As Heart Failure Therapies Improve, High Mortality Persists and Hospice Use Lags

VERY IMPORTANT: Regarding Medicare it is illegal for an insurance agent to call, text, e-mail, knock on your door, hang anything on your door or vehicle or approach you without your consent. If they do ask for their National Producer Number NPN, and you will hear a click and removed from their list. If they dont hang up, get their number and report them to Medicare. There is so much fraud where people are being switched to plans that they never approved or they were miss led. Shop local, do background checks before you give anyone your personal information. You can google them, google reviews, check their Facebook, etc. Make sure that if you are working with someone you can call them personally if you have any questions or concerns. Medicare Annual Enrollment is October 15-December 7th for January 1st, 2027, effective. What can be changed at this time is Medicare Part D Drug Plans and Medicare Part C (Advantage Plans). You should have received your Notification of Change from your current insurance plan. This outlines the current year to the new year changes, as an example if your specialist provider costs $20 now it might say $35 in 2027 (no correlation just an example). Medicare Part C / Advantage Plans, most carriers have raised out of pocket limits and copays along with decreased extra value benefits for 2027.  Annually Medicare Advantage Plans make changes. They must all include the same features as Original Medicare but not at the same cost share. They can have a premium, Medical and or Prescription deductible, copays and coinsurance can change. Extra Value such as Vision, Dental, Over the Counter, Part B Give Back, transportation, etc. can all change or be eliminated. Medicare sets the annual in-network out of pocket maximum; in 2026 it is $9,250 for in-network and $13,900 out-of-network services combined (2027 this will increase). However, individual insurance plans may set lower limits. The old saying if it is not broken do not fix it DOES NOT apply to Annual Enrollment. Every year I see many people that have not checked/compared their current plan to what is new. I have saved so many people hundreds and in many cases thousands of dollars. You should be working with a broker that represents many insurance companies. Make sure you check them out, especially if you are going to allow someone in your house. I recommend meeting in their office. For me we represent most insurance carriers in our area and carrying all their literature with me is almost impossible. We use three large screens so that our clients can clearly see and compare the differences between the plans. The minimum information always needed is all your doctors, medications: names, milligrams, and dosage. We load your current plan and then compare it to all the other companies in your area. What companies have all your doctors, the price for your medication normally makes a significant difference. Then the Extra Value is what is most important to you. We do NOT CHARGE for your review and if warranted to change your insurance plan. Ethics is most important and if you are on the best plan we will tell you, plus you can see for yourself. If your plan was CANCELLED/DROPPED for 2027, you have a guaranteed issue into a Medigap/Medicare Supplement.  This is huge and very important, know your options!Medicare Seminars they are good for general information. A one-to-one appointment where you can dive into your doctors and medication is best, plus you can then compare other companies in one place. Medicare Part D most insurance carriers have taken away insurance agents ability to help you with your Part D Only drug plans this does not apply to most Advantage plans, standalone drug plans as well as Advantage Plans, you wont have to pay more than $2,400 in out-of-pocket drug costs, which include deductibles, co-pays, coinsurance. It is especially important to check your plans formulary as medication must be in formulary to be capped. 2027 RX deductible will be capped at $715.00. As a reminder the cost of the plan is not as important as the cost plus your medications, that is what you look at, the total cost. It is important to know what the medication is used for to determine if it is covered by the plan. Example Wycovy may be covered but to be covered it must be used for certain heart conditions or diabetes, Medicare does not cover weight lose medications at this time.  As a reminder if you choose NOT to ENROLL in a Part D drug plan and in later years you want one you will have to wait for Annual Enrollment and then you will assed a penalty for every month you did not have a drug plan, that penalty will last for the REST OF YOUR LIFE! When you turn 65 you are eligible for Medicare, once you have worked 40 quarters roughly 10 years there is no cost for Medicare Part A. Part A covers Hospitals, Skilled Nursing, Home Health & Hospice. Medicare Part B you can choose to take at 65, or you can hold off if you are still working and have credible coverage. If you do not have group health insurance that is considered qualified, and then you want Medicare