and loss of regular income generated by the insured. The rider generally specifies the amount available to insured in such cases and can be withdrawn by him/her during term of policy. This type rider has become standard in the industry and is usually included automatically for free or offered at a nominal cost.

·         Disability Income RiderBy adding the Disability Income rider to your life insurance policy, you will receive a portion of your death benefit in monthly installments if you become disabled. Each insurance company has different specifications regarding the percentage of your death benefit that will be paid to you, when payments will commence, and the length of time that payments will continue.

·         Family Income Benefit Rider: This rider provides a cushion in case of sudden death of the insured during policy term. While taking the rider, the insured needs to select the time frame for which he wants his family to continue receiving benefits. According to their comfort  level, the beneficiaries will have the option of receiving regular monthly income or taking the entire benefit as lump sum after the death of the policy taker. As the insured grows old the duration of rider decreases. This rider is most beneficial to families with a single bread winner, since it provides a continuous monthly payment to the insured's beneficiaries in the event of the insured's death.

·         Guaranteed Insurability Rider: Also known as Renewal provision, this rider allows you to buy extra insurance at certain periods during the specified term of rider. Without letting your existing policy elapse, you can purchase additional insurance or convert basic term insurance without proving insurability or having to undergo fresh medical examination. The rider is most beneficial to those who may experience major medical illnesses or loss of health due to advancing age, as there is no need for fresh underwriting. It also allows to add more insurance with changing life circumstances like marriage or arrival of newborn.

·         Level Term Rider: With this rider you can attach a fixed amount of term insurance to your basic permanent life insurance policy for a certain period. The amount of benefit assured can be multiple times the basic death benefit from the original policy.

·         Return of Premium Rider: Return of Premium is a relatively new feature available since the early 1990's in some Term Life Insurance policies as a solution to the live and lose concern presented by traditional term policies. As the name implies, this rider will allow term life insurance policyholders to recover all or part of their premiums paid over the life of the policy if they do not die during the stated term. Also keep in mind that money from Return of Premium is tax free! Although, adding this type protection will raise the overall cost of the policy accordingly. Return of Premium (ROP) is not available with all term policies.

·         Waiver of Premium Rider: This rider helps the insured to continue with his/her insurance policy even if he/she are unable to pay regular premiums due to long term or permanent disability (generally before a specific age). By default, a life insurance policy can expire if the premium is not regularly paid. If the insured suffers from a disability that prevents him from earning a regular source of income, the insurance policy premiums may become difficult to bear. This rider allows the insured to take waiver from premium payments while the disability lasts or for the entire policy period in case of permanent disability. So in other words, the waiver of premium life insurance rider will guarantee the active status of the life insurance policy even if premiums are not being paid by the policy owner due to a proven disability that prevents him from earning a regular source of income. The terms of proving disability and its valid duration vary from company to company and across different policies.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Choose Independent Agents?


What Is Guaranteed Universal Life?


Guaranteed Universal Life Insurance (sometimes abbreviated as either GUL or UL-G) is a specific type of life insurance that grants the policyholder a guaranteed death benefit. Meaning, that even if there is insufficient cash value within the contract to support the death benefit, it will still remain in force due to the coverage protection guarantee. The requirement to this guarantee is that premium minimums must be met and on time. So in simpler terms: a Guaranteed Universal Life Insurance contract will still pay out a death benefit even if the accumulated cash value decreases or zeroes out as long as the payments are not missed and are made on time as required.

Some of the advantages of a Guaranteed Universal Life Insurance policy could be:

  • Premiums can be level for lifetime.

  • You can select the age you want the death benefit guaranteed to, whether it is age 90, 95, 100, 105, etc.

  • Interest rate volatility will not affect premium payments.

  • Generally this type GUL product is inexpensive as a permanent life insurance product compared to other permanent products, as the premium is calculated to maintain a level premium payment until death.

  • GUL can be used as alternate to a term life insurance policy with more flexibility regarding planning a longer term length that you will need the policy to be in force. On the other side, term life insurance policies are generally limited to as many as 30 years, with even more term length restrictions for older folks that only allow for shorter term periods as they age.


(Depending on what you are looking for in a life insurance policy)

Some disadvantages of a Guaranteed Universal Life Insurance policy could be:

  • Unlike other types of permanent life insurance, like Whole Life for example, Guaranteed Universal Life Insurance policies are generally not designed to build up a lot of cash value within the policy. (This type of insurance policy is designed more as an inexpensive way to get permanent life insurance. By not accumulating a large cash value build up in a Guaranteed Universal Life policy, the premiums can be a lot less expensive then say for a Whole Life Policy that is designed to build cash value.)

  • However be aware that the timeliness of your premium payments is critical to maintaining the guaranteed level premium. Other type permanent policies that contain cash value can provide a source within the policy itself to cover the required premium to maintain the death benefit. Although, a missed or late premium payment in a GUL policy can jeopardize the guaranteed premium feature resulting in a policy without a guaranteed premium!


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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What Is The Difference Between Individual Life Insurance and Group Life Insurance?



Individual life insurance is generally bought and paid for by yourself (or a relative) directly thru an insurance agent or insurance company. However, group life insurance is generally provided by an employer, union, or association. Below I will list some of the advantages and disadvantages of each.


Individual Life insurance Advantages

  • The individual policy owner controls the policy.
  • Unlike with group life insurance policies, the individual life insurance policy is “portable." (Meaning regardless of your employment status, a death benefit will provided as long as the contract is in force when the insured dies.)
  • The individual can choose the type of policy (permanent or term), the length of the coverage, the amount of coverage, the insurance carrier providing the death benefit coverage, and/or if they want any optional riders, etc.
  • Rates can be shopped around. Depending on the individual, the individual life insurance rates may actually be less expensive than group life insurance. (A better individual rate may depend on the insured’s health and age.) 


Individual Life Insurance Disadvantages

  • For most type traditional policies the insured must go through the application process, including a medical exam to get approved. (However there are other types of individual life insurance such as simplified issue or guaranteed issue policies, that don’t require a medical exam although they are more expensive.)
  • Depending on the insured’s health after getting a medical exam, they may not qualify for traditional individual life insurance. (Again guaranteed issue is available for those that do not qualify for traditional individual life insurance, but their premiums will be at a higher cost.)


Group Life Insurance Advantages:

  • Many times an employer will cover the premiums, offer as an employee benefit, or will offer an optional benefit that the employees may purchase if they desire.
  • Many group policies don’t require a medical exam or individual assessment and don’t take into account the health issues of any particular individual. The rates are based on the makeup of the entire group of employees or members covered. That more lenient underwriting lets people who have minor medical conditions get coverage they might not have qualified for on their own, or for which they would have had to pay a higher rate. However because insurers generally assume that the pool of people applying for such coverage is not the healthiest, they charge more for everyone in the pool. (Not requiring a medical exam and individual approval may or may not be an advantage, depending if you have health issues and would not qualify for a traditional individual policy on your own. However if you are healthy, individual life insurance may be less expensive in that case.) 
  • You may be offered premiums at a group rate. (However it is still a very good idea to check with an independent agent that can shop premium rates for an individual policy across a large number of insurance companies to compare which type policy has the better rate and is best suited to your needs. Group rates are not always the least expensive. Also keep in mind there may be other drawbacks to a group policy besides price. See below.) 


Group Life Insurance Disadvantages:

  • Portability of Insurance: Generally most group life insurance coverage terminates when you leave your employer, union, or association. (This very important to keep in mind when purchasing. Since if you get very ill, or need to leave your employment for any other reason, you may lose your life insurance coverage at that time and may not qualify for new individual life insurance due to health issues.)
  • You have may have little or no control over the plan design or benefits provided.
  • Coverage options may be limited and not sufficient to meet your dependents’ needs.
  • Employer, union, or association (depending your situation) is the owner of the policy and can change, or even discontinue the group policy at any time.
  • Another big disadvantage between the extra coverage offered by many employers versus an individual policy is the number of years that rates remain in effect. Many group policies set their premiums in five-year age bands. Meaning for example, if you buy the policy when you’re in your early thirties, the premium will increase when you reach age 35 and then jump again at 40, again at 45 and so on every five years. But if you buy a policy on your own, you can lock in your premiums for 20 or 30 years.



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

What Is The Difference Between Universal Life Insurance And Whole Life Insurance?


Universal Life insurance and Whole Life insurance are both considered to be permanent life insurance products. Although, there are distinct differences between the two types of life insurance. Below I’ll go over some of the differences.


Whole Life:

  • Caters to long term goals by offering customers consistent premiums and guaranteed cash value accumulation. 
  • Whole life covers you as long as you live. (As long as necessary premiums are paid. However, after a pre-determined period, many times premiums can be made from the cash value of the policy or from dividends.)
  • Level premium amounts throughout the policy. (In other words, you pay the same premium amount for a specific period of time.)
  • Generally whole life pays dividends each year.
  • Provides a built in savings feature in addition to life insurance coverage.
  • Generally customers have very little to no choice in how the investment component (savings element) is invested.
  • Because of the level premiums, the built in savings feature, fixed death benefit, ability to access the cash value thru loans, dividends, and withdrawals, whole life is generally is the most expensive type of life insurance.


Universal Life:

  • Universal life can provide guaranteed lifelong protection (or to a specific age) as long as necessary premiums are paid. However, after a pre-determined period, many times premiums can be made from the cash value of the policy.
  • Gives customers more flexibility with premium payments, death benefits, and the savings element of their policies.
  • Customers can choose how the investment component (sometimes referred to as the savings element) is invested.
  • Customers also have the ability to access cash that has accumulated, in the form of loans and withdrawals after a certain period of time. 
  • Lets customers establish a permanent life insurance policy with a lower premium than they would have to pay under a whole life policy.
  • Universal Life may be set up to have a guaranteed death benefit up to a specific age, such as age 90 as an example rather then lifetime, thus reducing the premium amount. Also the savings element can basically be stripped out to give almost pure death benefit, additionally reducing the premiums.



Comparison:

Permanent life insurance is designed to give you and your loved ones livelong security. Whole Life is more rigid in that many features are preset and fixed. Where as Universal Life is a lot more flexible. Whole Life generally pays dividends and Universal Life generally does not. Because Universal Life is more flexible, it may be able to be customized more to your specific needs. With Universal Life customers have the ability to change the premium amount and the death benefit amount. Also Universal Life may be set up to have same amount of guaranteed death benefit as Whole Life, but strip out the savings element to keep the premiums a lot lower than Whole Life.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Choose Independent Agents?

What Is the “MIB?"



“MIB" is an abbreviation for the Medical Information Bureau. 

When applying for life insurance coverage, there are a variety of types of information that the insurance carrier will require. In addition to your name, age, and gender, the insurance company also needs to know about your health, health history, your family health history, as well as any other potential risks that you may pose in terms of the insurance company having to pay out a claim.

In addition to the information that is provided on your life insurance application, as well as the medical examination that you may be required to take, many life insurance companies will also obtain additional details about you via the Medical Information Bureau.

The Medical Information Bureau, “MIB," checks past records to uncover errors, omissions or misrepresentations made on insurance applications. It is kind of like a credit report for the life insurance process, and it helps prevent fraud, risk, and increased costs.

The MIB was founded with the goal of working with life insurance companies to combat fraud. They do this by compiling information from previous life, health, disability, or long-term care insurance applications. Note: The MIB doesn’t just have files on everyone. You have to have previously applied for one of those type of applications in the past for them to have information on you.

Safety of your information:

Nowadays, most consumers are worried about identity theft and keeping their personal information safe. Their personal information includes an individual’s medical records, which can reveal a great deal about an individual, and can also be used in identity theft crimes. For that reason, it is certainly understandable that it can be very concerning to many people whether or not their information is safe. Thus, when sharing medical information with an insurance company, the Medical Information Bureau provides the details in a coded format. Consumers’ information is also maintained by the MIB in this coded format to help protect their privacy. The information that is maintained by the Medical Information Bureau is only able to be accessed by certain authorized personnel of an MIB member company to which an applicant has applied for life or health insurance coverage. Also, a consumer must first provide his or her authorization to use the Medical Information Bureau as a source of information. To provide even more security concerning the privacy of consumers’ information, the Medical Information Bureau also both implements and enforces a high level of security standards that have been developed to protect the safety and security of any “individually identifiable” information in its database.



"MIB Group, Inc. is a member-owned corporation that has operated on a not-for-profit basis in the United States and Canada since 1902. MIB's Underwriting Services are used exclusively by MIB's member life and health insurance companies to assess an individual’s risk and eligibility during the underwriting of life, health, disability income, critical illness, and long-term care insurance policies. These services "alert" underwriters to errors, omissions or misrepresentations made on insurance applications. By mitigating the risk of applicant errors, omissions and misrepresentations, MIB may help lower the cost of life and health insurance for consumers.”1

1. Source: MIB Website: https://www.mib.com/facts_about_mib.html


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 

What Is Universal Life Insurance?


The simple version is:

Universal Life Insurance (UL) is a type of permanent life insurance1. Universal Life is more flexible than Whole Life, which is another type of permanent life insurance. 

Universal Life is a unique type of life insurance that is actually two different products packaged together into one. The 1st product is a one year annual renewable term life policy at the face amount listed on the policy. The 2nd product is a type of savings component in the form of a cash value account that grows at either a guaranteed interest rate or the current rate whatever is higher. 

Some of the advantages of Universal Life Insurance is that you have the ability to access cash that has accumulated, in the form of loans and withdrawals after a certain period of time. You also have the flexibility to change the amount of premium payments and in many cases even the death benefit amount as well. Another advantage is that the growth in cash value is tax-deferred under the current federal income tax law.


1Permanent life insurance can provide guaranteed lifelong protection (or to a specific age) as long as the necessary premiums are paid.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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What To Do If Losing Your Job Means Losing Life Insurance


I was reading an AP online article by Georgia Rose (NerdWallet) entitled "What to do if losing your job means losing life insurance,” and thought I would share it.

Some of the points the article suggests are:

  • CONSIDER YOUR INSURANCE NEEDS1 (Do your beneficiaries still need coverage?)
  • ACT QUICKLY1
  • TALK TO YOUR HR TEAM1 (First before making any decisions)
  • CONSIDER TEMPORARY SOLUTIONS1 (Like term life ins. possibly for a smaller amount)
  • EVALUATE YOUR INSURABILITY1


If you would like to read the entire article, click on the web link below:

https://apnews.com/9017100388a57361cc1ed54b88e65f4f


1. Source: AP online article by Georgia Rose (NerdWallet) https://apnews.com/9017100388a57361cc1ed54b88e65f4f


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Whole Life Insurance vs. Term Life Insurance


Whole Life Insurance:

  • Known as permanent Insurance, because it can provide protection throughout your lifetime.
  • Whole life insurance policies have a living benefit and a tax sheltered cash account that builds up inside. 
  • Forces you to save.
  • Ability to access cash that has accumulated, in the form of loans and withdraws after a certain period of time.  (Cash can be accessed Tax Free. Either in the form of loans or you can withdraw funds up to the amount you have put into the policy via premiums tax free!)
  • Policy owners don’t pay taxes on the gains each year, and that money can be used in retirement to supplement their retirement planning.
  • Level premiums. (Payments stay the same & never increase throughout the entire policy.)
  • Whole life insurance policies have dividends. Dividends can be used to reduce the premium or to build up cash inside the policy and face amount.
  • Provides for business continuation. Permanent life insurance is typically a better solution than term for funding a business continuation plan. It ensures that the policy will be in force regardless of how long the business owner stays active in the business. Policy cash values may be available to fund a lifetime buyout or supplement an owner’s retirement.
  • Creditor Protection. (Some state statutes protect cash value from the claims of creditors.)
  • Cash Value Life Insurance is not a factor in determining eligibility for financial aid. As a general rule, policy cash value is not a factor used in determining eligibility for financial aid for college.
  • Beneficiaries receive death benefits tax free! (Same as term life insurance.)


Term Life Insurance:

  • Known as temporary insurance, because it only provides protection for specified number of years. (Example: 10, 20, 30 year terms are common options)
  • Term Life Insurance is very inexpensive.
  • Gives you the ability to buy a lot of death benefit for a low cost.
  • Generally term life insurance is meant for a temporary need or period of time. Since after the initial term lapses, you will need to buy a new policy. As we age, the premiums from the same coverage as your original policies will increase. So higher premiums at a later age with the same coverage can get expensive, especially depending on your health, etc. at that time. Also you run the risk of becoming uninsurable if your health significantly deteriorates by the time your original policy lapses. 
  • Term insurance can be converted to permanent insurance such as: whole life insurance (or universal life insurance) as long as it is done within the limits of the original term policy parameters.
  • Beneficiaries receive death benefits tax free! (Same as whole life insurance.)


Keep in mind one type life insurance doesn’t fit all. There are pros and cons for each. There are also advocates for both sides. Some permanent life insurance advocates will say that buying term life insurance is just renting security, while whole life provides lifetime security. Others on the other side claim that whole life insurance is too expensive and your additional money is better spent elsewhere. Note that part of the reason that term insurance can be obtained at a much lower cost than a permanent policy is because a term policy is designed to provide only a temporary duration of protection for a temporary need and also doesn’t build any cash value. So with "term” policies, the original term length (number of years the policy is set up for), can expire before people die. If that happens the insurance company gets to keep all the premiums paid over the years and doesn’t have to pay out any death benefit and also there is no cash value for the policy owner to pull out.

Whole life is typically the most expensive type of life insurance due to the fact that not only do you accumulate cash value, but also eventually the life insurance company will have to pay the beneficiaries the death benefit.

So some folks who need more death benefit for specified period of time may opt for term insurance due to their budget. Others may want a more permanent solution and build cash value. Some folks like a combination of both! The main important concept is to get some type of life insurance now, and you can add to it later on, or replace it with another type, as long as you are in good health.



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Choose Independent Agents?


Whole Life Myths Debunked


Many people incorrectly assume that you only benefit from whole life insurance when you die. However, whole life insurance can provide an excellent source of tax free funds to assist with a tight retirement budget while you are still living later in life! 

Below are some incorrect myths about whole life insurance and reasons why they are not true:

  1. Myth: You (or your beneficiaries) can only benefit from your whole life insurance policy when you die.
  • “Participating” (or “par”) insurance company policy owners generally receive annual dividends after the first policy year. Then dividends can be used to fund policy premiums or to buy more permanent increments of death benefit and cash value.
  • Policy owners can generally access the cash value in their policies through withdrawals and tax-free loans. 


  1. Myth: Whole life insurance is not a good place to accumulate your money.
  • The value of a whole life insurance policy is uncorrelated to the stock market and is largely guaranteed by the insurer. Therefore neither death benefits nor cash values are affected by declining markets and a whole life policy can serve as the stable component of your financial strategy.
  • People purchase whole life insurance to protect their families in the event of the insured's death. Although whole life insurance is much more than just a death benefit. It actually can be one of the most valuable assets in your financial portfolio. A whole life insurance policy has a real return that performs competitively within other high-quality, fixed return assets. Depending on how you use your whole life insurance policy, it can end up being two assets and two returns: 1) a living asset with tax-advantaged distributions and 2) an income-tax-free and potentially estate-tax-free death benefit.


  1. Myth: Whole Life Insurance is just too expensive!
  • When considering whether to purchase whole life or to buy term life insurance and then invest the difference, you need to take into account not just the premium costs, but also the length of time you want coverage and your ability to invest the rest efficiently.
  • Term life insurance isn’t designed for lifetime coverage. In fact, term life insurance is prohibitively expensive to maintain for the average U.S. life expectancy.
  • For longer periods such as an entire lifetime, whole life insurance is substantially less costly than a lifetime of premiums paid for term life insurance. If the well defined needs for life insurance will not exceed 30 years, a term life insurance policy will often be less expensive.
  • While term life insurance is typically affordable during the primary premium guarantee period of 5 to 30 years, annual premiums can quickly escalate to an unaffordable level once the guarantee period ends.
  • With term life insurance, the policyholder does not accumulate any lasting cash value. At the expiration of the term of the insurance, the policyholder doesn’t own anything, in contrast to whole life insurance, where premiums build cash value that belongs to the policy owner.


Click on this web link below to read related blog posts on permanent life insurance.

Permanent Life Insurance - Related Blog Posts


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Buy Life Insurance For Children?


  • Permanent life insurance for a child is often purchased by a parent or grandparent as a gift that can last a life time. A whole life policy accumulates cash value over time, which may be withdrawn later in life or used as a nest egg.
  • Another reason is to cover funeral and burial expenses in the unlikely event there is a tragedy of the loss of a child. One of the last things a parent wants to do is add a financial hardship to the emotional burden of losing a child.
  • Buying a whole life insurance policy for a child is very inexpensive and the premium can be locked in to never increase throughout their lifetime! 
  • By purchasing life insurance while they are young and healthy, it ensures that the child will have life insurance throughout their life, even if they have health problems that might have prevented them from purchasing life insurance later in life.
  • Some whole life policies automatically double the coverage at age 18, with no additional premium increase.
  • Some whole life policies guarantee future insurability for the insured child to purchase additional coverage later in life as an adult regardless of their health, occupation, or anything else.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Do So Many Parents Lack Life Insurance and Wills?


I found this to be an interesting CNBC article by Kelli B. Grant regarding why so many parents lack life insurance and wills.

The articles mentions that more than a third of parents with kids younger than 18 years old don't have life insurance. Of those who are insured, half have less than $100,000 in coverage, which isn't enough for common life insurance aims of replacing the deceased parent's income, paying off the mortgage or funding the kids' college education, said Doug Whiteman, an insurance analyst at Bankrate. "We found it rather unsettling," he said. "This should be a wake up," said Whiteman. "You really do need to sit down and think, what if something were to happen to me?"

The article goes on that many times young parents are transitioning into this role of greater responsibility which is a shift from previously worrying about just their own financial future, to now planning financially for dependents, 

Life insurance is one of the first things parents should put in place as a priority. The rule of thumb is to have an amount equivalent to 7 to 10 times your income, said Whiteman, but the details of how much and what kind of insurance will depend on your family's needs and future goals.

To read the full article, click on the web link below:

http://www.cnbc.com/2015/07/07/why-do-so-many-parents-lack-life-insurance-and-wills.html


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

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Why Do Some Consumers Procrastinate Buying Life Insurance?


Many people are likely to delay the purchase of life insurance or additional life insurance for several reasons, just a couple of which are:

  1. They just don't understand what type of life insurance to purchase or how much coverage they actually need. They think it is just too complicated.

    Response: A couple of the most important parts of buying life insurance is determining how much you need, and the type of life insurance. I provide a "Free Needs Analysis" service to help you determine the type of life insurance and your actual coverage needs. If you are local, I can come right to your home or business to make it as convenient as possible for you. If you are out of the area, I can discuss with you by phone.
    Click here to get started with a "Free Needs Analysis" as your first step to providing protection for your loved ones!

  2. Some folks feel they have other current financial priorities and think they can't afford Life Insurance at the present time, which is a very scary short sighted point of view that may come back to haunt their loved ones in the possibly near future should the insured pass away unexpectedly before they feel Life Insurance is a priority to purchase.

    Response
    Many people overlook the bigger picture when determining if they can afford life insurance. They are concerned with their immediate outlay for premiums versus the bigger picture of the benefits that life insurance can provide for their loved ones when they are no longer able to provide for them. For example, if a family is living from paycheck to paycheck, how would their family survive losing the breadwinner's income or in a more typical situation, losing just one of the two income providers? With life insurance, it gives you piece of mind that your loved ones will be taken care of financially in your permanent absence. One other thing to keep in mind if you truly can't afford the full amount of life insurance coverage that is recommended, at least start with a smaller amount of life insurance. That way you should be able to add more life insurance later on, depending on your health, etc. Then your loved ones will at least have some coverage, rather than nothing at all, in the event of an unexpected passing of a bread winner.

  3. They don't think it is a necessary thing to start the process now. So why now?

    Response: Because changes in health can happen, it can make it impossible for you to obtain coverage later o
    n, or at the very least cost you a lot more if you even qualify. Or worse yet, an unexpected accident or other catastrophic event causing death happens before you get life insurance.

    Even if you can still get insured at a later date while still healthy, as you age it will still cost you more to purchase the same exact coverage!



Related Blog Post: (Click one web link below to read)

Delaying your decision to purchase Life Insurance


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


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Why Is A Buy-Sell Agreement with Life Insurance Important?


Buy-Sell agreements generally are one of the most common, efficient, and important tools in setting the framework for an ownership transfer to their partners, heirs, etc. 

In the most simplistic layman’s terms, a buy-sell agreement1 with life insurance is a contract based around life insurance policies purchased on each owner to help ensure the smooth continuation of a business after the death of one or more of the owners. (It can also be referred to as Cross-Purchase Plan). The agreement creates rules for what will happen when a business owner passes away. Basically saying something to the effect that if one of the owners passes away, a life insurance policy kicks in by paying a lump sum cash death benefit to buy out the ownership interest of whoever would have inherited that share of the business.

For example: If one of the owners passed away, and their surviving spouse or child had inherited a portion of the business, that may not be good for the actual business or for the surviving family members since the family members may not know how to run the business nor have the desire to learn. By having a buy-sell agreement with life insurance set up in advance, it takes away that complication. It allows the business to be run by the surviving owner(s) and terms would have been set up in advance by the then deceased owner for the surviving family members to receive a predetermined lump sum of cash from a life insurance death benefit which in turn buys out their ownership interests in exchange.

Why is it important?

A buy-sell agreement is kind of like a will for a business and it can eliminate a lot difficulties and heartaches when an owner passes away. A plan needs to be in place in advance. Life insurance as a method of funding that plan is a great way to accomplish that funding portion of the plan.

These type of agreements can often be settled expeditiously allowing for lump sum cash proceeds to be paid to the surviving family quickly, which can be very important to the surviving family members as well as continuity and a smooth transition for the business itself. 

Another benefit to the survivors is that generally life insurance proceeds are income tax free. (Depending on individual situations.)


1 Note: Some buy-sell agreements can also be set up to be used due to an owners' disability, or if an owner is otherwise forced to leave the business and possibly even other situations such as retirement, etc. But for the purpose of this blog post, I am only referring to a buy-sell agreement with life insurance set up in advance for the potentially disruptive and unfortunate event such as if one of the owners actually passes away.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

Women May Be Less Prepared For The Death Of Their Spouse


A good MarketWatch article by Quentin Fottrell. It states: "Women outlive men, but they may not fare so well financially after the death of their spouse.” The article also has some good info and basic statistics. However the gist is that couples need to plan ahead with end-of-life financial preparation and final wishes. Women especially could benefit from advance planning. Even though it is not a pleasant conversation, it is a necessary one to have!

To read the full article, click on the link below:

http://www.marketwatch.com/story/women-may-be-less-prepared-for-the-death-of-their-spouse-2015-08-25


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

You Could Save Money - Is Your Existing Life Insurance Policy Due For A No Cost Policy Review?


You should check to find out if your existing life insurance policy needs a tune up. Just like reviewing your mortgage interest rates, your home owners insurance, or auto insurance for a better deal, you should also review your life insurance to see if it is still the best deal or if you could improve it by saving some money or adding additional benefits for the same amount.

A no cost policy review is suggested annually, but it is even more important to have one completed if you haven’t had a policy review in a while and especially if your existing policy is more than a few years old or your needs have changed due to changes in your life since your original policy effective date.

An independent agent can help you make certain that the coverage you purchased years ago will protect you and your family when it is really needed and at the same time determine that you aren’t paying too much. Over the past 10 years falling interest rates, advances in underwriting practices, lackluster stock market performance and other factors have affected the performance of many in-force permanent life policies. These policies may not be performing as expected and may not meet your original objectives. In addition, new policy choices with additional underwriting rating classifications have been added. Competition has made the insurers become more aggressive in making offers and providing improved pricing for each rating category. Also product benefits have been expanded to provide living benefits so the insured has living value. Living benefits include more flexibility in using policy cash values that can be accessed free of income taxation as well as market risk. Additional living benefits can also include chronic, critical, and terminal illness riders; some of which may be included at no additional charge depending on the policy chosen. You may not know a lot of people that died before age 65, but most everyone knows someone that suffered a critical health condition, such as a heart attack, experienced cancer, a stroke, a major organ transplant, end stage renal failure, (ALS), etc. or possibly even needed assisted living before age 65. So if you don’t already have chronic, critical and terminal illness riders included in your existing policy, it is a good idea look into a new policy that does, compare costs, and replace your old policy with a more comprehensive policy with those benefits included.

Other reasons that it is a smart idea for getting a second opinion on your existing policy, such as with getting a second opinion with a doctor on your health options, are listed below. You certainly don’t have anything to lose, other than a few minutes of your time gathering your old policy info and giving written authorization to me. As an independent agent, my team and I do the rest of the work by comparing your existing policy with what a newer policy could offer and then sharing the results with you. Of course if your existing policy still turns out to be the best deal after comparing, and I can’t save you some money or add additional benefits for approximately the same money, or other options that appeal to you, then you’ll have peace of mind knowing your existing policy is still working well for you. So don’t delay, start the review process today by calling me at 941-404-5334!

You want to make sure you are still meeting all your objectives and also to check to see if you had any major changes in your life that may affect your new expectations. Some examples of major changes are:


•         Birth or adoption of a child
•         Deaths, Divorces and Marriages
•         Employment, career, or income changes
•         Sale or purchase of a home
•         Taking on the care of a parent or relative
•         Planning or nearing retirement
•         Planning for a child’s education or wedding
•         Starting or selling a business
•         Tax-law changes

Some other additional reasons to review policies annually may be:

•         Your needs have changed since your original policy was purchased and you now need to build cash value within your policy
•         You want to change to permanent insurance to last your entire life, if you only originally purchased a term life insurance policy (set up only for specific number of years).
•         You want to add living benefits within a new life insurance policy (Living benefits can include chronic, critical, and terminal illness riders; some of which may be included at no additional charge depending on the new policy chosen.)

 Again don’t delay, call me today at 941-404-5334!


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Note: Life Insurance information can be confusing to many people. As an "independent licensed agent" I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose a life insurance policy, from many choices of different insurance companies, that you feel fits your needs. Plus if you choose to work with me you will have personalized service by a local agent that can shop premium quotes for you. If you would like my assistance to discuss and/or start the process of getting you insured please call me at 941-404-5334. 


Click web link below to find out:

Why Choose Independent Agents?

LONG TERM CARE INSURANCE

3 Reasons NOT To Buy Long Term Care Insurance!


Although there are many more great reasons to buy Long Term Care insurance, there are also a few reasons you shouldn’t or will not be able to purchase Long Term Care insurance.


Main reason to buy Long Term Care insurance is the fact that 70% of people over the age of 65 will require some Long Term Care during their life!
Long Term Care is very expensive and could wipe out your entire retirement savings unless you prepare in advance. Buying Long Term Care Insurance now, while still healthy, puts the majority of the Long Term Care expense burden later in life on the insurance company.


Below are three reasons why you should not or may not be able to buy Long Term Care insurance.

  • Your health conditions may prevent you from being qualified for approval with a Long Term Care insurance plan.
    Many insurance companies that are still carrying Long Term Care insurance are relatively liberal with what health conditions and histories they will accept. Even conditions such as: Obesity, diabetes, depression, hip or knee replacements, heart attack, osteoporosis, and some cancers are many times approved. Although, an approval will depend on your individual situation.
    However if you have any of the following conditions, then you most likely will not be able to get approved for the purchase of Long Term Care insurance: Alzheimer’s disease, Parkinson’s disease, Dementia, Multiple Sclerosis, Schizophrenia, Amyotrophic Lateral Sclerosis (ALS) and even some brain injuries. If you can't perform (or need assistance performing) your activities of daily living (such as: bathing, dressing, eating, transferring, continence and toileting), you won't be able to purchase a policy.

  • You simply can’t afford to buy Long Term Care Insurance.
    If you have less than $100,000 in savings and also have less than $25,000 of income per year, you may spend down all your assets as well as income for just paying for your Long Term Care services and that could possibly qualify you for your state’s Medicaid program. However you may not be satisfied with the limited choices of the Long Term Care services available through Medicaid such as: the actual limited facility choices available under Medicaid and the quality of care provided by Medicaid.
    Note: Children may purchase a Long Term Care insurance policy for their parents. With that approach their parents can actually pick a Long Term Care facility of their own choosing or their parents even stay in their own home with assistance, if applicable.


  • Your age may prevent you from purchasing Long Term Care Insurance.
    Age is a definitely a consideration for Long Term Care Insurance approvals. The older you are, or the less healthy you are, the higher the insurance premium. (That is, if you can still get you approved.) Each insurance carrier may have their own age ranges. However, generally people over age 80 (some companies may even go up to 84), you will not be eligible. Health conditions are also a large part of the approval process. So if you are healthy and at an older age, you may still qualify, but at a higher premium.



Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

40 Must-Know Statistics About Long-Term Care


Great article from Morningstar by Christine Benz about making a sound decision about whether to opt for long-term care insurance, which involves weighing the probabilities. Is it worth it to pay the premiums for many years--and risk premium increases or benefit cutbacks along the way--in exchange for the peace of mind that your nest egg won't be wiped out to pay for your care at the end of your life? To read more click on the link below.

https://www.morningstar.com/articles/564139/40-mustknow-statistics-about-longterm-care.html


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

5 Defensive Moves To Protect Your Money & Wealth


I was reading a MarketWatch article by Liz Miller regarding five defensive moves to protect your money & wealth and thought I would share it.

One of her five tips is to consider long term care insurance.


Consider long-term care insurance:1

Studies indicate that at least one member of every couple living today is likely to need some kind of long-term medical assistance. Many people have the means to pay these expenses out of their wealth savings, but for many others, a long-term stay in a luxury care facility - due to dementia or some other debilitating condition - can derail their lifestyle or legacy goals.1

If you have any medical conditions or family history that make you particularly vulnerable to health risks, or you do not have the means to cover these costs, consider long-term care insurance options. This is relatively inexpensive insurance to add prior to age 50, but it can get pricey later in life.1 


For the rest of her tips, click on web link below to read the full article:

https://www.marketwatch.com/story/these-5-defensive-moves-can-protect-your-money-and-wealth-2018-03-05


1. Source: MarketWatch article by Liz Miller - Published: Mar 5, 2018 4:12 p.m. ET
https://www.marketwatch.com/story/these-5-defensive-moves-can-protect-your-money-and-wealth-2018-03-05


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Aging In Place - Series Of Articles

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Before Moving To A Continuing Care Retirement Community, Do Your Diligence!


I was reading an informative New York Times article by Peter Finch regarding some legitimate concerns regarding moving into a retirement home or into a continuing care retirement community (CCRC) and thought I’d share!

What if, after all your careful planning, your retirement community has some kind of financial failure? For example: What if the community you chose, goes bankrupt, and it's managers are put in jail. What would you do? To try to avoid that scenario from even happening, below are some of the items in Peter Finch’s article that he suggests you should focus your due diligence on “BEFORE" moving or signing on the dotted line:

Occupancy: If 90 percent or more of a home’s rooms are full, and have been for the past few years, that suggests it’s doing something right. This is especially important at CCRCs promising refunds, because you (or your heirs) often don’t get the money until someone has moved into your old unit.1

Rate increases: Lately, most CCRCs have been increasing their monthly fees by about 3 to 3.5 percent a year. If you see anything above that, or well below, ask for an explanation.1

Debt rating: Many communities issue bonds to fund improvements, and Fitch Ratings evaluates them. Ratings of AAA to BBB should bring a measure of comfort.1

Profitability: You want a community that brings in more cash than it spends. Pay attention to cash operating expenses as a percentage of cash operating revenue.1

Capital improvements: Is your community spending enough on upkeep? Find the line for capital spending on its annual statement and compare this with the line showing depreciation. Combine that information with a visit to the campus: Does it look outdated?1

Reserves: Find out if the CCRC performs a regular actuarial valuation, which will give you a sense of whether it has the reserves to meet its promise of housing and health care for the rest of your life.1

Residents’ role: How involved are residents in making major financial decisions? Do they have a couple of seats on the board, or at least an active advisory council?1


1. Source: New York Times article by Peter Finch
http://www.heraldtribune.com/entertainmentlife/20180317/before-that-last-move-do-your-diligence
That original source web link is no longer available.



Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Brief Comparison of Hybrid vs. Traditional Long Term Care Insurance


First, what is a hybrid long term care policy? A hybrid policy can be a combination of life insurance (or an annuity) and long term care coverage all in one policy.  

Some of the main bullet points when combining Life and Long Term Care coverage (Hybrid type policy):

  • One reason that Hybrid's may appeal to many folks is that their premiums are locked in and won’t increase. With a Hybrid type policy, you can rest assured that you will have level premiums throughout your entire policy, with no increases.

  • Hybrid policies pays for Long Term Care if you need it, a death if you don’t need it, or both if you only need a limited amount of care. However with traditional Long Term Care insurance, many people feel like it is a “use it” or “lose it” situation. If you paid premiums for decades, and you never had to use the long term care benefits, then finally you passed away your loved ones would not have anything to show for for all that money you invested in that traditional Long Term Care policy over the years. However with a Hybrid Life Insurance / Long Term Care insurance policy any Long Term Care coverage not used remains in a death benefit pool, so you don’t "lose it!" For example, if you have a $250,000 death benefit and only use $50,000 for Long Term Care, the remaining $200,000 goes to your beneficiaries as a tax free death benefit when the insured passes away.

  • Benefit period can be lifetime! (Rather than just a set small number of years in a traditional long term care insurance policy.)

  • Some Hybrid policies allow you the option to cover “both” spouses in the same policy.

  • Hybrid policies are ineligible for Long Term Care Partnership Program (Medicaid Asset Protection).

  • Generally Hybrid Insurance premiums are higher than traditional Long Term Care Insurance. However the reason is because you have a death benefit and you can also have more flexibility, such as some Hybrid policies let you cancel and get all your premium money back later on down the road if you no longer want to keep the policy!

  • Hybrid policy generally don’t allow for an inflation option in the original policy, but can have that inflation option in lifetime rider. (Which is not the same.)


Some of the main bullet points for Traditional Long Term Care Insurance:

  • Pays for Long Term Care if you need it (and qualify for it.)

  • Premiums are subject to increase with approval from your state’s insurance commissioner.

  • Shorter Benefit periods, usually limited to maximum of 5 years.

  • Traditional Long Term Care insurance policies are eligible for the Long Term Care Partnership Program (Medicaid Asset Protection).

  • Generally traditional Long Term Care Insurance initial premiums are lower than Hybrid policies for the same amount of coverage.

  • If you don’t use the Long Term Care insurance, you lose the premiums you paid in over the years. (Similar to a home owner’s policy, if you never had a claim.) There is no death benefit to your survivors such as there is with a Hybrid type policy.



To read one of my related blog posts, click on web link below.

Long Term Care Insurance - Hybrid Advantages


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Comparing Nursing Home Data Just Got Easier


Nursing Home Finder:

https://www.medicare.gov/nursinghomecompare/search.html

Hospital Finder (Medicare):

https://www.medicare.gov/care-compare/?providerType=Hospital&redirect=true


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Do Americans Understand Long Term Care?


As you grow closer to retirement, the decision how to pay for potential long term care expenses should be a focus for most people. Long term care can be paid with a combination of personal or family savings, long term care insurance, and/or government assistance for those that qualify due to low incomes/assets. A major misconception is that many people (incorrectly) believe that Medicare will provide long term care. However, Medicare generally does not cover long term care. Medicare will only provide 100 days of nursing home care after a three day stay in a hospital. Medicaid will pay for long term care after most of your assets have been depleted, but Medicaid is usually limited to nursing home care.

I came across two interesting Long Term Care articles that I thought I’d share. 

The first one is a "Health Affairs Blog" article by Lee-Lee Prina entitled: Do Americans Understand Long-Term Care?

Below are a couple excerpts from the article:

The survey looks at older Americans’ understanding of long-term care, what they know or do not know about the cost and likelihood of needing long-term care services, and “their attitudes and behaviors” about planning ahead for possible care needs, according to a press release.

Experts estimate that 70 percent of Americans who get to age sixty-five will need some type of long-term care, “and our findings show that many Americans are unprepared for this reality,” commented Trevor Tompson, who directs the AP-NORC Center, in the release.

Source was: http://healthaffairs.org/blog/2015/07/16/do-americans-understand-long-term-care/
No longer working web link.


The second article is from the Portland Press Herald by Matthew Craft entitled: Cost of long term care beyond reach for middle class elderly. Mentions some examples of the costs associated with long term care. One example was how things didn’t end so well in one case without Long Term Care insurance and then another example of how things did work out well in a different case by planning ahead by purchasing Long Term Care Insurance and also being creative with her solution.

Below is an excerpt from the article:

How do people manage the widening gap between their savings and the high cost of caring for the elderly? Medicare doesn’t cover long-term stays, so a large swath of elderly people end up on the government’s health insurance program for the poor, Medicaid. For those in the middle class, however, the answer isn’t so simple. They have too much money to apply for Medicaid but not enough to cover the typical three years of care.

To read the full article, click on the link below:

http://www.pressherald.com/2015/07/21/cost-of-long-term-care-beyond-reach-for-middle-class-elderly/


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Do You Have a Viable Plan for Long Term Care?

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Don’t Forfeit Right to Sue a Nursing Home


I read an article from the Washington Post written by Michelle Andrews in our local Herald Tribune newspaper that really emphasized that you should not sign an arbitration agreement at a nursing home. Since such an agreement can really limit your rights and cost you a lot more if you ever have the occasion where you need to file a lawsuit for negligence or wrongful death. It further mentions that signing an arbitration agreement is not a condition of admission to a nursing facility. Click on link below to read more.

http://health.heraldtribune.com/2012/09/25/dont-forfeit-right-to-sue-a-nursing-home/


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Expense and Emotions in Preparing for Long Term Care


This New York Times article by Andy Shapiro is a good read regarding Long Term Care Insurance decisions with some examples of other people's experiences, along with some good basic tips. Click on link below to read more.

http://www.nytimes.com/2013/03/26/your-money/expense-and-emotions-affect-decisions-about-long-term-care.html?_r=0


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Find A Great Nursing Home Before You Need One!


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Finding Skilled Elder Home Care Workers Not Easy


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Five Things You SHOULD Know About Long Term Care Insurance


I read an informative AARP bulletin article by Ellen Stark and thought I’d share it. Below are some of bullet point ideas mentioned in the article.1

1. Traditional Long Term Care Insurance Policies recently have had fewer sales.
Premium increases over the years and fewer insurance carriers still selling traditional long term care policies are among some of the reasons for the decline in the number of new policy sales.

2. Maybe you might not need insurance, but you still DO actually need a plan!
Long Term Care insurance polices can be expensive, which puts coverage out of the reach for many. There are specific 
individual factors that come into play for each individual situation when making a decision on whether or not to purchase long term care insurance. One choice doesn’t fit everybody the same. You do need to plan ahead regardless. Whether you are planning on buying a long term policy now to help safeguard your retirement savings or if you plan to take on a high risk method by trying to save a lot more money starting now until your older age, to potentially cover likely future expensive Long Term Care expenses on your own. Now is the time to decide to either start putting additional savings away for the future Long Term Care expenses or simply purchase a Long Term Care insurance policy to put the risk on the insurance company’s side.

3. There is a relatively new type of insurance that is called a hybrid type policy.
A newer concept that has been taking off in way of increased sales are hybrid whole life insurance policies that the insured can draw from to pay for Long Term Care expenses. Although more expensive than traditional Long Term Care Insurance, there are several advantages. Such as: premiums never increase, you don’t have a traditional Long Term Care insurance situation where you “Use it or Lose it!” Meaning with a hybrid policy you can use it for Long Term Care expenses, or if the insured passes away then the beneficiaries receive the death benefit, and with many hybrid policies if you decide you want to terminate your policy later on down the road if you never used it, depending the specific policy, you can get back all (or most) of your money that you spent on premiums! Also as an added bonus, generally with a hybrid policy you are more likely to get approved, since underwriting is generally more lenient than a traditional Long Term Care policy.

       Click on these 2 web links below for related blog posts on this topic: 


4. Traditional stand alone Long Term Care insurance policies are initially less expensive.
However if you want a lower cost effective Long Term Care coverage with less choices, than a 
traditional Long Term Care insurance policy may be your choice. Keep in mind if you never use the coverage, you don’t have the option of getting any of your money back spent on premiums over the years with this type traditional Long Term Care policy. Also premiums can increase over the years, they are not lock in at a level premium amount, like with a Hybrid policy. Lastly, unlike a Hybrid policy there isn’t any death benefit with a traditional Long Term Care policy if you happen to pass way before using any coverage.

5. Buying a Long Term Care Insurance policy in your 50’s or 60’s can save you a lot!
It is best to start looking in your 50's or early 60's, before premiums increase sharply or you get denied (or at the very best get approved with increased premiums) due to deteriorating health as you get older. Each year you delay purchasing Long Term Care Insurance, it will be more expensive, that is if you can even still get approved! Initial premiums at age 65, for example, are approximately 8 to 10 percent higher than those for new customers who are 64.

As for where to shop, seek out an independent agent who sells policies from multiple companies rather than a single insurer. I am an independent agent, so no need to go any further! I can shop around for you to find the type policy you feel suits you the best.


Click on web link below to read the entire article:

https://www.aarp.org/caregiving/financial-legal/info-2018/long-term-care-insurance-fd.html


1. Source: March 2018 AARP Bulletin.



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How Can We Fix Long Term Care Insurance?


This Wall Street Journal article by Alicia H. Munnell suggests one practical solution to the complex issues regarding long term care insurance. The article mentions that despite the fact that over one-quarter of men and over two-fifths of women will enter a nursing home at some point after age 65 and that a semi-private room costs about $80,000 a year, only about 10% of households purchase long term care insurance!

The article also compares the United States Long Term Care issues vs. United Kingdom's Long Term Care issues, but explains why they think their solution they suggest is a better alternative. Click on link below to read the article.

http://blogs.marketwatch.com/encore/2013/05/22/how-can-we-fix-long-term-care-insurance/tab/print/


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How Much Elder Care Costs In Your State


I thought I’d share this informative MarketWatch article by Kari Paul regarding how much elder care costs in different states. Where you live has a big impact on how much you will pay. The article includes a graph showing the monthly estimated costs for each of the states. I like how the article spelled out the very basics.


Below are some excerpts from the article:

  • "The most expensive option for elder care is a nursing home, followed by a full-time in home health care aide and then assisted living facilities. (Nursing homes provide more comprehensive care than assisted living facilities, where residents are supposed to be able to perform most basic daily living tasks themselves.) The least expensive elder care option in the U.S. is day care, where the elderly attend a center to receive care but keep living in their own homes.

  • The 65-and-over population in the U.S. is expected to nearly double over the next 30 years to 88 million from 48 million by 2050. The U.S. senior care market is also expected to have increase by more than 36% to $436.6 billion by 2018 from from $320 billion in 2013, a report from market research company BCC Research found.

  • Cost is not the only challenge for elder care. Baby boomers had fewer children than previous generations, according to a study from Center for Retirement Research (CRR) at Boston College, which means they have fewer children to act as care givers. Current generations are also more likely to live far away from their parents, making it more likely people will opt to pay formal care providers to help with aging parents.

  • As the need for elder care rises, the number of people opting for long-term care insurance is rising. Long term care accounts for 6% of Medicaid enrollees and 40% of Medicaid spending, according to a report from the Medicaid and CHIP Payment and Access Commission (MACPAC), a non-partisan policy agency.1 


To read the entire article, please click on the web link below:

https://www.marketwatch.com/story/heres-how-much-elder-care-costs-in-your-state-2017-06-26



Source: MarketWatch article, dated June 26, 2017, by Kari Paul. Located at:
http://www.marketwatch.com/story/heres-how-much-elder-care-costs-in-your-state-2017-06-26


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How to Buy Long-Term-Care Insurance


Long-term-care insurance: It can make the difference between living out your life the way you want and becoming a burden to your family or a ward of the state. Click on link below to read more.

http://online.wsj.com/article/SB10001424052702304072004577323430307937536.html


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How To Choose Long Term Care Coverage


In this brief WSJ article by Glenn Ruffenach, it mentions some the discouraging news and things to be aware of when choosing a Long Term Care Insurance policy. Although what he didn't mention in the article is that there are some creative alternatives for traditional Long Term Care insurance that many people don't know about or bother to research. Some of the newer combo type life insurance policies can include Long Term Care Riders that provide a "fixed" premium that cannot increase throughout the entire policy, unlike traditional Long Term Care Insurance which can increase, and most likely will increase your premium payments over time. With this combo type policy, some optional policy riders can include inflation protection. Some combo type policies also allow you the option to cover “both” spouses in the same policy. The policy premiums can even be paid monthly or annually. (In other words, they do not have to be a "one-pay" premium for the entire policy premium in advance.) Some policy types can even guarantee to allow you to get all your premium money you paid into the policy returned to you at a later time down the road, if you decide you don't want the policy any longer. The gist is that the combo policy covers you while you are living, has a death benefit if you die for the people most important to you, and sometimes even allows you can get all your premium money paid into the policy back, if you choose not to continue the policy at a later date. So in other words, you don't have to lose all your money paid into the policy, like you would with a traditional Long Term Care Insurance Policy, if you never get to use the Long Term Care benefits!

http://blogs.marketwatch.com/encore/2013/03/11/how-to-choose-long-term-care-coverage/tab/print/


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How To Use A Life Insurance Policy To Pay For Long Term Care

This web page has been intentionally deleted.

Long Term Care - How To Protect Your Savings


I read a MarketWatch article by Bill Bischoff regarding Long Term Care Insurance and thought I’d share the information.

Below are quick bullet points on what the article covers:

  • First part of article explains how Long Term Care Insurance works.
  • When you should sign up for Long Term Care Insurance? 
    (Hint: When you are still young and healthy is the best time.) "The premiums are based on your age and health factors at the time you enroll. Enrolling at age 65 could cost twice as much or more than enrolling at age 55. Your overall health status needs to be good when you apply for coverage or you won’t be accepted at any age. After you obtain coverage, it will remain in force - regardless of changes in health and advancing age - as long as you pay the premiums.”1
  • The 3rd part of article goes on to explain whether Long Term Care Insurance benefits are tax free.
  • The last part of the article explains whether you can deduct LTC insurance premiums?  


Click the web link below to read the entire article:

https://www.marketwatch.com/story/how-to-protect-your-savings-if-you-or-a-family-member-requires-long-term-care-2019-08-12


1. Source: MarketWatch article by Bill Bischoff 
https://www.marketwatch.com/story/how-to-protect-your-savings-if-you-or-a-family-member-requires-long-term-care-2019-08-12

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Long Term Care - How Will You Pay For It?


Below I put together some very brief, but important information to know about regarding Long Term Care:


  • Medicare does NOT cover Long Term Care! 
    (Many people incorrectly think or assume that Medicare will cover their Long Term Care needs. However Medicare does NOT cover Long Term Care. The Affordable Care Act does NOT cover Long Term Care either. While state Medicaid programs do cover long-term care, these benefits are available only to those with very low income.)


  • 70% of people age 65 and over will need long-term care during their lifetime!

  • Women, because of their longer life spans, are 50% more likely than men to enter a nursing home at some point after age 65.

  • One big myth about Long Term Care is that it affects senior citizens only. However the need for Long Term Care can happen at any age. Nearly 40% of people using Long Term Care services are under the age of 65! Strokes, diabetes, car accidents, ladder falls, and other chronic conditions are just some of the major causes that require Long Term Care among younger populations.

  • Long Term Care is expensive, especially without planning ahead with some sort of Long Term Care coverage! (When difficult decisions have to be made about healthcare, family members may also not be fully apprised of what someone’s wishes are under those circumstances. Addressing all of these issues ahead of time not only provides financial protection, it can also eliminate unnecessary emotional burdens.)

  • There are several options you may want to consider when it comes to funding Long Term Care future expenses:
    • Self-Insuring (Drawing down from your own assets to pay for long term health care costs as they arise.) As well as relying on family members to assist with your long term care needs, which can put a large burden on your family. This method is not advised unless you have substantial assets to draw from and/or family members that are willing to commit to pitching in long hours over possibly years to assist.
    • Another option is to purchase traditional Long Term Care Insurance well in advance when you are young and healthy enough to still qualify to get approved. (Note: Traditional Long Term Care insurance usually provides comprehensive coverage, but it comes with annual premiums which are not guaranteed. So an increase in future premiums later on may cause you to make a difficult choice to pay more than you originally planned or you will have to reduce coverage at a time when you may need it the most. Keep in mind that if end up never needing to use the Long Term Care coverage, you won’t get your money back with traditional Long Term Care Insurance.
    • A different method of Long Term Care coverage is with the use of hybrid types of policies. Life insurance policies can offer long term care benefit riders. Also fixed annuities set up to pay out a multiple of your premiums if needed to reimburse long term care expenses. These hybrid long term care solutions pay an income tax free death benefit to your beneficiaries if you don’t use all your benefits, and some type policies even offer a money-back guarantee via a return of premium feature.

  • An important thing to remember is don’t wait until it’s too late! Long Term Care planning is very much like retirement planning in the fact that the sooner you begin, the more options and flexibility you will have!



Conclusion: Purchase your long term care insurance policy when you are young and healthy to receive the lowest prices. If you missed the opportunity to purchase long term care insurance while you were younger and at your peak health, purchase your long term care insurance policy as soon as possible to avoid even higher rates and also avoid not being able to get approved due to deteriorating health issues.


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


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Long Term Care - Interesting & Important Information



  • Many people incorrectly think or assume that Medicare will cover their Long Term Care needs. However Medicare does NOT cover Long Term Care. The Affordable Care Act does NOT cover Long Term Care either. While state Medicaid programs do cover long-term care, these benefits are available only to those with very low income.

  • Although Medicare may cover acute illnesses that require doctors’ visits and hospital stays, people are often unprepared to meet the expenses of long term chronic illness that are not covered by Medicare. These expenses can pose one of the greatest threats to their personal wealth. 

  • People are living longer nowadays, which is wonderful on one hand. However, the longer people live, the more likely there are to need long term care such as: long term care nursing homes, assisted living facilities, or in-home care providers.

  • 70% of people age 65 and over will need long-term care during their lifetime!
    Women, because of their longer life spans, are 50% more likely than men to enter a nursing home at some point after age 65.


  • One big myth about Long Term Care is that it affects senior citizens only. However the need for Long Term Care can happen at any age. Nearly 40% of people using Long Term Care services are under the age of 65! Strokes, diabetes, car accidents, ladder falls, and other chronic conditions are just some of the major causes that require Long Term Care among younger populations.

  • Long Term Care is expensive, especially without planning ahead with some sort of Long Term Care coverage! (When difficult decisions have to be made about healthcare, family members may also not be fully apprised of what someone’s wishes are under those circumstances. Addressing all of these issues ahead of time not only provides financial protection, it can also eliminate unnecessary emotional burdens.)

  • Many people are concerned that traditional long term care insurance policies are a “use it or lose it” type of insurance because they often assume money invested in premiums will be forever lost if they do not need long term care. Another big concern of many people is that their long term care insurance premiums will increase in the future. However, new types of long term care policies can eliminate “use it or lose it,” and also keep premiums level throughout their entire policy term. By combining life and long term care insurance, these hybrid policies provide coverage for long term care. However if that coverage isn’t ever needed, then the policyowner can get some or all of his or her premium back or provide protection for family members with life insurance.


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


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Long Term Care - People Unsure About Ability to Pay


I read an Associated Press article by Alejandra Cancino and thought I’d share it. It states that the demand for long term care is expected to increase as the nation ages, but the majority of Americans 40 and older lack confidence in their ability to pay for it.

The article goes on to mention that a poll says about 4 in 10 don't think they will ever need long-term care. However that mindset runs counter to figures from the U.S. Administration on Aging, which says nearly 70 percent of people turning 65 will need help with daily activities in their golden years.

The survey they referred to found that nearly 4 in 10 respondents mistakenly expect to turn to Medicare, which doesn't pay for long-term care.

Long Term Care insurance can be expensive depending on your age, health, etc., but the alternative of self-funding for Long Term Care costs can turn out to be much worse and a great deal more expensive than you think! Also self-funding Long Term Care costs can certainly turn out to be a whole lot more expensive than what the total Long Term Insurance Policy premiums would have added up to, if you would have just purchased a Long Term Insurance Policy policy in the first place!

It is important to apply for Long Term Care Insurance while you are relatively young and healthy, since the younger and healthier you are, the lower your premiums will be for a comparable policy. If you wait until you are older to apply for Long Term Care Insurance, the greater likelihood your application could be denied.

Contact me at 941-404-5334 to discuss your Long Term Care plans and/or start the process of getting you insured.

Unfortunately the original web link below points to a web page is no longer valid:

http://www.apnorc.org/news-media/Pages/News+Media/Poll-People-unsure-about-ability-to-pay-for-long-term-care.aspx

Source: The Associated Press-NORC Center for Public Affairs Research

Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


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Long Term Care Annuities versus Long Term Care Insurance


Traditional Long Term Care Insurance (LTCI) policies are often paid for on a monthly or annual basis, with premiums continuing for the duration of your lifetime (some offer single premium options). On the other hand, a long term care annuity (LTCA) is deemed 'fully funded' once the initial premium has been paid. There are no ongoing premiums or required payments.

Most traditional long term care insurance (LTCI) policies do not offer you a cash withdrawal benefit, or benefits in the event that you don't require long term care during your lifetime. A long term care annuity (LTCA) may allow you to access cash value during your lifetime, even if you never require care. In addition, when the annuity contract matures, your contract's remaining cash value may be passed onto your named beneficiaries.

Long term care insurance requires underwriting, which can be limiting if you have a pre-existing condition. Most long term care annuities do not require traditional underwriting and therefore could be a viable option if you would possibly be turned down for traditional long term care insurance.

Qualified benefits paid by both long term care insurance policies and long term care annuities are received on a tax-free basis to the contract/policy owner.

Long term care insurance and long term care annuities both offer benefits worth consideration. If you are seeking a simple, tax-advantaged method of providing some long term care coverage, an annuity may be the most viable option.1


1. Source: Courtesy of Insurance Associate Group April 2017 Newsletter 


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Long Term Care Insurance - Best Age To Purchase


Generally the younger you are, the lower your premiums will be! 

There are several things listed below that can increase the price of your long term care insurance policy. A combination of two or more items could possibly even double the premium.

  • If your health deteriorates, insurance companies will charge you more for the same level of coverage, that is if you can still get approved at all. If your health has deteriorated to the point where you already need long term care, most insurance companies will consider you uninsurable and won’t approve you for a new policy.
  • As you grow older insurance companies will charge you more for the same level of coverage.
  • If long term care costs continue to rise at the same pace as they have been, you will need to buy approximately 5% more coverage each year that you delay purchasing a long term care policy.
  • Some states have minimum purchase requirements for their Partnership Programs. (long term care insurance policies that protect assets away from Medicaid) For example some states, including California and Connecticut, increase their minimum purchase requirements by 5% each year, which increases the price by 5%.
  • Insurance companies regularly raise rate for new applicants, many times as much as 10% to 30%!


Conclusion: Purchase your long term care insurance policy when you are young and healthy to receive the lowest prices. If you missed the opportunity to purchase long term care insurance while you were younger and at your peak health, purchase your long term care insurance policy as soon as possible to avoid even higher rates and also avoid not being able to get approved due to deteriorating health issues.


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Long Term Care Insurance - Hybrid Advantages


While many Long Term Care traditional insurance policies offer initial lower premiums, there are several reasons to consider Hybrid (or combo) policies. Hybrid (or combo) policies are creative alternatives for traditional Long Term Care insurance that many people don't know about or don’t bother to research. 


  1. One reason that Hybrid's may appeal to many folks is that their premiums are locked in and won’t increase. Whereas with a traditional Long Term Care insurance policy, the premiums are NOT locked in. Meaning that your traditional Long Term Care insurance policy premiums may increase significantly (and have done so in the past!) For example, in the past they have typically increased approximately 35% to 50% every 5 to 7 years! However with a Hybrid type policy, you can rest assured that you will have level premiums throughout your entire policy, with no increases.

  2. With traditional Long Term Care insurance, many people feel like it is a “use it” or “lose it” situation. If you paid premiums for decades, and you never had to use the long term care benefits, finally you passed away, then your loved ones would not have anything to show for for all that money you invested in that traditional Long Term Care policy over the years. However with a Hybrid Life Insurance / Long Term Care insurance policy any Long Term Care coverage not used remains in a death benefit pool, so you don’t "lose it!" For example, if you have a $250,000 death benefit and only use $50,000 for Long Term Care, the remaining $200,000 goes to your beneficiaries as a tax free death benefit when the insured passes away.

  3. Long Term Care payments can go to the proposed insured and not directly to the caregiver. Some insurance carriers offer indemnity, rather than reimbursement. Basically this means that if a family member or even a friend is providing you care, you can pay them directly rather than the insurance company paying a nursing home, or traditional caregiver directly.

  4. There can be an inflation protection built into the policy.  If an individual uses a permanent product with an Long Term Care or a Chronic Illness Rider, an increasing death benefit option can be provided, which then also provides additional long term care coverage. If you don't use that option for additional LTC coverage, it may lead to a larger death benefit or cash value in the case you want to surrender the policy.

  5. Some Hybrid policies allow you the option to cover “both” spouses in the same policy.

  6. Some Hybrid policy types can even guarantee to allow you to get all your premium money you paid into the policy returned to you at a later time down the road, if you decide you don't want the policy any longer.



The gist is that a Hybrid policy covers you while you are living with Long Term Care coverage, has a death benefit if you die for the people most important to you, and sometimes even allows you can get all your premium money paid into the policy back, if you choose not to continue the policy at a later date. So in other words, with a Hybrid policy you have extra options and you don't have to lose all your money paid into the policy if you never get to use the Long Term Care benefits, like you would with a traditional Long Term Care Insurance Policy!


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


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Long Term Care Insurance - Indemnity vs. Reimbursement


Traditional reimbursement long term care insurance policies in general pay benefits based upon the actual expenses you incur. With a traditional reimbursement long term care plan you may have to submit care provider bills, you may be limited to the type of service that you can be reimbursed for, as well as the amount you can receive each day. Be sure to check out the exclusions section, and what is not included in your plan.

There is another type of long term care insurance policy that is an “indemnity” plan, which instead pays a monthly cash benefit directly to the policyholder, regardless of the expense incurred. (No monthly bills or receipts are needed to be submitted. However, the policyholder will still need to be benefit eligible, receiving covered services, and under a plan of care.)


If interested, below is a web link to a short video titled "Understanding Long-term Care: Indemnity vs. Reimbursement” that also explains the difference. Follow along reading the screens in the video, while also listening.

https://www.youtube.com/watch?v=N83x5peEgUo


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Long Term Care Insurance - Video Testimonial For OneAmerica


Long Term Care Insurance - Video Testimonial For OneAmerica

Click here to view video    Then press the triangle symbol to play!




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Long Term Care Insurance: Weighing the Alternatives


A Wall Street Journal article by Charles Passy explaining some of the alternatives to Long Term Care Insurance. I particularly like the first line of the article. "Long-term-care insurance is the financial equivalent of gum surgery: something that is often seemingly necessary, but just as often avoided at all costs." However, I tend to like some of the hybrid policy options that I can offer as an alternative to a straight and pure Long Term Care Insurance policy. There are many benefits to the hybrid (also known as blended) policies, including that the premiums won't go up unexpectedly and if you don't use the long term care benefit in your lifetime, it is payable to your beneficiaries so the money you paid is not lost, etc. I also carry straight Long Term Care Insurance policies as well for those that prefer to go the traditional route since one size does not fit all, as they say. Contact me if you have questions. Click on link below to read more.

http://online.wsj.com/article/SB10000872396390443890304578006581060363270.html#printMode


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


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Long Term Care Myths - The Facts!


Below are some common myths about Long Term Care and what the actual facts are versus the myths:

Myth #1: I can save the money I’ll need for Long Term Care (LTC) services.1

Fact: Anyone who’s had this thought should stop to consider two crucial questions:
How will I save up the money? More important, Why?1

Long Term Care services are very expensive. The growing costs for care present a huge financial risk to older adults’ retirement dollars. Those who plan to take on the burden of LTC expenses for themselves and/or a spouse or other loved one could wipe out their lifetime savings much faster than they expect.1

Consider the facts:

• The average cost in 2010 for a one-year stay in a private nursing home room is $83,580.1

• Of all Americans age 65 and up today, 1-in-5 will require LTC services for five years or more.1

• At today’s average cost, a couple with $500,000 in assets would deplete their savings in just a few short years paying for LTC services.1


Myth #2: A government program such as Medicaid or Medicare will take care of me?

Most people incorrectly think Medicare will pay for Long Term Care services. In reality, Medicare does not generally cover long term care. Medicare pays for skilled care in a nursing home only for short periods (only up to 100 days) during which you are recuperating following a hospital stay for a related condition.

Also government programs are difficult to qualify for, and they have very specific requirements for Long Term Care services. Medicare, Medicaid and veterans’ services may help pay for some Long Term Care services but only in specific circumstances. However each program has specific rules that define which services are covered, when benefits are paid, who can qualify, and the actual dollar amounts people must pay out of pocket. Medicaid pays for long term care only for people with very low assets and limited income

When people do qualify for Medicaid and receive benefits for their Long Term Care costs, there’s a snag. Federal law requires that states recover the money Medicaid spent on their behalf, from their estate after they pass away. Probate law dictates what the states will include in estates, but typically it includes real and personal property, such as a home. This could force a person’s spouse to sell their home, or Medicaid could put a lien on the house in the amount of Long Term Care expenditures.

It is also very important to remember that government programs are limited by availability and financial resources.


Myth #3: My family will take care of me

Home Care is one of the fastest growing industries for these reasons:
Families are working and living further away from their parents than ever before. Not only that, but many adult children are in the sandwich generation that may have a young child and a parent they are taking care of. This additional care can create a burden to the family members since it is a large undertaking causing stress as well as creating a large financial cost if they stay home. So it is very important to keep in mind that caring for a family member can be a huge financial and emotional burden on your loved ones when deciding not to purchase Long Term Care Insurance for yourself and/or your spouse.

You may want to ask yourself these type questions:

Will my children be willing to clean up after me all the time?
Will my children be willing to help bathe me?
Will my children be willing to clean up after I have an explosion outside the bathroom? 

These are real type scenarios that can and do happen every day, so they need to be considered while planning for your future care needs. 


Myth #4 My spouse and I are too young to need Long Term Care services.

Facts: Nearly 40% of people using Long Term Care services are under the age of 65!
Strokes, diabetes, car accidents, ladder falls, and other chronic conditions are just some of the major causes that require Long Term Care among younger populations.

Among adults age 65 and older, about 70% will need some kind of help with the basic activities of daily living for weeks, months or even years as they age. 

You should purchase your long term care insurance policy when you are young and healthy to receive the lowest premiums.


Myth #5: I don’t need a separate Long Term Care Insurance policy because I already have health insurance!

Most people incorrectly believe that they have coverage for Long Term Care expenses.

Long Term Care Insurance is not the same as health insurance, which is designed simply to cover the costs to cure individuals and return them to good health.

Private health insurance and Medicare may cover skilled nursing, short-term care, and medically necessary care, but they won't cover custodial or personal care services, and those services represent a significant proportion of long-term care expenses. Private health insurance and Medicare won't pay for assisted living, continuing care in retirement communities, or adult day services.

Health insurance is intended to help pay for medical care only, but Long Term Care Insurance benefits help support potentially costly Long Term Care services, which can include Activities of Daily Living (ADL’s) such as: bathing, eating, getting dressed, moving around, etc. Long Term Care services are generally required by those who are dealing with chronic illnesses, accidents, Alzheimer’s disease, etc. that require the level of needed care that can continue to grow over time. 


Myth #6: I can’t afford Long Term Care Insurance!1

Fact: The cost for LTC protection can fit nearly anyone’s budget and financial goals. LTC protection may seem expensive, but not having it can be much costlier to individuals and families. LTC costs can quickly deplete a person’s hard-earned life savings.1

LTC protection may seem expensive, but not having it can actually be much costlier to individuals and families.1

 

Myth #7: I won't need Long Term Care services.

Strokes, diabetes, car accidents, ladder falls, Cancer, Alzheimer's disease, arthritis, and other chronic conditions are just some of the major causes that require Long Term Care, and because these life altering conditions tend to occur later in life, many people who are in their 60's underestimate the likelihood that they'll eventually need a long term helping hand. In addition, when you consider that people are living longer on average, the chance of needing Long Term Care is likely to increase in the future.

That assumption, however, is sadly incorrect. According to the U.S. Department of Health and Human Services, 70% of people turning 65 this year will require Long Term Care in the future. 





Contact me at (941) 404-5334 to set up an appointment to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews



1. Source: OneAmerica State Life Insurance Company
https://www.oneamerica.com/campaigns/ltc-myths/ltc-myths-files/file-myth-ltc-brochure


Medical Bills Make Final Years Costly: Study


In this Wall Street Journal article by Glenn Ruffenach, it tells about a study indicating that the health-care costs in the last five years of life are bigger than most people expect! If interested in reading more click on the link below.

http://www.marketwatch.com/story/medical-bills-make-final-years-costly-study-2012-09-17?siteid=nwhpf


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

No Such Thing As Rent Control At Many Elder Facilities


Thought I’d share an interesting Hearld-Tribune article by Barbara Peters Smith regarding assisted living facilities and their rent increases. That part of the contract may often be overlooked in the fine print when transitioning into an assisted living facility.

The article states that the assisted living facilities can raise the monthly rental fee as much as they like, as often as they like, and the only thing that Florida law requires is that they give a 30 notice, in writing. The articles goes on to mention that even though assisted living facilities are regulated by the Florida Agency for Health Care Administration, they don’t get any where near the scrutiny that nursing homes do, nor do they play by the same rules. 

Additionally, the article states that AHCA does have this advice on its website:
"Check the contract to see if the rate is guaranteed, for how long, and under what conditions a contract or residency agreement can be changed or ended. If you are given a verbal guarantee, be sure to get it in writing."


Click on link below to read entire article:

http://health.heraldtribune.com/2016/06/24/at-many-elder-facilities-no-such-thing-as-rent-control/


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Nursing Home Star Ratings Change Makes It Tougher To Shine


In this Herald-Tribune article by Barbara Peters Smith it mentions that since the federal government’s popular star ratings for nursing homes have lately been indicating that most have high star ratings, the Centers for Medicare and Medicaid Services announced some important changes recently, with more in the works. 

They will be raising the bar for what it takes to earn a five-star rating, including the agency will add an important new measure to its quality indicators.

CMS will also adjust its algorithms accordingly that calculate very important facility staffing levels, which many experts consider the most crucial ingredient in residents' wellbeing. In addition, it has a new program of targeted state surveys that will help further refine the rating system.

To read the entire article, click on the link below.

http://health.heraldtribune.com/2015/02/20/nursing-home-star-ratings-change-makes-tougher-shine/


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Nursing Homes - What You Need To Know


I discovered several informative AARP articles regarding nursing home information that you don’t want to miss. To be helpful, I thought I’d share their web links.







Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Preparing for Long Term Care


Good insight on expenses, emotions, and what to expect in preparing for Long Term Care in this New York Times article by Ann Carrns. A lot of folks don't realize that Long Term Care Insurance isn't just for nursing homes, depending on how the policy is written, most policies can include in home care so you can still get treatment in your own home rather than moving to a nursing home facility!

http://www.nytimes.com/2013/03/26/your-money/expense-and-emotions-affect-decisions-about-long-term-care.html?_r=0


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Private Home Care Could Become More Common For Elders


A different approach to Long Term Care that many might not know about is Private Home Care, where the atmosphere can be more personalized and less regimented. Also they can be a whole lot less expensive than a nursing home or assisted living facility. However, be sure to check out the actual Private Care Home before making any decisions as they are the only type of Long Term Care residence for elders that are not regulated by the state. The homeowners can not host more than two elders at a time, and do not have to meet the rigorous requirements that apply to group home and assisted living facilities. So as they say "buyer be beware," but in this case “renter" seems to fit better. 

Along with less expensive costs, also comes along the potential for abuse which can increase since their isn’t really any state government oversight. Just like any major decision do your research upfront first. It may be a good fit if the Private Care Home is a clean, well cared property, along with thoughtful, kind, courteous, conscientious, honest, and experienced caregivers.1 


1. Source: Herald-Tribune article by Barbara Peters Smith
Note: below was the original web link to the article, but it is no longer valid.

http://www.heraldtribune.com/article/20140123/ARTICLE/140129809/2416/NEWS?p=all&tc=pgall#gsc.tab=0


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

The Cost Of Long Term Care In Your State



This Wall Street Journal MarketWatch article by Anne Tergesen has some good information and a link to a Genworth web site that show the costs of Long Term Care in your local state.

One interesting excerpt is: "According to academics at Georgetown and Penn State universities, about 70% of individuals 65 and older will need long-term care—whether at home or in an assisted-living facility or nursing home. On average, women need 3.7 years of care, while men need 2.2 years. For 11% of men and 28% of women, the duration is five or more years.”

The article goes on to mention what the nationwide average costs of different types of care are such as: home health aide, adult day care, assisted living, and a private room in a nursing home. Keep in mind that prices vary according to your location which may cost more or less than the national average. To help, they also supply a web link to see prices in your local state. Also pasted below.

Click on links below to read more.


http://blogs.marketwatch.com/encore/2014/04/15/the-cost-of-long-term-care-in-your-state/tab/print/

-----------------------------------------------------------------------------------------------------

If you want to go directly to the Genworth website, I also pasted the link below.

This weblink is no longer available!

https://www.genworth.com/corporate/about-genworth/industry-expertise/cost-of-care.html


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Very Informative Alzheimer Video You Should Watch!


I watched a very short 2017 Alzheimer Association facts and figures video that I thought was important to share to understand just one aspect of why Long Term Insurance is so imperative to have!

Some quick fact excerpts:1

  • More than 5 million Americans are living with Alzheimer’s
  • Alzheimer’s disease is the 6th leading cause of death in the U.S.
  • It kills more that breast cancer and prostate cancer COMBINED!
  • 1 in 3 Seniors dies with Alzheimer’s or another Dementia.
  • More than 15 million Americans provide unpaid care for people with Alzheimer’s or other Dementias.
  • In 2016 these caregivers provided an estimated 18.2 Billion hours of care valued at over $230 Billion!
  • In 2017, Alzheimer’s and other Dementias will cost the nation $259 Billion!
  • By 2050, These costs could rise as high as $1.1 Trillion!


Click on web link below to watch this video (less than 2 minutes!)

https://www.youtube.com/watch?v=aLsVS0lrRD0


Click on web link below to go directly to Alzheimer web site for facts:

https://alz.org/facts/


Click below for:

PDF document fact sheet you can download


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


1. Source: 2017 Alzheimer Association facts and figures video located at:
 https://www.youtube.com/watch?v=aLsVS0lrRD0

Who Is Going To Take Care Of You When You Are Old?


I read an interesting MarketWatch article by Leslie Albrecht regarding: How people that are childfree should be cared for when they get old. I thought I’d share the web link to the article.


To read the entire article click on the web link below.

https://www.marketwatch.com/story/childfree-retirement-planning-answers-questions-all-of-us-should-be-asking-11652875473?mod=futures-movers



Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Why Many People Don’t Buy Long Term Care Insurance


I read two interesting articles on the same topic of Long Term Care Insurance and I wanted to share them.

One article was a MarketWatch article by Olivia S. Mitchell and Daniel Gottlieb and the other was a Forbes article by Howard Gleckman. See web links below to the full articles.

An estimated 7 in 10 people will need Long Term Care after they reach age 65, and it will be costly when they do. Yet others will need Long Term Care insurance at even younger ages due to illness or injury. However even so, most people refuse to buy Long Term Care insurance in advance while they are still healthy and at an age where it is less expensive.

One of the main reasons why they don’t purchase Long Term Care insurance is that it can be very expensive. Many people incorrectly assume that they will qualify for government assistance for nursing home care or that their Medicare Supplement insurance will cover their long stays. There are rules in place to disqualify many people who don’t meet the strict conditions required in order to qualify for government assistance.

Another reason that many people decline to purchase Long Term Care insurance is that they feel it has no real value if they don’t end up needing long term care in their lifetime. However according to the MarketWatch article they are looking at Long Term Care insurance in the wrong way. "Instead of looking at long-term-care insurance primarily as financial protection, many people think of it as an investment — and a bad one at that. They see the premiums as money that would be wasted if the policy owner ultimately doesn’t need long-term care. They don’t think about the catastrophic losses a policy could help them avoid."

However nowadays there are other options other than just “traditional" Long Term Care insurance, that can include being able to get your premiums returned if you don’t use the Long Term Care insurance, or you can leave money to a beneficiary in case you pass away before using the Long Term Care insurance, etc.



Click on the web links below to read the full articles:

http://www.marketwatch.com/story/why-people-dont-buy-long-term-care-insurance-2015-06-17

——————————————————————————————————

Related article:

http://www.forbes.com/sites/howardgleckman/2011/09/12/why-people-dont-buy-long-term-care-insurance/

(FYI: You may need to click “Continue To Site” in top right corner of their web page.)


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


MEDICARE

10 Things Medicare Won’t Tell You


An interesting WSJ article by Catey Hill and Elizabeth O'Brien including a few things you may not know about Medicare, such as some costly glitches in the entitlement program. I'm guessing that you will find at least a couple of things you didn't know about Medicare in this article. Click below to read more.

http://www.marketwatch.com/story/10-things-medicare-wont-tell-you-2013-03-08


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

10 Top Tips For Choosing The Medicare Supplement Plan That You Feel Suits You Best


Rules can vary by state, so the below tips are for Florida.

  1. Understand that a Medicare Supplement insurance plan, is just that. It only “supplements" original Medicare (Part A & Part B). Also keep in mind that original Medicare doesn’t cover everything.

  2. Most prescription drugs are not included with a Medicare Supplement. (Only a very limited drugs are covered under Part A or Part B.) So if you also want prescription drug coverage, you will need to purchase a stand-alone prescription drug plan (also known as Part D) in addition to a Medicare Supplement Plan. 

  3. Medicare’s Annual Enrollment Period is from October 15 through December 7. Although you can add a Medicare Supplement anytime during the year, if you are currently on original Medicare and can qualify. However if you have a Medicare Advantage Plan and want to switch to a Medicare Supplement, then you will need to do that during Annual Enrollment Period October 15 through December 7 or possibly during Medicare Open Enrollment Period January 1 to March 31 when some different rules may apply.)

  4. Medicare Supplement Insurance plans (also know as Medigap plans) can help pay for some of your out of pocket costs not covered by original Medicare (Part A & Part B).

  5. Choosing the right Medicare insurance plan for yourself depends on what you feel suits you the best and at the same time you can afford along with being with a financially stable insurance company.

  6. Applicants qualify for Medicare Supplement Open Enrollment during the first six months they are enrolled in Medicare Part B. During Medicare Supplement open enrollment, you cannot be denied coverage, regardless of your medical history. So it is important you don’t miss that deadline. Unless you qualify for guaranteed issue later on, if you don’t enroll during this Medicare Supplement open enrollment period you will need to go through underwriting for approval and some people may not qualify due to the insurance company’s underwriting guidelines.

  7. Medicare Supplement Insurance plans only cover one person per policy. So if your spouse wants coverage, he/she will also need to purchase a separate policy.

  8. Medicare Supplement Insurance plans (A through N) are standardized, which means each plan with the same letter will offer the same coverage. (Exceptions are Minnesota, Wisconsin and Massachusetts.)

  9. Since Medicare Supplement Insurance plans with the same letter offer the same coverage, it is important to know that premiums can vary widely from one insurance company to another, even though they offer the same exact coverage. So you basically want to find the lowest premium through a reliable insurance company.

  10. Another thing to keep in mind is try to find out the annual increase history of the insurance company you pick for your Medicare Supplement plan insurance. You don’t want to purchase a plan that has historically had large annual increases, since if that happens in the future years you may not qualify (due underwriting guidelines) to switch to another insurance company’s Medicare Supplement later on down the road.












Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

2023 Updated Medicare Part A and Part B Costs


Updated Information about 2023 Medicare Costs

Medicare Part A (Hospital Insurance) Costs

Part A monthly premium

Most people don’t pay a Part A premium because they paid Medicare taxes while working. However if you don’t get premium-free Part A due to not being eligible, you pay up to $506 each month.

If you don’t buy Part A when you’re first eligible for Medicare (usually when you turn 65), you might pay a penalty.

Hospital stay

In 2023, you pay:

$1,600 deductible per benefit period

■ $0 for the first 60 days of each benefit period

■ $400 per day for days 61–90 of each benefit period

■ $800 per “lifetime reserve day” after day 90 of each benefit period (up to a maximum of 60 days over your lifetime)


Skilled Nursing Facility stay

In 2023, you pay:

■ $0 for the first 20 days of each benefit period

■ $200 per day for days 21–100 of each benefit period

■ All costs for each day after day 100 of the benefit period


Medicare Part B (Medical Insurance) Costs

Part B monthly premium
Most people (but not all) pay the standard Part B monthly premium amount ($164.90 in 2023). Social Security will tell you the exact amount you’ll pay for Part B in 2023. (Note: People with higher incomes pay more. don’t have a late enrollment penalty, etc.)

You pay the standard premium amount if you:

■ Enroll in Part B for the first time in 2023.

■ Don’t get Social Security benefits.

■ Are directly billed for your Part B premiums.

■ Have Medicare and Medicaid, and Medicaid pays your premiums. (Your state will pay the standard premium amount of $164.90 in 2023.)

2023 Part B deductible ($226 before Original Medicare starts to pay.)

 

Source: https://www.medicare.gov › Pubs › pdf › 11579-Medicare-Costs.pdf

Note: If you have questions about your Part B premium, call Social Security at 1-800-772-1213. TTY users can call 1-800-325-0778. If you pay a late enrollment penalty, these amounts may be higher.  


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

A Bit of Clarity in the Murk of Medicare Politics

In this Herald-Tribune article by Barbara Peters Smith, she mentions that when people say Medicare is going bankrupt, the fact is Medicare can't go bankrupt in the classic sense. To find out more details, click below to read her short article.

http://health.heraldtribune.com/2013/05/10/a-bit-of-clarity-in-the-murk-of-medicare-politics/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

A Medicare Tax Break


This Wall Street Journal article by Bill Bischoff is about how some self-employed people can deduct Medicare Insurance Premiums. If you are not already familiar with this topic, it is important information and good news for self-employed seniors. But as always, it is best to check with your accountant for your individual situation. Click on link below to read more. 

http://www.marketwatch.com/story/a-medicare-tax-break-2013-05-06


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Behind Medicare’s Hospital Bill ‘Discount’


A short Wall Street Journal article by Matthew Heimer mentioned the so called discount that Medicare obtains on hospital bills. It stated that the price comparison website NerdWallet released a study and found a catchy way to summarize: "Medicare obtains a discount of 73% on the average hospital bill," the site says, paying 27 cents for every dollar it's charged. It goes on to say that the hospital list prices are almost always higher than what Medicare or any private insurer will pay. Also another way to flip the same data might be to say that the average hospital charges Medicare 3.7 times as much as Medicare is likely to pay it. Along with many others, I personally feel this has the effect of over inflating overall health care costs and many without health insurance get hit the hardest!

Although the original web link is no longer working, I listed the original source below anyway.

Source: http://blogs.marketwatch.com/encore/2013/06/04/behind-medicares-hospital-bill-discount/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Beware of Shifting Options Within Medicare Plans


In this New York Times article by Tara Siegel Bernard, it mentions that there are so many Medicare Insurance plan choices that it can be mind boggling! To add to the confusion, even if you stay with an existing Medicare Insurance plan you already have, there can be changes within that same plan from year to year. That is why once you pick an initial plan, it is still important to review your existing plan each year for any changes to see if the plan still best fits your needs! If the upcoming year plan changes affect you a lot, you may possbily be better off switching to a new plan for the new year. However many seniors either don’t want the hassle of reviewing new plans to compare with their existing plan or are just plain scared of making any changes. Keep in mind, it is important not to just stay in an existing plan because you are overwhelmed with all the choices.

To read the full article, click on the web link below.

http://www.nytimes.com/2014/10/04/your-money/beware-of-shifting-options-within-medicare-plans.html?_r=2


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Beware That Decisions You Make On Your Tax Returns Can Affect Your Future Medicare Health Insurance Premiums!

This web page has been deleted.


Bradenton Among Most Expensive Places To Be A Medicare Patient


Click on link below to read an article bA new federal tool to evaluate hospital-related spending ranks Florida — and especially Bradenton — among the most expensive places to be a Medicare patient.

http://health.heraldtribune.com/2012/05/15/bradenton-among-most-expensive-places-to-be-medicare-patient/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Common Medicare Advantage Plan Terms & Definitions



Common Medicare Advantage terms and their definitions 

Deductible: The amount you pay for medical services or prescription drugs before your plan starts to pay.

Coinsurance: The percentage you pay for medical services or prescription drugs after your deductible.

Copayment (Copay): The flat dollar amount you pay for medical services or prescription drugs.

Cost sharing: The amount you pay for medical services or prescription drugs. It can include your copayment, coinsurance and deductible.

Extra Help: A federal program that helps pay for some of the out-of-pocket costs of Medicare prescription drug coverage. It’s also known as the Part D Low-Income Subsidy (LIS).

Maximum Out Of Pocket (MOOP): The most you pay during your plan’s policy period (usually a year) for covered medical services. Once you reach your MOOP, your plan pays 100% of covered medical services. Your premium doesn’t count toward your MOOP.

Network pharmacy: A pharmacy that has a contract with your plan. Your plan may only cover your prescription drug if you fill it at a network pharmacy. (See Preferred Pharmacy below)

Network provider: A health care provider (for example, a doctor, hospital or facility) that has a contract with your plan.

Preferred Pharmacy: Preferred pharmacies (that may be in many Medicare Advantage plans or Stand Alone Prescription Drug Plans), have contracts with your plan for specific Preferred Pharmacies, whereas, if you get your drugs from a preferred pharmacy in your plan, you will generally pay less, versus getting them at just a standard pharmacy in the plan network, where you will generally pay more for the same drugs.

Premium: What you pay each month to your plan for medical and prescription drug coverage (if included).

Primary care physician (PCP): This is your main doctor. You can visit your PCP for routine medical care and annual exams. They can also diagnose and treat common medical conditions.

Prior authorization: Requires you or your doctor to get approval from your plan before it covers a medical service or prescription drug.

Total drug cost: What both you and your plan pay for a covered prescription drug.

Do All Doctors or Hospitals Accept Medicare Supplement (Medigap) Plans?


If the doctor or hospital accepts “assignment” (meaning Original Medicare Part A and Part B), then the Medicare Supplement (also known as Medigap) would pay out the claim. It does not matter which Medicare Supplement insurance company you have.

However, not all doctors accept Original Medicare, so in that circumstance the Medicare Supplement would NOT pay out the claim. Although relatively rare in Florida, due to the large senior population, some doctors may chose not to accept Original Medicare, therefore your Medicare Supplement would not cover that provider either.

With a Medicare Supplement plan, you can use any doctor in the United States, as long as they accept Original Medicare. 


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Do I Need Part A & Part B at Age 65?


It all depends on your individual circumstances. Be sure to determine correct information on when to enroll regarding your individual circumstances or you may end up paying some hefty penalties for the rest of your life for enrolling late!

Some general tips:

If you want to get either a Medicare Supplement and Prescription Drug Plan OR instead a Medicare Advantage plan, you will first need to be enrolled in both Part A and Part B.

Although if you are still working at age 65, have credible health insurance through your employer, and want to keep to your employer health insurance, generally you do not need to enroll in Part A or Part B immediately. (Rules can differ depending on the number of employees at your company. Less than 20 employees has different rules.) 
It is always best to check with your benefits administrator to determine if you should enroll in Part A or Part B to be sure. 

However Part A is usually free for most people (if you worked 40 quarters, paid Medicare taxes during that time, and also are a US citizen or permanent legal resident for at least 5 years).
So you may want to enroll in Part A, even while you are still working since it free for most people.
 Then later enroll in Part B right away when you first retire or leave your work to avoid any hefty penalties. Note: There is a monthly premium for Part B.

Note: If you choose COBRA after you stop working, do not wait until your COBRA coverage ends to sign up for Medicare! (Check with the Social Security office for details on when you need to enroll to avoid penalties, etc.) If you delay enrolling in Medicare Part A or Part B after your Special Enrollment Period ends, you’ll have to wait until the next General Enrollment Period (January 1 to March 31 every year) to enroll, and you may have to pay hefty late enrollment penalties added to your premiums for the rest of your life if you choose to keep Medicare.


For a relate blog post, click the web link below:

How Do I Get Medicare Part A & Part B?


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Does Original Medicare Cover Annual Physicals?


Does Original Medicare Cover Annual Physicals? 

Medicare offers an "Initial Preventive Physical Examination" (Also known as a "Welcome to Medicare” examination) when you are first enrolled in Medicare coverage. So if you are enrolled in Medicare Part B coverage, then you will be eligible for an "Initial Preventive Physical Examination” visit. There is no cost for this exam as long as you visit a doctor and they accept assignment (Original Medicare). This "Initial Preventive Physical Examination" is a one time visit that you can have any time during the 12 month period following your Part B insurance start date. After that, your Medicare coverage includes only "Annual Wellness Visits." 


What is the “Initial Preventive Physical Examination?”

During your Initial Preventive Physical Examination visit, your health care provider will check your vital signs, including weight, height, blood pressure, and vision. They will also make sure that all your preventive screenings and services are up to date. Depending on your health or family history, your physician may order further tests. The main purpose of the “Welcome to Medicare” visit is for your health care provider to create a personalized prevention plan for your health care needs.


Annual Wellness Visit

Your Medicare Part B coverage includes preventive services, including an “Annual Wellness Visit." Once you have had your Medicare Part B for 12 months, you are eligible for this annual check up. It does not cost anything, if the health care provider doing your exam accepts Medicare assignment. Note: If you have additional tests or services that are not covered by your preventive benefits, you may be responsible for coinsurance and Part B deductible costs.

The objective of the annual wellness visit is to gather and review information to update your personalized prevention plan and keep you on track for good health. 

At your Annual Wellness Visit, your physician will check your height, weight, blood pressure, any other necessary measurements, and evaluate you for cognitive impairment. Your physician will give you health advice based on your results. He/She will also let you know what your risk factors are, and offer treatment options, if you require them.

With Medicare Part B, you do not have any out-of-pocket expenses for your annual wellness visit unless you have tests or anything else done that are not covered under the annual wellness visit. It is best to ask before they do any additional tests or procedures to be sure and at least know in advance if you will be responsible for any additional charges. 


For a related blog post I wrote a while back, click on the web link below:

Medicare - Physical Exam Versus Wellness Visit


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Drug Prices - Gag Rule At Pharmacy About Lower Prices?


I came across very interesting two minute 15 sec video and also on the same web page an article on a different subject regarding the gag rule for prescription drugs. I felt both the article and video were very informative and worth reading and/or viewing.

Disclaimer: There possibly may be be a random commercial, (possibly even political?) preceding the video. I have no affiliation with any of these commercials and I just ignore them altogether myself and recommend you do the same.

When gag clauses are in effect, pharmacists are barred from telling consumers about less expensive price options because of the clauses in their contracts with PBMs. The clauses specifically prevent pharmacists from discussing less costly alternatives, including therapeutically similar drugs.

Some specific states already have their own state laws banning the gag rules. Many states have bills introduced into legislation in 2018 or passed already. 

"In the past two years, at least 21 states have enacted laws prohibiting "gag rules" on pharmacists, according to the Prescription Drug Resource Center of the National Conference of State Legislators. The most recent legislation was passed in Arizona, Colorado, Florida, Indiana, Kansas, Kentucky, Mississippi, Utah, Virginia and West Virginia between March and May.”1


Click the web link below to read view short video or read article.

https://www.cnn.com/2018/05/11/health/pharmacy-gag-rule-trump-lower-drug-prices/index.html


1. Source: Article By Sandee LaMotte, CNN - Updated 7:53 PM ET, May 11, 2018
https://www.cnn.com/2018/05/11/health/pharmacy-gag-rule-trump-lower-drug-prices/index.html


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Fighting A Costly Medicare Loophole


Some out of pocket expenses that Medicare may not cover are described in this Encore article by Anne Tergesen. The article suggests you ask doctors whether you are considered inpatient or outpatient when going to the hospital. The status known as being under “observation care” can cause problems to arise because that is considered outpatient for billing purposes. However being outpatient can have other consequences, such as when being discharged from the hospital and if rehabilitative services are needed, Medicare won’t pick up the tab, which can be significant! Also different copayments, etc. can be affected for outpatient versus inpatient.


Source: Encore article by Anne Tergesen. 
Although the web link is no longer accessible, I listed the original source web link anyway: 
http://blogs.marketwatch.com/encore/2013/07/31/fighting-a-costly-medicare-loophole/



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Get What’s Yours For Medicare


I found this informative MarketWatch article about Medicare by Alessandra Malito and thought I’d share it. 

Gist is:

  • Medicare can be very confusing to seniors!
  • No one told me! (It is assumed that since Medicare is a government program that there should be people out there to tell you how to use it.) Hint: Find an experienced independent insurance agent that specializes in Medicare, such as myself!
  • Sign up for Medicare at the correct time or you may get steep penalties.
  • Understand that as long as you have continuous credible group coverage through your employer, generally you don’t need to sign up for Medicare right at age 65 to avoid penalties. However for employers with fewer than 20 employees, generally you have to get Medicare because small employer plans become secondary and Medicare becomes the primary player.
  • Understand and use the Medicare coverage you have. Also understand what is not covered, such as Long Term Care, for example.


For more information, click on web link below read entire article.

http://www.marketwatch.com/story/this-man-wants-you-to-get-whats-yours-from-government-benefits-2016-09-29


Confused and/or want more information about how to enroll in a new (or different) Medicare Insurance Plan or which Medicare Insurance plan to enroll in, please call me at 941-404-5334 to set up an appointment to discuss further. If relatively local, I’ll come right at your home, office, or other location.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


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Related Topic:

Click on web link below to find out answer.

Medicare Insurance Plans - Do Agents Charge Clients Fees?

Health Advantages Of Medicare Advantage


Some people feel strongly one way or the other about Medicare Advantage plans. A USA Today Columnist's opinion article by Daniel Gorlin and Jon Kaplan appeared to give a very favorable view. The article goes on to say that Medicare Advantage patients enjoy better health outcomes. If you are interested in reading the article mentioned above, click on the link at the bottom of this blog post. 

Keep in mind that with most Medicare Advantage plans will have what I call "pay as you go" type expenses such as co-pays, co-insurance, etc. for different benefits. However, below I listed some of the nice features / benefits of some Medicare Advantage plans.

Many Medicare Advantage plans may have these benefits:

  • Don't have a monthly premium.
  • Include Prescription Drug coverage in the same plan.
  • May include additional benefits such as: vision services, hearing services, health screening tests, nurse helplines, fitness programs, and some plans even include limited dental services, etc.
  • Cap your out of pocket spending for the year.
  • Have lower in-network pricing, but some plans allow you to go out-of-network if you pay more.
  • Some plans allow you to travel in other states and still be covered in-network.
  • They try to keep the emphasis on heather living and preventive care.
     

However, you probably heard the saying, "One size doesn't fit all!"  With that said, Medicare Advantage can be very good for some folks, but one particular type plan isn't always a good fit for everybody. 

So on the other hand, some folks that may be more able to afford monthly premiums and like a larger choice of doctors by not being confined to a network, or perhaps are sickly; may chose to go with Original Medicare and add a Medicare Supplement plan as well as a Prescription Drug Plan. Depending on which Insurance Company and Medicare Supplement Plan Letter type that are chosen, the coverage and premiums will vary. However, with most Medicare Supplement plans you are not limited to a network of doctors. If the doctor's office accepts original Medicare, generally they'll accept a Medicare Supplement plan to fill the gap or you may be able to get reimbursed. (For example with a Medicare Supplement Plan F in Florida, with a few exceptions just about everything is covered for your Medical expenses. You'll still need to have Part A and B in order to get a Medicare supplement though, but then after that, you just pay a flat monthly premium for Medical Supplement premium and you're done.) Although if you choose to also have prescription drug plan, you'll still have an additional premium for that plan as well, plus other out of pockets expenses such as prescription co-pays, possibly even a deductible depending on the prescription drug plan. If applicable, you may also have additional gap expenses if your prescription drug combined amounts go over the gap levels, etc.

http://www.usatoday.com/story/opinion/2013/07/02/health-advantages-of-medicare-advantage-column/2480001/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Health Insurance Marketplaces Are Not For Seniors


In this USA Today article by Susan Jaffe from Kaiser Health News it reminds Medicare beneficiaries that they are already covered and that their benefits are not changing for this upcoming 2014 year. They don't need to do anything with the new Marketplace because they don't apply to seniors.

So, if you are already 65 years old and on Medicare you don't need to be involved in the marketplaces. However during the Annual Election Period of Oct 15 through Dec 7, which is totally separate and different from the Marketplaces, seniors can shop for private health plans known as Medicare Advantage plans and if they don't like their current plan they can switch to a different Medicare Advantage plan or to a Medicare Supplement and/or Part D for their prescription drugs.

To read more click on the link below.

http://www.usatoday.com/story/money/business/2013/08/24/medicare-health-insurance-marketplace/2692977/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How are Medicare Advantage plans different from Original Medicare?


Medicare Advantage plans are an alternative option to Original Medicare. Medicare Advantage plan are also known as "Medicare Part C" plans. Medicare Advantage plans are offered by "private insurance companies" and cover all Medicare covered services.

All Medicare Advantage plans are required to offer at least the same benefits and coverage as original Medicare Parts A and B. Most Medicare Advantage plans (but not all) also include Medicare Part D. Depending on the specific Medicare Advantage plan you choose, it may also pay for additional services that aren’t covered by Original Medicare. Many people (but not all) feel the benefit of Medicare Advantage plans is that they offer more coverage than original Medicare. It boils down to personal preference. One type plan doesn’t fit everybody!

Keep in mind: With original Medicare there is not an annual maximum out of pocket expense cap on what you pay out of pocket. However on the other side, Medicare Advantage plans do have an out-of-pocket maximum limit each year! Once you hit a certain dollar amount, your plan pays 100% of the cost for most services it covers. Example: If you had Original Medicare and your covered Medicare medical bills came to $1,000,000.00, you could still be responsible for your 20% coinsurance share of $200,000.00! In that same scenario, if you had a Medicare Advantage plan and your covered Medicare medical bills came to $1,000,000.00, you would only be responsible for your maximum annual out of pocket amount. (Depending on your specific plan, but could be just $6,700.00.)

In most Medicare Advantage plans, (but not all) you can only go to doctors, specialists, and hospitals in the plan’s network. Otherwise, you may pay more if you go out of network. Additionally if you go out of network with some plans (Example: HMO plans) you may not even be covered at all for services, unless it is a true emergency. Although as I mentioned, if you need urgent or emergency care you will be covered, even if you receive care outside the plan’s participating providers. Some examples of Medicare Advantage plans include Health Maintenance Organizations (HMO) or Preferred Provider Organizations (PPO).


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


How Do I Get Medicare Part A & Part B?

Do I need Part A and Part B?

If you want to get either a Medicare Supplement and Prescription Drug Plan OR instead a Medicare Advantage plan, you will first need to be enrolled in both Part A and Part B.

How do I get Part A and Part B?

Some people get Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) automatically and other people have to sign up for it. In most cases, it depends on whether you’re getting Social Security benefits.1 

Below are some situations that may apply to you:

  • I’ll be getting benefits from Social Security or the Railroad Retirement Board (RRB) at least 4 months before I turn 65
    In most cases, you'll automatically get Part A and Part B starting the first day of the month you turn 65. Note: If your birthday is on the first day of the month, Part A and Part B will start the first day of the prior month!
    If you will be getting Social Security benefits, you don’t need to enroll manually since you should automatically be enrolled Part A and Part B. You should receive your red, white, and blue Medicare card in the US Mail approximately 3 months before your 65th birthday.


  • I won’t be getting benefits from Social Security or the Railroad Retirement Board (RRB) at least 4 months before I turn 65.
    If you aren’t getting benefits from Social Security (or the RRB) at least 4 months before you turn 65, you'll need to sign up with Social Security to get Part A and Part B.
    (Note: You should generally sign up three months in advance of your 65th Birth Month, since it can take a while to process your enrollment.)
    So how do I sign up?



  • Apply Online for Medicare Part B During a Special Enrollment Period
    • https://secure.ssa.gov/mpboa/medicare-part-b-online-application/
    • Visit your local Social Security office.
    • Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778).
    • If you worked for a railroad, call the RRB at 1-877-772-5772.
    • If you already have Part A and want to sign up for Part B, complete an Application for Enrollment in Part B (CMS-40B). 


  • I'm under 65 and have a disability.

       You automatically get Part A and Part B after you get one of these:

            1. Disability benefits from Social Security for 24 months

            2. Certain disability benefits from the RRB for 24 months


  • I have ALS (Amyotrophic Lateral Sclerosis, also called Lou Gehrig's disease).
    You automatically get Part A and Part B the month your disability benefits begin. 
    You don't need to sign up if you automatically get Part A and Part B. You'll get your red, white, and blue Medicare card in the mail the month your disability benefits begin.


  • I have End-Stage Renal Disease (ESRD).

If you’re eligible for Medicare because of ESRD, you can enroll in Part A and Part B.

If you qualify for Part A, you can also get Part B. Enrolling in Medicare is your choice. But, you’ll need both Part A and Part B to get the full benefits available under Medicare to cover certain dialysis and kidney transplant services.

When you enroll in Medicare based on ESRD and you’re on dialysis, Medicare coverage usually starts on the first day of the fourth month of your dialysis treatments. This waiting period will start even if you haven’t signed up for Medicare. For example, if you don’t sign up until after you’ve met all the requirements, your coverage could begin up to 12 months before the month you apply.

If you're covered by an employer group health plan, your Medicare coverage will still start the fourth month of dialysis treatments. Your employer group may pay the first 3 months of dialysis.

Medicare coverage can start as early as the first month of dialysis if you meet all of these conditions:

  • You take part in a home dialysis training program offered by a Medicare-certified training facility to teach you how to give yourself dialysis treatments at home.
  • Your doctor expects you to finish training and be able to do your own dialysis treatments.
  • The regular course of dialysis is maintained throughout the waiting period that would otherwise apply.

If you have Medicare only because of permanent kidney failure, Medicare coverage will end:

  • 12 months after the month you stop dialysis treatments.
  • 36 months after the month you have a kidney transplant.

Your Medicare coverage will be extended if:

  • You start dialysis again, or you get a kidney transplant within 12 months after the month you stopped getting dialysis.
  • You start dialysis or get another kidney transplant within 36 months after the month you get a kidney transplant.



For more details click on web link below:

https://www.medicare.gov/basics/get-started-with-medicare/sign-up/ready-to-sign-up-for-part-a-part-b

For a relate blog post, click the web link below:

Do I Need Part A & Part B at Age 65?


1. Source: https://www.medicare.gov/sign-up-change-plans/how-do-i-get-parts-a-b


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How Does Medicare Benefits Work If I Already Have VA Benefits?



How does Medicare benefits work if I also already have VA benefits?

  • Well first of all, Medicare generally does not coordinate with VA benefits. 
  • However you can have both Medicare and VA benefits. Many people choose to use both VA & Medicare benefits in order to have access to more providers and services.
  • Medicare and VA benefits do not work together though. (Medicare generally does not pay for care that you would receive in a VA facility.)
  • For Medicare to cover your care, you generally have to receive care at a Medicare certified facility that works with your Medicare plan coverage.
  • For VA to cover your care, you generally must receive your health care service at a VA facility. However exceptions can be made, for example if you receive prior authorization from the VA to receive VA covered services at a Medicare approved facility. Also if an emergency occurs that requires you to receive care, the VA may cover some of the costs until you can be moved to a VA facility for continued care.
  • Many veterans receive their VA health benefits to get coverage for health care services and items not covered by Medicare. Examples could be: over the counter medications, annual physical exams, and hearing aids, all depending on what current Medicare plan they have.


You may want to consider enrolling in Medicare Part B even if you have VA coverage, since
Part B may cover services you receive from Medicare certified providers and provide you with medical coverage outside the VA health system. Note: Without Part B, you will not have Medicare coverage for physician, outpatient, and ambulance services. Also, if you do not enroll into Part B when you are first eligible to do so, but then later decide to enroll in Part B, you will likely face a Part B premium penalty for each 12 month period you were without Medicare Part B coverage. Lastly, you may also experience gaps in coverage.

Drug coverage offered by the VA is creditable. Which means, it is as good as or better than Medicare Part D prescription drug coverage. So as long as you remain enrolled in drug coverage through the VA, you can delay enrolling in Medicare Part D without penalty. If you are interested in enrolling in a Part D plan in addition to your VA coverage, then compare your options first. Some things to consider are the costs of a plan’s premiums, deductibles, and copays, the drugs that are available on a plan’s formulary (the list of covered drugs), and the pharmacies that you can go to.





Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How Medicare Insurance Plan Is Changing Health Coverage


This Sarasota Herald-Tribune article by Maggie Clark & Barbara Peters Smith explains that changes to Medicare insurance plans can effect your health coverage.

Sometimes due to negotiations between insurance companies and providers such as hospitals, medical groups, or even individual doctors, patients can get caught in between while the insurance companies and providers either work out their differences or worse. (The insurance companies decide to drop those providers and not to accept patients in-network from them going forward.)

There aren’t any rules that stop insurance companies from dropping providers (doctors, medical groups, and hospitals) at any time during the year. So even though you may sign up during the annual enrollment period, your doctors, medical groups, or hospitals can be dropped at any time afterwards! The insured customers need to realize that their providers are not guaranteed to be in-network all year long in a Medicare Advantage Plan.

A Medicare Advantage plan receives a lump sum amount from the government for each enrollee, and reimburses providers in its network at pre-negotiated rates. Insurance companies make profit on any remaining balance after enrollee’s bill are paid.

As a more expensive, but yet a lot more flexible, alternative to an Medicare Advantage plan is to instead purchase both a Medicare Supplement and a Part D (Prescription Drug Plan). Generally most Medicare Supplement plans do not require you to stay in-network and as long as your provider accepts original Medicare then you are also covered with your Medicare Supplement plan. As with anything else, generally to get more flexibility you will pay a higher price. Many Medicare Supplement plans (such as Plan F), don’t have virtually any copays or deductibles. (That is unless you go out of the United States.) You are basically paying a predetermined upfront premium each month. However with Medicare advantage you are basically taking a chance. Even though there are either no premium at all or possibly a very low premium, you may still have copays, coinsurance, deductibles, etc. all which can add up more than a Medicare Supplement total yearly premiums if you become very ill. I kind of relate a Medicare Advantage plan, to a "pay as you go" type plan.

Source: Sarasota Herald-Tribune article by Maggie Clark & Barbara Peters Smith
The original web link below is no longer valid.
http://www.heraldtribune.com/article/20141126/ARTICLE/141129787?Title=How-Medicare-insurance-plan-is-changing-health-coverage


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How Social Security and Medicare Work Together


I read an informative AARP article by Stan Hinden and I thought I’d share the web link below. The article gives a nice overview of how Social Security and Medicare work together.

One question I seem to get a lot is pasted below. He answered this question in his article.

Excerpt:

"Q. When's the right time to apply for Medicare?

A. Medicare generally advises you to apply for coverage during the three months before you turn 65, to ensure it will start in your birthday month. But the full Medicare initial enrollment period lasts for seven months: the three months before the month in which your 65th birthday falls, your birthday month, and the three months afterward. You're free to apply at any time during that period.

If you delay, you may face higher premiums for the rest of your life — 10 percent higher for Part B for every 12 months that you could have had coverage but didn't. But there are important exceptions. If on turning 65 you or your spouse is working for a company with 20 or more employees that covers you under a group health plan, you don't have to enroll in Medicare at that time. You can wait until you stop working or otherwise lose that insurance, and you won't be charged a late enrollment penalty.”1


1. Source: AARP article by Stan Hinden


Click web link below to read entire article:

http://www.aarp.org/work/social-security/info-2015/social-security-medicare-in-retirement.html


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How To Apply Online For Medicare Part A & Part B

For instructions directly from Social Security, which is where you start the process, click on web link below. 

https://www.ssa.gov/medicare/sign-up

Also an additional web link from Medicare.gov as well. (But it will eventually send you back to Social Security web site.

https://www.medicare.gov/basics/get-started-with-medicare/sign-up/ready-to-sign-up-for-part-a-part-b


See previous blog post for more info:

How Do I Get Medicare Part A & Part B?


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How to Avoid Medicare Land Mines


If you are among the growing number of people still working when you turn 65 and become eligible for Medicare, you may want to read this article from the Wall Street Journal by Ellen Schultz. Click on link below to read.

http://online.wsj.com/article/SB10001424052702303292204577519272250299012.html#printMode


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How To Choose The Right Medicare Plan!



Before I get started with the information below, I just wanted to first mention that: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews



Step 1: Decide if you prefer Original Medicare OR a Medicare Advantage Plan
(Like an HMO or PPO)

Step 2: Decide if you want Prescription Drug Coverage (Part D)

Step 3: Decide if you want supplemental coverage. (This type of supplemental coverage to Original Medicare is also known both as a Medicare Supplement Plan or as a Medigap plan. Two different names for the same thing.)

Some important things to know and other tips to keep in mind: 

  • You first need to be enrolled in both Part A and Part B (Through the Social Security Office) in order to get enrolled in either a Medicare Supplement Plan or a Medicare Advantage Plan. Make sure to enroll in Part B when you are first eligible, or you may face penalties later on if you don’t have creditable coverage.
  • You are not allowed to be enrolled in both a Medicare Advantage plan and a Medicare Supplement at the same time.
  • Many, but not all, Medicare Advantage plans may have drug coverage included in their plan.
  • Many, but not all, Medicare Advantage plans may have zero (or very low) premiums.
  • Many, but not all, Medicare Advantage plans may have dental care, vision, fitness benefits, and even "Over The Counter” (OTC) credits, etc. included in your plan at no extra charge.
  • If you choose a Medicare Supplement (Medigap) plan, you will need to purchase a separate additional Part D Prescription Drug Plan (PDP), if you want drug coverage.
  • If you don’t enroll in a Medicare plan that has Prescription Drug Coverage when you are first eligible and don’t have credible coverage, then later in life if you enroll in a plan with Prescription Drug Coverage, you will incur a 1% per month government penalty for each month you missed from when you were first eligible and that penalty will continue for the rest of your life as long as you keep Prescription Drug Coverage!
  • If you pick a Medicare Advantage plan, be sure to verify that your existing doctors are in the network of specific Medicare Advantage plan that you choose. Also verify that all your prescriptions are covered by the plan and find out your out of pocket costs of each drug.
  • It is important to know what coverage you will have if travel out of your area. All Medicare plans cover you if you have a true emergency. However some HMO plans do not have coverage out of your service area for other things that are not considered true emergencies.
  • Medicare.gov Plan Finder can help you compare Medicare Advantage and PDP plans.
  • If you are still confused or just want some guidance, please contact me to help explain things in simple terms and then enroll you in a Medicare Supplement plan OR Medicare Advantage plan of your choosing after I give you the information you need to make an intelligent decision. If you would like my assistance, please call me at 941-404-5334. By calling this number, I understand I will be directed to a licensed insurance sales agent.






How to Fight a Medicare Claim Rejection


If you are on Medicare or will be soon, this is a very good article from the Wall Street Journal by Anne Tergesen about appealing a no-pay or denied medical claim decision. Worth the read. Click the below link to read the article.

http://www.marketwatch.com/story/how-to-fight-a-medicare-claim-rejection-2012-10-23


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How To Pay Less For Prescription Drugs


I just read several articles with good tips on how to save money on your prescription drugs.

Read the actual articles in web links below to get all their tips.


However below are just some of the tips: (Some tips I feel are common sense. Others are good tips you may not know about!)

  1. Use generics when possible.
  2. Shop around.(Drugs costs can vary by hundreds of dollars at different pharmacies, even within the same town!)
  3. Some warehouse clubs such as CostCo and Sam’s Club tend to have low overall prices and you do NOT need to be a member to get those low prices!
  4. Try smartphone apps (or simply go online if you don’t have a smartphone.)
    Some of the apps or websites you may want to check out are: GoodRx, Blink Health, WeRx.org, and HealthWarehouse.com.
  5. Use Discount cards when not using health insurance. Also instead of just using your insurance, still check to see if the discount card prices are less then your insurance copay or coinsurance amount, and/or deductible.
  6. Ask for free samples from your doctor to help reduce your costs.
  7. Some pharmacies or grocery store chains even offer free generic drugs. (Or at a very reduced cost, anyway!) Generally those types offered for free or reduced cost are some antibiotics and some diabetes medications.
  8. Make sure to “Ask” the pharmacist directly for the cheapest price, including if you didn’t use your insurance, but instead used coupons or discounts. (Note: Many drugstores/pharmacists have a "gag clause” which doesn’t allow them to offer you the cheapest price, unless you ask for it!)
  9. Know your insurance coverage. Find out in advance whether your prescription drug is in your plan’s formulary. Also what tier level your drugs are. Ask your doctor if there is a less expensive drug that does the same thing and is suitable to your needs.
  10. Sometimes, but not always, ordering by mail can be less expensive. Be sure to check, some plans actually charge more for mail ordering though.
  11. Use a pharmacy in your plan’s network. Otherwise, your prescription may not be covered.
  12. If your plan has preferred pharmacies, try to use the preferred pharmacies to save even more money.
  13. Ask your pharmacist and doctor if ordering a larger dosage and then splitting your pills is safe. (Note: Some pills are time released or have other reasons not to split them, so be sure to ask first!)
  14. Patient assistance programs offer free or reduced cost medications to low income, and sometime to the uninsured. Can’t hurt to ask them!


Click on the 4 web links below to read the articles:

How to Pay Less for Your Meds (Consumer Reports)

How to Pay Less for Drugs (AARP)

How to pay less for your prescription drugs, legally (CNN)

10 Expert Tips for Slashing Prescription Drug Costs (MoneyTalkNews)


Sources: Consumer Reports, AARP, CNN, and MoneyTalkNew


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How To Quickly Research Nursing Homes During The Coronavirus Pandemic


This web page has been intentionally deleted.

If I Am Eligible For Disability Benefits, Do I Automatically Receive Medicare Benefits?


"You generally will receive Medicare benefits after you receive disability benefits for 24 months. When you become eligible for disability benefits, Social Security will automatically enroll you in Medicare.  

Special rules apply to:

End-stage renal disease (permanent kidney failure). People with permanent kidney failure get Medicare beginning:

  • The third month after the month a regular course of renal dialysis begins
  • The month of kidney transplantation
  • Lou Gehrig's Disease (amyotrophic lateral sclerosis). People with amyotrophic lateral sclerosis get Medicare beginning with the month they become entitled to disability benefits.


Note: Residents of Puerto Rico or foreign countries will not receive Part B automatically. You must elect this benefit.” 1


1. Source: AARP


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

IRMAA Income-Related Monthly Adjustment Amount


What is IRMAA (Income-Related Monthly Adjustment Amount)? 

The Medicare Income-Related Monthly Adjustment Amount is an amount you may pay in addition to your Part B premium and/or Part D premium, if your income is above a certain level.1 

The Social Security Administration (SSA) makes initial determinations whether the income-related monthly adjustment amount (IRMAA) applies to Medicare beneficiaries with Part B, or Medicare prescription drug coverage Part D (or both if enrolled in both at the time a determination is made) using IRS data.2

The Social Security Administration (SSA) sets income brackets that determine your (or you and your spouse’s) IRMAA. SSA determines if you owe an IRMAA based on the income you reported on your IRS tax returns two years prior, meaning two years before the year that you started paying IRMAA. The income that counts is the adjusted gross income you reported plus other forms of tax-exempt income.1

To read more on the subject: Click on the 2 web links below:

Initial IRMAA Determination

https://www.medicare.gov/basics/forms-publications-mailings/mailings/costs-and-coverage/initial-income-related-monthly-adjustment-amount-notice

Appealing a higher Part B or Part D premium (IRMAA)

https://www.medicareinteractive.org/get-answers/medicare-denials-and-appeals/premium-appeals/appealing-a-higher-part-b-or-part-d-premium-irmaa



1. Source: https://www.medicareinteractive.org/get-answers/medicare-denials-and-appeals/premium-appeals/appealing-a-higher-part-b-or-part-d-premium-irmaa

2. Source: https://www.medicare.gov/forms-help-resources/mail-you-get-about-medicare/initial-irmaa-determination


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Is Medicare Advantage Worth It vs. Traditional Medicare?


I felt this New York Times article by Austin Frakt was very interesting. The article infers from research that Medicare Advantage plans cost about 6% more to the taxpayers, but that Medicare Advantage plans outperform traditional Medicare by offering higher quality.

My personal feelings are that there isn’t one type plan that fits everybody. It really depends on your individual circumstances, budget, current health, and feelings about using in-network doctors, etc. Medicare Advantage may be great for one person, and a Medicare Supplement with a Prescription Drug Plan may be the best option for another person. I never steer my clients towards one type plan or the other. I present their options and let them choose what they feel is best for their particular situation.


To read more, click on the link below.

http://www.nytimes.com/2014/08/19/upshot/medicare-advantage-is-more-expensive-but-it-may-be-worth-it.html?_r=1&abt=0002&abg=0


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

L.B.J. Was Wrong About Medicare Concept


An article from the New York Times by Paula Span regarding when L.B.J. signed Medicare into law in 1965 and now almost 50 years later, Dr. Amy Kelley, has amassed disheartening evidence that L.B.J. was wrong. When President Lyndon B. Johnson signed Medicare into law in 1965, he noted that its benefits to older Americans were not only medical, but financial: “No longer will illness crush and destroy the savings that they have so carefully put away over a lifetime.” Click on the link below to read more.

http://newoldage.blogs.nytimes.com/2012/05/22/l-b-j-was-wrong/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare "Wellness": Worth a Second Look?


These free Medicare "wellness" checkups could end up cutting costs, but it seems they haven't caught on just yet according to this WSJ article by Elizabeth O'Brien. 

If you don't have time to read the whole article, below is an excerpt pulled directly from the article that I thought was important, so Medicare patients know what to expect:

"The new benefit can be confusing to patients, doctors say, because it’s specifically focused on prevention and screenings. It’s also not the same a complete, head-to-toe physical exam. Traditional Medicare still doesn’t fully cover a complete physical; patients are responsible for 20% coinsurance for these exams, an amount that can exceed $100, experts say. (Individual Medicare Advantage programs may fully cover a physical.)

Patients leave their clothes on for the wellness visit, Langston said. While doctors are given leeway to do as much of a “focused” physical exam as they think necessary, it’s likely that a doctor won’t listen to your heart during the wellness visit, nor do many other hands-on procedures. Instead, the doctor or other medical professional will take your blood pressure and record your body mass index. Patients get screened briefly for depression and cognitive impairment, and get a vision test; they also get some vaccines, if needed.

In addition to these screenings, there’s plenty of talk: the patient and doctor will discuss the patient’s medications and medical history and create a customized prevention plan based on a personalized health risk assessment. The two might schedule preventative screenings for the next few years. (Under the Affordable Care Act, screening mammography and colorectal cancer screenings are among the tests now free for beneficiaries, who had to pay coinsurance for these services before.)"1                                          

To read the full article, click on link below.

http://www.marketwatch.com/story/medicare-wellness-visits-worth-a-second-look-2013-02-26?siteid=nwhpf


  1 Source: WSJ article by Elizabeth O’Brien


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare & Healthcare Compare Tools To Help Assist You!


You now have access to expanded decision tools from The Centers for Medicare & Medicaid Services (CMS) via the Internet. You can click directly on the blue hyperlinks to go directly to those web sites.

The Centers for Medicare & Medicaid Services (CMS) launched Care Compare, a streamlined redesign of eight existing CMS healthcare compare tools available on Medicare.gov. Care Compare provides a single user-friendly interface that patients and caregivers can use to make informed decisions about healthcare based on cost, quality of care, volume of services, and other data.

With just one click, patients can find information that is easy to understand about doctors, hospitals, nursing homes, and other health care services instead of searching through multiple tools.

In conjunction with the launch of Care Compare, additional improvements have been made to other CMS data tools to help Medicare beneficiaries compare costs.
The 
Procedure Price Look Up (PPL) tool now includes physician fees in addition to facility fees, offering people with Medicare a more accurate prediction of the true out-of-pocket costs.

Other new tools launched under the eMedicare initiative include:

  • A completely redesigned Medicare Plan Finder Tool for last Open Enrollment;
  • “What’s Covered” app that tells people what’s covered and what’s not in Original Medicare;
  • A price transparency tool that lets consumers compare Medicare payments and copayments for certain procedures performed in both hospital outpatient departments and ambulatory surgical centers;
  • Interactive online decision support to help people better understand and evaluate their Medicare coverage options and costs between Original Medicare and Medicare Advantage;
  • An online service that lets people quickly see how different coverage choices will affect their estimated out-of-pocket costs
  • Webchat option in Medicare Plan Finder helps people get on-the-spot support; and
  • Easy-to-use surveys across Medicare.gov so patients and consumers can continue to offer feedback about their online experiences.


To download the eMedicare Fact sheet that is a .PDF, click on the web link below:

https://www.cms.gov/About-CMS/Story-Page/eMedicare-fact-sheet.pdf


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare & Social Security - Understanding Your Options


Are Medicare & Social Security eligibility ages both the same age? Generally not, since your “Full" Social Security retirement benefit age is normally not the same age as when you are eligible for Medicare!

Social Security’s full retirement age is 66 for most baby boomers!* However you will receive a smaller monthly payout if you decide to sign up at a younger age. You can also opt to further delay signing up for Social Security until you are older, in order to qualify for larger monthly payments later in retirement.

In contrast, the Medicare eligibility age remains 65! So, if you want to wait until 66 or later to claim Social Security, you will need to make sure to sign up for Medicare separately at age 65 to avoid penalties later on.

Below is what you need to know about signing up for Medicare before claiming Social Security:

  1. Social Security and Medicare are separate decisions.
  2. Some people are automatically enrolled in Medicare.
  3. Remember to sign up for Medicare on time.
  4. Signing up for Medicare after you missed the Initial Enrollment Period can trigger penalties.
  5. Beneficiaries who work can avoid the Medicare late enrollment penalty.
  6. Be prepared to get a bill.
  7. Don't wait until age 65 to start researching your Medicare options.


*Click on this Social Security Web link to help figure out your exact full retirement age.

https://www.ssa.gov/planners/retire/retirechart.html

Source: Chart below was cut and pasted from the above Social Security web link.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - AEP (Annual Enrollment Period)


The Medicare Annual Enrollment Period is also sometimes called Annual Election Period and abbreviated as AEP. This year it starts on Oct. 15 and ends on Dec. 7. During this time, Medicare beneficiaries can add, change, or drop Medicare health insurance plans and/or prescription drug coverage for the following year (effective January 1).

If you are satisfied with your current Medicare plan, you don't need to take any action. However, plan details can change annually, so you should compare your plan options to confirm that your health and prescription drug needs are covered by your plan for the next year. This is an important time for beneficiaries to reevaluate their current Medicare Advantage and Medicare Part D Prescription Drug Plan coverage and compare it with the options available in the upcoming year, because effective coverage will be locked in for a calendar year.

Agents can start to talk to clients or prospects about the upcoming year’s plan starting Oct. 1. However agents are not permitted to enroll clients until on or after Oct. 15.

In addition, agents are required to get client’s (or prospect’s) written permission in advance of discussing Medicare Insurance plans per CMS (Centers for Medicare and Medicaid Services) and keep their conversation during that original appointment narrowed down to only Medicare related topics listed on the SOA (Scope Of Appointment) form. The Scope Of Appointment form is designed to protect seniors from unscrupulous agents making Medicare appointments and then on the same appointment trying to sell prospects annuities, life insurance, or other non-Medicare related products instead. If other non-Medicare related products are to be discussed, another appointment needs to be made and discussed during that additional appointment and not on the same Medicare appointment as to comply with CMS rules.

Note: Signing the Scope Of Appointment form does NOT obligate you to enroll in a plan, affect your current enrollment, or enroll in you in Medicare plan.

To read more info from Medicare.gov click on these links:

Medicare Open Enrollment

https://www.cms.gov/Outreach-and-Education/Reach-Out/Find-tools-to-help-you-help-others/Medicare-Open-Enrollment.html

Understanding Medicare Part C & Part D Enrollment Periods

https://www.medicare.gov/Pubs/pdf/11219-Understanding-Medicare-Part-C-D.pdf

————————————————————————————————————

Many people ask me what are some of the things I need to look for when comparing Medicare insurance plans against each other?

My suggestion is to check at least the following items:

  • Star Ratings for Medicare Advantage Plans and Prescription Drug Plans.
    (Provided each year by Medicare. Keep in mind that they can change from year to year. The star ratings can be found at Medicare.gov. If you cannot go online, each Medicare insurance plan enrollment guide booklet should also include the updated upcoming year’s Medicare star ratings for that specific plan.)
  • Review the "Benefits at a Glance” or more comprehensive “Summary Of Benefits.” 
    In my opinion, listed below are some of the important (but not limited to) items you should focus on and that you should consider before making a final decision on which plan you choose:
    • What type of Medicare insurance plan is it? Medicare Advantage HMO, Medicare Advantage PPO, or a Medicare Supplement with perhaps an additional stand alone drug plan. (PDP)
    • Annual Out-Of-Pocket Maximum (That is the most you will pay in a year for Medical expenses with a Medicare Advantage plan. Note: This Annual Out-Of-Pocket Maximum amount does NOT include a maximum amount for prescription drugs, even if prescription drugs happen to be included in your plan.)
    • Copays for primary care physicians and also copay amounts for specialists.
    • Inpatient hospital care per day cost and how many days you have to pay.
    • Outpatient surgery cost Find out if the outpatient surgery amount you are responsible for is just a flat amount (copay) or a percentage of the total amount (coinsurance). The amount you are responsible can be different with each plan so be sure to check that out.
    • Emergency Care costs
    • Diagnostic radiology services and diagnostic tests/procedures costs
    • Ambulance
    • Prescription Drugs - Find out if your specific drugs are included in the formulary (complete drug list) of the plan you choose. Then find out the Tier level and/or cost of each of your drugs. Also find out which Pharmacies are in the network and also which are considered preferred Pharmacies for that plan - allowing you to get the least expensive prices.
    • If the Medicare insurance plan you choose has a network. Find out in advance if each of your specific doctors, hospitals, and other providers are in network for that specific Medicare insurance plan.
    • If a fitness program is important to you, find out if a basic gym membership is included in your Medicare insurance plan at no additional cost.
    • Find out in advance if you can travel and still be covered for non-emergency visits to the doctor, etc. with that specific plan. (Note: Almost all the Medicare insurance plans do cover you if it is a true emergency!)
    • Plus there are many other items to compare between plans, so determine what is important to your specific needs before making a decision! Some other options in some plans may or may not include dental and/or vision.



I am an independent insurance agent, certified to handle multiple Medicare insurance companies, allowing me to help you find the Medicare insurance you feel fits your needs. I pride myself in providing excellent customer service to my clients. I will be attentive to your needs and strive to meet or even exceed your expectations for your Medicare insurance needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

If you are confused and/or want more information about which Medicare insurance plan to enroll in, either as a new plan or even if you are just switching to a different Medicare Insurance plan, please call me at 941-404-5334 to set up an appointment to discuss further. If relatively local, I’ll come right at your home, office, or other location.

By calling this number, I understand I will be directed to a licensed insurance sales agent.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Annual Enrollment Period (AEP)


Annual Enrollment Period is also sometimes called Annual Election Period and abbreviated as AEP. This year it starts on Oct. 15 and ends on Dec. 7. During this time, Medicare beneficiaries can add, change, or drop Medicare health plans and/or prescription drug coverage for the following year (effective January 1).

If you're satisfied with your current Medicare plan, you don't need to take any action. However, plan details can change annually, so you should compare your plan options to confirm that your health and prescription drug needs are covered by your plan for the next year. This is an important time for beneficiaries to reevaluate their current Medicare Advantage and Medicare Part D Prescription Drug Plan coverage and compare it with the options available in the upcoming year, because effective coverage will be locked in for a calendar year.

Agents can start to talk to clients or prospects about the upcoming year’s plan starting Oct. 1. However agents are not permitted to enroll clients until on or after Oct. 15.

In addition, agents are required to get client’s (or prospect’s) written permission in advance of discussing Medicare Insurance plans per CMS (Centers for Medicare and Medicaid Services) and keep their conversation during that original appointment narrowed down to only Medicare related topics listed on the SOA (Scope Of Appointment) form. The Scope Of Appointment form is designed to protect seniors from unscrupulous agents making Medicare appointments and then on the same appointment trying to sell prospects annuities, life insurance, or other non-Medicare related products instead. If other non-Medicare related products are to be discussed, another appointment needs to be made and discussed during that additional appointment and not on the same Medicare appointment as to comply with CMS rules.

Note: Signing the Scope Of Appointment form does NOT obligate you to enroll in a plan, affect your current enrollment, or enroll in you in Medicare plan.


To read more info from Medicare.gov click on these links:

Medicare Open Enrollment

https://www.cms.gov/Outreach-and-Education/Reach-Out/Find-tools-to-help-you-help-others/Medicare-Open-Enrollment.html

Understanding Medicare Part C & Part D Enrollment Periods

https://www.medicare.gov/Pubs/pdf/11219-Understanding-Medicare-Part-C-D.pdf


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Can I Keep My Marketplace Plan When I’m Enrolled In Medicare?


Question regarding Medicare and Marketplace plans is answered in this Kaiser Health News (KHN) article by Michelle Andrews.

The question was whether one could keep their Marketplace health insurance plan at age 65 or do they have to enroll in Medicare? Technically you don’t have to give up your Marketplace health insurance plan when you turn 65 years old, but financially it doesn’t make sense to keep it. Once a person is eligible for Medicare they will no longer qualify for any premium tax credits on the Marketplace plans, making that coverage more expensive. In addition, one may face higher Medicare premiums in the future if they don’t enroll in Medicare coverage when first eligible.

The penalty for delaying enrolling in Medicare Part B when first eligible could be 10%. In addition, the penalty for delaying enrollment in Medicare Part D when first eligible could be 1% for every month delayed, and the penalties can continue the rest of your life while on Medicare.

To read the entire article, click on the link below.

http://kaiserhealthnews.org/news/can-i-keep-my-marketplace-plan-when-im-enrolled-in-medicare/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Clarification Of When Medicare Should Cover Skilled Care


A very short gist for this issue brief, basically states that Medicare coverage for skilled nursing or therapy is not dependent on a beneficiary’s potential for improving under such care. Instead the coverage depends solely on whether the beneficiary needs the care.

Center for Medicare Advocacy released a new resource on the Medicare Improvement Standard. The issue brief, “Implementing Jimmo v. Sebelius: An Overview,” is intended to provide Medicare stakeholders with an overview of the Jimmo Settlement, what it means in different care settings, and links and references to helpful resource materials.1

In 2013, a federal district court approved a settlement agreement in Jimmo v. Sebelius, No. 5:11-CV-17 (D. VT) agreeing that Medicare coverage for skilled nursing or therapy care is not dependent on a beneficiary’s potential for improving under such care. Instead, the coverage depends solely on whether the beneficiary needs the care. The Jimmo Settlement and later court decisions apply to everyone with Medicare throughout the country, regardless of whether an individual is in traditional Medicare or a Medicare Advantage plan.1


To download read the entire issue brief, click on the web link below:

https://www.medicareadvocacy.org/wp-content/uploads/2019/06/Jimmo-Improvement-Standard-Issue-brief-June-2019.pdf

To read an overview of the Jimmo Settlement, click on the web link below:

https://www.medicareadvocacy.org/new-issue-brief-implementing-jimmo-v-sebelius-an-overview/


1. Source: Medicare Rights Center blog post by Lindsey Copeland


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Covered Outpatient Skilled Therapy


Original Medicare covers medically necessary outpatient skilled therapy from licensed therapists or skilled therapy providers. There are 3 main types: 

  • Physical Therapy (PT) 
    Medicare Part B (Medical Insurance) helps pay for medically necessary outpatient physical therapy. You will still be responsible for paying 20% of the Medicare approved amount and the Part B deductible applies.

    https://www.medicare.gov/coverage/physical-therapy-services
    Click on web link above to more details directly from Medicare.gov

  • Speech/Language Pathology (SLP)
    Medicare Part B (Medical Insurance) helps pay for medically necessary outpatient speech-language pathology. You will still be responsible for paying 20% of the Medicare approved amount and the Part B deductible applies.
    https://www.medicare.gov/coverage/speech-language-pathology-services
    Click on web link above to more details directly from Medicare.gov

  • Occupational Therapy (OT)
    Medicare Part B (Medical Insurance) helps pay for medically necessary outpatient occupational therapy. You will still be responsible for paying 20% of the Medicare approved amount and the Part B deductible applies.
    https://www.medicare.gov/coverage/occupational-therapy-services
    Click on web link above to more details directly from Medicare.gov


What is considered Physical Therapy?
Exercise and physical activities used to condition muscles and improve levels of activity. It is helpful for those with physically debilitating illness. Physical Therapy will help you regain movement and strength in a body area.

Note: Medicare law no longer limits how much it pays for your medically necessary outpatient therapy services in one calendar year.
Also keep in mind that your doctor or other health care provider may recommend you get services more often than Medicare covers. Or, they may recommend services that Medicare doesn’t cover. If this happens, you may have to pay some or all of the costs. Ask questions so you understand why your doctor is recommending certain services and whether Medicare will pay for them.


What is considered Speech/Language Pathology?
Therapeutic treatment of speech impairments (such as lisping and stuttering) or speech difficulties that result from illness. Speech/Language Pathology will help you regain and strengthen speech and language skills.


What is considered Occupational Therapy?
Therapy using meaningful activities of daily living to assist people who have difficulty acquiring or performing meaningful work due to impairment or limitation of physical or mental function. OT helps you regain the ability to do usual daily activities by yourself such as eating and putting on clothes.




Source: Medicare.gov


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - How Does Original Medicare Cover Skilled Therapy?


In my opinion, this MedicareRights.org’s "Dear Marci” internet post had a very good explanation regarding what Original Medicare covers for skilled therapy. So I thought I’d share their web link below.

Note: If you have a "Medicare Advantage" plan, your coverage and costs are specific to your own plan and can vary from one Medicare Advantage plan to another. Medicare Advantage plan coverages and costs are generally not the same as Original Medicare alone. 

Previously there was a maximum limit on how much was covered for skilled therapy under Original Medicare. However, did you know that starting in 2018 the therapy cap (maximum allowed to be paid) was removed? Starting in 2018, although once your therapy costs reach a certain amount, Medicare will require your provider to confirm that your therapy is medically necessary.


Click on web link below to read the entire MedicareRights.org internet post.

https://mailchi.mp/medicarerights.org/should-i-change-my-medicare-health-or-drug-plan-this-fall-288137?e=440756ac79


1. Source: Dear Marci - Medicare Rights Center


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - How Does Outpatient vs. Inpatient Effect My Costs?


I was reading some enlightening information from Medicare Rights Center and thought I’d share. It is very important to understand that being classified as “Outpatient” status versus “Inpatient” status can significantly affect your costs that you are directly responsible for paying! You may not even know what the status of your stay in the hospital was classified as until later after you leave, unless you specifically ask!

"When you enter a hospital for treatment you can be classified as an inpatient or an outpatient, and your status affects Medicare costs and coverage. You are an inpatient if your attending physician has formally admitted you as an inpatient. The only way to know if you are an inpatient is to ask, as there are no specific characteristics of your hospital stay that automatically make you an inpatient. For example, an overnight stay in the hospital does not necessarily mean you are an inpatient. In general, doctors will admit you as an inpatient if they expect that you will need to stay in the hospital for medically-necessary, inpatient-level care over two or more midnights.

If you are not formally admitted as an inpatient, then you are considered a hospital outpatient, even if you stay overnight. There are a number of hospital services that are almost always provided as outpatient care, such as an emergency room visit or planned outpatient surgery. 

Observation services, sometimes called observation status, are outpatient services. They include ongoing short-term treatment and assessment of whether you should be admitted as an inpatient or if you can be discharged. Although they may involve an overnight or longer stay, observation services are outpatient services, so it is important to ask your doctor about the services you receive and what your hospital status is. Since observation services are provided to you as an outpatient, your coverage and costs will be different from the coverage and costs if you were an inpatient.”1


Click on the web link below to read more about coverage and costs if you stay in the hospital overnight:

https://www.medicareinteractive.org/get-answers/medicare-covered-services/hospital-services-outpatient-part-b/coverage-and-costs-if-you-stay-in-the-hospital-overnight


1. Source: Dear Marci - Medicare Rights Center (www.medicareinteractive.org)


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - How To Choose A Plan

Contact me as an independent agent and I can help you understand your choices and assist you choosing a plan.

Note: It doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have the benefit of personalized service by a local agent to help answer your questions. 
If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.


PS: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you understand your options, let you choose a plan that you feel fits your needs the best, and then enroll you in the plan you choose.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


With that said above, if you still would like to research on your own first and also read a couple of informative AARP articles, click on the web links below. These articles are regarding "how to choose a Medicare plan" and if you plan on enrolling in a Medicare Supplement, "how to choose the right Medicare Supplement plan," (Also known as Medigap plans).

How To Choose A Medicare Plan

How To Choose The Right Medicare Supplement Plan



Medicare - How to Navigate the Part D Coverage Gap


Some tips and information to help navigate the Part D coverage gap.

  • The Part D coverage gap is also know as the “Donut Hole!”
  • The Part D coverage gap is a payment stage with Medicare prescription drug plans when the main cost burden for prescription drugs shifts from the insurance plan to the plan member.
  • There are 4 different stages you need to be aware of:
    • Deductible Stage (You pay the full amount of your drugs until you satisfy your annual prescription deductible amount)
    • Initial Coverage Stage (You pay your plan’s copay or coinsurance for the specific tier levels of each of your drugs)
    • Coverage Gap Stage (You pay a higher percentage amount of your drug costs until you reach the next stage.)
    • Catastrophic Coverage Stage (After reaching this stage, you pay a reduced amount for your drugs until the end of the year. Then you start the cycle all over again.)
  • Each of the above Part D payment stages (except the last) has a dollar limit that marks when you exit that stage and enter the next. You move through the Part D payment stages based on how much is spent on your drugs throughout the year.


Tips for Navigating the Coverage Gap

It’s best to avoid the coverage gap all together, if you can! 

Plan ahead by getting an estimate of the following:

  • Try to determine what your yearly drug costs may be with your Part D plan
  • Try to determine if (and also when) you might reach the coverage gap
  • Try to determine when you would exit the coverage gap. 

Your out-of-pocket drug costs are reduced once you’re out of the gap and in the catastrophic coverage stage.

Search your plan choices.

Talk to your doctor about your options for using generic or low cost drugs rather than brand name or high price drugs. Make sure to ask your doctor about this and other ways to lower your drug costs. If you enter the coverage gap, your doctor may help you find ways to get through quickly. Your costs will be much lower once you reach the catastrophic payment stage.

Track your drug costs. Your plan should send you a statement each month that gives you important information. It’s called an Explanation of Benefits. This statement lists the prescriptions you filled that month with details about what you paid, what your plan paid and any other payments on your behalf from programs or organizations.

Ask for help. There are programs and organizations that may be able to help if you can’t afford your medications, no matter what payment stage you’re in. Usually you need to qualify based on your income and other financial resources.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents ReviewsTips for Navigating the Coverage Gap

Medicare - If You Care About Cost Control, Don’t Let Them Change It To Premium Support!

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Medicare - Insulin $35 Max Copay For Some 2021 Plans


Starting 1/01/2021 some Medicare Prescription Plans, or Medicare Advantage Plan that include prescription drugs, will have a $35.00 Maximum Copay for a 1 month supply of qualified insulin brands for those who are insulin-dependent.

Note: Not all insurance companies and/or plans will participate in this voluntary Centers for Medicare & Medicaid (CMS) program. (Part D Senior Savings Model)

You may contact me at 941-404-5334 to see what plans may be available in your area.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Is It Going Bankrupt Or Not?


A recent blog post dated Dec. 5, 2016 on the Center on Budget Policy Priorities by Paul N. Van de Water (Senior Fellow Director, Policy Futures) addressed a common false myth about the financial footing of Medicare and that it was going bankrupt. However he wrote that Medicare is not running out of money.

The Center on Budget Policy Priorities writes: 
"Medicare’s Hospital Insurance (HI) trust fund will remain solvent - that is, able to pay 100 percent of the costs of the hospital insurance coverage it provides - through 2028, the program’s trustees wrote in their latest report. Even after 2028, when the HI trust fund is projected for depletion, incoming payroll taxes and other revenue will still cover 87 percent of Medicare hospital insurance costs. 

Policymakers will need to close this shortfall by raising revenues, slowing the growth in costs, or most likely both, as they’ve done many times before.  But Medicare’s hospital insurance program will not run out of all financial resources and cease to operate after 2028, as 'bankruptcy' suggests.

The 2028 date doesn’t apply to Medicare coverage for physician and outpatient costs or to the Medicare prescription drug benefit, neither of which faces insolvency. They’re financed through the program’s Supplementary Medical Insurance (SMI) trust fund, which consists of two separate accounts - one for Medicare Part B, which pays for physician and other outpatient health services, and one for Part D, which pays for outpatient prescription drugs. Premiums for Part B and Part D are set each year at levels that cover about 25 percent of costs; general revenues pay the remaining 75 percent. Therefore, SMI can’t run short of funds.”1


To read the entire blog post from Center on Budget Policy Priorities (CBPP) click on the web link below:

http://www.cbpp.org/blog/to-repeat-medicare-isnt-going-bankrupt


1. Source: http://www.cbpp.org/blog/to-repeat-medicare-isnt-going-bankrupt
Paul N. Van de Water (Senior Fellow Director, Policy Futures) Dec. 5, 2016


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Medicare Advantage Plans Are Not The Same As Medicare Supplement Plans


One type of plan doesn’t fit everybody’s needs. A Medicare Supplement plan may be good for one person, but on the other hand a Medicare Advantage plan may fit better for somebody else. However you are not allowed have both a Medicare Supplement and Medicare Advantage plans at the same time.

It is very important that you understand the difference between Medicare Supplement plans and Medicare Advantage plans BEFORE enrolling. This is a common area of confusion among seniors first starting out in Medicare, and even some seniors that have been enrolled in a Medicare plan for a some time. There are major differences between Medicare Supplement plans and Medicare Advantage plans.


Medicare Advantage Plans:

  • Medicare Advantage comprises a variety of private health plans. Instead of still having Original Medicare, like with a Medicare Supplement, Medicare Advantage plans are administered through private insurance companies. However every Medicare Advantage plan must cover at least all the same benefits (or more) than Original Medicare Part A and Part B covers.
  • A Medicare Advantage plan is a separate insurance policy administered by a private  insurance company that replaces original Medicare Part A (Hospital) and Part B (Doctor visits/Medical).
  • After joining a Medicare Advantage plan, the Medicare Advantage plan (administered by a private  insurance company, not the government) will handle all claims and provide all your Medicare Part A and Part B coverage. 
  • Medicare Advantage plans can be more restrictive than Medicare Supplement plans, but they generally have very low premiums and many even have zero premiums. 
  • Many Medicare Advantage plans can also include prescription drug coverage all in the same plan, at no additional premium cost.
  • Unlike Medicare Supplement Plans, most Medicare Advantage plans have a network.
  • Each Medicare Advantage plan may have different networks and different formularies (drug lists). Make sure you (or your agent) look up every single one of your doctors to make sure they are in-network and also search to verify that all your prescription drugs are in the formulary for the specific plan you choose. (Note: Even within the same insurance company, networks and formularies can differ from plan to plan!)
  • With Medicare Advantage HMO plans you need to go to providers in-network or you are not covered, unless a true emergency. Also with many HMO plans you need to get a referral from your primary care physician to go to a specialist.
  • With Medicare Advantage PPO plans you have a little bit more flexibility and can go out of their network, but it will cost you more for the privilege.
  • With both Medicare Advantage HMO & PPO plans you can have copays, coinsurance, and deductibles that you may be responsible for. Be sure you understand each plan and that you review the one you choose very carefully before enrolling in it. 
  • Many (but not all) Medicare Advantage HMO & PPO plans include prescription drug coverage in the same plan at no additional premium. However there is a formulary (drug list) for each plan. If your prescription drug is not in the formulary, it is not covered.
  • Medicare Advantage HMO & PPO plans have an annual out-of-pocket maximum. This is kind of a safety net, so your medical expenses don’t exceed that amount in one year. It resets every year though. (Keep in mind that your prescription drug copays, coinsurance, and deductible are not included in that annual out-of-pocket maximum amount. Only your medical expenses are included.)
  • Medicare Advantage plans can also have additional benefits that Original Medicare does not. Each plan can be different, but some could include vision or dental benefits, etc


Medicare Supplement Plans:

  • Medicare Supplement plans do not replace original Medicare, but instead they add on to it (like a gap filler). So a Medicare Supplement basically adds to the benefits already covered by Original Medicare.
  • With a Medicare Supplement plan, private insurance companies can cover all or part of your Medicare "out of pocket expenses," depending on which Medicare Supplement plan you choose.
  • If you choose a Medicare Supplement plan you will still be covered by Original Medicare. Medicare Supplement plans just compliment Original Medicare. So if Original Medicare doesn’t cover a procedure, neither will your Medicare Supplement plan.
  • New Medicare Supplement plans do not cover prescription drugs. (If you want prescription drug coverage, you will need to purchase an additional separate plan, known as Part D.)
  • You can go to any doctor in the U.S. as long as they take Medicare. (No Networks)
  • Along with that extra flexibility, there is generally more cost. Premiums can be much higher for a Medicare Supplement versus a Medicare Advantage plan and as I mentioned above if you want prescription drug coverage you will still need to purchase a Part D plan in addition to the Medicare Supplement premium.
  • Even within the Medicare Supplement plans, there are many Plans to choose from, identified by Letters. (These Medicare Supplement “Plan” letters are different from the Medicare “Part" Letters, such as Part A, B,C, and D.) So don’t get confused.
  • In Florida (and most states except Mass., Minn. and Wisc.) each Medicare Supplement plan letter has to be standardized from one insurance company to another. (For example, when shopping one insurance company plan against another, Medicare requires the plans to be standardized. So really the only main differences from one insurance company’s Medicare Supplement to another (with the same plan letter) will be the premium amount, and possibly any additional benefits on top of the standardized benefits. Also when comparing Medicare Supplement companies, keep in mind the percentage of their previous annual increases from one company to another, to get an approximate idea of possible future increase percentages. Also ask how is their customer service and ability to pay claims on time.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare - Mistakes!


I read an informative AARP Bulletin article by Patricia Barry and I thought I’d share the top 10 Medicare mistakes they mentioned to be aware of:

  1. Assuming you don't qualify if you haven't worked long enough
  2. Failing to enroll in Part B when you should
  3. Believing you don't need Medicare Part B if you have retiree or COBRA health coverage
  4. Thinking you must reach full retirement age before signing up
  5. Not signing up for Part D because you don't take any prescription drugs
  6. Misunderstanding enrollment periods
  7. Picking a Part D drug plan on the basis of its premium or its name or because your best friend chose it
  8. Being too late to buy medigap with full protections
  9. Failing to read your Annual Notice of Change
  10. Not realizing that you may qualify for help to lower your costs


However for more information on each of the bullet points above, read the entire article by clicking the web link below:

http://www.aarp.org/health/health-insurance/info-2014/medicare-mistakes-to-avoid.html

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Click on link below for another related blog post:

Medicare Enrollment Mistakes Can Be Costly


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - New "What's Covered” Mobile App



Are you unsure if Medicare will cover a medical test or procedure? The Center for Medicare and Medicaid Services ("CMS") has a new app available to help answer those questions. However I’m pretty sure it won’t cover everything, but it might be a handy resource, especially for those of you that are on either Original Medicare and/or a Medicare Supplement. However those of you that are on a "Medicare Advantage" plan, it is still best to call your provider’s member services phone number listed on the back of your member card to determine what is and is not covered under your specific plan.

The app is called "What's Covered" and is available for free on both the App Store and Google Play. So you may want to download it onto your mobile device and check it out.

The app delivers cost and coverage information right on your smartphone.
Search for "What's Covered" or "Medicare” at the app store (for Apple devices) or at Google Play (for Android devices) and download the app to your phone.

The app delivers general cost, coverage, and eligibility details for items and services covered by Medicare Part A and Part B. Search or browse to learn what's covered and not covered, how and when to get covered benefits; and basic cost information. You can also get a list of covered preventative services.


Click on the link below to read more about the What's Covered app directly on CMS.gov.

https://www.cms.gov/newsroom/press-releases/new-app-displays-what-original-medicare-covers


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Observation Status And How It Can Affect You!



"Observation Status" is a designation used by hospitals to bill Medicare.1

People who receive care in hospitals, even overnight and for several days, may learn they have not actually been admitted as inpatients. Instead, the hospital has classified them as Observation Status, which is an “outpatient" category.1

Since March 8, 2017, hospitals have been required to give patients the Medicare Outpatient Observation Notice (MOON) within 36 hours if the patients are receiving "observation services as an outpatient" for 24 hours. Hospitals must also orally explain observation status and its financial consequences for patients. The MOON cannot be appealed to Medicare.1

Outpatient Observation Status is paid by Medicare Part B. When hospital patients are classified as outpatients on Observation Status, they may be charged for services that Medicare would have paid if they were properly admitted as inpatients.1

Most significantly, patients enrolled in Original Medicare will not be able to obtain any Medicare coverage if they need nursing home care after their hospital stay. Medicare only covers nursing home care for patients who have a 3-day inpatient hospital stay - Observation Status doesn’t count towards the 3-day stay.1 (A Medicare Supplement would also not cover the cost.)

Most Medicare Advantage Plans now include a specific Observation Status benefit co-payment. However, be sure to check your specific Medicare Advantage plan for details. Also, a three day prior inpatient hospitalization does not apply to Medicare Advantage plan members, however, referrals and plan authorizations would be required for admittance to a Skilled Nursing facility.


To read more click on the web link below:

https://medicareadvocacy.org/medicare-info/observation-status/


1. Source: Center for Medicare Advocacy https://medicareadvocacy.org/medicare-info/observation-status/



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare - One Way To Slash Senior’s Prescription Drug Costs


I thought I would share an interesting MarketWatch article by Eleanor Raise that I read. It is regarding a proposed rule by the Centers for Medicare and Medicaid Services that would require Medicare prescription drug plans to pass along price concessions they get from pharmacies to consumers at the pharmacy counter. 

A few things in their article that really caught my attention were:

  • The rule change would trim Medicare beneficiaries’ costs by about $21.3 billion over 10 years, CMS estimates.1

  • The price breaks, which Part D plan sponsors and pharmacy benefit managers recoup from pharmacies after the point of sale, have skyrocketed in recent years. Pharmacy price concessions jumped more than 107,000% between 2010 and 2020, to $9.5 billion, according to CMS. Currently, Medicare beneficiaries’ out-of-pocket drug costs are typically based on prices that don’t factor in those concessions—and that means they’re paying amounts that are “increasingly inflated relative to reality,” Ciaccia says.1


To read the entire article click on the web link below:

https://www.marketwatch.com/story/heres-one-way-washington-is-moving-to-slash-seniors-prescription-drug-costs-11642021957


1. Source: MarketWatch article by Eleanor Laise
https://www.marketwatch.com/story/heres-one-way-washington-is-moving-to-slash-seniors-prescription-drug-costs-11642021957



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Part D - When To Enroll & More


When to enroll in Part D:

When you become eligible for Medicare, you may sign up for Part D (Prescription drug coverage part of Medicare), as soon as you are enrolled in either Medicare Part A or Part B. Although you do not necessarily have to sign up for Part D if you choose not to, but you may face a late enrollment penalty if you do not sign up when you are first eligible. However, if you have creditable coverage, you can delay signing up for Part D and will not have to pay a late enrollment penalty.

Keep in mind some, but not all, Medicare Advantage plans include Part D combined in with their benefits. With most Medicare Advantage plans you cannot have both a Medicare Advantage plan and a separate stand alone Part D plan. 

You would only choose to enroll in a stand alone Part D plan if you decided to go with original Medicare and a Medicare Supplement plan OR just original Medicare alone.

What is creditable coverage?

It is coverage that on average is as good as or better than the Medicare drug benefit offered through Part D. You should receive notice from your plan or employer every year informing you whether your drug coverage is creditable for Part D. If you do not receive this notice, you should contact your plan or employer’s benefits administrator. 

Creditable coverage can be from:

  • Current employer coverage from you or your spouse
  • Former employer coverage from you or your spouse, such as retiree insurance
  • Federal Employee Health Benefits
  • Military coverage, such as TRICARE for Life (TFL) or Veterans’ Affairs (VA) benefits


Note: If you currently have creditable coverage that you like, you may want to keep it. since if you join a Medicare prescription drug plan, you may lose your creditable drug coverage and be unable to get it back later. Ask your employer or benefits administrator what will happen to your other drug coverage if you join a Part D plan.

For more information on Part D click on the web link below.

https://www.medicare.gov/part-d/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews



Medicare - Physical Exam Versus Wellness Visit



With Medicare, you should understand the difference between a Routine Physical Exam versus a Wellness Visit, or it could cost you!

Federal law prohibits the Original Medicare health care program from paying for annual physical exams, and patients who receive them may be responsible for the entire cost amount out of pocket.

However beneficiaries are not responsible for paying anything for just an “Annual Wellness Visit,” which Medicare covers in full as a preventive service.

The Annual Wellness Visit generally does not include a full physical exam, except to check routine measurements such as height, weight and blood pressure.

A Routine Physical Exam typically involves an exam by a doctor along with bloodwork or other tests without relationship to treatment diagnosis for a specific illness, symptom, complaint, or injury.

If an Annual Wellness Visit goes beyond the bounds of the specific covered preventive services into diagnosis or treatment, whether at the urging of the doctor or the patient, Medicare beneficiaries will typically owe a copay or other charges.

The difference between a Wellness Visit and an Annual Exam is not as major an issue for "Medicare Advantage" members, as most plans offer both a $0 copay or a low dollar copay depending on the specific Medicare Advantage plan.

Also keep in mind, some preventive activities such as a preventive screening colonoscopy can turn into an outpatient surgical procedure, when it is considered to be diagnostic. In that case, a copay or coinsurance will generally apply, and it will no longer be considered just be a $0 copay preventive screening.

Medicare Coverage of Physical Exams - Know the Differences!

  • Annual Wellness Visit (AWV) Visit to develop or update a personalized prevention plan, and perform a health risk assessment. Covered once every 12 months. Patient doesn’t pay anything (if provider accepts assignment).
  • Initial Preventive Physical Examination (IPPE) Review of medical and social health history, and preventive services education. Covered only once, within 12 months of Part B enrollment. Patient doesn’t pay anything (if provider accepts assignment).
  • Routine Physical Examination - Exam performed without relationship to treatment or diagnosis for a specific illness, symptom, complaint, or injury. Not covered by Medicare; prohibited by statute. Patient pays 100% out-of-pocket.

 

For more detailed information in a .PDF file, click on this web link below:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/AWV_Chart_ICN905706.pdf

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For a related blog post I wrote a while back, click on the web link below:

Does Original Medicare Cover Annual Physicals?



Source: https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/AWV_Chart_ICN905706.pdf




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Questions To Ask When Enrolling


Where do I call or visit to enroll in Medicare or just ask questions:

You can visit your local Social Security Office or you can call the National Social Security Hotline at 800-772-1213. The locations of Social Security Offices can be found by clicking this web link www.ssa.gov


Questions to ask when enrolling into Medicare:

Keep in mind Medicare coverage is divided into parts. (See related web links below.)

  1. When will my Medicare coverage begin?
  2. What will I be paying for Medicare coverage?
  3. How will I pay for my Part B premium?
  4. How will Medicare work with any other health coverage I have?


Questions to ask when you have another type of insurance coverage:

Note: Only people covered by large group health plans from current employers can delay Medicare Part B enrollment without paying a late enrollment penalty.
Examples: 
a) If you are 65 or over and have a large group health plan that your (or your spouse’s) employer employs 20 or more employees. 
b) If you have Medicare due to a disability and have a large group health plan that your (or your spouse’s) employer employs 100 or more employees.

  1. Will my current insurance coverage allow me to delay Medicare enrollment?
  2. When should I enroll into Medicare if I am delaying now?
  3. How will delaying enrollment now affect when I can enroll into Medicare in the future?
  4. How will delaying enrollment now affect my Medicare premium later?
  5. What information and documents will I need to provide to Social Security when I do enroll into Medicare?


Note: if you visit a Social Security Office, ask for a receipt that reflects the your visit. If you call Social Security, ask the representative to send you a record of your call. Always, write down the representative’s name, the date, the time of day and what the representative said.


Click On Related Web Links:


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Shopping For A Medicare Insurance Plan


Many people ask me what are some of the things I need to look for when comparing Medicare insurance plans against each other?

My suggestion is to check at least the following items:

  • Star Ratings for Medicare Advantage Plans and Prescription Drug Plans.
    (Provided each year by Medicare. Keep in mind that they can change from year to year. The star ratings can be found at Medicare.gov. If you cannot go online, each Medicare insurance plan enrollment guide booklet should also include the updated upcoming year’s Medicare star ratings for that specific plan.)
  • Carefully review the "Benefits at a Glance” and/or the more comprehensive “Summary Of Benefits” . In my opinion, some of the important (but not limited to) items to focus on and that should be considered before making a decision on which plan you choose are:
    • What type of Medicare insurance plan is it? Medicare Advantage HMO, Medicare Advantage PPO, or a Medicare Supplement with perhaps an additional stand alone drug plan. (PDP)
    • Annual Out-Of-Pocket Maximum (That is the most you will pay in a year for Medicare care provided by the plan. Note: This Annual Out-Of-Pocket Maximum amount does NOT include a maximum amount for prescription drugs, even if prescription drugs happen to be included in your plan.)
    • Copays for primary care physicians and also copay amounts for specialists.
    • Inpatient hospital care per day cost and how many days you have to pay.
    • Outpatient surgery cost (Find out if that outpatient surgery amount you are responsible for is just a plan flat copay amount or a percentage of the total amount?)
    • Emergency Care costs
    • Diagnostic radiology services and diagnostic tests/procedures costs
    • Ambulance
    • Prescription Drugs - Find out if your specific drugs are included in the formulary (complete drug list) of the plan you choose. Then find out the Tier level and/or cost of each of your drugs. Also find out which Pharmacies are in the network and also which are considered preferred Pharmacies for that plan - allowing you to get the least expensive prices.
    • If the Medicare insurance plan you choose has a network. Find out in advance if each of your specific doctors, hospitals, and other providers are in network for that specific Medicare insurance plan.
    • If a fitness program is important to you, find out if a basic gym membership is included in your Medicare insurance plan at no additional cost.
    • Find out what additional benefits, such as dental, vision, hearing, or even if there may be an allowance for "Over The Counter Drugs” is included with the plan you are considering.
    • Find out in advance if you can travel and still be covered for non-emergency visits to the doctor, etc. with that specific plan. (Note: Almost all the Medicare insurance plans do cover you if it is a true emergency!)
    • Plus there are many other items to compare, so determine what is important to your specific needs before making a decision!



I am an independent insurance agent, certified to handle multiple Medicare insurance companies, allowing me to help you find the Medicare insurance you feel fits your needs. I pride myself in providing excellent customer service to my clients. I will be attentive to your needs and strive to meet or even exceed your expectations for your Medicare insurance needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

If you are confused and/or want more information about which Medicare insurance plan to enroll in, either as a new plan or even if you are just switching to a different Medicare Insurance plan, please call me at 941-404-5334 to set up an appointment to discuss further. If relatively local, I’ll come right at your home, office, or other location.

By calling this number, I understand I will be directed to a licensed insurance sales agent.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Should I Keep My Existing Medicare Insurance Plan Or Switch To A New Plan?


It all comes down to a personal decision on what you feel fits your needs the best. There isn’t one magical plan that fits everybody’s needs the best!

Some important questions and items you should ask or review with an *independent" agent before switching plans are listed below. 

*I added the word “independent” since independent agents can offer multiple insurance companies giving you more flexibility and choices than just a captive agent that only works for one insurance company.

  • Star Ratings for Medicare Advantage Plans and Prescription Drug Plans.
    (Provided each year by Medicare. Keep in mind that they can change from year to year. The star ratings can be found at Medicare.gov. If you cannot go online, each Medicare insurance plan enrollment guide booklet should also include the updated upcoming year’s Medicare star ratings for that specific plan.)
  • Carefully review the "Benefits at a Glance” and/or the more comprehensive “Summary Of Benefits.” 
    In my opinion, some of the important (but not limited to) items to focus on and that should be considered before making a decision on which plan you choose are:

    • What type of Medicare insurance plan is it? Medicare Advantage HMO, Medicare Advantage PPO, or a Medicare Supplement with perhaps an additional stand alone drug plan. (PDP)
    • Annual Out-Of-Pocket Maximum (That is the most you will pay in a year for Medical care provided by the plan. Note: This Annual Out-Of-Pocket Maximum amount does NOT include a maximum amount for prescription drugs, even if prescription drugs happen to be included in your plan.)
    • Copays for primary care physicians and also copay amounts for specialists.
    • Inpatient hospital care per day cost and how many days you have to pay.
    • Outpatient surgery cost (Find out if that outpatient surgery amount you are responsible for is just a plan flat copay amount or a percentage of the total amount?)
    • Emergency Care costs
    • Diagnostic radiology services and diagnostic tests/procedures costs
    • Ambulance
    • Prescription Drugs - Find out if your specific drugs are included in the formulary (complete drug list) of the plan you choose. (Note: Each specific plan can have a different formulary, even if they are with the same insurance carrier.) Then find out the Tier level and/or cost of each of your drugs, plus what the annual drug deductible will be (if any). Also find out which Pharmacies are in the network and also which are considered preferred Pharmacies for that plan - allowing you to get the least expensive prices.
    • If the Medicare insurance plan you choose has a network. Find out in advance if each of your specific doctors, hospitals, and other providers are in network for that specific Medicare insurance plan.
    • If a fitness program is important to you, find out if a basic gym membership is included in your Medicare insurance plan at no additional cost.
    • Find out what additional benefits, such as dental, vision, hearing, or even if there may be an allowance for "Over The Counter Drugs” is included with the plan you are considering.
    • Find out in advance if you can travel and still be covered for non-emergency visits to the doctor, etc. with that specific plan. (Note: Almost all the Medicare insurance plans do cover you if it is a true emergency!)
    • Plus there are many other items to compare, so determine what is important to your specific needs before making a decision!





Click on web link below for related blog post:

Medicare Insurance Plan Choices for this Upcoming Annual Enrollment Period



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare - Social Security Expands Online Medicare Enrollment Process


The Centers for Medicare & Medicaid Services (CMS) and the Social Security Administration (SSA) recently expanded the functionality of the Medicare enrollment process to accommodate more online applications during the coronavirus pandemic.1

Previously, only people applying for Medicare Parts A and B at the same time could use the online portal. People who were already enrolled in Part A and were using a Special Enrollment Period (SEP) or seeking Equitable Relief to enroll in Part B had to submit documentation to SSA in person or via fax—an option made available during the current public health emergency.1

Under the modernized system, people who are eligible for a Part B SEP can now apply online. To qualify for this enrollment window, either they, their spouse, or sometimes a family member, must currently have or have recently lost a job that provided health insurance. Applicants must also upload proof of this job-based coverage, to show they have been consistently insured since becoming Medicare-eligible.1

Click web link below to read entire article:

https://www.medicarerights.org/medicare-watch/2020/06/11/social-security-administration-expands-online-medicare-enrollment-process-on-ssa-gov?utm_source=Medicare+Rights+Center


1. Source: https://www.medicarerights.org/medicare-watch/2020/06/11/social-security-administration-expands-online-medicare-enrollment-process-on-ssa-gov?utm_source=Medicare+Rights+Center

Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Steps On How To Enroll In Medicare Insurance Plans


  • If you want to enroll in a Medicare insurance plan (such as a Medicare Supplement or a Medicare Advantage Plan), then the first step is to be enrolled in both Part A and Part B through the Social Security office. 

  • If you do not already receive Social Security benefits when you turn 65, you must to apply for Medicare yourself. You can make an appointment at your local Social Security office to enroll or you can even enroll directly online at https://secure.ssa.gov/iClaim/rib . 
    However if you already receive Social Security benefits when you turn 65, the federal government will automatically enroll you in Medicare. You should not need to sign up for Medicare and your Medicare will start on the first of the month that you turn 65. Click this link to read related blog post

    To avoid penalties, you must enroll during your Initial Enrollment Period. Your Initial Enrollment Period includes the three months before your 65th birthday, the month of your 65th birthday, and the three months following your 65th birthday. If you enroll in Medicare during this seven month period, you can avoid late enrollment penalties and gaps in health insurance coverage.

    The Part B premium will be automatically deducted from your Social Security check. However, if for some reason you choose that you don’t want Part B you can contact the Social Security office and opt out of it. (Keep in mind there will be penalties later on if you decide you want to enroll in Part B later on in life and you didn’t enroll when you were first eligible.)

  • Once you are eligible, you can then pick the Medicare insurance plan and insurance company that you personally feel will best accommodate your needs. There are a variety ways of choosing Medicare Insurance plans, but it can be quite confusing and overwhelming doing all the research yourself. That is the time where you may want to choose an independent agent that carries multiple carriers to assist you. (Please Note: Independent agents are paid directly by the insurance company if you enroll through the agent. Commissions and fees are NOT paid to the agents by the clients’ themselves. Also keep in mind that independent Medicare insurance agents do not work directly for the Federal government.)

  • Gist: So if you enroll online or by phone directly with the insurance company, it will still cost you the same as enrolling with an independent agent, but without the benefit of a local independent agent explaining things in depth to you personally. Also by enrolling directly with an independent agent such as myself, you will get the benefit of a local person explaining Medicare to you in person on a one-on-one basis in your home, office, or other location, as well as explaining different Medicare insurance plans from different insurance companies, answering all your questions, and then also being here locally if you have questions, etc. after you are enrolled. With all the extra benefits of using a local independent agent to enroll you in a Medicare insurance plan at no additional cost to you, it is really a no-brainer to enroll through an independent agent. Call me at 941-404-5334, if I can assist you.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare - The 5 Most Asked Questions Since The Election


I read this informative AARP Bulletin January/February 2017 article and thought I’d share it.

Below are the five most asked questions regarding Medicare since the election and some partial answers:

  1. I’m already on Medicare. Could I really lose my coverage or see it radically altered?
    For people currently on Medicare, there is no immediate threat to your coverage. The most widely discussed plan proposed by House Republicans would not go into effect until 2024.1 (For full answer click below to read entire article.)


  2. Reforming Obamacare seems to be an important early goal of the Trump administration. How could that affect my Medicare coverage? 
    The ACA made a number of improvements to Medicare—including closing the gap in drug coverage (the “doughnut hole”), adding free preventive benefits and cutting excess provider payments—that improved the financial stability of the program….If the entire health care law is repealed, these improvements would be lost.1 
    (
    For full answer click below to read entire article.)

  3. Isn’t Medicare at risk of going broke within a few decades? For the sake of grandkids, don’t we have to make some changes?
    Medicare is not going broke: The program can pay full hospital benefits through 2028.1 
    (
    For full answer click below to read entire article.)

  4. I’ve heard about the voucher-type plan that House Republicans hope to implement soon. How would this plan change Medicare?
    The “premium support” plan put forward by House Republicans represents a dramatic change: It would move away from guaranteed benefits and instead provide older adults with a set amount of money (similar to what has been called a voucher) to buy health insurance from private companies.1 
    (
    For full answer click below to read entire article.)

  5. I’ve been paying payroll taxes for Medicare for many years and thought I was guaranteed coverage. Can the rules be changed now before I’m old enough for Medicare?
    Current benefits are set in law for today’s beneficiaries. But Congress can revise the law at any time to change the benefit guarantee, raise the age of eligibility and require higher cost sharing.1 
    (
    For full answer click below to read entire article.)


To find out the answers to the above questions, click on the web link below:

http://www.aarp.org/politics-society/advocacy/info-2016/why-medicare-matters-key-questions-answered.html?CMP=EMC-SNG-ADV-MED-012617&cmp=NLC-ADVOCATE-0117&autologin=true


1. Source: AARP Bulletin January/February 2017 “The 5 Most-Asked Questions” article on page 38.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - What Do I Need To Do To Enroll?


You need to enroll in Medicare on time or you could face penalties. The appropriate steps you need to take to enroll in Medicare on time will differ depending upon whether or not you already collect Social Security retirement benefits when you turn 65 or not. 

If you already receive Social Security benefits when you turn 65, the federal government will automatically enroll you in Medicare. You should not need to sign up for Medicare and your Medicare will start on the first of the month that you turn 65. 

However on the other hand, if you do not already receive Social Security benefits when you turn 65, you must to apply for Medicare yourself. To avoid penalties, you must enroll during your Initial Enrollment Period. Your Initial Enrollment Period includes the three months before your 65th birthday, the month of your 65th birthday, and the three months following your 65th birthday. If you enroll in Medicare during this seven month period, you can avoid late enrollment penalties and gaps in health insurance coverage.

The date your Medicare coverage begins depends on when you enroll during your Initial Enrollment Period. For your coverage to begin as soon as possible, it is best to enroll in the first three months of your Initial Enrollment Period (that is the three months before the month you turn 65). Your Medicare coverage will then go into effect starting the first day of the month you turn 65. If you enroll during the month you turn 65, your Medicare coverage will go into effect the following month. If you enroll during the fifth month of your Initial Enrollment Period, your Medicare coverage begins two months after you enroll. If you enroll during the sixth or seventh month of your Initial Enrollment Period, your coverage begins three months after you enroll.

To enroll in Medicare, you can call the Social Security Administration at (800) 772-1213, or you can enroll online, or you can visit your local Social Security office.

When you enroll in Medicare (either actively during your Initial Enrollment Period or automatically), you receive Medicare Parts A and B. Most people do not pay a premium for Part A, but almost all people owe a premium for Part B. That Part B premium can be deducted directly from your Social Security benefits if you already receive them.


Click link below to read more about enrolling in another related blog post:

Medicare: When To Enroll


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

  

Medicare - What Happens After You Turn 65?


Below are some things to understand about how working affects your Medicare benefits.

Source below is from a Nerdwallet Article by Kate Ashford.

You may be able to delay Medicare enrollment

If you’re still working at 65 & still have access to health benefits through your employer, or your spouse’s employer, you may be able to delay enrolling in Medicare without penalty. If your company has fewer than 20 employees, you should sign up for Medicare, but if it has 20 plus employees, you may be able to put it off.1

If you have the choice, compare what you would pay for group benefits through your employer with what you would pay for Medicare, including any supplemental coverage and/or prescription drug benefits. “If the group coverage is less, then it may make sense to not get Part B and wait until you retire,” says Julie Hall, a certified financial planner in Ann Arbor, Michigan. (Part A is free for most people, so there’s no point in delaying that Part A benefit unless you have an HSA).1

Make sure to contact your benefits department before delaying to make sure your employer doesn’t require you to enroll in Medicare.1

An HSA and Medicare don't mix

If you have a high-deductible health plan along with a health savings account, or HSA, be aware that you can’t save to an HSA once you’ve enrolled in Medicare! An HSA can be a valuable retirement savings tool, so it’s worth weighing your options if you have access to employer benefits that allow you to delay Medicare.1

“I see [an HSA] as a triple tax benefit,” says Diane Pearson, a CFP in Wexford, Pennsylvania, about the fact that money can be saved pretax, grow tax-free and be withdrawn pretax to pay for eligible medical expenses.1

If you’re collecting Social Security, you’ll be automatically enrolled in Medicare Part A when you turn 65; if you want to save to an HSA, you’ll have to delay Social Security benefits. If you plan to enroll in Medicare and you have an HSA, both you and your employer should cease contributions at least six months before you apply for Medicare to prevent tax headaches.1

Your earnings affect your Social Security payments

To read more on this item regarding Social Security payments, click on the web link below:

https://www.nerdwallet.com/article/insurance/medicare/working-past-65

Your income affects your Medicare premiums

Medicare Part B and Part D are subject to the income-related monthly adjustment amount, or IRMAA. The more you earn, the higher your premiums will be.1

In 2023, you’ll pay more for Part B and Part D if your modified adjusted gross income from two years ago was more than $97,000 as a single tax filer or more than $194,000 if you filed jointly. The extra costs can add up, and experts recommend factoring this into your work plans.1


1. Source: Nerdwallet Post by Kate Ashford
https://www.nerdwallet.com/article/insurance/medicare/working-past-65


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - What Happens If You Missed Your Initial Enrollment Period?


Did you have employer insurance through a current job or your spouse’s job at the time you became eligible for Medicare?


If yes:

You may be eligible for a "Special Enrollment Period," which means you can enroll in Medicare without penalty at any time while you have group health coverage and also for 8 months after you lose your group health coverage or you (or your spouse) stop working, whichever comes first. 


If no:

You can apply for Medicare during the General Enrollment Period, between January 1 and March 31 of each year. Your coverage will start the following July and you will have to pay a Part B premium penalty. 


Note: It is best to contact the Social Security office find out information for your specific situation.

Social Security (800-772-1213)
www.ssa.gov/pgm/reach.htm


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - What Is A Formulary?



A formulary is a list of prescription drugs that are covered in a stand alone Medicare Prescription Drug plan (Part D) or Medicare Advantage plan (Part C) that has prescription drug coverage included. (Note: Not all Medicare Advantage plans have prescription drug coverage included.) 

Each Medicare Prescription Drug plan (Part D) and Medicare Advantage plans, that have prescription drug coverage, have their own specific formularies. If your prescription is not in the formulary of the Medicare Insurance plan you choose, then it is not covered. So it is very important to look up all your prescriptions within the specific plan you choose in advance before you decide to enroll in that specific plan. Formularies can not only vary just from one insurance company to another insurance company, but also can vary within the same company by different plans. So don’t assume all your drugs are covered just because your drugs were listed in the formulary of an insurance company in one plan, but then you decide to switch to another plan within the same company. Since they could have a different formulary for that other plan even though it is through the same insurance company and possibly some of your drugs may not be covered under that different plan. In addition, even if all your drugs are covered in one plan and are also still covered in another plan you choose, verify the tier levels for each of your drugs are the same. Tier levels can vary from one plan to another. Many Medicare Insurance plans place drugs into different tier levels within their formularies. Drugs in each tier level can have different costs. Generally the lower the tier level, the lower the copay for the member, with some exceptions. Be sure to find out the tier level and copays for each of your drugs. Also check to see if there is a deductible in your drug plan and if so, how much. Since some plans (but not all) require you to pay a deductible for your drugs before any drug benefits kick in. 


For more information, click on the link below:

https://www.medicare.gov/drug-coverage-part-d


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - What Is A Medigap Policy?


Many American’s are totally confused when becoming eligible for Medicare on what their options are and then which plans to choose from. All the TV ads, newspaper ads, and even the abundance of US Mail you receive still doesn’t clarify the subject and sometimes even adds to the confusion. Additionally many folks already on Medicare still really don’t know what type plan they have or their options to change plans.

A “Medigap” policy is basically just another name for a "Medicare Supplement” policy.

A Medicare Supplement (Medigap) policy is a standardized supplemental health plan that pays for part or all of Medicare related health care costs that you would otherwise pay out of pocket if you just had Original Medicare. Medicare Supplement policies only work with Original Medicare Parts A and B, which is Medicare coverage through the federal government. So need to have Part A & Part B first if you want to enroll in a Medicare Supplement policy.
Note: If you plan to get your Medicare benefits through a private insurance company, called a Medicare Advantage Plan (also known as Medicare Part C), then you cannot additionally purchase a Medicare Supplement policy. To be very clear, you cannot legally have both type policies at the same time.

Medicare Supplement policies “supplement" Original Medicare costs. Those type of out of pocket costs can include deductibles, coinsurance charges, and copays). Medicare Supplement policies do not usually pay for items not covered directly by Medicare. However, some Medicare Supplement policies do cover some emergency care received in foreign countries, which is typically not covered by Medicare.  

Medicare Supplement policies are regulated by each state, usually under a department of insurance or a similar state agency. This means that some aspects of Medicare Supplement policies work differently in each state. Medicare Supplement policies are still subject to some federal regulations, but different states may have their own Medicare Supplement rules as well.

There are different types of Medicare Supplement policies that you can purchase. Private insurance companies can offer ten standardized Medicare Supplement policies in most states: Plans A, B, C, D, F, G, K, L, M, and N. Note that insurance companies do not have to offer all ten Medigap policies. 

Important Note: Plans with the same letter offer the same benefits, but each insurance company may charge a different monthly premium. Meaning that you can get the same exact coverage even if you choose the exact same letter plan with a lower monthly premium from a different insurance company. So it is best to shop around to get the lowest premium with an insurance company that is reputable and pays their claims on time. Also it is important to review the history of the past years increases for any company you are considering enrolling with. Some Medicare Supplement insurance companies have had very minimal increases while others may have had large annual increases. So although the past doesn’t always predict the future, it is a good guide to help you decide.


Related Topics:

Click web links below to read:

Medicare - Medicare Advantage Plans Are Not The Same As Medicare Supplement Plans

Medicare - What Is The Difference Between Medicare Supplement And Medicare Advantage Plans


I am an independent insurance agent, certified to handle multiple Medicare insurance companies, allowing me to help you find the Medicare insurance you feel fits your needs. I pride myself in providing excellent customer service to my clients. I will be attentive to your needs and strive to meet or even exceed your expectations for your Medicare insurance needs.

So if you are confused and/or want more information about which Medicare insurance plan to enroll in, either as a new plan or even if you are just switching to a different Medicare Insurance plan, please call me at 941-404-5334 to set up an appointment to discuss further. If relatively local, I’ll come right at your home, office, or other location.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - What Is A Scope Of Appointment Form & Do I Have To Sign One?


There are many rules and regulations that were set up by the CMS (Centers for Medicare and Medicaid Services) to help protect seniors. One is the Scope Of Appointment form.

Agents are not permitted to come to your house without an invitation. A “Scope Of Appointment” form is required to be signed by prospective clients in advance of an agent discussing their Medicare Insurance plan options. (A Scope Of Appointment form is basically just your written permission for an agent “only" to discuss the Medicare plan options listed on that form. This type of form was designed to help protect seniors from unscrupulous agents making Medicare appointments, then showing up just to sell Life Insurance, Annuities, or other unrelated products that may be more profitable for them.)

All Medicare appointments must follow the scope of appointment form options that you agreed to and signed before discussing Medicare. The scope of the appointment lists what you specifically want to discuss at the appointment whether it is a Part D plan, a Medicare Advantage Plan, or a Medicare Supplement (also known as a Medigap) plan. The agent is not allowed to talk to you about other products that are not included in the scope of the appointment. If there is another unrelated Medicare product topic to be discussed, the agent will need to make another appointment with you to discuss that topic at a later date and time.

However keep in mind by signing a Scope Of Appointment, it still does NOT obligate you to enroll in a plan. It is just giving your permission to discuss your Medicare Insurance plan options.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - What Is ANOC And How Does It Affect You?


ANOC is an abbreviation for Annual Notice Of Change.

The Annual Notice of Change (ANOC) may be considered the most important mailing you'll receive from your Medicare plan each year, and you should definitely read it.

If you are currently enrolled in a Medicare Advantage Plan or a stand-alone Part D prescription drug plan, then you should receive a plan "Annual Notice of Change" (ANOC) and/or *Evidence of Coverage (EOC) from your plan each fall no later than September 30. If you do not receive an ANOC from your plan by the first week of October you should call your plan’s member service phone number on the back of your member ID card.

The ANOC notices include a summary of any changes to your plan’s list of covered drugs (known as a formulary), copays, coinsurance, deductibles, other health benefits, and premium costs that will be effective January 1st of the next year. It is important for you to read your mail from your plan to see if there are any changes that may affect you. The fact is that almost every plan makes some changes for the new year, so the costs and benefits in place on December 31 may well be dramatically different on January 1. Review any changes to decide whether the plan will continue to meet your needs in the next year.


*Evidence of Coverage is a more comprehensive list of the plan’s cost and benefits for the upcoming year.

 



Note: If you feel your current plan will not meet your needs for the upcoming year, feel free to call me at 941-404-5334 to set up an appointment where we can review some different plans together that you feel may fit your needs better.

All this Medicare information can be overwhelming and confusing to many people. As an independent licensed agent I can explain all this to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a different plan that you feel may fit your needs better.

By the way, it doesn’t cost you any more if you enroll through me as an independent agent versus directly with an insurance company either over the phone or via the Internet since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - What Is The Difference Between Medicare Supplement And Medicare Advantage Plans


One type of plan doesn’t fit everybody’s needs. A Medicare Supplement plan may be good for one person, but on the other hand a Medicare Advantage plan may fit better for somebody else. However you are not allowed have both a Medicare Supplement and Medicare Advantage plans at the same time.

Below I list some of the main differences between a Medicare Supplement versus a Medicare Advantage plan:


Medicare Supplement (Also known as Medigap):

  • With a Medicare Supplement plan, private insurance companies can cover all or part of your Medicare "out of pocket expenses," depending on which Medicare Supplement plan you choose.
  • If you choose a Medicare Supplement plan you will still be covered by Original Medicare. Medicare Supplement plans just compliment Original Medicare. So if Original Medicare doesn’t cover a procedure, neither will your Medicare Supplement plan.
  • New Medicare Supplement plans do not cover prescription drugs. (If you want prescription drug coverage, you will need to purchase an additional separate plan, known as Part D.)
  • You can go to any doctor in the U.S. as long as they take Medicare. (No Networks)
  • Along with that extra flexibility, there is generally more cost. Premiums can be much higher for a Medicare Supplement versus a Medicare Advantage plan and as I mentioned above if you want prescription drug coverage you will still need to purchase a Part D plan in addition to the Medicare Supplement premium.
  • Even within the Medicare Supplement plans, there are many Plans to choose from, identified by Letters. (These Medicare Supplement “Plan” letters are different from the Medicare “Part" Letters, such as Part A, B,C, and D.) So don’t get confused.
  • In Florida (and most states except Mass., Minn. and Wisc.) each Medicare Supplement plan letter has to be standardized from one insurance company to another. (For example, when shopping one insurance company plan against another, Medicare requires the plans to be standardized. So really the only main differences from one insurance company’s Medicare Supplement to another (with the same plan letter) will be the premium amount, and possibly any additional benefits on top of the standardized benefits. Also when comparing Medicare Supplement companies, keep in mind the percentage of their previous annual increases from one company to another, to get an approximate idea of possible future increase percentages. Also ask how is their customer service and ability to pay claims on time.


Medicare Advantage Plans (Also known as Part C):

  • Medicare Advantage comprises a variety of private health plans. Instead of still having Original Medicare, like with a Medicare Supplement, Medicare Advantage plans are administered thru private insurance companies. However every Medicare Advantage plan must cover all the same benefits, or more, than Original Medicare covers.
  • Medicare Advantage plans can be more restrictive than Medicare Supplement plans, but they generally have very low premiums and many even have zero premiums. 
  • Many Medicare Advantage plans can also include prescription drug coverage all in the same plan, at no additional premium cost.
  • Unlike Medicare Supplement Plans, most (but not all) Medicare Advantage plans have a network. 
  • With Medicare Advantage HMO plans you need to go to providers in-network or you are not covered, unless a true emergency. Also with many HMO plans you need to get a referral from your primary care physician to go to a specialist.
  • With Medicare Advantage PPO plans you have a little bit more flexibility and can go out of their network, but it will cost you more for the privilege.
  • With both Medicare Advantage HMO & PPO plans you can have copays, coinsurance, and deductibles that you may be responsible for. Be sure you understand each plan that you review carefully before choosing to enroll in one. 
  • Many (but not all) Medicare Advantage HMO & PPO plans include prescription drug coverage in the same plan at no additional premium. However there is a formulary (drug list) for each plan. If your prescription drug is not in the formulary, it is not covered.
  • Medicare Advantage HMO & PPO plans have an annual out-of-pocket maximum. This is kind of a safety net, so your medical expenses don’t exceed that amount in one year. It resets every year though. (Keep in mind that your prescription drug copays, coinsurance, and deductible are not included in that annual out-of-pocket maximum amount. Only your medical expenses are included.)
  • Medicare Advantage plans can also have additional benefits that Original Medicare does not. Each plan can be different, but some could include vision or dental benefits, etc.



Note: All this Medicare information can be overwhelming and confusing to many people. As an independent licensed agent I can explain all this to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll through me as an independent agent versus directly with an insurance company either over the phone or via the Internet. Since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - What Providers, Prescriptions, Medical Procedures, Etc. Are Covered Under My Medicare Insurance Plan?



Each Medicare Insurance Plan type covers different things, and even the same type plan in a different area may cover different things and/or at different out of pocket expenses. It is important to have your insurance agent that enrolls you in a plan explain what your Medicare Insurance Plan covers, and also make sure that all your doctors and prescriptions are covered under your Medicare Insurance plan you choose “before" signing up.

If you are confused after you already have enrolled in a Medicare Advantage plan you should call the member services toll free phone number on the back of your member ID card and ask the phone representative your questions. They should be able to tell you if your doctor is in network, if your prescriptions are covered, if a medical procedure is covered, as well as the amount your copays, coinsurances, or deductibles, if applicable for your procedures. Also they can look up what Pharmacy is in network and which Preferred Pharmacies will save you the most on your specific drugs.

For those with a Medicare Supplement, most plans will allow you to go to any doctor in the U.S. that takes Medicare. However there are some select Medicare Supplements plans that require you to use in network “hospitals." You can also call the member services toll free phone number on the back of your member ID card if you have any questions on your Medicare Supplement Plan. Keep in mind that you will need to have a separate Prescription Drug Plan if you want your prescription drugs covered, since none of the newer Medicare Supplement plans include prescription drug coverage.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - When Turning 65, Should I Sign Up Or Not?


When is the right time for you individually to enroll in Medicare? It all depends on your individual circumstances. See below for some tips:


  • Don’t miss Medicare deadlines for enrolling, or it could cost you big time in late enrollment penalties later on when you do decide to enroll. In most cases, the penalty payment sticks with you once you enroll and carries on for as long as you have the coverage. 
  • Part B: The late enrollment penalty is 10 percent of the Part B premium amount for each full 12-month period you delay enrollment past your eligibility month.
  • Part D: When you finally do enroll in Part D, the late enrollment penalty is 1% for every month you missed once you were eligible for Part D, if you delayed enrolling at that time, and didn’t have credible coverage.
  • Important Take Away: Even if you delay your retirement beyond the age of 65, it doesn’t necessarily mean you should also delay making Medicare decisions and dealing with Medicare enrollment.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Which Insurance Is Primary? (Medicare Or Employer Coverage?)


There are many factors that determine whether Medicare is primary (pays first) or secondary (pays second) and it will depend on your specific situation.

If you have Medicare and other health insurance or coverage, each type of coverage is called a "payer." When there's more than one payer, "coordination of benefits" rules decide which one pays first. The "primary payer" pays what it owes on your bills first, and then sends the rest to the "secondary payer" to pay. In some cases, there may also be a third payer.

Medicare can either be primary or secondary to your employer coverage. This coverage usually depends on the size of the employer and whether or not you or your spouse are currently working.

Primary insurance pays first for health care claims. Secondary insurance pays after the primary insurance for some or all of what the primary insurance did not cover. Knowing which is your primary insurance is important to understand because secondary insurance often refuses to pay anything if the primary insurance has not paid first.

You should consult with to your employer to find out how your employer insurance will work with Medicare.

Generally if you are 65 or over and still have insurance through your (or your spouse’s) current employer that has 20 or more employees, then your employer coverage is primary. However with that said, if you have insurance coverage through your (or your spouse’s) current employer that has fewer than 20 employees, then Medicare is primary.

For other situations, please click on the web link below

How Medicare coordinates with other coverage

https://www.medicare.gov/supplement-other-insurance/how-medicare-works-with-other-insurance/how-medicare-works-with-other-insurance.html




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare - Why You Do NOT Want To Miss These Deadlines!


Very informative Money video and article with experts Larry Kotlikoff and Phil Moeller explaining about the most important things you should know.

Be warned, that there may be a very, very short political advertisement preceding the video that you can choose to ignore. However the content after that ad is worth the wait.

By enrolling in Medicare during the appropriate deadlines, you can avoid penalties that can follow you the rest of your life if you miss them!


Click the web link below to view the video and entire article.

http://time.com/money/4363233/medicare-deadline-social-security/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Advantage - Prescription Drugs That Are Injected At A Doctor’s Office


Many, but not all, Medicare Advantage plans include prescription drugs at no additional premium. 

Medicare Advantage plans that do include Part D prescription drugs may have some caveats, with regards to member’s out of pocket costs, when it comes to getting certain types of injections at at doctor’s office. Depending on how the doctor’s office bills the shot, the member’s out of pocket expense could be a big shock to them. Some prescription drugs can be billed under different parts of Medicare (including any Medicare Advantage plan that includes prescription drug coverage.)

It is important to ask BEFORE having a shot at a physician’s office whether the shot will be billed under Part B or Part D. If billed under Part B, the member’s out of pocket expense could be 20%! Which could be a lot more expensive than the Part D Tier level out of pocket expense a member thought it was going to be for that same drug. Out of pocket costs to the member can be ambitious for different type shots/drugs. So it is important to do the research of how much your out of pocket expense will be before you have the injection at a provider’s office! I highly suggest you talk to your doctor’s office in advance of getting your Osteoporosis (or other type) shot and find out what your out of pocket costs will be.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Review

Medicare Advantage - Reasons Why You May Want To Consider Switching Plans


If you are satisfied with your existing Medicare Advantage plan, then generally there is no reason to switch plans. However, there are some reasons that may make better sense to change from your existing Medicare Advantage plan to a new Medicare Advantage plan. Although, just changing plans for the sake of change is usually not a good idea. The reason is that you may be already familiar with your existing plan benefits, plan rules, and how your existing plan works. With a new plan you may have a little learning curve getting used to the new Medicare Advantage Plan rules.


Some reasons to switch Medicare Advantage plans could be:

  1. A benefit that you would like to have in a plan that is not currently in your existing Medicare Advantage plan, but is offered in a different Medicare Advantage plan. Just some examples of benefits you may want, could be benefits like: Dental, Vision, Hearing, Gym Memberships, OTC benefits, travel benefits that allow you to pay in-network when outside of your local area, etc.
    Note: Make sure that there aren’t higher monthly premiums or higher copays for the new plan or other costly surprises
  2. A doctor or group of doctors is not in your existing plan’s network, but is offered in a different Medicare Advantage plan’s network. (Although, be sure all your other doctors are also in the new plan’s network as well.)
  3. Your total out of pocket prescription drug costs in a new Medicare Advantage plan would be lower than with your existing Medicare Advantage plan.
  4. Your total out of pocket Medical expenses for doctors, hospitals, etc. in a different Medicare Advantage plan would be less than in your existing Medicare Advantage plan.
  5. You are not happy with the customer service of your existing plan.


Don’t fall for TV ads or other marketing that seem almost too good to be true, since usually there is catch and then you may be locked into that new plan for a year! It is best to thoroughly know what you are getting into before enrolling.

I highly recommend before making any switches to talk it over with an experienced independent agent (such as myself) that is familiar with multiple Medicare Advantage plans, to get their advice and/or suggestions and help you with the switch to another Medicare insurance plan. By the way, it doesn’t cost you any more if you switch Medicare Insurance plans through me as an independent agent, or go directly to the insurance company. So why not get the personalized service by a local agent, then try to do it all yourself?


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Review

Medicare Advantage Appeal Outcomes


Something important to know, it can really pay to appeal a Medicare Advantage denial of coverage since chances are good the denial will be overturned if the claim is legitimate. 

When beneficiaries and providers appealed preauthorization and payment denials, Medicare Advantage Organizations (MAOs) overturned 75 percent of their own denials during 2014 to 2016 according to a report from the Office Of Inspector General (OIG).

During the same 
period, independent reviewers at higher levels of the appeals process overturned additional denials in favor of beneficiaries and providers.1

Beneficiaries and providers rarely used the appeals process, which is designed to ensure access to care and payment. During 2014 to 2016,
beneficiaries and providers appealed only 1 percent of denials to the first level of appeal.1

When Medicare Advantage beneficiaries and providers appealed, they were usually successful in getting denials overturned!1

So bottom line: If you feel you have had a legitimate Medicare Advantage claim denied, file an appeal! You should be able to contact your Medicare Advantage customer service via the phone number on the back of your member card to find out the process to appeal for your specific plan and company.

1. Source: Report in Brief U.S. Department of Health and Human Services, September 2018 OEI-09-16-00410 (Office of Inspector General)


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Advantage Or Part D Renewal Time


Annual Election Period is the time of year you are allowed to switch Medicare Insurance plans, without having to qualify for a “Special Election Period.” 

Medicare Advantage (or Medicare Part D prescription drug) plan Annual Notice Of Change (ANOC) provides important information you should review each year. It can help you decide whether to keep your current plan or look for a new plan during the Annual Enrollment Period.

Below is what to look for when you get your ANOC, along with some questions to help you understand plan changes and what they may mean for you.

 

Coverage changes

  1. What new benefits have been added to your Medicare insurance plan?
  2. Are there any other changes that may affect the services you use?
  3. Have there been any changes in your health recently that may affect what services you may need or how often you may need those services in the upcoming year?
  4. If your health has changed recently, will your current Medicare insurance plan benefits cover the additional care you may need in the upcoming year?

 

Provider network changes:

  1. If you can, try to find out what providers have been added to or possibly removed from the plan network?
  2. Are all your current doctors that are in your current plan, still going to be in the network for the upcoming year?
  3. What about hospitals or other providers or specialists that you may need?
  4. If your preferred providers are not in your plan’s network for the upcoming year, are you willing to switch to other providers that are in-network?
  5. Check for any prescription drug list (formulary) changes, and for any pharmacy network changes for your plan for the upcoming year. Also be sure to check the drugs you are currently taking to see if they are still listed in the formulary as well as if the tier levels have changed for the upcoming year?
  6. Is your pharmacy in your Medicare insurance plan's network? Is it a "preferred pharmacy" that offers the plan's best pricing?

  

Cost changes

  1. Are any other costs that are changing, such as deductibles, co-pays, co-insurance, annual out of pocket maximum?
  2. If you have a Medicare Advantage plan, understand what your maximum out-of-pocket limit is. (Both In-Network and Out Of Network)
  3. How will cost changes affect your total out-of-pocket spending for the services and prescription drugs you may need?

 

Note: If you did not receive an ANOC letter by the beginning of October, call your Medicare Advantage plan or Stand Alone Prescription Drug plan member services phone number on the back of your member card. 




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare Advantage Plans - Ambulatory Surgery Centers


About two-thirds of all hospitals and health systems intend to increase their investments in Ambulatory Surgery Centers (ASCs), according to the third annual national survey of senior executives and clinical leaders at health systems and hospitals. The survey results highlight the growing importance of ASCs to hospitals, which is further magnified by the increasing and ongoing shift of elective cases in the COVID-19 era.1

"ASCs continue to be the model for providing high-quality, low-cost surgical care, and many hospitals are converting their outpatient departments or migrating cases to ASCs," said Joan Dentler, president and CEO of Avanza. "This was true before the pandemic reinforced the business case for every hospital having at least one freestanding ASC in its portfolio.”1

Click below web link to read the entire article:

http://savannahceo.com/news/2020/10/majority-hospitals-increasing-investments-surgery-centers/

1. Source: http://savannahceo.com/news/2020/10/majority-hospitals-increasing-investments-surgery-centers/


So why is this important and how does it relate to many Medicare Advantage plans?

Many MAPD plans (Medicare Advantage with Prescription Drug coverage included) have a significantly higher copayment for services received at a hospital owned Ambulatory Surgery Center versus a non-hospital affiliated stand alone Ambulatory Surgery Center, even if both are in-network. A lot of these new Hospital Owned Ambulatory Surgery Centers are not physically located in a hospital setting. Therefore Medicare Advantage plan members may get confused and incorrectly believe that they are only responsible for the lower copay of a non-hospital affiliated stand alone Ambulatory Surgery Center benefit. So it is important to ask in advance if the Ambulatory Surgery Center you plan to go to is a non-hospital affiliated stand alone Ambulatory Surgery Center or you may be responsible for paying a more expensive copay than you thought.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Advantage Plans - Are There Too Many Choices?



I was reading a Kaiser Family Foundation (KFF) report that I found interesting. Sometimes too many Medicare Advantage plan choices can mean more confusion. I personally tend to agree!

According to a Kaiser Family Foundation (KFF) report that analyzed the 2022 Medicare Advantage plan landscape, it found that the average Medicare beneficiary has access to 39 Medicare Advantage plans! That was more than double the number available in 2019! However, those numbers will vary by specific areas.1

A related article from Medicare Rights Center mentioned that the large number of available plans can actually cause problems for beneficiaries. More plans, more (and varied) extra benefits, and more special plans means more choices, but more choice is not always better. Especially when plans are remarkably similar, benefits have a lot of fine print, and costs associated with narrow networks or other restrictions can be hard to determine, more choices can be overwhelming and impede good decision-making.2

Click on this web link below to read the entire report:

https://www.kff.org/medicare/issue-brief/medicare-advantage-2022-spotlight-first-look/

Click on this web link below to read the entire Medicare Rights Center article:

https://www.medicarerights.org/medicare-watch/2021/11/04/medicare-advantage-plans-more-choices-more-extras-maybe-more-confusion

Being an “independent" agent, I can help you sort through the maze of Medicare insurance plans to help you find what plan you feel fits your needs the best. (An “independent" agent means that I offer different insurance companies' plans and I’m not locked into offering just one company’s set of plans.) By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.


1. Source: Kaiser Family Foundation (KFF) 
https://www.kff.org/medicare/issue-brief/medicare-advantage-2022-spotlight-first-look/

2. Source: Medicare Rights Center
https://www.medicarerights.org/medicare-watch/2021/11/04/medicare-advantage-plans-more-choices-more-extras-maybe-more-confusion


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.


By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Advantage Plans - Conflicting View Points


As I mentioned at the start of some of my other blog posts:

No one type of Medicare Insurance plan fits everybody the same. What may work best for one person, may not work very well for another person. It is a personal choice for you to decide, but it is important to get all the facts first before making a decision. It is equally important to review the Summary of Benefits before picking a specific Medicare insurance plan.

With that said, there will always be conflicting view points on which type of Medicare Insurance plan is better than another type.

For example, I recently read an EBRI article, by Jake Spiegel and Paul Frontin, on which type Medicare insurance plan may have the least amount of savings needed for the average person over the long run, due to their analysis of their simulation model. 

Click on web link below to read that entire article.

https://www.ebri.org/health/publications/issue-briefs/content/projected-savings-medicare-beneficiaries-need-for-health-expenses-increased-again-in-2023

One example was for a 65 year old man enrolled in a Medicare Supplement (Medigap) plan with average premium would need to save $106,000 in order to have a 50% chance of having enough to cover premiums and median prescription drug expenditures, and a woman would will need to have saved $128,000.1

"To have a 90 percent chance of meeting their health care spending needs in retirement, a man will need to have saved $184,000, and a woman will need to have saved $217,000. Couples enrolled in a Medigap plan with average premiums, meanwhile, will need to have saved $234,000 to have a 50 percent chance of covering their medical expenditures in retirement and $351,000 to have a 90 percent chance.”1

"Representing an extreme case, a couple with particularly high prescription drug expenditures will need to have saved $413,000 to have a 90 percent chance of having enough money to cover their health care costs in retirement.”1 

"Although there is significant individual-level variation, enrollees in Medicare Advantage plans generally have lower savings targets. A man enrolled in Medicare Advantage who has median drug expenditures and is an average user of health care services will need to have saved $57,000 to have a 50 percent chance of meeting his health care spending requirements in retirement, and he would need $99,000 to have a 90 percent chance. Meanwhile, a woman will need to have saved $69,000 to have a 50 percent chance and $116,000 to have a 90 percent chance of having enough to cover her health care costs in retirement. Couples will need to have saved $127,000 to have a 50 percent chance and $189,000 to have a 90 percent chance of covering their health care expenditures in retirement. Of course, there are other factors to consider when it comes to choosing a Medicare Advantage plan over traditional Medicare. Medicare Advantage plans often have limited networks or may require approval before certain medications or services are covered.”1

--------------------------------------------------------------------------------------------------------------------

A totally different Barron’s article by Elizabeth O’Brien entitled "Medicare Advantage Is Under Fire. What It Means for your Health-and Wallet” has a completely different view point and conclusion.2 

Click on web link below to read that entire article.

https://www.msn.com/en-us/money/insurance/medicare-advantage-is-under-fire-what-it-means-for-your-health-and-wallet/ar-BB1kcnYG



1. Source: https://www.ebri.org/health/publications/issue-briefs/content/projected-savings-medicare-beneficiaries-need-for-health-expenses-increased-again-in-2023

2. Source: https://www.msn.com/en-us/money/insurance/medicare-advantage-is-under-fire-what-it-means-for-your-health-and-wallet/ar-BB1kcnYG


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Advantage Plans - Percentage Of Beneficiaries Enrolled



I thought I would share an informative KFF.org article dated May 1, 2023 by Jeannie Fuglested Biniek, Meredith Freed, Anthony Damico and Tricia Neuman. The article stated that half of all eligible Medicare Beneficiaries are now enrolled in private Medicare Advantage plans. 

"According to recently released data from the Centers for Medicare & Medicaid Services (CMS), Medicare Advantage now provides Medicare coverage for just over half of eligible beneficiaries. In January 2023, 30.19 million of the 59.82 million people with both Medicare Part A and Part B were enrolled in a private plan Medicare Advantage, the private plan alternative to traditional Medicare, covers Medicare Part A and B benefits (and typically Part D benefits), often for no additional premium (other than the Part B premium). Insurance companies contract with the Medicare program and receive payments for providing these services.” 1

The article goes on to say that Medicare Advantage enrollments have increased dramatically in the recent years. "The growth in enrollment is due to a number of factors, including the attraction of extra benefits offered by most plans, such as vision, hearing, and dental services, and the potential for lower out-of-pocket spending, particularly compared to traditional Medicare without supplemental coverage. Medicare Advantage plans also offer the simplicity of one-stop shopping, in that enrollees do not need a separate Part D prescription drug plan or supplemental coverage.

At the same time, Medicare Advantage plans typically use tools to manage utilization and costs that may limit access to care, such as prior authorization requirements and referrals for specialists and mental health providers.”1


To read the entire article, click on the web link below:

https://www.kff.org/policy-watch/half-of-all-eligible-medicare-beneficiaries-are-now-enrolled-in-private-medicare-advantage-plans/


1. Source: https://www.kff.org/policy-watch/half-of-all-eligible-medicare-beneficiaries-are-now-enrolled-in-private-medicare-advantage-plans/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Advantage Plans - Pros and Cons


No one type of Medicare Insurance plan fits everybody the same. What may work best for one person, may not work very well for another person. It is a personal choice for you to decide, but it is important to get all the facts first before making a decision. However it is also important to pick the correct plan that fits your needs, since not all Medicare Advantage plans have the same benefits. It is important to review the Summary of Benefits before picking a specific plan.

If you currently have health insurance, you probably already have some similarities of a Medicare Advantage plan, such as a PPO or HMO plan. There are some major differences as well.

Medicare Advantage plans are administered through private insurance companies and not through the government like Original Medicare is.

I’ll start with some of the Pro’s of a Medicare Advantage plan and then list some of the Con’s.


Pro’s

  • Many Medicare Advantage plans have a $0 monthly premium!
  • Many Medicare Advantage plans do not have a Medical deductible!
  • Many Medicare Advantage plans include drug coverage in the same plan with no additional monthly premium.
  • Medicare Advantage plans have to give you at least the same (or more) Part A and Part B benefits than what Original Medicare allows you for Part A or Part B benefits.
  • Medicare Advantage plans may include additional benefits that Original Medicare and/or Medical Supplements may not, such as:
    • Dental Benefits
    • Vision Benefits
    • Hearing Benefits
    • Fitness Memberships At Gyms
    • Nurse Helplines (Available 24 hours a day & 365 days a year)
    • Heath Screening Tests
    • Over The Counter (OTC) Benefits
  • All Medicare Advantage plans have a Maximum Annual Out Of Pocket Limit
  • True Emergency coverage at in-network rates within the U.S., even if out of network.
  • Medicare Advantage plans cover Urgently Needed and Emergency Services Worldwide! (Original Medical generally doesn’t cover emergency services out of the U.S.) 
  • Medicare Advantage PPO plans allow you the flexibility to go out of network, but you will pay more to do so. However if you stay in-network, generally you will have lower costs.
  • Some plans allow you to travel in other states and still be covered in-network.
  • Medicare Advantage plans generally try to keep the emphasis on heather living and preventive care.
  • Medicare Advantage plans must enroll any eligible beneficiary who applies regardless of health. (Starting 2021 - Including those with ESRD!)
  • Some Medicare Advantage plans may cover additional days of hospitalization vs Original Medicare.
  • Some Medicare Advantage plans may cover skilled nursing and rehabilitative services without a prior 3 day inpatient Hospital stay. 


Con’s

  • Most Medicare Advantage plans have a network of doctors.
    Note: HMO’s require you to use a provider in-network or you are NOT covered. (With the exception of a true emergency. All Medicare Advantage plans cover true emergencies, even if out of network.)
    However, PPO plans have more flexibility allowing you to go out of network, but you will pay more if you do.
  • Your favorite doctors possibly may not be in-network. That is why it is important to make a list of your doctors and have your agent look all of them up in the specific plan you choose before enrolling. That way you shouldn’t have unpleasant surprises later in the year.
  • You need to be living in a Medicare Advantage plan service area in order to enroll in a specific Medicare Advantage plan. If you move out of that service area later, you will be required to change plans.
  • Most Medicare Advantage plans have copays, co-insurance, and possibly deductibles. So you kind of pay as you go.
  • Some covered items may need preauthorizations. 
  • Generally, unless you have a special circumstance that qualifies you for a Special Election Period (SEP) you may be locked into your the Medicare Advantage plan you chose for up to one year until the next Annual Election Period (AEP).
  • Note: Not necessarily a con, but just like with a Medicare Supplement plan, you are required to be enrolled in Part A and Part B in order to be enrolled (and stay enrolled) in a Medicare Advantage plan. So you will still need to continue to pay Part B premiums to the government.
  • Note: Not necessarily a con, but just like with a stand alone Part D plans, Medicare Advantage plans that include drugs have a formulary. (A formulary is a list of drugs covered under that specific plan.) If your drugs are not included in their formulary for the plan you choose, they won’t be covered. So it is important for you or your agent to check in advance to make sure all your drugs are covered and estimate how much each will cost.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Advantage Plans - Questions To Ask Before Enrolling!


Some of the questions/information you should be asking and understanding the answers to, are:

  • Review the plan’s Summary Of Benefits.
    (Ask questions about anything you don’t understand.)
    Take notes on how much the copays/coinsurance are for each service.
    For in-patient hospital stays, ask how much copays are for each day and also how many hospital days you will be responsible to pay copays for each stay.

  • What is the monthly premium?

  • What is the Annual Maximum Out-Of-Pocket Cost?
    In a worst case scenario, this is the most you will have to pay each year for Medical.
    Note: The Annual Maximum Out-Of-Pocket Cost doesn’t include prescription drug costs.  Also please keep in mind that PPO plans have different Out-Of-Pocket Amounts for
    In-Network vs Out-Of-Network. So be sure to find out both those amounts.


  • Is there a deductible for Medical?
    (A deductible is the amount you have to pay out of pocket before coverage starts.)

  • Ask if all your doctors are in-network! 
    (If your providers are not in the plan’s network, depending on what type Medicare Advantage plan you have, they may not be covered at all!
    Generally HMO Plans do NOT cover out of network providers unless it is a true emergency, so you would be responsible for the entire cost of the visit, etc.
    However with a PPO plan, the out of network provider may be covered, but it will cost you more, if you go out of network.)

  • What type of Medicare Advantage Plan is this?
    HMO or PPO or something else?

  • Do I need referrals for a specialist?

  • Will the in-network doctors I want to see take new patients, if I can’t find my existing doctors within the in-network provider list?

  • Which local hospitals are in-network?

  • Are all my prescriptions in the plan’s formulary?
    (A formulary is a list of all the drugs covered in a specific plan.)
    If your drug is not in the plan formulary, it won’t be covered. (With some very limited exceptions.)

  • How much will each of my prescription drugs cost me each month?
    What about total annual costs with the donut hole? (Also known as the Coverage Gap)

  • How much is the prescription drug deductible?

  • What is the service area for the plan?

  • Does the plan cover dental?

  • Does the plan cover vision?

  • Does the plan cover hearing and hearing aids?

  • Does the plan include a fitness membership?

  • Does the plan include an Over The Counter (OTC) allowance each quarter?

  • Will my plan work when I travel and it is not an emergency?

Don’t be shy! Ask anything else you want to know about.
If you don’t understand, ask again until you do understand!


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews




Medicare Alphabet 101 For Beginners - What Do All Those Letters Actually Mean?


Let's start with the basics:

There are four Medicare “Parts.”

  • Part A (Gives you help with hospital costs)
  • Part B (Gives you help with doctor’s care and outpatient care) 
  • Part C (Medicare Advantage Plans)
  • Part D (Prescription Drug Plans)


Side Note: Letters are also used for different types of Medicare Supplement Plans, so don’t get the “Part" letters and “Plan" letters confused! They are for totally different things!


Part A: Hospital Insurance
(Includes skilled nursing facilities or hospice, and some home health care.)

For more details on Part A, click on this link


Part B: Medical Insurance
(Includes doctor services, outpatient care, durable medical equipment and some preventive services.) 

For more details on Part B, click on this link


Part C: Medicare Advantage

Medicare Advantage plans are offered by private insurance companies as an alternative to Original Medicare; plans are government subsidized and regulated. A Medicare Advantage Plan (like an HMO or PPO) is another Medicare health plan choice you may have as part of Medicare. 

If you join a Medicare Advantage Plan, the plan will provide all of your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Most Medicare Advantage plans (but not all) include Medicare prescription drug coverage (Part D).

For more details on Medicare Advantage plans, click on this link 

To learn more about costs for Medicare Advantage Plans, click on this link (Then look half way down the page under Part C)


Part D: Prescription Drug Coverage

Part D Plans are offered by private companies to provide coverage for prescription drug costs; plans are government subsidized and regulated.

For more details on Part D, click on this link

======================================================================

Medicare Supplement Plans

A Medicare supplement (Medigap) insurance policy, sold by private companies, can help pay some of the health care costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles.

Some Medigap policies also offer coverage for services that Original Medicare doesn't cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.

A Medigap policy is different from a Medicare Advantage Plan. Those plans are ways to get Medicare benefits, while a Medigap policy only supplements your Original Medicare benefits.

For more details on Medicare Supplements (Medigap) click here.

Source: Medicare.gov

These are some of the Medicare Supplement Benefit Plan Letters that may possibly be available. Plans A, B, C, (High Deductible Plan C), D, F, (High Deductible F), G, K, L, M, N. However, not all plans may be available in your state and not all plans are offered by every insurance company.


Related Blog Posts:

  1. Medicare Questions - Plans, Parts, & More
  2. Medicare - When To Enroll
  3. Medicare – What Do I Need To Do To Enroll?
  4. Medicare - Questions To Ask When Enrolling
  5. Medicare - Part A & Part B - Do I Have To Sign Up Or Does That Happen Automatically?
  6. Medicare Part D - When To Enroll & More



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Benefit Periods - Learn How They May Affect You!


A benefit period is how the Original Medicare program measures your use of inpatient hospital and also your skilled nursing facility services. A Medicare benefit period begins the day that you enter a hospital or skilled nursing facility and then ends when you have not received inpatient hospital or Medicare covered skilled care in a skilled nursing facility for 60 days in a row. Please note that the benefit period is not tied to the calendar year. 

If you go back into the hospital or a skilled nursing facility after one benefit period has ended (more than 60 days after you left), a new benefit period begins. There is no limit to the number of benefit periods you can have, or how long a benefit period can be.  

Benefit periods also affect how much you may pay for your inpatient hospital or skilled nursing facility stay. You must meet your Part A deductible at the beginning of each benefit period as well as pay a daily coinsurance depending on how many days you stay at the hospital or skilled nursing facility during one benefit period.  

After you meet your Part A deductible at the beginning of the benefit period, the first 60 days of your inpatient hospital stay are covered with no daily coinsurance. Likewise, if you qualify for a Medicare-covered skilled nursing facility stay, you will pay nothing for the first 20 days of your skilled nursing facility stay within a benefit period.  

In 2016, Original Medicare Part A costs for hospital and skilled nursing facility stays are:

  • Deductible: $1,288 for each benefit period
  • Hospital coinsurance: $0 for the first 60 days of inpatient care each benefit period; $322 per day for days 61-90
  • Skilled nursing facility coinsurance: $0 for the first 20 days of inpatient care each benefit period; $161 per day for days 21-100  


Click on web link below to read related article:

Medicare Part A, Benefit Periods, and Deductibles


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Benefits Won't Be Affected By Obamacare's Health Insurance Marketplace


Are you a senior on Medicare or about to be on Medicare and confused about this new Obamacare's (Affordable Care Act) Health Exchanges and how it will affect you? If so, this USA Today article by Susan Jaffe from Kaiser Health News is for you! 

It states that Medicare is taking steps to help seniors understand that their benefits won't be affected by the Affordable Care Act's Health Insurance Marketplace. "We want to reassure Medicare beneficiaries that they are already covered, their benefits are not changing and the marketplace doesn't require them to do anything," said Michele Patrick, Medicare's deputy director for communications. To read more, click on the web link below.

http://www.usatoday.com/story/money/business/2013/08/24/medicare-health-insurance-marketplace/2692977/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Choices Tricky Even For Med Students, Doctors


In this Reuter's article by Kathryn Doyle, it was interesting to find that even med students and doctors had a difficult time choosing the least expensive Medicare Part D plans, according to a recent study. The article went on to say that their results reinforce the notion of ‘choice overload' where the more options we have, the more difficulty we have processing and comparing the attributes of these options and making a decision. Click the web link below to read more.

http://www.reuters.com/assets/print?aid=USBRE99E0QI20131015


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Considering A Cut In Part B Premiums!


I read an Associated Press article by Ricardo Alonso-Zaldivar regarding the possibility of a cut in 2022 Part B premiums and thought I’d share. However, it is NOT a done deal yet, so don’t get too excited quite yet! Time will tell if this decrease in Part B premiums turns into a reality.

Excerpts:

"WASHINGTON (AP) — Medicare said Thursday it’s considering a cut in enrollee premiums, after officials stuck with an earlier decision to sharply limit coverage for a pricey new Alzheimer’s drug projected to drive up program costs."1

"The agency “is looking at that, and is still going through the process,” spokeswoman Beth Lynk said of a potential reduction in premiums….”1

"The projected cost of Aduhelm was a major driver behind a $22 increase in Medicare’s Part B premium this year, boosting it to $170.10 a month.”1

"Doctors have been hesitant to prescribe it, given weak evidence that the drug slows the progression of Alzheimer’s. Insurers have blocked or restricted coverage over the drug’s high price tag and uncertain benefit.”1

"Officials said that if it or any other similar drug in its class were to receive what’s called “traditional” FDA approval, then Medicare would open up broader coverage for patients. Such approval is granted when a medication shows a clear clinical benefit.”1 


To read the entire Associated Press article by Ricardo Alonso-Zaldivar, click on the web link below:

https://apnews.com/article/business-health-lifestyle-clinical-trials-medication-e261886b344ed61af3606c29efcd9ed5


1. Source: Associated Press article by Ricardo Alonso-Zaldivar
https://apnews.com/article/business-health-lifestyle-clinical-trials-medication-e261886b344ed61af3606c29efcd9ed5


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Covered Vaccines - But Which Part Letter Covers Your Vaccine?



Both Medicare Part D and Part B can cover the cost of vaccines, but it depends on the type of immunization on which plan letter covers which vaccines .

Most (but not all) commercially available vaccines will be listed in your plan’s formulary and will be covered under your Part D plan (Prescription Drug Plan). However, some vaccines will be covered under Part B. Some of those Part B coverage exceptions are: Flu, Pneumonia, Hepatitis B, and COVID-19 vaccinations.

The amount you pay for your vaccine may depend on several things:

  • Where you get vaccinated (in-network or out-of-network)
  • Your copay or coinsurance amount (Determined by the tier level of vaccination in your plan)
  • If have satisfied your annual deductible yet. (If applicable)
  • If the vaccination is listed in your Part D plan formulary or if it is covered by Part B.
  • If a shot is covered under Part B, you possibly may be responsible for up to 20% of the cost depending on what type shot you get and if it was administered by a doctor in a doctor’s office. Always best to ask BEFORE you get your shot, so no surprise after the fact.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Drug Prices - Negotiations Act Would Lower Costs


I read this informative Medicare Rights Center blog post by Julie Carter (dated 10-26-17) and thought I’d share it.


Pasted below is an excerpt:

"Currently, the HHS Secretary is not allowed to negotiate drug prices in the Medicare program, though drug prices are negotiated in the Medicaid program as well as in the U.S. Department of Veterans Affairs.”1

Can you believe that in this day and age that Medicare Drug Costs (with all the volume and clout of the U.S. government) are still not allowed to be negotiated, even though other departments of the U.S. government such as, Medicaid and the VA, are allowed to negotiate prices? No wonder the prescription drugs costs have skyrocketed for Medicare prescription drugs over the last several years!

Click on link below to read entire article.

The Medicare Drug Price Negotiation Act Would Lower Costs and Preserve Care



1. Source: https://blog.medicarerights.org/medicare-drug-price-negotiation-act-lower-costs-preserve-care/

Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare Enrollment Mistakes Can Be Costly


In this MartketWatch article by Glenn Ruffenach, he mentions mistakes that can be costly to seniors. 

Some examples would be missing deadlines, which may lead to life time penalties, higher health care costs, or coverage gaps.

The article also mentions that seniors who are working beyond age 65 and delaying Social Security benefits, which means more individuals are likely to encounter problems with Medicare enrollment.

Some suggestions to tackle these issues recommended by The Medicare Right Center are:

  • Enhanced Education
  • Changes in enrollment periods
  • Stronger avenues for relief
  • Additional research.


Click on link below to read the full article.

http://www.marketwatch.com/story/medicare-enrollment-slip-ups-are-costly-for-retirees-2014-11-17 


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Fraud - What You Can Do To Help Prevent It


I read some interesting AARP articles regarding Medicare fraud and thought I’d share. 


Below are some excerpts:

"Each year, roughly 10 cents of every dollar budgeted for the giant health insurance program is stolen or misdirected before it helps any enrollee. Looked at another way, about $1,000 is lost per Medicare member through theft or waste each year. That is according to the federal government’s reckoning. But it could be far worse. Malcolm Sparrow, a Harvard University professor and leading expert on health care fraud, says the true amount lost to fraud, abuse or improper payments could be 20 percent, or even as high as 30 percent.”1

It’s not just taxpayers who pay the price. Medicare beneficiaries also foot the bill in the form of higher deductibles and copayments, and cuts to services and care. Put simply, fraud is directly harming the health of older Americans and compromising the program.”1

"Fraudsters often:

Charge for services never delivered
Falsify records
Inflate claims
Steal your ID
File duplicate claims
Provide unneeded equipment
Buy off doctors/patients
Shortchange your care" 1


Below are just a few of the tips they suggested to protect yourself:

  • "Review your Medicare Explanation of Benefits statements. Verify that each of the items on your statement was provided on the date listed and from the provider indicated. 
  • Call the Medicare hotline at 800-633-4227 if you have questions about your statement or think an adjustment is in order. 
  • Report it to authorities if you spot a charge that does not look legitimate or if you become aware of what appears to be fraudulent Medicare activity. The contact is the hotline at the HHS Office of Inspector General, 800-447-8477. All calls are handled confidentially. If you suspect there is a fraudulent charge to your prescription plan (Medicare Part D), the toll-free number to call is 877-772-3379.
  •  Write a letter with any complaints to: U.S. Department of Health and Human Services Office of Inspector General, Attention: OIG Hotline Operations, P.O. Box 23489, Washington, D.C. 20026.
  •  Alert the government: Health care providers who know of fraud or waste should report it by calling 800-447-8477.”2



To read the articles, click on the web links below.

  1. https://www.aarp.org/money/scams-fraud/info-2018/medicare-scams-fraud-identity-theft.html
  2. https://www.aarp.org/money/scams-fraud/info-2018/medicare-fraud-identity-theft-scam.html
  3. https://www.aarp.org/money/scams-fraud/info-2018/medicare-strike-force.html
  4. https://www.aarp.org/money/scams-fraud/info-2018/how-to-avoid-medicare-scams.html


1. Source: AARP Bulletin April 2018 - Cover Story Fraud - Medicare Under Assault Page 10,
https://www.aarp.org/money/scams-fraud/info-2018/medicare-scams-fraud-identity-theft.html

2. Source: AARP Bulletin April 2018 - Medicare Fraud: Taking A Stand Page 22, https://www.aarp.org/money/scams-fraud/info-2018/how-to-avoid-medicare-scams.html



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Glossary Of Terms


Below is a web link to download a Medicare Glossary Of Terms in PDF format that you may find helpful in deciphering the Medicare Alphabet!


Medicare Glossary Of Terms


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare ID Number Change



New Medicare ID numbers (also known officially known as a Medicare Beneficiary Identifier or MBI) were issued removing your social security number from your Medicare Beneficiary Identifier Card. (Note: The new Medicare ID number replaced your old Medicare ID number that previously included your social security number, followed by a letter or two.)

The transition period started April 1, 2018 and ran through December 31, 2019.

The main reasons they took the SSN off of Medicare cards was to fight medical identity theft for people with Medicare and also to help protect their privacy.

Don’t worry though, your Medicare benefits were not changed by the new Medicare ID number.


For more information, click on web links below:

https://www.cms.gov/Medicare/New-Medicare-Card/index

For a downloadable PDF:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/MedicareCard-FactSheet-TextOnly-909365.pdf



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare Insurance Plan Choices - Annual Election Period


OK, AEP (Annual Election Period) has arrived. Now what do you do?

Below are some tips I recommend:

  • Determine if you have been satisfied this past year with your existing Medicare Insurance plan.
  • If not, you should definitely shop around for a new Medicare Insurance plan.
    Note: Even if you have been satisfied, due to changes from one year to the next year your benefits may not be the same as they were this past year. So it is still prudent to check out what is available for the upcoming year in other plans and compare that to what your plan will offer in the upcoming year as well.
  • The next step to shop around would be to go to Medicare.gov to compare which plans offer the least expensive out of pocket expenses for your specific needs. You’ll need to type in your local zip code, the type of plan you are looking for, all your prescription drugs, including doses, how many times a day you take them, and your preferred pharmacies for a more accurate comparison.
  • Once you found some of the plan choices you like, then depending on whether you are looking for a Medicare Advantage Plan or just a stand alone Prescription Drug Plan:
    1) For a Medicare Advantage Plan you’ll also need to include searching within that plan’s network to determine if all your doctors or other providers are in their network for that specific plan, search your prescription tier levels for that plan, as well as check to see if the pharmacies you plan on using are preferred pharmacies in their network.
    2) For a Prescription Drug Plan you should include determining if the pharmacies you plan on using are preferred in-network pharmacies. Also check to determine the tier levels of each of your drugs.
  • Check out the star ratings for each plan you are interested in.
  • Finally after you have been educated with all that information, you’ll have a much better chance of making a good decision.
  • If you need assistance in making your Medicare Insurance plan decision, an “independent” agent (an agent that carries multiple insurance companies) is the way to get the information you need without any additional charge to you, since agents get paid directly by the insurance companies for enrolling clients. That way you will get the benefit of their knowledge and experience without costing you an extra dime!


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Do Agents Charge Clients Fees?

This is a common question I am asked as an independent insurance agent. The answer is that independent agents are paid directly by the insurance carrier if you enroll and NOT by the clients’ themselves. (Please Note: Independent Medicare insurance agents do not work directly for the Federal government.)


For more information regarding if agents charge fees, click on web link below to read blog post:

Medicare Insurance Plans - Do Agents Charge Clients Fees?

Medicare Insurance Plan Choices for this 2021 Annual Enrollment Period


There are many new Medicare Insurance plan choices for this upcoming 2021 as well as several changes to some of the existing plans. So if you haven’t reviewed your options yet or don’t plan on reviewing them this annual election period, you may be missing out! Please contact me at 941-404-5334 to set up an appointment for a review of your existing Medicare insurance plan versus some of the new Medicare insurance plan options. As an independent agent, I can show (and explain to you in simple terms), several different insurance company plans so you can compare and choose which you feel fits your needs the best.

Note: It doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent.

The Medicare Annual Enrollment Period (abbreviated as AEP), starts on Oct. 15 and ends on Dec. 7. During this time, Medicare beneficiaries can add, change, or drop Medicare health insurance plans and/or prescription drug coverage plans for the following year (with an effective date of January 1, 2021).

If you are totally satisfied with your current Medicare plan, you don't need to take any action. However, please keep in mind that Medicare Advantage plan details can change annually, so you should really compare your existing Medicare Advantage plan to confirm that your health and prescription drug needs are covered by your plan for the next year. This is an important time for beneficiaries to reevaluate their current Medicare Advantage and Medicare Part D Prescription Drug Plan coverage and compare it with the new plan options available for 2021, because coverage will be locked in for a calendar year even if you just renew your existing Medicare Insurance plan. 


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll you in a plan that you feel fits your needs.

As I mentioned above, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Insurance Plan Choices Matter


I read a interesting Hearld-Tribune article about Medicare by Barbara Peters Smith, so I thought I’d share some of the info in the article. 

One of the main take away points I found to be interesting was this sentence below:

"All the tricky decisions involved in signing up for Medicare can be daunting — which is why only 13 percent of beneficiaries, on average, bother to switch their plans during the open-enrollment period each fall.”1

As an independent insurance agent that handles different insurance carriers, I take care of new clients with a personal touch including patience. I thoroughly explain different Medicare insurance plan options available to them. Then after explaining, I have them choose which Medicare Insurance plan they feel best fits their needs and enroll them in the plan of their choosing.

Then later on in the years with my existing clients, as a courtesy during AEP (Annual Enrollment Period): I try to call my existing Medicare clients each year to give a brief overview of changes in their Medicare insurance plans from their current year to the upcoming year and ask if they are still happy with their existing insurance plan.

It is important to review your Medicare insurance plan for changes from year to year. What might have been good last year for you, may not necessarily still be good for you the upcoming year.



1. Source: Hearld-Tribune article by Barbara Peters Smith dated Oct 2, 2016
Original web link that is no longer available:
http://www.heraldtribune.com/news/20161002/as-medicare-market-evolves-choices-matter 


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


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Related Topic:

Click on web link below to find out answer.

Medicare Insurance Plans - Do Agents Charge Clients Fees?

Medicare Insurance Plans - Different Types & Different Views


Is a Medicare Advantage plan right for you?

No one type of Medicare Insurance plans fits everybody the same. What may work best for one person, may not work very well for another person. There isn’t really any right or wrong answer on the type of plan you choose. It is a personal choice for you to decide what you feel fits your needs the best. It is important to get all the facts first before making an educated decision. It is also important to pick the correct plan that fits your needs, since not all Medicare Advantage plans have the same benefits and Medicare Supplement premiums may be too costly for some people. Medicare Supplements don’t include many benefits that most Medicare Advantage plans include such as: dental, vision, and hearing benefits. 

I would first recommend figuring out what type of Medicare Advantage plan would fit your needs the best (an HMO or PPO plan) OR if a Medicare Supplement (different type plan altogether) might possibly fit your specific needs better.

HMO plans are the least expensive of the above choices. However, they are also the most restrictive. HMO plans have a network of doctors/hospitals that you are required to use, if you want to be covered by the HMO plan. If you go out of network, with most HMO’s you will NOT be covered! (UNLESS it is true emergency. Any Medicare insurance plan allows a member to go out of network, if it is a true emergency, and member would still pay in-network rates.) Also with most HMO’s you need to get a referral from your primary care doctor to go to a specialist. Many HMO’s do not allow you to go out of the local service area or you would be considered out of network and not covered unless a true emergency. 

PPO plans are kind of in between an HMO and a Medicare Supplement.
PPO plans give you more flexibility than an HMO, but less flexibility than a Medicare Supplement. You still would have a network of doctors/hospitals that you want to use to keep your out of pocket costs down. However, you can go out of network, but it will cost you more. Also with PPO plans, you don’t need to have a referral to see a specialist!

Most, but not all, Medicare advantage plans include prescription drugs in their plans. In addition, many Medicare Advantage plans include dental, vision, hearing, fitness club memberships, Over The Counter (OTC) credits, and other additional benefits.

Medicare Advantage plans have copays and coinsurance. Some plans may also have deductibles. So it is important to review the Summary of Benefits of each plan before picking a specific plan.

A Medicare Supplement is totally different type of plan than the Medicare Advantage plans. Medicare Supplement plans have different letter plans to compare each type plan before you enroll. A Plan G is the top of the line for people just turning 65. With a Medicare Supplement, you can use any doctor or hospital in the United States that accepts Medicare. There isn’t a network of doctors you need to go to in order to be covered. Also with a Plan G, for example, you would pay a quite a bit more expensive monthly premium than a Medicare Advantage plan. 

Although, with a Medicare Supplement Plan G, you would only have to pay the Part B deductible ($240/year for 2024) and then you would be 100% covered for Medicare “Medical" expenses for the rest of the year. Keep in mind that Medicare Supplements do NOT include Part D prescription drugs. So you would need to to enroll and pay an additional monthly premium for a stand alone Prescription Drug Plan, in order to have Part D prescription drugs covered. Most of those stand alone Prescription Drug Plans have a high deductible for the more expensive brand name drugs and even for some generic drugs. Plus you may still have copays for each of your drugs, unless they are inexpensive generics.
Note: Medicare Supplements do NOT cover dental, vision, hearing, nor many other benefits that a Medicare Advantage may include at no extra charge.

Lastly, regardless whether you pick a Medicare Supplement plan or a Medicare Advantage plan you are required to be enrolled in both Part A and Part B first. Part A is usually free for most people that worked in the United States and paid taxes for a certain period of time. Part B for most people (in 2024) has a premium of $174.70/month. (Note: People with higher incomes may be charged more by the government.)

Related blog I wrote a while back:

Medicare Advantage Plans - Pros and Cons

https://mgildarinsurance.com/blog/medicare/medicare-advantage-plans--.html


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

As I mentioned above, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Insurance Plans - Do Agents Charge Clients Fees?


Do Agents Charge Clients Fees?

This is a common question I am asked as an independent insurance agent. The answer is that independent agents are paid directly by the insurance carrier if you enroll and NOT by the clients’ themselves. (Please Note: Independent Medicare insurance agents do not work directly for the Federal government.)

Your premiums will be exactly the same whether you enroll online, or submit an application via US Mail, versus enrolling with an independent agent. However, if you enroll with an independent agent you get the extra benefit, at no additional cost, of a face to face meeting where an experienced independent agent can present and explain impartially the different insurance companies Medicare insurance plans; such as Medicare Advantage, Medicare Supplements, and Medicare Prescription Drug plans. Additionally you can get your questions answered at that time as well. I generally present several different Medicare insurance plans, unless the clients requests a plan by name specifically, but I never steer my clients towards one plan or another. After I present the choices I carry, I let them choose what they feel is best for their particular circumstances. One particular plan doesn’t fit all. It is an individual choice that best fits your needs.   

With that said above, since independent agents are only compensated based on whether you enroll with them or not, I usually mention to my prospects that if they liked a plan I presented and the way I treated them to please enroll through me directly when they are ready. Since some folks don’t realize that fact and after I spend my time and knowledge with them they could inadvertently sign up online or through the US Mail with that same exact insurance carrier. Then I wouldn’t get paid at all. So as a courtesy and to be fair, I ask clients if they like a plan I presented and they way I treated them, to please enroll through me directly.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

As I mentioned above, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare Insurance Plans - Renew Or Should You Replace?


Again there seems to be a lot of Medicare Advantage Plan changes for this upcoming year. If you are 65 or older and are already enrolled in a Medicare Advantage plan, you should have received a letter from your insurance carrier explaining the changes specific to your policy.

I can review your existing Medicare insurance plan with you to help determine if you feel your existing plan still best fits your needs for the upcoming year. I can also assist by explaining some different Medicare Insurance plan options that you can compare and switch to, if you so desire. I’ll try to simplify your options by helping you understand them better.
By the way, it doesn’t cost you any more if you enroll through me as an independent agent versus directly with an insurance company either over the phone or via the Internet.

If any of the topics below apply to you, please call me at 941-404-5334.
By calling this number, I understand I will be directed to a licensed insurance sales agent.  

  • Not happy with your current Medicare Insurance Plan or it costs too much? 

  • Confused about all the changes for this upcoming year?

  • New to Medicare altogether?

  • Know somebody else locally, that will be turning 65 soon, or has an existing plan that they may need assistance with their choices? If so, please have them contact me directly at 941-404-5334.


I am a Licensed Sales Agent that resides locally right here in the Sarasota/Manatee area. Being that I am an independent agent, I am uniquely positioned to help you review the many choices available to you from different insurance companies and assist you in making a choice that will be the most appropriate for your specific needs.

I’ll be happy to set up an appointment with you to explain the different plans I offer, answer your questions, and enroll you in the plan that you feel is best suited to your needs. I’m available to come to your home, office, or another location, whichever is most convenient for you.

So don’t be stuck in a Medicare Insurance plan you don’t like or costs too much, since you are permitted to change Medicare Insurance Plans during this Annual Enrollment Period starting October 15 and ending December 7.

Please call me at 941-404-5334 to set up your appointment today to help simplify your choices!
B
y calling this number, I understand I will be directed to a licensed insurance sales agent.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Limits on Balance Billing and Private Contracting by Physicians


Good informative AARP fact sheet by Harriet Komisar (dated: January 2017)


AARP fact sheet explains Balance Billing as:

“Balance billing” refers to the practice of charging patients for the difference between a health care provider’s fee for medical services and their health insurance’s allowed fee amount. When balance billing is allowed, the patient is financially responsible for the balance bill, plus any cost sharing such as deductibles and co-insurance required by the insurance plan. Medicare’s current rules limiting balance billing provide important financial protection for consumers.1 


To download the entire PDF Fact sheet article, click on the web link below:

Medicare’s Financial Protections for Consumers: Limits on Balance Billing and Private Contracting by Physicians 

http://www.aarp.org/content/dam/aarp/ppi/2017-01/medicare-limits-on-balance-billing-and-private-contracting-ppi.pdf?CMP=EMC-SNG-ADV-MED-012617&cmp=NLC-ADVOCATE-0117&autologin=true

1. Source: January 2017 AARP Fact Sheet Medicare’s Financial Protections for Consumers: Limits on Balance Billing and Private Contracting by Physicians located at http://www.aarp.org/content/dam/aarp/ppi/2017-01/medicare-limits-on-balance-billing-and-private-contracting-ppi.pdf?CMP=EMC-SNG-ADV-MED-012617&cmp=NLC-ADVOCATE-0117&autologin=true


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare May Reassess 2022 Part B Premium Hike


Click on web link below to read the updated Associated Press article entitled
Medicare recipients to see premium cut - but not until 2023.”
Updated article was 
dated May 27, 2022.
(Note: This is just an update to my previous original post below.)

https://apnews.com/article/health-xavier-becerra-medicare-government-and-politics-2ae8ccf461192e337d744bd5981fc192

_____________________________________________________________________

Original Post:

I read an Associated Press article by Ricardo Alonso-Zaldivar. The article mentioned that due to the 50% drop of the drug Aduhelm, there is good reason for Medicare to reexamine the current 2022 Part B monthly premium of $170.10. The Part B premium was increased from $148.50 a month in 2020. The rate increase was in large part attributed to that new Alzheimer’s drug (Aduhelm) full original price.


This web link below is no longer available.

https://abcnews.go.com/Health/wireStory/medicare-told-reassess-premium-hike-alzheimers-drug-82178309

Source: Associated Press Article on ABCNEWS.go.com
https://abcnews.go.com/Health/wireStory/medicare-told-reassess-premium-hike-alzheimers-drug-82178309




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare Notices & What Do They Mean?


There are many different types of Notices from Medicare. I won’t go into every kind of Medicare notice in this blog post. However I will cover a select few important Medicare notices you should be aware of and also understand. By understanding what they mean, it may help avoid and/or resolve issues with your Medicare coverage.


  • Medicare Summary Notice Also known as “MSN” for short. (Received Quarterly, if you have Original Medicare) It is a summary of health care services and/or items you have received during the previous three months. It contains information about charges billed to Medicare, the amount that Medicare paid, and the amount you are responsible for, however the Medicare Summary Notices are NOT actual bills. You will receive actual bills from the providers themselves.
    To find out more about MSN Notices, click on this web link below, which will jump you to a previous blog post I wrote on the same topic.

    https://mgildarinsurance.com/blog/medicare/medicare-summary-notice--.html
    It is advisable to save these MSN’s for future reference in case you need to prove that certain costs have been covered or paid for.

  • Explanation Of Benefits Also known as an “EOB” for short. (Generally mailed each month, but only if you have a Medicare Advantage Plan or a Part D Prescription Drug Plan). The Explanation Of Benefits similarly shows a summary of benefits for services and items you have received and how much you may owe. An Explanation Of Benefits is NOT a bill. If your Explanation Of Benefits shows that an item or service that is not being covered, look for a section that includes notes, comments, footnotes, or remarks to find out the reason why. Then contact your plan if you have any questions about your Explanation Of Benefits, including to ask for more information about any services not covered. You may decide to file an appeal, depending on what your plan tells you. It is advisable to save these EOB’s for future reference in case you need to prove that certain costs have been covered or paid for.

  • Annual Notice Of Change Also known as “ANOC” for short. (For Medicare Advantage or Part D plans. It is supposed to arrive in your US Mail in late September.) This Annual Notice Of Change gives a summary of any changes in the plan’s cost and coverage that will take effect January 1 of the next year. You should review this ANOC notice to see if your plan will continue to meet your health care needs in the following year. If you do not receive an ANOC from your plan, you should contact your plan. The ANOC is typically mailed with the plan’s Evidence of Coverage (EOC), which is a more comprehensive list of the plan’s cost and benefits for the upcoming year. 
    To find out more about ANOC notices, click on this web link below, which will jump you to a previous blog post I wrote on this same subject.

    https://mgildarinsurance.com/blog/medicare/medicare---what-is-anoc-and.html
    Note: If you are dissatisfied with changes on your ANOC or EOC, remember that you are allowed to change your Medicare plans during the Annual Election Period AEP. (Oct. 15 thru Dec 7, with an effective date of January 1st of the next year.)

  • Creditable Coverage Notices If you are enrolled in a Prescription Drug Plan through an employer, you should receive a notice from your employer or plan around September of each year, informing you whether your drug coverage is creditable. It is important to keep these notices. You may need this type of notice as proof that you had creditable coverage. That creditable coverage proof should help verify that you had creditable coverage so you won’t have to pay a Part D late enrollment penalty if you decide to enroll in a Part D plan in the future.

  • Advance Beneficiary Notice (If you have Original Medicare.) An Advance Beneficiary Notice (ABN), is also known as a waiver of liability. It is an advance written notice of non-coverage that a provider should give you before you receive a service if based on Medicare coverage rules, your provider has reason to believe Medicare will not pay for the service. That way a Fee-For-Service (FFS) beneficiary should be able to make an informed decision in advance about items and/or services that are usually covered by Medicare, but may not be expected to be paid by Medicare in a specific instance for certain reasons, such as lack of medical necessity.
    To find out more about ABN notices, click on this web link below, which will jump you to a previous blog post I wrote on this same subject.
    https://mgildarinsurance.com/blog/medicare/medicare-what-is-an-advance.html




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part A & Part B - Do I Have To Sign Up Or Does That Happen Automatically?


It all depends on your particular situation.

Some people get Part A & Part B automatically

You may qualify for Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance) if one of the following applies to you:

  • I'm already getting benefits from Social Security or the Railroad Retirement Board (RRB).
  • I'm under 65 and have a disability.
  • I have ALS (Amyotrophic Lateral Sclerosis, also called Lou Gehrig's disease).
  • I live in Puerto Rico and get benefits from Social Security or the RRB.


If you get Medicare automatically

If you're automatically enrolled, you'll get your red, white, and blue Medicare card in the mail 3 months before your 65th birthday or your 25th month of disability.


Some people need to sign up for Part A & Part B 

You need to sign up for Part A and Part B if:

  •     You aren't getting Social Security or RRB benefits (for example, because you're still working).
  •     You qualify for Medicare because you have End-Stage Renal Disease (ESRD).
  •     You live in Puerto Rico and want to sign up for Part B (you automatically get Part A).You must already have Part A to apply for Part B.


To read more click on the web link below:

https://www.medicare.gov/basics/get-started-with-medicare/sign-up/ready-to-sign-up-for-part-a-part-b


Related Blog Post:

Medicare Part B Initial Enrollment Information


Note: Keep in mind if you don’t enroll in Medicare Parts A, B or D before the time limit of when you are first eligible for each Part, you may have to pay late penalties depending on your individual situation. If you are not sure of when you have to enroll by to avoid penalties, call the Social Security office to find out in advance!


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part A - The Benefit Periods and Deductibles


Did you know that Medicare Part A deductibles are different than most health insurance deductibles? Rather only being charge once a year like most health or other insurance deductibles, Part A deductibles are charged for each benefit period rather than for the entire year. 


What is a Part A benefit period?

A benefit period is the way the Original Medicare Part A measures your use of inpatient hospital and skilled nursing facility services. It begins the day that you enter a hospital or skilled nursing facility and ends when you have not received inpatient hospital or Medicare covered skilled care in a skilled nursing facility for 60 days in a row. The benefit period is not tied to the calendar year.

You must meet your Part A deductible at the beginning of each benefit period as well as pay a daily coinsurance depending on how many days you stay at the hospital or skilled nursing facility during one benefit period.

If you go into the hospital or skilled nursing facility after one benefit period has ended (more than 60 days after you left), then a new benefit period begins and you are responsible to pay for a new deductible. There is no limit to the number of benefit periods you can have, or how long a benefit period can be.

Example: One benefit period could actually span more than one hospitalization. Imagine you are in the hospital for a short stay and then you’re released. Then a few days later you you need to go back into the hospital. Your benefit period would still in effect. In this particular situation, you would be charged just one deductible.


Lifetime Reserve Days

In Original Medicare, these are additional days that Medicare will pay for when you're in a hospital for more than 90 days. You have a total of 60 reserve days that can be used during your lifetime. For each lifetime reserve day, Medicare pays all covered costs except for a daily coinsurance.1


Medicare Advantage plans set their own cost sharing terms.  

So if you are on a Medicare Advantage plan, your plan may or may not charge deductibles for hospital stays depending on your specific plan. Some plans may charge a flat amount per hospitalization up to a set number of days. Other plans may charge a copay or coinsurance amount for each day in the hospital. Call the member services phone number on the back of your plan member ID card to find out details specific to your plan.


Some additional web links for more info:

Medicare Glossary Of Terms (PDF) Download

What Is a Medicare Hospital Benefit Period? (AARP)



1. Source: Medicare.gov

Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part B - Can I Pay My Premiums Monthly Instead Of Quarterly?


Generally if you collect Social Security benefits, your Part B premiums are automatically deducted from your monthly Social Security checks. Otherwise, if you do not collect a Social Security check (for example you are still working or you decided to delay them) Medicare will bill you directly for quarterly payments. However you can call Medicare at 800-633-4227 and ask to pay monthly. You can pay by check, credit card, or transfers from a bank account.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part B Initial Enrollment Information


Your Initial Enrollment Period begins 3 months before your 65th birthday and ends 3 months after your 65th birthday. If you or your spouse are still working and you receive health insurance from either you or your spouse’s current employer, the insurance is primary if there are 20 or more employees at the company where you or your spouse work.


Should I enroll in Part B at age 65?

  • Some people do not take Part B during their Initial Enrollment Period (IEP) because either they or their spouse are still working and they have primary insurance from a current employer. Talking to your employer is important when you become eligible for Medicare to see how your employer insurance will work with Medicare.


  • If you are already collecting Social Security you will be automatically enrolled in both Medicare Part A and Part B. If you are thinking about turning down Part B, you should call the Social Security Administration at 800-772-1213 and ask if you can do so without any penalties. When you call Social Security, it is important to write down whom you spoke to, when you spoke to them and what they said.



Related Blog Post:

Medicare Part A & Part B - Do I Have To Sign Up Or Does That Happen Automatically?


Note: Keep in mind if you don’t enroll in Medicare Parts A, B or D before the time limit of when you are first eligible for each Part, you may have to pay late penalties depending on your individual situation. If you are not sure of when you have to enroll by to avoid penalties, call the Social Security office to find out in advance!


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part B Premiums & Deductible For 2021

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Medicare Part D - Closing the Coverage Gap


The Medicare Part D Coverage Gap (also known as the Donut Hole) closed in 2020. Plan members of a Part D or (a Medicare Advantage Plan that includes drug coverage) will only pay 25% coinsurance of Brand-name and Generic drugs while in the coverage gap. 

The coverage gap closed by keeping the manufacturers 50% discount and increasing what Medicare drug plans cover. The coverage gap had been gradually shrinking for several years since the Affordable Care Act set a path to close it by 2020. However the gap really was never scheduled to close 100%. This still doesn’t mean you will get your medications for free, plan members will still pay 25% out of their pockets while in the coverage gap stage. However if your total prescription drug costs exceeds a certain dollar amount (which the amount can and usually does change each year), then your total out of pocket prescription drugs costs goes back down to a specified level during what is called the “Catastrophic" coverage stage.


Click on link for a related blog post of what is the coverage Gap (also known as the Donut Hole): Medicare Part D - The Doughnut Hole



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - Closing The Donut Hole!


I read a Medicare Rights Center Blog post as well as other articles from different sources. So I thought I’d share this relevant information I found about closing the "Donut Hole!” 
Note: For those of you that may be unfamiliar with the term “Donut Hole,” it is also known as a “Coverage Gap" for Part D prescription drug plans.

So you may be thinking what does that mean to me. In 2020, the donut hole has closed. Even with the Donut Hole closing, that still does not mean you won’t have to pay for medications once they get to this drug payment stage.

Here is a little background:
When Part D first started in 2006, the Part D drug plan had a gap in coverage. Drug plans did not pay anything toward the cost of drugs in the donut hole so beneficiaries were stuck with the tab for the entire cost. 

"When Congress expanded Medicare to cover prescription drugs by adding Part D, they built in a coverage gap that made drug coverage disappear when people reached a certain spending level, then reappear when they hit another threshold. This donut hole left many people with Medicare struggling to afford their medications for at least part of the year.”1

However in 2012, the Affordable Care Act made changes and implemented discounts for the Donut Hole which reduced the impact to Part D plan members. Each year, those discounts slowly reduced the out of pocket percentages that members were required to pay during the Donut Hole. After 2020, drug plan members will no longer face an increased percentage of the cost for medications during the Donut Hole. They will pay 25% of the cost for any prescribed medication from the time they meet the deductible until reaching the out-of-pocket spending limit. 


Click on web link below to read the entire Medicare Rights Center Blog post:

https://blog.medicarerights.org/closing-donut-hole-means-matters/


1. Source: Medicare Rights Center Blog
https://blog.medicarerights.org/closing-donut-hole-means-matters/

2. Source: 65 Incorporated 
https://www.65incorporated.com/topics/medicare-part-d-prescription-drug-plans/medicare-donut-hole-closing/

3. Additional Source: KFF
https://www.kff.org/medicare/issue-brief/closing-the-medicare-part-d-coverage-gap-trends-recent-changes-and-whats-ahead/

Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - Donut Hole Costs 2020


Many members of Prescription Drug Plans (or Medicare Advantage Plans with Prescription Drug coverage included) may wonder why they still have a copayment during the donut hole for their prescription drugs in 2020.

Almost 20 years ago, Medicare beneficiaries were responsible for 100% of their drug costs during the coverage gap until they spent all the way up to the catastrophic level. The coverage gap was also called the “Donut Hole.” The 2010 Affordable Care Act slowly eliminated the Donut Hole a little at time and by 2020 it was fully eliminated. Although the Donut Hole is technically closed, Part D members must still show they contribute 25% of the drug cost share.


For more on this topic, click this web link to read a related blog post.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - Drugs Not Covered!


There are certain types of drugs that are excluded from Medicare coverage by law. 

Medicare does not cover:1 

  • Drugs used to treat anorexia, weight loss, or weight gain.
    • Note: Part D may cover drugs used to treat physical wasting caused by AIDS, cancer, or other diseases
  • Fertility drugs
  • Drugs used for cosmetic purposes or hair growth 
    • Note: Drugs used for the treatment of psoriasis, acne, rosacea, or vitiligo are not considered cosmetic drugs and may be covered under Part D
  • Drugs that are only for the relief of cold or cough symptoms
  • Drugs used to treat erectile dysfunction
  • Prescription vitamins and minerals (except prenatal vitamins and fluoride preparations)
  • Non-prescription drugs (over the counter drugs)


Note: Prescription drugs used for the above conditions may be covered if they are being prescribed to treat other conditions. For example, a medicine for the relief of cold symptoms may be covered by Part D if prescribed to treat something other than a cold—such as shortness of breath from severe asthma—as long as it is approved by the U.S. Food and Drug Administration (FDA) for such treatment.
1

Keep in mind just because Medicare does not exclude your prescription drugs, you still need to make sure that your drugs are in the *formulary for your plan or it will not be covered by your plan, with very few exceptions.

*Formulary is a list of drugs covered by your plan.


1. Source: https://www.medicareinteractive.org/get-answers/medicare-prescription-drug-coverage-part-d/medicare-part-d-coverage/drugs-excluded-from-part-d-coverage



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - Enroll On Time Or Get Penalized!


Three ways to avoid the late enrollment penalty for Part D
(Prescription Drug Plan) 


  1. Join a Medicare Prescription Drug Plan when you are first eligible for Part D.

  2. Do NOT go 63 days or more in a row without a Medicare drug plan or other creditable drug coverage.
    Note: Your existing plan must tell you each year if your drug coverage is creditable coverage. They may send you this information in a letter, in a newsletter, or other piece of correspondence. Keep this information because you may need it if you join a Medicare drug plan later.

  3. Tell your Medicare drug plan about any drug coverage you had if they ask about it.
    Note: When you join a Medicare drug plan, the plan will send you a letter if it believes you went 63 days or more in a row without other creditable drug coverage. The letter will include a form asking about any drug coverage you had. Complete the form and return it to your drug plan by the deadline in the letter. If you don't tell the plan about your creditable drug coverage in a timely fashion, you may have to pay a monthly penalty.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - Major Expected Changes For 2024 And 2025


Below are major expected changes for Medicare Part D (Prescription Drug Plans) in 2024:

  • In 2024, costs in the catastrophic phase will change: the 5% coinsurance requirement for Part D enrollees will be eliminated and Part D plans will pay 20% of total drug costs in this phase instead of 15%.1

  • So in 2024, once Part D enrollees without low-income subsidies (LIS) have drug spending high enough to qualify for catastrophic coverage, they will no longer be required to pay 5% of their drug costs, which in effect means that out-of-pocket spending for Part D enrollees will be capped. In 2024, the catastrophic threshold will be set at $8,000. This amount includes what Part D enrollees spend out of pocket plus the value of the manufacturer price discount on brands in the coverage gap phase. At this amount, Part D enrollees who take only brand-name drugs in 2024 will have spent about $3,300 out of their own pockets and will then face no additional costs for their medications.1

Then beginning in 2025, some of the major expected changes for Medicare Part D (Prescription Drug Plans) will be:

  • Elimination of the coverage gap phase for Part D plan beneficiaries!

  • $2,000 out of pocket spending cap for Part D plan beneficiaries.

  • A higher share of drug costs paid by Part D plans in the catastrophic phase

  • A new manufacturer price discount and reduced liability for Medicare in this catastrophic phase, and changes to plan costs and the manufacturer price discount in the initial coverage phase.



To read the entire article, click on the web link below:

https://www.kff.org/medicare/issue-brief/changes-to-medicare-part-d-in-2024-and-2025-under-the-inflation-reduction-act-and-how-enrollees-will-benefit/


1. Source: https://www.kff.org/medicare/issue-brief/changes-to-medicare-part-d-in-2024-and-2025-under-the-inflation-reduction-act-and-how-enrollees-will-benefit/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - No Limit On What You Can Spend!


I read a Medicare Rights Center blog post by Mitchell Clark regarding that there isn't a maximum spending limit for Part D prescription drugs for many people! The statistics in the article were surprising to me, and not in a good way.

"According to a new issue brief by the Kaiser Family Foundation (KFF), one million people with Medicare Part D had drug costs above the catastrophic limit in 2015. On average, they spent $1,251 after they hit the catastrophic limit and more than $3,000 total on their prescriptions for the year.

While Part D helps bring down the drug costs for people with Part D, many are still exposed to high drug costs. This is because Part D does not place a cap on how much people can spend out of pocket on their drugs.”1

To read the entire article, click on the web link below:

https://blog.medicarerights.org/many-medicare-part-d-theres-no-limit-can-spend-prescriptions/


1. Source: Medicare Rights Center Blog
https://blog.medicarerights.org/many-medicare-part-d-theres-no-limit-can-spend-prescriptions/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - Pricey Drugs Overwhelm Medicare Safeguard

This web page has been intentionally deleted.

Medicare Part D - The Doughnut Hole


The doughnut hole, (also known as the coverage gap) is a stage of Part D prescription drug coverage during which the amount you pay for your prescription drugs increases. In the past, most people had to pay the full cost of their drugs in the coverage gap. However now due to the Affordable Care Act (ACA), members no longer have to pay the full cost of their drugs during this period.

The doughnut hole starts when the “total" drug costs of the drugs included in the plan (Note: the total is comprised of both what members have paid and also what their insurance plan have paid for their drugs), reaches a specified amount since the start of the calendar year. At that point when you are considered in the doughnut hole, then members start pay a set percentage on most brand-name drugs and a set percentage on generics, the manufacturer plus the federal government are responsible for the rest. (Note: Each year since ACA, the actual percentage owed by the member has been decreasing which is good news for the Part D plan members).

The even better news is that these percentages owed by the members are supposed to gradually decrease each year until 2020. Starting in 2020, members will typically pay no more than 25 percent of the cost of their drugs at any point during the year after they have met their deductible.

Members of their prescription drug plan (or members of their Medicare Advantage Plan, that include prescription drug coverage) get out of the coverage gap stage when they have paid a specific set amount of out-of-pocket expenses for covered drugs since the start of the year. Then at that point they move to the next stage called the catastrophic stage, which is when members start to pay a lot less. (Each year that specific set amount of out of pocket expenses for the catastrophic stage been changing.) The costs that help members get out of the coverage gap include what they spent on drugs, most of the discount on brand-name drugs that they received in the coverage gap, and the cost of drugs that someone else pays on their behalf (such as family members, most charities, or State Pharmaceutical Assistance Programs).


Related Blog Posts:

Medicare Part D and Prescriptions

Medicare Part D Gains May Be Eroding


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - Things To Know About Prescription Drug Plans


Several items you should know about Part D:

  • Buying a Prescription Drug Plan (PDP) with the lowest premium isn’t always the wisest choice. It really boils down to the prescription drugs you take and the overall estimated combined total annual costs including not just the PDP premium, but all out of pocket expenses such as: the copays, coinsurance, donut hole costs, and the RX deductible. Also less expensive plans may not cover as many drugs in the plan formulary. 
  • A formulary is a list of ALL the drugs covered in a prescription drug plan. If it is not listed in the plan formulary, it is NOT covered!
  • Make sure the Prescription Drug Plan you choose includes all your drugs in the plan's formulary. Also be sure to check the tier level and cost of each of your drugs before enrolling.
  • Most Medicare Prescription Drug Plans have at least 4 tier levels, but some plans may have as many as 5 or more tier levels. Generally the lower the tier level, the lower the expense of the drug, and the lower its copay that goes with it. For example, tier 1 drugs are generally the least expensive preferred generic drugs, and the costs and out of pocket expenses increase, as the tier level increases. The same exact drug can vary tier levels from one plan to another plan! So it is important to check the tier level of each drug for each plan you compare. Don’t assume the tier level for a drug is going to be the same tier level in a different plan.
    Not all prescription drug plans are the same, but a typical example of a plan's tier levels could be: 
    • Tier 1 Preferred Generic
    • Tier 2 Generic 
    • Tier 3 Preferred Brand
    • Tier 4 Non-Preferred Drug
    • Tier 5 Specialty Drug
    • A new Tier may also be shown:  (Select Insulin Drugs)
  • You can only enroll in a Prescription Drug Plan during certain periods of the year, unless you qualify for a Special Election Period. (SEP). The main time to enroll is Annual Election Period (AEP), which is from 10/15 through 12/7. That is when everybody that qualifies for Medicare Prescription Drug Plans are allowed to enroll in a plan or even people with existing plans are also allowed to switch to a new plan with an effective date of 1/01 of the next year. 
  • You can compare your specific estimated out of pocket drug costs, including plan premiums on Medicare.gov. You would just plug in all your specific drugs, dosages, quantities (how many you take per month), your favorite preferred pharmacies, and then Medicare.gov will shop around for you to show which drug plan is estimated to be the least expensive annually for you overall.
  • You need to educate yourself on the "Coverage Gap” (Also known as the "Donut Hole.”) Due to Medicare regulations, all Prescription Drug Plans will have these different drug payment stages after the Drug Deductible Stage (if applicable): 1) Initial Coverage Stage, 2) Coverage Gap Stage 3) Catastrophic Coverage Stage.
  • Important note to keep in mind: If you don’t enroll in a Prescription Drug Plan (Part D) when you are first eligible and you need to enroll in one later in life, you will be penalized by the government 1% per month for every month you missed, since you were first eligible, for as long as you have a Medicare Prescription Drug Plan! So even if you don’t take any drugs, I would suggest you enroll in an inexpensive Medicare Prescription Drug Plan when you are first eligible.




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews






Medicare Part D - What Should I Ask About Prescription Drug Plans?


Medicare Prescription Drug Plans (abbreviated as PDP) and also known as Medicare Part D can be confusing when shopping for a plan you feel best suits your needs. Part D is offered through private insurance companies either as a stand alone PDP or could be included in a Medicare Advantage plans that includes prescription drugs. (MAPD).

Below are some the items I recommend you do or ask before enrolling in a drug plan:

  • Make a complete list of all the prescription drugs you take, with the exact spelling of each drug, the dosages of each drug, and how many times a month you take each drug.

  • Determine which pharmacy you plan to use and if you are dead set on only using that particular pharmacy chain. Or if you would be willing to go to another pharmacy, if your costs were lower for your drugs at a different pharmacy. (Copays/Coinsurance can vary from pharmacy to pharmacy depending on the specific plan you choose and which pharmacies are considered “Preferred" pharmacies within your plan’s pharmacy network.)

  • After that find out if all your drugs are in the plan’s formulary. (A formulary is a list of drugs that are covered in that specific plan.)
    Note: Keep in mind each “specific" plan can have their own formulary. There can be different formularies for each “specific" drug plan, even if plans are with the same insurance company. Also Tier levels for each “specific" plan can be different. So it is important to check with each plan you are considering, whether your drugs are in that “specific" plan’s formulary and what the costs are for each of your drugs.)

  • Does the drug plan impose any coverage restrictions?
    Some restrictions could be:
    1) Prior Authorizations
    2) Step Therapy
    3) Quantity Limits

  • What happens if the plan doesn’t cover a drug I take, does it cover a similar one that will work for me?

  • As I mentioned above, find out how much you will be paying for each drug at the pharmacy or mail order. (Understand what the Tier levels are and the costs you are responsible for each of your drugs within the plans you are considering.)

  • What are the monthly premiums for the drug plan?

  • How much is the annual deductible? Also what Tier levels fall into that category that requires an annual deductible?

  • Understand what the coverage gap (also known as the Donut Hole) is and how it will affect your costs during each year.

  • Check with your doctor to see if you can take a less expensive drug that will do the same thing. (Brand vs. Generic)

  • If you have a low income, see if you are eligible for Extra Help or a State Pharmaceutical Assistance Program.

  • What is the service area for the drug plan you are considering?
    (What if you move out of the service area?)
    What is my network of Pharmacies?
    (What if I go out of network?)

  • Again, understand which pharmacies are “Preferred” pharmacies. Since those are the pharmacies that you will be paying less for your drugs.
    (Note: Some plans do not have Preferred Pharmacies)



Conclusion: One drug plan doesn’t fit all. A drug plan that may cost you the least in annual out of pocket expenses, may be totally different for somebody else with different drugs. The out of pocket costs will based your the specific drugs you take (tier levels of the drugs you take), the pharmacy you go to, etc.
You can go to Medicare.gov, put in your zip code, all the drugs you take along with doses, frequency you take them, pick pharmacies you plan to use and it will estimate your out pocket expenses including premiums. It should list the least expensive plan at the top of the web page search results. Also make sure to consider the star ratings of the plan you choose before enrolling.








Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Part D - Where You Live Can Influence The Price Of Drugs Under Medicare

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Medicare Part D and Prescriptions


Each Medicare Prescription Drug Plan has its own list of covered drugs (called a formulary). Many Medicare drug plans place drugs into different "tiers" on their formularies. Drugs in each tier have a different cost.

A drug in a lower tier will generally cost you less than a drug in a higher tier. In some cases, if your drug is on a higher tier and your prescriber thinks you need that drug instead of a similar drug on a lower tier, you or your prescriber can ask your plan for an exception to get a lower co-payment.

A Medicare drug plan can make some changes to its formulary during the year within guidelines set by Medicare. If the change involves a drug you're currently taking, your plan must provide written notice to you at least 60 days prior to the date the change becomes effective.


Related Blog Posts:

Medicare Part D - The Doughnut Hole

Medicare Part D Gains May Be Eroding

Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Source: Courtesy of Insurance Associates Group

Medicare Part D Gains May Be Eroding


This New York Times article by Paula Span discusses how Medicare Part D out-of-pocket costs & benefits seem to eroding from when Part D first started in 1996.

From a sample study, it appears people that are more ill and need more medications seem to have the most problems. So it is not surprising that people with multiple health problems are affected the most and people on fixed incomes may struggle to pay their bills.

The article goes on to say that Part D plans have been changing. They appear to be covering fewer medications, and are using more tiering strategies by putting some drugs in very high priced tier levels. In addition, the insured also may be facing more restrictions.

To read the entire article, click on the link below.

http://newoldage.blogs.nytimes.com/2014/08/21/part-d-gains-may-be-eroding/?_php=true&_type=blogs&_r=0


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Payments To Insurance Companies For Medicare Advantage Will Increase



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Medicare Premiums Paid Possibly Could Save You Money If You Itemize Your Taxes


I read a MarketWatch article by Bill Bischoff with tax tips that could possibly save you money if you pay Medicare Premiums and you itemize your taxes. Of course, always check with your accountant first!

Before you get too excited please keep in mind that because the Tax Cuts and Jobs Act greatly increased the standard deduction amounts for 2018-2025, fewer individuals will be itemizing. However having significant medical expenses (including those for Medicare health insurance premiums) may allow you to itemize and collect some tax savings. 

Click on web link below to read the entire article:

https://www.marketwatch.com/story/how-medicare-premiums-could-be-the-key-to-itemizing-your-taxes-and-saving-money-2019-01-02


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Questions - Plans, Parts, & More


Confused about Medicare? Well, you aren’t alone! There is an alphabet soup of letters designating parts of Medicare, Medicare Supplement Insurance Plans, etc.

I'll start with the basics.
What are the individual parts of Medicare? Listed below are Parts A, B, C and D with brief descriptions and links to Medicare.gov for more info.

Part A: Hospital Insurance
(Includes skilled nursing facilities or hospice, and some home health care.)

For more details on Part A, click on this link


Part B: Medical Insurance
(Includes doctor services, outpatient care, durable medical equipment and some preventive services.) 

For more details on Part B, click on this link


Part C: Medicare Advantage

Medicare Advantage plans are offered by private insurance companies as an alternative to Original Medicare; plans are government subsidized and regulated. A Medicare Advantage Plan (like an HMO or PPO) is another Medicare health plan choice you may have as part of Medicare. 

If you join a Medicare Advantage Plan, the plan will provide all of your Part A (Hospital Insurance) and Part B (Medical Insurance) coverage. Medicare Advantage Plans may offer extra coverage, such as vision, hearing, dental, and/or health and wellness programs. Most include Medicare prescription drug coverage (Part D).

For more details on Medicare Advantage plan, click on this link

To learn more about costs for Medicare Advantage Plans, click on this link


Part D: Prescription Drug Coverage

Part D Plans are offered by private companies to provide coverage for prescription drug costs; plans are government subsidized and regulated.

For more details on Part D, click on this link

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Medicare Supplement Plans

A Medicare supplement (Medigap) insurance policy, sold by private companies, can help pay some of the health care costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles.

Some Medigap policies also offer coverage for services that Original Medicare doesn't cover, like medical care when you travel outside the U.S. If you have Original Medicare and you buy a Medigap policy, Medicare will pay its share of the Medicare-approved amount for covered health care costs. Then your Medigap policy pays its share.

A Medigap policy is different from a Medicare Advantage Plan. Those plans are ways to get Medicare benefits, while a Medigap policy only supplements your Original Medicare benefits.

For more details on Medicare Supplements (Medigap) click here.

Source: Medicare.gov

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Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Rating Updates For Local Sarasota/Manatee Area Hospitals

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Medicare Spills Beans On Hospital Billing


A Wall Street Journal article by Matthew Heimer sheds some light on just how disconnected the costs of care of hospital bills can be from one hospital to another for the exact same procedure and how much those amounts can differ from what Medicare allows for reimbursement! Also the lack of transparency in medical prices makes it difficult for consumers to make informed decisions about their treatment and at what facility location they should have their procedure preformed.

I personally recently tried to get an estimate on a non-Medicare medical procedure in advance and it was very difficult as well as very time consuming. When I finally got a "so called" estimate, they told me that  they couldn't be held responsible for the accuracy of the estimate. Go figure! In my opinion, not many other industries could get away with such vague price estimates and/or high prices for things that are generally important and difficult to do without. 

Another similar type article in the the local Sarasota Herald-Tribune by Donna Koehn, but this article entitled "Charges vary widely between local hospitals, new data show" is more relevant to the local Sarasota, FL area. Here is one exerpt from the article, "CMS spokesman Brian Cook said what hospitals ask is typically about five or six times what Medicare pays." .

Original Web Links to articles are no longer accessible but I listed the sources below anyway: 

Sources:

"Medicare spills beans on hospital billing” http://blogs.marketwatch.com/encore/2013/05/08/medicare-spills-beans-on-hospital-billing/

"Charges vary widely between local hospitals, new data show” http://www.heraldtribune.com/article/20130508/ARTICLE/130509665/2416/NEWS?p=all&tc=pgall


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Star Ratings - Helping You Compare Plans


First, when comparing Medicare Advantage Plans (MA or MAPD), you need to review the plan’s network of doctors, copays, coinsurance, deductibles, and any other out of pocket costs, including the plan’s annual maximum out of pocket expense cap that you may be responsible for paying. Plus you should also consider any additional benefits the plan may offer such as prescription drugs, dental, vision, hearing, fitness club memberships, Over The Counter benefits all which may possibly be included in a plan at no additional premium.

Similarly, when comparing Part D stand alone Medicare Prescription Drug Plans (PDP) you need to review the plan’s network of pharmacies, the plan’s preferred pharmacies (where you may have lower costs), all your drug's copays, coinsurance, and deductibles expenses that you may be responsible for paying.

After you have reviewed all the particulars of the plans, you should also review the current year’s star ratings of that plan. The star ratings can, and many times do change annually! So be sure to review the most current star ratings provided by Centers for Medicare & Medicaid Services, also known just as “CMS.” (Note: CMS is a government agency, not a private company. So star ratings are impartial.)

Medicare star ratings help rank the plans from best (5 stars) to the worst (1 star). The star ratings are based on the plan’s quality of care and measurement of customer satisfaction.

Using the Medicare Plan Finder (located at: https://www.medicare.gov/plan-compare ) you can find a plan’s star rating.

Understand how to use Medicare star ratings when choosing a Medicare Advantage or Medicare Prescription Drug Plan. (Note: Medicare Supplement Plans do not have star ratings.) Important: Don’t just look at one rating category, but consider the “Overall Star Rating" when making a plan decision.

Medicare Advantage Plans

Medicare Advantage plan star ratings are based on these 5 categories:

  • Member Experience
  • Plan Performance
  • Customer Service
  • Staying Healthy 
  • Chronic Conditions


Medicare Part D Prescription Drug Plan (PDP)

Medicare Part D Prescription Drug Plans star ratings are based on these 4 categories:

  • Member Experience
  • Plan Performance
  • Customer Service
  • Drug Safety and Pricing



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews






Medicare Still Strong And Built To Last!


Fact Sheet dated January 2017: 

Medicare Rights Center came out with some interesting facts regarding Medicare.

  • 57 million Americans rely on Medicare for health insurance coverage.1
  • More than 95% of Americans consider Medicare an important program.1
  • Around 90% of Americans want federal Medicare spending to stay the same or increase.1
  • Around 85% of Americans want Medicare to negotiate drug prices.1
  • People with Medicare already pay a significant amount toward health care. In 2012, they paid 14% of household expenses toward health care costs, nearly three times as much as those not yet on Medicare.1
  • Medicare does a better job of controlling costs than private health plans.1
  • Baby Boomers need Medicare to retire.1
  • Past proposals to implement premium support would give people with Medicare a voucher or coupon to purchase health coverage, either a private plan or Original Medicare. The value of the voucher is not likely to keep pace with rising health care costs, meaning people with Medicare would pay significantly more.1 
  • Medicare provides health coverage less expensively than private insurance and has lower administrative expenses than private health plans which, by design, turn a profit.1
  • Medicare is not going bankrupt.1



1.Source: http://blog.medicarerights.org/medicare-strong-built-last/ January 2017
http://blog.medicarerights.org/medicare-strong-built-last/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Summary Notice - What Is It?



'Medicare Summary Notice' (MSN)

What is it?

It's not a bill. It’s a notice that people with Original Medicare get in the mail every 3 months for their Medicare Part A and Part B-covered services.

The MSN shows:

  • All your services or supplies that providers and suppliers billed to Medicare during the 3-month period
  • What Medicare paid
  • The maximum amount you may owe the provider


When should I get it?

You’ll get your MSN every 3 months if you get any services or medical supplies during that 3-month period.  If you don’t get any services or medical supplies during that 3-month period you won’t get an MSN for that particular 3-month period.

Note: Did you know you can get your MSNs electronically (eMSNs)? If you choose eMSNs, you’ll get a monthly email instead of having to wait 3 months for a paper copy in the mail.
Find out how to get eMSNs.

If I need to change my address:

Contact Social Security.

If you get RRB benefits, contact the RRB.

Who sends it?

Medicare 

If you're not sure if your MSN is from Medicare, look for these things on the MSN envelope [PDF, 380 KB].

What should I do if I get this notice?

  • If you have other insurance, check to see if it covers anything that Medicare didn’t.
  • Keep your receipts and bills, and compare them to your MSN to be sure you got all the services, supplies, or equipment listed.
  • If you paid a bill before you got your notice, compare your MSN with the bill to make sure you paid the right amount for your services.
  • If an item or service is denied, call your doctor’s or other health care provider's office to make sure they submitted the correct information. If not, the office may resubmit. If you disagree with any decision made, you can file an appeal. On the new MSN design, the last page of the MSN gives you step-by-step directions on when and how to file an appeal.”1


To read more, click on the web links below:


1. Source: Medicare.gov


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Supplement - Are You Allowed To Enroll During Any Month?


Medicare Supplement Plans (also known as Medigap plans) have different enrollment rules than Medicare Advantage Plans or Medicare Prescription Drug Plans.

So the answer depends on several factors and also can vary from state to state. 

Keep in mind if you don’t qualify for Guaranteed Issue or it is not during your Medical Supplement Open Enrollment Period, you will need to go through the Medicare Supplement insurance company’s medical underwriting and meet their guideline requirements in order to be approved. (Meaning, depending on the Insurance company, if you can truthfully answer “NO" to all their eligibility questions on the application, you should be approved. If you answer “YES" to any of the questions, most of the time you will be declined!)

Below are some examples in Florida of when you can enroll in a Medicare Supplement during any month you choose:

  • You are coming off an employer health insurance group plan and you are leaving either involuntarily or voluntarily (both are allowed), and you have had continuous credible health insurance coverage since you were first eligible for Medicare. (Credible coverage means that you had coverage at least equal to or better than Medicare coverage.) It is best to speak with your employer administrator first. Once you leave your employer health insurance, generally you cannot return to your employer health insurance.

  • You can enroll any month during your Medicare Supplement Open Enrollment Period.
    Pasted from Medicare.gov "The best time to buy a Medigap policy is during your 6-month Medigap Open Enrollment Period. You generally will get better prices and more choices among policies. During that time you can buy any Medigap policy sold in your state, even if you have health problems. This period automatically starts the month you're 65 and enrolled in Medicare Part B (Medical Insurance), and it can't be changed or repeated.”1 

  • Click on the web link below for more info:
    https://www.medicare.gov/supplements-other-insurance/when-can-i-buy-medigap


Example of when you can not switch to a Medicare Supplement on any given month, but need to wait until the Annual Election Period, unless you qualify for a Special Election Period:

  • Even though the Medicare Supplement Insurance company may allow you to enroll in Medicare Supplement any month of the year, if you already have a Medicare Advantage plan you won’t be able to terminate that Medicare Advantage plan until the Annual Election Period unless you qualify for a Special Election Period. You can NOT have both a Medicare Supplement and a Medicare Advantage plan at the same time. Also keep in mind, if you are planning on switching Prescription Drug Plans, you won’t be able to switch that type plan either until the Annual Election Period, unless you qualify for a Special Election Period.

  • Click on the web link below for more information on Special Election Periods
    https://www.medicare.gov/basics/get-started-with-medicare/get-more-coverage/joining-a-plan/special-enrollment-periods



Source: 1. https://www.medicare.gov/supplements-other-insurance/when-can-i-buy-medigap


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Supplement - High Deductible Plan G


How does a Medicare Supplement High Deductible Plan G work?

The High Deductible Plan G (HDG) works kind of similar to other Medicare Supplement plans. The Medicare Supplement plans work in conjunction with original Medicare Part A and Part B to fill in the gaps that a person would normally be responsible for, without a Medicare Supplement. 

There aren’t any networks for this High Deductible Plan G, nor for most of the other Medicare Supplement Plans. (With the exception of the “Select" plans). So a Medicare Supplement gives you the flexibility to go to any doctor or hospital in the United States that accepts Medicare. The main difference for this Medicare Supplement High Deductible Plan G is that you would need to satisfy the $2,800 deductible first, before your other benefits are covered by the Medicare Supplement High Deductible Plan G. (Note: That $2,800 deductible is for 2024. The deductible amount can change from year to year.) High Deductible Plan G does not cover the Medicare Part B deductible ($240/year in 2024); however, that deductible goes towards the larger ($2,800/year in 2024) deductible, so you would have already met it by the time you reach the $2,800 deductible.

So how that works, is that original Medicare will pay their 80%, and with this Medicare Supplement High Deductible Plan G, you will need to pay the other 20% up until you meet the $2,800 deductible. After that $2,800 deductible is satisfied, then you should be 100% covered for Medicare approved medical services for the rest of that year. Keep in mind that Medicare Supplements do NOT cover Part D (prescription drugs). You would need to purchase a stand alone Prescription Drug Plan (PDP) for Part D coverage!

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No one type of Medicare Insurance plan fits everybody the same. What may work best for one person, may not work very well for another person. It is a personal choice for you to decide, but it is important to get all the facts first before making a decision. It is also very important to pick the correct plan that you feel fits your needs.


In my opinion, below are some Pros and Cons of Medicare Plan G High Deductible.

Pros:

  • Low monthly premiums
  • Flexibility to go to any doctor or hospital in the US that accepts Medicare
  • You don’t have to file any claims. Works seamlessly.


Cons:

  • Large out of pocket expense of $2,800/year that you need to pay, before your insurance even starts to pay!
  • Deductible can increase yearly (and has increased about 27% in the past 5 year time period)
  • Most likely would have to Medically qualify, if years later you want to switch to another Medicare Supplement plan letter or switch to a different Medicare insurance company.
  • Medicare Supplements do not include dental, vision, hearing, and many other benefits and perks that a Medicare Advantage plan may include. 
  • Does not include Part D Prescription Drug coverage. You would have to purchase a stand alone Part D Prescription Drug Plan (PDP) - Average monthly PDP premium is approximately $30/month, but varies each year.
  • Combined Grand Total of Annual out of pocket expenses can be quite high, even if you don’t get very sick. You need to consider adding not just the low monthly Medicare Supplement HDG Premiums, but also add the Part B monthly Premiums that goes to the government, and the $2,800 annual high deductible you would be responsible for if you go to the doctor or hospital. Additionally, don’t forget to add the prescription drug plan monthly premiums, prescription drug plan deductible, copays, or coinsurance, plus any dental, vision, hearing expenses, etc. that you may incur, that are not covered in this Medicare Supplement High Deductible Plan G plan.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Supplement - If I Cancel, Can I Get It Back?


I read an interesting and informative AARP article regarding Medicare Supplement Plans (Also known as Medigap Plans) and thought I’d share it. There are many different circumstances and one answer doesn’t fit everybody. So the answer on whether you can get a Medicare Supplement plan back after you cancel it, well that will depend on your individual circumstances.


Some of the main points you may want to know are:1

  • Medicare Supplement Plans (Medigap Plans) are not government programs, but are through private insurance companies.
  • Medicare Supplement Plans (Medigap Plans) can be bought, or changed at any time of the year. (However it is only at special times that you can buy a policy with federal protections known as “guaranteed issue.”) Also unless you qualify for a special election period, there are only certain times of the year when you can also add, change, or cancel a stand alone Prescription Drug Plan, that many people have in addition to their Medicare Supplement Plan at the same time. Those Prescription Drug Plans provide drug coverage that compliments their Medicare Supplement Plans. (Note: There are a few states that may allow you to get a Medicare Supplement plan with guaranteed issue any time during the year, so be sure to check you specific state rules.)
  • If you don’t qualify for guaranteed issue for your Medicare Supplement plan, then you have to answer the Medicare Insurance underwriting questions (which can vary from company to company), and depending on your answers, you may be approved or you may be denied coverage for getting back into a Medicare Supplement plan.
  • The most common time for buying Medicare Supplement with guaranteed issue is within six months of their Medicare Part B coverage going into effect.
  • The article lists other circumstances in which you can buy a Medicare Supplement with guaranteed issue.


To read the entire article click on the web link below:

https://www.aarp.org/health/medicare-qa-tool/cancel-medigap-can-i-reenroll-at-open-enrollment/


1. Source: AARP Web Site - https://www.aarp.org/health/medicare-qa-tool/cancel-medigap-can-i-reenroll-at-open-enrollment/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Supplement Changes for Plans F & Plan C - Starting 1-1-2020


I am trying get way ahead of any stress you might incur later on in the year regarding hearing about changes to your Medicare Supplement Plan F (or Plan C). So as a courtesy to avoid any misinformation that might be floating out there I thought I would write this blog post to explain in advance. That way you will know correct answers well in advance to alleviate any possible concerns about changes you may hear later on in the year regarding your existing Medicare Supplement insurance.

If you are already have an existing Medicare Supplement Plan F or Plan C, don’t worry you will be able to keep your existing plan, since you will be grandfathered in! 

Plans C, F, and High Deductible F will still be available for beneficiaries who were Medicare eligible prior to 12/31/19.

The new rule only effects newly eligibly people that want to enroll in a Medicare Supplement and are only eligible AFTER 1/1/2020!


What is MACRA?

MACRA stands for the Medicare Access and CHIP Reauthorization Act of 2015. The new rule states that as of January 1, 2020, newly-eligible Medicare beneficiaries won’t be able to purchase Medicare supplement plans that cover the Part B deductible. This includes Medicare supplement Plans C, F, High-Deductible F (and Minnesota and Wisconsin Part B deductible coverage). 

Medicare-eligibility through December 31, 2019

For those of you who are already Medicare-eligible or will be through December 31, 2019, your Medicare options are the same as they have always been. You can keep your existing plan or purchase any that cover the Part B deductible.

Medicare-eligibility January 1, 2020 and after

The MACRA rule will impact people who become Medicare-eligible after December 31, 2019 as the are considered “newly-eligible” and won’t be able to purchase plans that cover the Part B deductible. Their plan choices include some type of cost-share. Additionally, MACRA makes Plans D and G the guaranteed issue plans for newly-eligible Medicare beneficiaries (as of January 1, 2020) for the specified period under current law that name Plans C or F for current beneficiaries.

If you are either current Medicare supplement policyholders or are Medicare eligible prior to January 1, 2020 be assured that your Medicare supplement options are unchanged and no action is required!

 





——----------------------------------------------------------------------------------------------------------------

Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare Supplement Price Shopping When You Already Have An Existing Medicare Supplement


Depending on certain factors, many people that bought their Medicare Supplements years ago are grandfathered into their Medicare Supplement plan premiums at “issue age.” (Meaning the age when you got approved on your current Medicare Supplement Plan.) In those cases, the only annual increases you may have had, should have been just inflationary increases across the board. Those type of annual increase were not age related, nor related to health issues that occurred after the start of your plan. However, if you switch to a different insurance company or later come back to the same company after leaving, your premium will now be priced at your current age. Therefore you most likely already have the lowest premiums. Although in certain situations, it is still possible to try to lower your premiums. So if you would like me to shop your current Medicare Supplement premium to compare with another insurance company to determine if you can possibly get a lower premium with the same coverage, please call me with the following information: 

  • Your current monthly premium of just your Medicare Supplement (NOT including your Prescription Drug Plan premium)
  • Your zip code
  • Your birth date including year
  • The Plan Letter of your current Medicare Supplement Plan (Example: Plan F)
  • Whether or not you are a tobacco user.

 

Note: Before shopping rates, keep in mind when switching Medicare Supplement plans after 65 (unless you qualify for guaranteed issue for another reason), now going forward you will need to be able to pass underwriting to be approved for a new policy. There are a series of questions the insurance companies ask on the application. Unfortunately if you answer “yes” to any of those questions, you will be declined. I am pasting below a sample of the questions from one insurance company to help determine if you would be able to be approved before comparing prices. Most underwriting questions from Medicare Supplement Insurance companies are similar, but each company may ask different or additional questions. Attached is just a sample of the underwriting questions from one company.

If you have questions, please feel free to call me.



To Read More Click On Related Blog Post Link Below:

Medicare Supplement Shopping & Comparison


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Supplement Shopping & Comparison


When shopping and comparing Medicare Supplement (Medigap) plans there are many things to understand before making a decision on which insurance company and plan to purchase.1 


Some of the things you should understand before you purchase are:

  • You must have Medicare Part A and Part B first before getting enrolled in a Medicare Supplement Insurance Plan. You should contact the Social Security Office to inquire about enrolling in both Part A and Part B several months in advance of your 65th Birthday (or several months before you become eligible Medicare Part B, for example if you plan on working past your 65th Birthday, etc.)

  • You should understand that the Plan Letters for Medicare Supplement Plans are “standardized" by the Federal Government. Which means if you are shopping, for example for a Medicare Supplement "Plan F,” then all the Medicare Supplement Insurance companies are required to offer the same exact Standardized “Plan F” plans, however they are allowed to charge different premiums. So basically you want to shop for the lowest premium of the specific plan you choose, since the only real difference will be the premium prices of the same exact plan from one Medicare Supplement insurance Company to another, with the following exceptions:
    • You should make sure the Insurance company is reputable and pays their claims on time. (Otherwise just a low premium price doesn’t really matter, if the Medicare Supplement insurance company isn't paying your claims on time.) It is also a good idea to check the insurance company’s financial rating, since you want to make sure they will be around in the future for paying your claims.
    • You should check on the previous history of annual rate increases. Although the previous history doesn’t guarantee future rate increase percentages, it may give you a better idea of their track record from the past. Some Medicare Supplement plans can increase quite a bit more annually than the same exact plan from another insurance company. Keep in mind that if your premiums go up, you don’t automatically qualify for another Medicare supplement with a different insurance company in your later years, since there are underwriting questions asked, which depending on your health you may or may not qualify to be approved. So you may be stuck with your original Medicare Supplement's higher premium rates or be forced to choose to switch to a different type plan. (Such as: Medicare Advantage or keep plain Original Medicare without a Medicare supplement.)
    • Some Insurance companies may offer additional (value-added) services on top of the basic benefits. (Value-added services vary by state and generally can be discontinued at any time!)
    • Many Insurance companies may have different underwriting criteria. Meaning if you do not qualify for either "Open Enrollment” or “Guaranteed Issue,” you could possibly get declined with one insurance company but still get approved with another insurance company since each insurance company may have specific underwriting guidelines you need to fit into in order to be approved. 
    • One insurance company allows you to switch plan letters anytime during the year within the same company. You can call and just request to be switched to a different plan letter and it will be effective the 1st of the next month! Check to if the insurance company you choose offers this benefit. Since that could turn out to be a real advantage if find you are ill mid-year with lots of out of pocket expenses.

  • You are not allowed to have both a Medicare Advantage Plan and a Medicare Supplement plan at the same time!

  • There are many Medicare Supplement plan letters to choose from. See chart below. Make sure you understand the benefits and the monthly premium amount of the specific plan letter you choose before enrolling. 

  • The private insurance company's Medicare Supplement premium is in addition to your monthly Part B premium you pay to Medicare. (and also in addition any premium you may pay for Part A as well, if applicable. Most people don’t pay a premium for Part A. However there are some that do.)

  • Any standardized Medicare Supplement plan is guaranteed renewable even if you have health problems as long as you stay with the same company continuously. The means the insurance company can not cancel your Medicare Supplement as long as you pay your premiums.

  • Newer Medicare Supplements (Sold after Jan. 1, 2006) aren’t allowed to cover prescription drug coverage. However you can enroll in an additional Prescription Drug Plan (Part D plan) if you want prescription drug coverage. 


If I can assist you with your Medicare Supplement enrollment questions, please call me at
941-404-5334 to make an appointment. I will come to you! (if relatively local.)


1. Note: The information below applies to Florida. (Some other states may have similar information or different regulations. However since I am licensed in the state of Florida, my information pertains to Florida. You will need to check your own states' regulations if you permanently reside in another state, since other states may have different regulations. For example: In Massachusetts, Minnesota and Wisconsin, the Medicare Supplement policies are standardized in a different way.)


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


_____________________________________________

See chart below of different Medicare Supplement (Medigap) plans side by side:1

Note: Not all Medicare Supplement (Medigap) plans are offered in every state by every Medicare Insurance Company.

1. Source: Medicare.gov as of 4-26-17

Medicare Supplement Trial Right Guaranteed Issue


What is a Medicare Supplement Trial Right Guaranteed Issue right and how does it work?

First, a Medicare Supplement Trial Right Guaranteed Issue is a right that you may possibly qualify for. That right, if you qualify, may allow you to switch to a Medicare Supplement from a Medicare Advantage plan WITHOUT having to go through medical underwriting. (Meaning you won’t have to answer eligibility questions in order to get approved.) Otherwise without the Trial Right Guaranteed Issue and if you had/have some specific health issues, depending on what they are, your Medicare Supplement application may result in a denial of coverage.

There are several rules in order to qualify for this right, some but not all are listed below:


1. Source: CMS Choosing a Medigap Policy: A Guide to Health Insurance for People with Medicare




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Supplements - Attained Age vs. Issue Age


What is the difference between attained age and issue age in regards to Medicare Supplements? Before I get into that topic, I want to give you some other basic information first.

  • Medicare Supplements are also known as Medigap Policies. (The terms can be used interchangeably.)
  • All Medicare Supplements policies will have increases in rates over time.
  • There are two types of rate increases:

1. Medicare Supplement Rate Increases That Are Due to Age
As we get older, our health can and usually does deteriorate. In regards to Medicare Supplements, the insurance carrier may raise the rate a little bit each year upon your birthday due the increased likelihood of higher claim amounts as we age.  Generally this is just a couple of percentage points, but can vary depending on your specific policy.  You will find this type of rate increase in the attained age Medicare Supplements policies, which are the most common type of Medicare Supplement policies.

2. Medicare Supplement Rate Increases That Are Due to Inflation
The cost of medical care in the United States keeps increasing. As the cost of health goes up, the cost of your Medicare Supplement claims will also increase. Insurance companies will have statewide rate increases nearly every year on every kind of Medicare Supplement policy to keep up with the increasing cost of claims. The insurance carrier must first file its proposed rate increase with the state Department of Insurance for approval. Then they’ll notify you by mail of the effective date of the increase.


Note: You should also understand that Original Medicare itself usually increases the amount of your Part A and Part B deductibles ever year. Medicare Supplement policies often cover these deductibles for you, depending on which plan you chose to enroll in. So if your Medicare Supplement plan is covering a higher deductible for you the next year versus what it did this current year, then your Medicare Supplement rates must also increase over time.


Issue Age Medicare Supplement Policies
An Issue Age rated Medicare Supplement policy means that you buy your policy based on your age at the time of application. Example: Somebody who is 75 will pay a higher premium when they purchase, then say their neighbor who is 65. However, once the policy is issued, it will never increase specifically based on your age. (Unless you terminate your policy, then later decide to reapply down the road. In that case, when you reapply, premiums will be based on your current age at the time of application.) Note: The premiums can still increase due to inflation and rising costs of healthcare, but just not due specifically to your age


Attained Age Medicare Supplement Policies
Attained age policies increase in price as you get older. Generally the insurance company has only a small increase for your attained age though. Most of the time these policies are expensive when you purchase them compared to what an issue age policy might cost you. They are certainly worth comparing so that you get the policy that you feel offers the best financial outlook.


Each state has different regulations.
Note: Florida has only allows issue age Medicare Supplement policies.



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Supplements - Pros and Cons


No one type of Medicare Insurance plan fits everybody the same. What may work best for one person, may not work very well for another person. It is a personal choice for you to decide, but it is important to get all the facts first before making a decision. However it is also important to pick the correct plan that fits your needs. Not all Medicare Supplement plans (also known as Medigap plans) have the same benefits. Different Medicare Supplement Plan Letters have unique benefits to each "Plan Letter." However the Medicare Supplement Plan Letters are standardized by plan letter and regulated by the government. For example, a Plan G with one insurance company will need to be exactly the same as a Plan G with another insurance company. The only real difference will be premium rates, how quickly they pay their claims, customer service, how much the premiums may increase annually, and also any possible value added services such as fitness club memberships, etc. they may offer.


Pros:

  1. Medicare Supplement Plans are more flexible than Medicare Advantage plans in that the Medicare Supplement Plans do not have a network of providers. You may go to any doctor or hospital in the U.S. that accepts Medicare. Very handy when somebody travels a lot OR just wants the flexibility to go to any doctor in the U.S. that accepts Medicare.

  2. Medicare Supplement insurance plans work with Original Medicare, Part A and Part B, and may help pay for certain costs that Original Medicare doesn’t cover. For Medicare covered items and services, a Medicare Supplement plan may “supplement” what Original Medicare doesn’t pay.

  3. Depending on what Medicare Supplement Plan Letter you choose, many plan letters may not have any copays or coinsurance each time you visit a doctor or go to a hospital. (So less unexpected out of pocket expenses vs. a Medicare Advantage Plan.) Examples: Plan F doesn’t even have any deductible for those that are eligible for a Plan F!  However if you just turned 65 on or after January 1, 2020 you can no longer choose a Plan F. The Plan G would be the closest plan to a Plan F. The only difference with a Plan G vs Plan F is that you would have a Part B annual deductible. However Plan G premiums are less expensive than the Plan F, so that Part B deductible you would need to pay out of pocket is pretty much offset by lower premiums. Many times a Plan G is less expensive cumulatively for the year, even if after you needed to pay the full Plan B deductible out of pocket as well as pay all your monthly premiums verses a Plan F with just monthly premiums cumulatively for the year.

  4. Unlike a Medicare Advantage Plan, you are not locked into a Medicare Supplement plan for the entire year if you want to switch to another Medicare Supplement company.

  5. Any standardized Medicare Supplement policy is guaranteed renewable even if you have health problems. This means the insurance company can't cancel your Medicare Supplement policy as long as you pay the premium.

  6. Hospitalization: After all lifetime reserve days are used, an additional 365 days (after Original Medicare allows) of Hospitalization are covered with many Medicare Supplement plans.

  7. Some Medicare Supplement Plans include some coverage for Foreign Travel that is NOT covered by Original Medicare. (With a deductible and a maximum lifetime limit)


Cons:

  1. Depending on your budget, the Medicare Supplement Plan monthly premiums can be expensive compared to many Medicare Advantage plans that offer plans with $0 premiums.

  2. Medicare Supplement policies sold after January 1, 2006 aren't allowed to include prescription drug coverage. So if you need prescription drug coverage, you will need to enroll in an additional stand-alone Medicare Prescription Drug Plan adding to the cost of your monthly premiums. (With many Medicare Advantage Plans, prescription drugs are covered within the same plan with no additional monthly premium.)

  3. No Dental care coverage. (With many Medicare Advantage Plans, dental coverage within the same plan is included with no additional monthly premium.)

  4. No Vision coverage for glasses or contacts. (With many Medicare Advantage Plans, vision coverage within the same plan is included with no additional monthly premium.)

  5. No Hearing Aid coverage. (With many Medicare Advantage Plans, hearing aid partial coverage within the same plan is included with no additional monthly premium.)

  6. If you didn’t just recently turn 65 (Medicare Supplement Open Enrollment), or retire from your job while still having employer creditable health insurance coverage (Guaranteed Coverage), you may need to get approved by being able to answer underwriting questions within the company’s approval guidelines. If you can’t answer their underwriting questions within the insurance companies guidelines you will be denied.

  7. (Not really a con, but just an informative note): You must have Medicare Part A and Part B to purchase a Medicare Supplement. You will pay the Medicare Supplement monthly premiums in addition to the monthly Part B premiums that you pay to Medicare. Reminder: If you want prescription drug coverage, you will also have that additional premium as well.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare Trust Fund Solvency & Other Interesting Information


I was reading an informative KFF article by Juliette Cubanski and Tricia Neuman entitled "FAQ’s about Medicare Financing and Trust Fund Solvency." So I thought I would briefly share some brief bullet points of their information they provided.


  • Medicare spending often plays a major role in federal health policy and budget discussions, since it accounts for 21% of national health care spending and 12% of the federal budget.1
  • Funding for Medicare comes primarily from general revenues, payroll tax revenues, and premiums paid by beneficiaries. Other sources include taxes on Social Security benefits, payments from states, and interest. The different parts of Medicare are funded in varying ways.1
  • Payroll taxes accounted for 88% of Part A revenue in 2019.
    Recent attention has focused on one specific measure of Medicare’s financial condition – the solvency of the Medicare Hospital Insurance (HI) trust fund, out of which Medicare Part A benefits are paid – because the HI trust fund is projected to be depleted in 2026, just five years from now.1 
  • The solvency of the Medicare Hospital Insurance trust fund, out of which Part A benefits are paid, is a common way of measuring Medicare’s financial status, though because it only focuses on the status of Part A, it does not present a complete picture of total program spending. Medicare solvency is measured by the level of assets in the Part A trust fund. In years when annual income to the trust fund exceeds benefits spending, the asset level increases, and when annual spending exceeds income, the asset level decreases. This matters because when spending exceeds income and the assets are fully depleted, Medicare will not have sufficient funds to pay hospitals and other providers for all Part A benefits that are provided in a given year, In the 2020 Medicare Trustees report, the actuaries projected that assets in the Part A trust fund will be depleted in 2026, just five years from now. A more recent projection from the Congressional Budget Office also estimated depletion of the HI trust fund in 2026.1
  • So while some describe the trust fund as heading toward “bankruptcy” or “going broke”, it is important to note that the Medicare program will not cease to operate if assets are fully depleted, because revenue will continue flowing into the fund from payroll taxes and other sources. Based on data from Medicare’s actuaries, in 2026, Medicare will be able to cover 94% of Part A benefits spending with revenues plus the small amount of assets remaining at the beginning of the year, and just under 90% with revenues alone in 2027 through 2029.1



Click the web link below to read the entire article:

https://www.kff.org/medicare/issue-brief/faqs-on-medicare-financing-and-trust-fund-solvency/



1. Source: KFF article entitled: "FAQs on Medicare Financing and Trust Fund Solvency" by Juliette Cubanski and Tricia Neuman 
https://www.kff.org/medicare/issue-brief/faqs-on-medicare-financing-and-trust-fund-solvency/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare What Is An Advance Beneficiary Notice? (ABN)


An Advance Beneficiary Notice (ABN), is also known as a waiver of liability. It is an advance written notice of non-coverage that a provider should give you before you receive a service if based on Medicare coverage rules, your provider has reason to believe Medicare will not pay for the service. That way a Fee-For-Service (FFS) beneficiary should be able to make an informed decision in advance about items and/or services that are usually covered by Medicare, but may not be expected to be paid by Medicare in a specific instance for certain reasons, such as lack of medical necessity.

You may receive an ABN if you have Original Medicare, but not if you have a Medicare Advantage Plan. The ABN may look different, depending on the type of provider who gives it to you.

To recap: The ABN allows the beneficiary to make an informed decision in advance about whether to get the item and/or service that may not be covered by Medicare and accept financial responsibility themselves, if Medicare does not pay. If the beneficiary does not get written notice when it is required, he or she may not be held financially liable if Medicare denies payment, and the provider or supplier may be financially liable if Medicare does not pay.1

The Advance Beneficiary Notice must list the reason why the provider believes Medicare will deny payment. Providers are not required to give you an ABN for services or items that are never covered by Medicare, such as hearing aids.


For more information you can download a 13 page PDF document from the CMS.gov website at:

https://www.cms.gov/Outreach-and-Education/.../abn_booklet_icn006266.pdf


1. Source: https://www.cms.gov/Outreach-and-Education/.../abn_booklet_icn006266.pdf


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Medicare, Medigap Cuts May Make You Sick


In this Wall Street Journal article by Elizabeth O'Brien it infers while things are far from being set in stone quite yet, some of the possible proposals for change include beneficiaries with the more comprehensive Medicare Supplement Plans (like Plans C and Plan F) to pay additional taxes. Other proposals could include beneficiaries having to pay more towards out-of-pocket expenses to reduce overall Medicare spending. The theory is if patients have more "skin in the game" in the form of having to contribute more towards their medical expenses, they will be less likely to go to the doctor and have elective surgeries, etc. To read more click link below.

http://www.marketwatch.com/story/medicare-medigap-cuts-may-make-you-sick-2013-05-15


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare: When To Enroll


Informative WSJ article by Andy Landis about when to enroll in Medicare, the pitfalls and penalties of enrolling late, options to enroll if you are still employed and more. 

Did you know you can postpone Medicare until after age 65 if you have health insurance from your current work? Your work health insurance must be based on your own current work or spouse’s current work. It can not be based on COBRA or retiree health insurance. 

If you meet those requirements you can delay Medicare enrollment without penalties for late filing:

  •     You may enroll at any time while covered by the employer's health plan.
  •     You may enroll during the eight-month period starting with the month employment ends, or the month your work insurance ends, whichever comes first.
  •     If you enroll in month one, the month of termination, your Medicare coverage starts the first day of that month
  •     If you enroll after the month of termination, in months two through eight, your Medicare coverage is delayed until the month after you enroll. This could cause a gap in coverage.
  •     You must prove your employer coverage with a letter from your employer.


The original web link to article is no longer accessible, but I listed as the original source below anyway.

Source: http://www.marketwatch.com/story/medicare-when-to-enroll-2013-03-20


Click link below to read more about enrolling in another related blog post:

Medicare – What Do I Need To Do To Enroll?


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Medicare’s Financial Outlook


I read this informative online KFF.org article by Juliette Cubanski and Tricia Neuman regarding 10 Essential Facts About Medicare’s Financial Outlook and thought I’d share it.

The article explains Medicare funding, the Affordable Care Act’s impact on Medicare’s long term financial stability, and what an aging population means for Medicare going forward. It goes on to say that Medicare is likely to be back on the federal policy agenda as Congress debates repealing & replacing the Affordable Care Act, and also if policymakers turn their attention to reducing entitlement spending as part of efforts to reduce the growing federal budget deficit and debt.1


1. Medicare is not “going broke” even though it does face financial challenges.1
When some policymakers talk about Medicare as being “bankrupt” or “going broke” they are referring to the status (or “solvency”) of Medicare’s Hospital Insurance (Part A) trust fund, out of which beneficiaries’ hospital bills are paid. When spending on benefits exceeds revenues (primarily payroll taxes), and assets in the trust fund account are fully depleted, Medicare will not have sufficient funds to pay all Part A benefits. Currently, Medicare’s actuaries estimate that there will be sufficient funds available to pay for hospital insurance benefits in full until 2028. At that point, Medicare will be able to cover 87% of costs covered under Part A through payroll tax revenues - but the Medicare program will not cease to operate.1


2. The aging of the U.S. population, along with higher health care costs, are contributing to the growth in Medicare spending over time.1

Between 2010 and 2050, the population ages 65 and older will double…1

To read entire article for details, please use Web link below towards bottom of article.


3. The Affordable Care Act (ACA) helped to reduce Medicare spending growth in the years following its enactment.1
To read entire article for details, please use Web link below towards bottom of article.


4. Repealing the ACA, including all Medicare provisions, would increase Medicare spending.1

To read entire article for details, please use Web link below towards bottom of article.


5. Medicare spending was 15 percent of the federal budget in 2016.1

To read entire article for details, please use Web link below towards bottom of article.


6. Medicare spending is projected to increase gradually as a share of the federal budget and the nation’s economy over the next 10 years.1

To read entire article for details, please use Web link below towards bottom of article.


7. Medicare spending is projected to increase at a faster rate in the coming years than in the five years following enactment of the ACA.1

To read entire article for details, please use Web link below towards bottom of article.


8. Spending on Part D prescription drug coverage is expected to grow faster than spending on other Medicare-covered benefits over the next 10 years.1

To read entire article for details, please use Web link below towards bottom of article.


9. Medicare spending is projected to increase as a share of the economy over the long run, but the ACA helped to moderate the long-range projections.1

To read entire article for details, please use Web link below towards bottom of article.


10. Medicare benefits are funded mainly by a combination of general revenues, payroll taxes, and premiums paid by beneficiaries.1

To read entire article for details, please use Web link below towards bottom of article.


Click on web link below to read entire article:

http://kff.org/medicare/issue-brief/10-essential-facts-about-medicares-financial-outlook/


1. Source: Kaiser Family Foundation - http://kff.org/medicare/issue-brief/10-essential-facts-about-medicares-financial-outlook/




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


More Disgruntled Doctors Leave Medicare


It is interesting to find out why some doctors won’t accept Medicare anymore. Since they are not required to accept Medicare, they can just opt out of working with program altogether. This Wall Street Journal article by Matthew Heimer explains a couple reasons why they choose to opt out of accepting Medicare such as: low payment rates and/or they are unhappy with the information sharing they are required under the Affordable Care Act as well as other recent health care reform laws. 

Since more doctors are choosing not to accept Medicare, it is causing a doctor shortage for seniors on Medicare. That causes longer wait times, longer driving distances or both when it comes time to see a doctor.

To read more, click on the link below.

http://blogs.marketwatch.com/encore/2013/07/29/more-disgruntled-doctors-leave-medicare/tab/print/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Must I Sign Up For Medicare When I Turn 65 If I Receive Health Care Through The Department Of Veteran Affairs?


According to an AARP article by Patricia Barry (author of AARP’s Medicare for Dummies) the answer is no, but the VA Strongly recommends that you do.

Several reasons why you should have both:

  • VA health benefits are not set in stone. So if funding levels ever change, your coverage could change as well or you could possibly even lose your health benefits altogether.
  • Having both Medicare and VA coverage could save you lots of money if you need urgent care a long distance from a VA facility.
  • If you don’t enroll in Medicare when you are first eligible and decide you want to enroll later on, you’ll need to pay permanent penalties for signing up late. (For Part B that comes to 10% penalty added to your premium for every year you delayed. For Part D that comes to 1% penalty added to your premium for every month you delayed, if you didn’t have credible coverage.)


Source:
AARP Bulletin Oct 2014 Page 35
http://pubs.aarp.org/aarpbulletin/201410_DC?pg=35#pg35


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

New August 2022 Bill Passed That Affects Medicare Benefits


Since the insurance companies have not broadcast any of these new changes to agents regarding these changes yet, I decided to post this information as a courtesy to keep you updated.

As of this writing, this is the latest info that I received from a public source, regarding the new August 2022 bill passed that will affect Medicare Benefits. See web link to read the entire article.

https://www.nerdwallet.com/article/insurance/medicare/inflation-reduction-act-medicare


The Gist of the changes and the dates they are supposed to take affect are listed below. Most benefits are phased in during future years. (Please keep in mind this is from a public article source, and NOT from an “Official” Medicare or Insurance source.)

The Green highlights start in 2023.
Other benefits highlighted in Yellow start in future years.

Starting in 2025, out-of-pocket spending for Medicare Part D prescription drugs will be capped at $2,000.

That cap increases in subsequent years based on Medicare’s annual spending for covered drugs. If Medicare spends 5% more, for example, the cap for 2026 would be 5% higher: $2,100.

What it means for you: After you hit the $2,000 out-of-pocket cap in 2025, you won’t owe any more copays or coinsurance for covered drugs for the rest of the year (you’ll still have to pay your premiums). After 2025, the cap will be higher but still based on that $2,000 starting point.

Starting in 2024, beneficiaries won’t pay anything out of pocket in the catastrophic phase of Medicare Part D coverage. (This year only. - Because the $2,000 out-of-pocket cap goes into effect in 2025, this provision is really only relevant in 2024.)

Starting in 2023, drug manufacturers will have to send rebates to Medicare if their prices for most prescription drugs covered by Medicare go up faster than the rate of inflation.

Starting in 2024, the national base beneficiary premium for Medicare Part D plans can’t increase by more than 6% per year.

Starting in 2023, monthly out-of-pocket costs for covered insulin products will be capped at $35. Deductibles won’t apply to insulin products.

What it means for you: Your plan won’t be able to require more than $35 per month in coinsurance or copays for covered insulin products, even if you haven’t yet met your Medicare Part D deductible.

Note: Some current 2022 RX plans already have this $35/month max out of pocket for insulin, but it is limited to certain brands and is voluntary by insurance companies to include in some of their plans.

Starting in 2024, individuals with income up to 150% of the federal poverty level, or FPL, will be eligible for the full Medicare Part D low-income subsidy, also known as Medicare Extra Help.

Previously, the full subsidy was available at 135% of the FPL, and partial subsidies were available on a sliding scale between 136% and 149% of the FPL.

Starting in 2023, there will be no deductible, coinsurance or other cost-sharing requirements for adult vaccines covered under Medicare Part D.

What it means for you: You can get any vaccine covered by Medicare Part D without any out-of-pocket costs.

Medicare will start to negotiate prices for qualifying prescription drugs on which it has spent the most money: 10 drugs in 2026, 15 total in 2027, 15 total in 2028 and 20 total each year from 2029 on

What it means for you: If you are prescribed one of the drugs with negotiated prices, you should see reduced prices starting in 2026.

Unfortunately, this is all I know from what I read publicly at this point.


------------------------------------------------------------------------

Similar info from another source:

Starting in 2023

Drug price increases will effectively be capped at the rate of inflation

Monthly out-of-pocket costs for covered insulin products will be capped at $35

Deductibles will not apply to any insulin products

Medicare covered adult vaccines must be at no cost with no deductible

Starting in 2024

Zero out-of-pocket costs for catastrophic Part D coverage (this year only)

Part D national base premiums cannot increase by more than 6% per year

The threshold for full LIS will be increased to 150% of FPL (currently is 135%)

Starting in 2025

Starting in 2025, the annual out-of-pocket Part D will be capped at $2,000

After 2025, the cap will increase based on Medicare’s drug expenditures

Starting in 2026

Medicare will start to negotiate prices, initially only on 10 qualifying drugs

Years 2027 and beyond

Negotiations will be expanded to an additional 15 drugs in 2027

Negotiations will be expanded to an additional 15 drugs in 2028

Negotiations will be expanded to an additional 20 drugs in 2029

 

 

Hope it helps!


New Drug Pricing Plan - Will It Ever Happen?


This web page has been intentionally deleted!

New Enrollment Period Option For Medicare Advantage Plans Started in 2019 & Is Called Medicare Open Enrollment Period!


As of 1/1/2019 and later there is a new enrollment period (actually an old one that came back). It is called Medicare OEP (Open Enrollment Period) which will run from January 1st through March 31stIndividuals may make only one election during the Medicare Advantage OEP. The effective date for an Medicare Advantage OEP election is the first month following the receipt of the enrollment application.

If you are already enrolled in a Medicare Advantage plan, you’ll have a one time opportunity to:

  • Switch to a different Medicare Advantage plan (MA-PD or MA-only)
  • Dis-enroll from your current Medicare Advantage plan and return to Original Medicare (with or without a Part D plan) and also add a Medicare Supplement if you so desire.


This new Open Enrollment Period is not to be confused with the AEP (Annual Enrollment Period) which still runs from October 15th through December 7th. So it is very important to understand these are two distinct enrollment periods and different rules apply to each! Also that this new OEP does not replace AEP, it is in addition to it.


Currently the existing Medicare Annual Enrollment Period (AEP) that runs from October 15th through December 7th, when members may make changes to their plans. They can move from one Medicare Advantage plan to another Medicare Advantage plan, change from a Medicare Advantage plan to a Medicare Supplement plan or from a Medicare Supplement plan to a Medicare Advantage plan. Members can also change stand alone part D drug plans at this time. There is no limit to how many times they can switch as long as it done between October 15th through December 7th, but the last choice they make by December 7th is final. 

The old Medicare Advantage Disenrollment Period (January 1 – February 14 every year) was discontinued, due to the addition of this new Medicare Advantage Open Enrollment Period.


NOTE: The new Medicare Advantage Open Enrollment Period does not provide an opportunity for a person enrolled in Original Medicare to join a Medicare Advantage plan. It also does not allow for Part D changes for individuals enrolled in Original Medicare, including those enrolled in stand alone Part D plans.


Click on web link below to read more:


Original web link is no longer valid. 
https://www.medicare.gov/blog/medicare-advantage-open-enrollment

Below is similar information with a new web link to AARPMedicareplans.com

https://www.aarpmedicareplans.com/medicare-articles/what-can-i-do-during-the-medicare-advantage-open-enrollment-period.html




Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Original Medicare - What You Should Consider When Searching For Outpatient Services


When using Original Medicare, some things to consider and understand before receiving outpatient services:

  • You will need to satisfy (fully pay) your Part B annual deductible first before Original Medicare benefits kick in for Part B services. The Part B deductible may increase from year to year, and your annual deductible will reset each year, starting fresh on January 1st.

  • There are three different types of providers:

    • A "participating provider” is a provider that accepts Medicare and always takes assignment. Taking assignment means that the provider accepts Medicare’s approved amount for health care services as full payment. So in order to pay the least amount for outpatient services, you should go to a participating provider whenever possible. This type of provider (a participating provider) is required to submit a bill (file a claim) to Medicare for the care you receive from them. If you go to a participating provider then you are responsible for paying 20% coinsurance for Medicare covered services.

    •  A "Non-participating" provider accepts Medicare, but does not agree to take assignment in every case (however they may take assignment on a case by case basis). This means that while non-participating providers have signed up to accept Medicare insurance, they do not accept Medicare’s approved amount for your healthcare services as full payment. Non-participating providers can charge up to 15% more than Medicare’s approved amount for the cost of the services you receive (known as the limiting charge). This means that you are responsible for a total of up to 35% (20% coinsurance +15% limiting charge) of Medicare’s approved amount for covered services at a non-participating provider.

    • An “Opt-out provider" does not accept Medicare at all and has signed an agreement to be excluded from the Medicare program. This means they can charge whatever they want for services but must follow certain rules to do so. Medicare will not pay for care you receive from an opt-out provider (except in emergencies). You will be responsible for the entire cost of your care!


Bottom Line: Before you get service, make sure to ask you provider if they are participating, non-participating, or opt-out so you don’t have some unpleasant surprises when it comes to paying your bill!


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Prescription Copay Assistance - Buyer Be Aware!


There was an interesting USA Today article by Katie Wedell about exceptions and strings that can be attached to prescription drug copay assistance.

A couple of excerpts from article related specifically to Medicare Part D (Prescription Drug Plans) are pasted below:

“Drug manufacturers and drug manufacturers alone set and raise prescription drug prices," the association said in a statement. "The fact is, drug manufacturers only use copay coupons to boost their profits by steering patients to more expensive medications when less expensive, clinically effective alternatives exist. That’s why drugmakers’ use of copay coupon tactics are banned under Medicare and other government healthcare programs.”1

"One of the big limitations of these (coupon) programs is you have to be commercially insured," Waldron said. "You can't have Medicare, Medicaid, Department of Defense, Tricare, or any of the other government-sponsored insurance. So that leaves a whole lot of people ineligible for these assistance programs.”1


Below is a web link to read the entire USA Today article.

https://www.usatoday.com/story/money/2022/11/01/prescription-copay-assistance-role-rising-drug-prices/10555488002/


1. Source: USA Today article by Katie Wedell - found through web link below:
https://www.usatoday.com/story/money/2022/11/01/prescription-copay-assistance-role-rising-drug-prices/10555488002/ 



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Prescription Drug Out Of Pocket Costs Can Vary Significantly!


Did you ever notice when filling a prescription drug order at a pharmacy that your out of pocket price for the exact same drug, dosage, and quantity can vary significantly depending on:

  • If you pay full retail price?
  • If you use a discount coupon?
  • If you pay with your health insurance drug plan’s copay, coinsurance, and/or drug deductible?
  • If you use another method?


Your doctor, and many times even your pharmacist, won’t know your out of pocket costs until you check out at the pharmacy!

It really pays to shop around! (Even if you are already enrolled a prescription drug plan!) Many times for certain drugs, using a service like GoodRX or another similar discount can reduce your out of pocket costs, even less than your deductible and/or copay (or coinsurance) of your drug plan!

Before I go any further here are some common definitions of different types of out of pocket expenses you may be responsible for, if you already have insurance coverage for your prescription drugs:

Deductible: The amount you pay first for prescription drugs, before your plan starts to pay.

Copayment (Copay): A copay is a "flat dollar" amount that you pay as your share of the cost of each prescription, after you satisfy your deductible.

Coinsurance:  Means that you pay a “percentage" of the cost instead of a flat dollar amount, after you satisfy your deductible.

Tier Levels: Groups of drugs that have a different cost for each group. Generally, a drug in a lower tier will cost you less than a drug in a higher tier.


Examples of different scenarios:

  • If you went to the pharmacy, and didn’t mention you have insurance and the pharmacist didn’t ask you, you could pay a very high retail amount!
  • Or if you went to that same Pharmacy for the exact same drug, dosage, and quantity and told them you had a discount code from GoodRX or similar company, you may get a large discount depending on the drug.
  • Or if you went to that same Pharmacy for the exact same drug, dosage, and quantity and used your insurance, you may owe a different amount depending on your plan's drug coverage and out of pocket expenses.
  • Or if you qualified for Medicaid or LIS, you may only be responsible for a low amount or maybe even $0, depending on the plan and the drug.
  • Many times you can even get money savings assistance directly from the drug manufacturers, depending if you qualify! (Usually for very expensive drugs, but not always.)
  • Some people may even opt to shop drugs from Canada to save money.


Your choice, but if you are willing to take a little extra time shop around, you may find a significant savings for your drugs! Nowadays, it seems every little bit helps!


Hope that helps!


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll you in a plan that you feel fits your needs.

As I mentioned above, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Prescription Drugs Billed Under Part B Or Part D - Know The Difference In Advance!


Depending on how doctors bill prescription drugs administered in their offices, including expensive shots, the difference could cost you! If billed under Part D (Prescription Drugs) you would normally just pay your Part D Tier level copay of that drug (plus possibly a one time annual deductible depending on your plan.) However if billed under Part B, again depending on your specific plan, you may be responsible for 20% of the cost! So I highly suggest you contact your doctor and/or insurance company in advance beforehand, so you don’t get an unpleasant surprise in the way of a large bill afterwards without your knowledge.


It can be confusing, since some drugs may be listed under both Part B and Part D.

Part B can includeSelect prescription drugs, including immunosuppressant drugs, some anti-cancer drugs, some anti-emetic drugs, some dialysis drugs, and drugs that are typically administered by a physician.

Part D covers most outpatient prescription drugs (drugs you fill at a pharmacy).
Check your plan’s formulary to find out whether it covers the drugs you need.


Note:
Injectable osteoporosis drugs: Medicare helps pay for an injectable drug if you’re a woman with osteoporosis who meets the criteria for the Medicare home health benefit and has a bone fracture that a doctor certifies was related to post-menopausal osteoporosis. 
A doctor must certify that you can’t give yourself the injection or learn how to give yourself the drug by injection. The home health nurse or aide won’t be covered to provide the injection unless family and/or caregivers are unable or unwilling to give you the drug by injection.


Some additional resource website links are pasted below for more information:

https://www.medicare.gov/what-medicare-covers/what-part-b-covers

https://www.medicare.gov/coverage/prescription-drugs-outpatient

PDF Document downloaded by the web link below:

https://www.cms.gov/medicare/prescription-drug-coverage/prescriptiondrugcovcontra/downloads/partsbdcoveragesummarytable_041806.pdf



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Ready For The Annual Medicare Plan Decision?


Each year during a certain period (currently Oct. 15 through Dec. 7), known as annual enrollment period, you are allowed to change your existing Medicare Advantage plan or Prescription Drug Plan to a new plan. (Note: There are special election periods that allow for changes during other parts of the year for those who qualify.)

It is worth looking into your options whether to change plans or stick with the one you have. It may be wise to change plans due to your existing plan having undesirable changes in the upcoming year, or any health issues that may have changed for you since last year, or if you just weren’t happy with your existing plan.  

One Medicare plan type doesn’t fit all. There are advantages and disadvantages to each type. I like to present different options and let the client choose what they feel is actually best for their individual situation. Some folks like plans with no monthly premium, but have copays, and may have deductibles as well. (Kind of pay as you go). Then there are other plan types that clients basically pay a monthly premium upfront, but generally don’t have to worry about copays and deductibles for their medical expenses. (Although if they want prescription drug coverage they will need to purchase an additional plan, and those prescription drug plans do have copays, and some have deductibles as well.)

It is a smart idea to sit down with an experienced licensed agent that can help you understand your options, but doesn’t try to steer you towards one plan over another.

I can be reached at 941-404-5334 if you’d like to set up an appointment to discuss whether you feel switching to a new Medicare Insurance plan would be right for you.

Note: By calling this phone number, I understand I will be directed to a licensed insurance sales agent.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Retiree Insurance & Medicare - Important Information To Understand


If I have retiree insurance, do I need Medicare Part A & Part B?

Once you become eligible for Medicare, retiree insurance (insurance you get from a past job) is secondary to Medicare, which means that it pays after Medicare pays. If you have retiree insurance from your (or your spouse’s) former employer, generally it is a good idea to enroll in both Medicare Parts A and B as soon as you are eligible. This applies if you are eligible for Medicare because you are 65 or older or due to a disability. There are some exceptions such as if you have End-Stage Renal disease, etc.

Note: If you do not take Medicare when you are eligible and then later decide to enroll, you may have to pay a Part B penalty for late enrollment in addition to the monthly premium. Additionally, you may also have gaps in your coverage because you will have to wait until the General Enrollment Period to enroll in Part B. The General Enrollment Period is January 1 through March 31 each year, with coverage beginning July 1.


If I have retiree insurance, do I need Medicare Part D?

If you have prescription drug coverage through your retiree plan, you may not have to switch a Part D PDP (prescription drug plan) right away, unless you want to. It is best to check and compare each plan’s formulary (The list of covered prescription drugs the plan includes) to see which one fits you the best, as well as the copays, deductibles, etc.  If you decide to keep your prescription coverage continuously through your retiree insurance plan and your prescription plan’s coverage is creditable (meaning it is as good as or better than Medicare’s coverage) then you won’t get penalized later on when you decide to switch to a Medicare Part D prescription drug plan. However, keep in mind that if you have any gaps in prescription coverage after you are eligible for Part D, or you don’t have creditable prescription coverage, you will be charged 1% penalty per month going forward for the months that you didn’t have coverage at all or didn’t have credible coverage. 

Before making any decisions that involve your retiree coverage changes, you should always speak to your benefits administrator.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews



Retirees Get A Break On Medicare Drug Costs


This Wall Street Journal article by Matthew Heimer states that the Centers for Medicare & Medicaid Services announced that premiums for the Medicare Part D prescription drug plan should remain relatively stable in 2014. The article also mentions that consumer advocates and Medicare officials say that comparison shopping by consumers is helping to restrain overall costs. Click the link below to read more.

http://blogs.marketwatch.com/encore/2013/08/01/retirees-get-a-break-on-medicare-drug-costs/tab/print/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Senior Reference Web Sites & Phone Numbers


I have compiled a list of what I feel may be useful contact info for seniors. I actually have a tab on my web site main menu for Senior Reference Sites, but sometimes it gets overlooked. So I thought I would list it here as well.


Click this web link below for helpful web site contact information for seniors:

Senior Reference Sites


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Seniors Facing Higher Medicare Drug Premiums & Copays

This web page has been intentionally deleted.



Some Medicare Advantage PPO Plans Can Be A Hassle


Medicare Advantage PPO plans are not all the same. The rules may vary from insurance company to another insurance company. 

Below is just an example from one PPO plan’s Evidence Of Coverage.

Some In-Network services require prior authorization from the plan in order to be covered. Obtaining prior authorization is the responsibility of the Primary Care Physician or treating provider.

When you read the actual Evidence Of Coverage you will find a significant number of  In-Network medical services require prior authorization. The PPO plan can deny the service. Even when approved, there may be a delay factor before the service can be obtained.

You don’t need to get a referral or prior authorization when you get care from out-of-network providers. 

However, if the insurance company later determines that the services are not covered or were not medically necessary, the insurance company may deny coverage and you will be responsible for the entire cost. 

If the Out of Network provide does not accept assignment ... this means they can charge you up to 15% over the Medicare-approved amount.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Time to Review Medicare in September!


If you are enrolled in a Medicare Advantage Plan or a stand-alone Part D prescription drug plan, you should receive an plan "Annual Notice of Change" (ANOC) and/or Evidence of Coverage (EOC) from your plan each fall. 

The ANOC includes any changes in coverage, costs, or service area that will be effective January 1st of the next year.

You, as a plan member, should receive this notice by the end of September and they will explain any changes that your plan will be making in the upcoming year. These changes can include information about changes to your plan’s list of covered drugs (formulary), copays, coinsurance, deductibles, other health benefits, and/or premium costs. It is important for you to read your mail from your plan to see if there are any changes that affect you. Review any changes to decide whether the plan will continue to meet your needs in the next year.


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Source: Courtesy of Insurance Associates Group


Two-Thirds Of Hospitals Fail A Medicare Test


This Wall Street Journal article by Matthew Heimer explains that the federal agency that administers Medicare will be reducing its reimbursement payments to 2,225 U.S. hospitals this fiscal year as a penalty for making insufficient progress on reducing readmission rates for the patients they treat. Some health care reformers feel that readmission can be a meaningful measure of the quality and cost of hospital care. Click the link below to read the whole article.

http://blogs.marketwatch.com/encore/2013/08/08/two-thirds-of-hospitals-fail-a-medicare-test/tab/print/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

What Is A Medicare Advantage Plan?


What Is A Medicare Advantage Plan?

A Medicare Advantage Plan is an alternative to Original Medicare, offered by private insurers. Medicare Advantage plans are required to provide the same benefits as Part A and Part B of Original Medicare. Medicare Advantage plans are also commonly known to be like an “All-In-One” plan. Meaning than rather that have a separate plan for the Medical side and then another separate Medicare Plan for Prescription Drug coverage, many but not all, Medicare Advantage plans may include prescription drug coverage in the same Medicare Advantage plan, without additional premiums. Many Medicare Advantage plans also include dental, vision, and hearing benefits, which are Not included in Original Medicare or in a Medicare Supplement.

There are several types of Medicare Advantage plans. However, I am only going to cover two types (HMO & PPO) in this blog post.

Generally HMO Medicare Advantage plans are much more restrictive, but many times the least expensive. With most HMO plans, but not all, you are required to get a referral from your primary care physician to go to a specialist. Also you have to stay in network to be covered. 

Medicare Advantage PPO plans are more flexible. PPO plans also have a network of providers, but unlike HMO plans, PPO plan allow you to go out of network, if you so desire. (Although it will cost you more to go out of your PPO network, instead of staying in-network.) In addition, PPO plans generally do not require you to get a referral from your primary care physician to see a specialist.

Many PPO’s and HMO’s have a lot of extra benefits that Original Medicare does not cover. Such as dental benefits, vision benefits, hearing benefits, memberships to fitness clubs may be included at no additional premium, OTC drugs allowances may be included, etc. Depending on your specific area, many PPO and HMO plans may have $0 premiums and $0 Medicare deductibles, as well a limit on Annual Maximum Out Of Pocket expenses! 


Some important notes to be aware of:

  • As with any Medicare Insurance plan, if it is a "true emergency" you can go to any provider and it will be considered in-network. But generally, for non-emergencies, you will want to go to an in-network provider or your out of pocket costs may be much higher (with a PPO Plan), or not even covered at all with an HMO. It will all depend on your specific plan.

  • Be sure to check all your doctors and prescriptions BEFORE enrolling in a Medicare Advantage Plan. Make sure all your doctors are in-network OR that you are willing to switch to a new in-network doctor in the new plan. Also check that your drugs are covered at reasonable out of pocket costs to you, in the plan you chose.

  • Medicare Advantage Plans and Prescription Drug plans generally can only be changed during Annual Election Period (AEP) unless you qualify for a Special Election Period (SEP) due to a qualifying event or reason.


  • A Medicare Advantage Plan is NOT a Medicare Supplement.
    (Medicare Supplements are totally different than Medicare Advantage plans!)

    Medicare Advantage Plans are many times incorrectly confused with Medicare Supplement Insurance. (Medicare Supplements are also commonly known as “Medigap" plans). Both Medicare Advantage and Medicare Supplement plans are offered by private insurance companies. However Medicare Supplement plans cover people who only have Original Medicare Part A and Part B, (and possibly a stand alone prescription drug plan) and then that Medicare Supplement plan can fill gaps in Original Medicare by covering additional copays or coinsurance. Medicare Advantage Plans, by contrast, provide an alternative to Medicare Part A and Part B. You are not allowed to have both a Medicare Advantage Plan and a Medicare Supplement plan at the same time.


  • Lastly, because Medicare Supplement plans are standardized, it is relatively easy to compare costs. Every Medicare Advantage Plan may be different, so comparison shopping can be difficult.


For the pros and cons of Medicare Advantage plans vs a Medicare Supplement, click on the web links below to other blog posts I wrote:

Medicare Advantage Plans - Pros and Cons

https://mgildarinsurance.com/blog/medicare/medicare-advantage-plans--.html


Medicare Supplements - Pros and Cons

https://mgildarinsurance.com/blog/medicare/medicare-supplements---pros.html



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

When can I change my existing Medicare Plan?


If you are already enrolled in a Medicare Advantage or Prescription Drug plan, you may only change your existing Medicare Plan during a qualified period. The Annual Election Period is the main period most people change plans. However, the Open Enrollment Period is a time you can change out of a "Medicare Advantage" plan. (See below for more details.) The only other period to make Medicare plan changes are if you qualify for a SEP (Special Election Period). To find out more about Special Election Periods or to understand if you qualify for one, read below.

Annual Election Period - Oct. 15 to Dec. 7. 

  • Switch, Drop, or Enroll in a Medicare Advantage, Medicare Supplement, and/or Prescription Drug plan)


Open Enrollment Period - Jan 1 - March 31. 

If you are already enrolled in a Medicare Advantage plan, you’ll have a one time opportunity to:

  • Switch to a different Medicare Advantage plan (MA-PD or MA-only)
  • Disenroll from your current Medicare Advantage plan and return to Original Medicare (with or without a Part D plan) and/or add a Medicare Supplement if you so desire.


(Note: Open Enrollment Period is for Medicare Advantage Plans only). As I mentioned above you can leave your Medicare Advantage plan and switch to Original Medicare. (If you switch to Original Medicare, you can also sign up for a prescription drug plan up to March 31 as well). During this period you
cannot do the following: Switch from Original Medicare to a Medicare Advantage plan OR Switch from your current Stand Alone Drug plan to another Stand Alone Drug Plan.)


Special circumstances (SEP) Special Enrollment Periods1

You can make changes to your Medicare Advantage and Medicare prescription drug coverage when certain events happen in your life, like if you move or you lose other insurance coverage. These chances to make changes are called Special Enrollment Periods (SEPs). Rules about when you can make changes and the type of changes you can make are different for each SEP.1


You change where you live1

  • I moved to a new address that isn't in my plan's service area.
  • I moved to a new address that’s still in my plan's service area, but I have new plan options in my new location.
  • I moved back to the U.S. after living outside the country.
  • I just moved into, currently live in, or just moved out of an institution (like a skilled nursing facility or long-term care hospital).
  • I'm released from jail.


You lose your current coverage1

  • I'm no longer eligible for Medicaid.
  • I left coverage from my employer or union (including COBRA coverage).
  • I involuntarily lose other drug coverage that's as good as Medicare drug coverage (creditable coverage), or my other coverage changes and is no longer creditable.
  • I had drug coverage through a Medicare Cost Plan and I left the plan.
  • I dropped my coverage in a Program of All-inclusive Care for the Elderly (PACE) plan.


You have a chance to get other coverage1

  • I have a chance to enroll in other coverage offered by my employer or union.
  • I have or am enrolling in other drug coverage as good as Medicare prescription drug coverage (like TRICARE or VA coverage).
  • I enrolled in a Program of All-inclusive Care for the Elderly (PACE) plan.


Your plan changes its contract with Medicare1

  • Medicare takes an official action (called a "sanction") because of a problem with the plan that affects me.
  • Medicare ends (terminates) my plan's contract.
  • My Medicare Advantage Plan, Medicare Prescription Drug Plan, or Medicare Cost Plan's contract with Medicare isn't renewed.


Other special situations1

  • I'm eligible for both Medicare and Medicaid.
  • I qualify for Extra Help paying for Medicare prescription drug coverage.
  • I'm enrolled in a State Pharmaceutical Assistance Program (SPAP) or lose SPAP eligibility.
  • I dropped a Medigap policy the first time I joined a Medicare Advantage Plan.
  • I have a severe or disabling condition, and there’s a Medicare Chronic Care Special Needs Plan (SNP) available that serves people with my condition.
  • I'm enrolled in a Special Needs Plan (SNP) and no longer have a condition that qualifies as a special need that the plan serves.
  • I joined a plan, or chose not to join a plan, due to an error by a federal employee.
  • I wasn't properly told that my other private drug coverage wasn't as good as Medicare drug coverage (creditable coverage).
  • I wasn't properly told that I was losing private drug coverage that was as good as Medicare drug coverage (creditable coverage).




1. Source: Special circumstances (Special Enrollment Periods) 
https://www.medicare.gov/sign-up-change-plans/when-can-i-join-a-health-or-drug-plan/special-circumstances/join-plan-special-circumstances.html


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Why Medicare Advantage Costs Taxpayers Billions More Than It Should

The web page has been intentionally deleted.

Why Spouses Should ‘Split Up’ For Medicare


A Wall Street Journal article by Anne Tergesen, mentioned that spouses with different medical needs may be better served to have different Medicare Insurance plans. The article reminds folks that just because you were on the same health insurance plan during your work years, doesn't mean that you both need to be on the same Medicare healthcare plan. The article also goes on to say that some people make the mistake of assuming plans that charge the highest premiums deliver the most generous benefits and that is not necessarily the case. 

Unfortunately the original web link is no longer accessible, but I listed the source below anyway.

Source: http://blogs.marketwatch.com/encore/2013/10/08/why-spouses-should-split-up-for-medicare/


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

MISC - OFF TOPIC

10 Things Your Drugstore Won’t Say


This WSJ article by Jen Wieczner discusses modern pharmacies and how many are expanding their roles. Today's and future pharmacies are not your grandfather's pharmacies of yesteryear any more. Many pharmacies are getting much bigger and offering many more services, such as high tech systems to help patients, etc. Some pharmacists are now taking on some of the responsibilities that were previously typical of the doctor's job including wellness exams, flu shots, etc. Click below to read more.

http://www.marketwatch.com/story/10-things-your-drugstore-wont-say-2013-03-21


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Are Your Private Emails Really Private?

This web page has been intentionally deleted.

Deposit Boxes Not As Safe As You Think

This web page has been intentionally deleted.

How To Haggle Down Your Medical Bills


An informative Wall Street Journal article by Jen Wieczner that shows creative ways to negotiate your medical bills lower, extend the payments, and delay bill due dates. She mentions that high medical bills are often cited as a major contributor to consumer debt and even personal bankruptcy. Click on the link below to read more.

http://www.marketwatch.com/story/how-to-haggle-down-your-medical-bills-2013-05-10?siteid=nwhpf


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

How To Handle a Loved One’s Final Medical Expenses


Informative MarketWatch article by Bill Bischoff regarding handling a loved one’s final medical expenses for Federal Tax Purposes.

To read the full article click link below:

http://www.marketwatch.com/story/how-to-handle-a-loved-ones-final-medical-expenses-2015-08-11


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Increasing Number Of Seniors Want To Stay In Their Homes As They Grow Older!



I read an informative Sarasota Herald-Tribune article by Michael Moore Jr. and thought I’d share some of their thoughts.


Excerpts:

"Baby boomers, according to Trulia’s Housing Economics Research Team, are holding onto their homes at an increasing rate heading into retirement.”1

"A 2018 national AARP survey shows that 3 out of 4 adults want to stay in their homes and communities as they grow older. But the reality of aging in place comes with a distinct set of challenges - challenges acknowledged by those who took the AARP survey, as only 59% of those who want to age in their home feel like they will be able to do so.”1

Cost is a major consideration when determining where you will live as you age. Nursing homes can be extremely expensive and if not planned for in advance with Long Term Care Insurance, it can wipe out your entire retirement savings very quickly! Although staying at home may have lower total costs than a nursing home facility, even living at home still has significant costs! You need to consider the costs of such things as (but not limited to) hiring a private duty caretaker service to come to your home to assist you when you cannot completely care for yourself and/or Adult Day Care, etc. 

Long Term Insurance can cover Nursing Home Care, Home Health Care, Adult Day Care and more, so it is best to explore your options now, well in advance of when you will actually need the coverage! Later in life as you get older and your health deteriorates you may not even qualify to purchase Long Term Care at that time and even if you do still qualify, it becomes increasing expensive the longer you wait to purchase a policy!



1. Source: Sarasota Herald-Tribune article by Michael Moore Jr.
https://www.heraldtribune.com/news/20190715/aging-in-place-is-on-rise-but-is-it-for-you
Article is no longer available at the web link in the source, but that was the original source.


Contact me at (941) 404-5334 to discuss your long term care options and/or get you started on the right track of getting yourself insured.


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Smartphone Pictures Pose Privacy Risks


Pictures taken with today's smartphones/tablets often carry data tags showing where the picture was taken, a feature you can turn off. 

Click the link below to watch a short video about the dangers, especially if you have children!

http://www.youtube.com/watch?v=N2vARzvWxwY


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Social Security COLA 2023 Benefits Are Rising 8.7%


I just read this information on a MarketWatch article by Jessica Hall and Alessandra Malito. I thought I would share for those of you that are interested due to receiving Social Security already or will be soon.

Some highlights from the article are:

  • The cost-of-living adjustment for 2023 will be 8.7%, according to the Social Security Administration — the largest increase for Social Security benefits in more than four decades.1 
  • On average, Social Security benefits will increase by more than $140 per month starting in January.1
  • Medicare Part B premiums might also be impacted. Most beneficiaries must pay a standard premium for this part of their insurance every month, but those with higher incomes pay more. In 2023, Medicare Part B premiums are decreasing about $5 a month, from $170.10 in 2022 to $164.90 in 2023.1
  • Another change will be an increase in the amount of maximum earnings subject to the Social Security tax. The amount will increase to $160,200 from $147,000.1
  • The earnings limit for workers who are younger than full retirement age will increase to $21,240 and the earnings limit for people reaching their full retirement age in 2023 will increase to $56,520. There is no limit on earnings for workers who are full retirement age or older for the entire year.1


To read more, click on the web link below:

https://www.marketwatch.com/story/social-security-cola-2023-benefits-are-getting-an-8-7-bump-heres-what-that-means-for-recipients-11665664451


1. Source: MarketWatch Article by Jessica Hall and Alessandra Malito - https://www.marketwatch.com/story/social-security-cola-2023-benefits-are-getting-an-8-7-bump-heres-what-that-means-for-recipients-11665664451

The Fight To Lower Prescription Drug Prices


I read an informative AARP Bulletin article regarding a 5-point plan to try to help lower prescription drug prices by Linda Marsa and thought I’d share.


Some excerpts from the article that stood out to me were:

"The plan details how to use Medicare’s negotiating power, careful importation, new approaches to generic drugs and other measures to lower prescription drug prices. In addition, the report puts a spotlight on how drugmakers use coupons and other marketing tools to keep list prices high, and details the surprising barriers that block access to lower-cost generic medicines.”1 


"Drug prices continue to rise far faster than the rate of inflation. The average annual cost of a brand-name drug has more than tripled in the past decade, jumping from $1,868 in 2006 to $6,798 in 2017, according to the AARP Public Policy Institute. Older adults now take an average of 4.5 medications each month, which can add up to a total retail cost of more than $30,000 a year for brand-name drugs.”2

“... AARP believes that a combination of tactics can bring drug prices under control. These include giving the federal government the ability to negotiate when buying drugs, legalizing the safe importation of drugs sold at lower prices in other countries and capping patients’ out-of-pocket costs. A final approach is to change patent rules that allow manufacturers of brand-name pharmaceuticals to freeze out competition from generic alternatives that could lower prices.”2


To read the entire article click on the web link below:

https://www.aarp.org/politics-society/advocacy/info-2019/5-point-prescription-drug-plan.html


1. Source: https://press.aarp.org/2019-5-2-may-aarp-bulletin-the-fight-to-lower-prescription-drug-prices

2. Source: https://www.aarp.org/politics-society/advocacy/info-2019/5-point-prescription-drug-plan.html


Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Understanding Your Medical Bills & What To Do About Mistakes On Them!



I read some very informative Consumer Report articles1 regarding Medical bills and I thought I’d share.


Click on the web links below to read each article:

Sick of Confusing Medical Bills?

https://www.consumerreports.org/medical-billing/sick-of-confusing-medical-bills/


How to Get Help With Your Medical Bills

https://www.consumerreports.org/medical-billing/how-to-get-help-with-your-medical-bills/


6 Ways to Fix Mistakes on Your Medical Bills

https://www.consumerreports.org/medical-billing/ways-to-fix-medical-billing-mistakes/


FYI: At the time of this writing, I am currently a member with Consumer Report. However these web links above seemed to work for non-members as well at the time of this posting.


1. Source: Consumer Reports - September 2018 Magazine edition and online at the above web links.


Note for folks new to Medicare: 

Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Why Do Americans Pay More For Drugs?


I read this interesting MarketWatch article by Robin Feldman regarding why Americans pay more for drugs and I thought it was worth sharing.


Excerpts:

Consider Medicare, the U.S. health insurance system for people over the age of 65. Even accounting for rebates, spending by Medicare beneficiaries for brand-name drugs rose 62% between 2011 and 2015. Most of those over the age of 65 did not receive 62% more salary or pension over that period, so the steep rise in prices is causing people real pain.1

Pharmaceutical companies have willfully distorted the prescription-drug market, but nearly all health-care players are complicit. Disrupting such a lucrative, well-entrenched system requires several specific changes — and, above all, the political will to end business as usual.1 


Click on the web link below to read the entire article:

https://www.marketwatch.com/story/why-do-americans-pay-more-for-drugs-2019-04-24


1. Source: MarketWatch article by Robin Feldman
https://www.marketwatch.com/story/why-do-americans-pay-more-for-drugs-2019-04-24



Note: Medicare Insurance information can be overwhelming and confusing to many people. As an independent licensed agent I can explain things to you in simple terms so you feel comfortable making a decision. Then I can help you choose and enroll in a plan that you feel fits your needs.

By the way, it doesn’t cost you any more if you enroll in a Medicare Insurance plan through me as an independent agent versus directly with an insurance company either over the phone or via the Internet, since I get paid by the insurance companies for your enrollment. Plus you will have personalized service by a local agent. If you would like my assistance, please call me at 941-404-5334.

By calling this number, I understand I will be directed to a licensed insurance sales agent.

Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews

Why Drug Prices Remain So High & 6 Saving Tips


I just read two interesting MarketWatch articles by Elizabeth O’Brien regarding prescription drugs and thought I’d share them.

The first article is about why prescription drugs remain so high and six things you can do to save.

Click on web link below to read 1st article:

http://www.marketwatch.com/story/six-tips-for-fighting-rising-prescription-drug-costs-2015-09-15


The second article is how taking your prescription drugs can actually save you money.

Click on web link below to read 2nd article:

http://www.marketwatch.com/story/why-taking-your-medicine-can-save-you-money-2015-09-17


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link. Insurance Agents Reviews


Please take a few seconds to read what my actual clients have to say about my personalized service in their own words by clicking this link below:
Insurance Agents Reviews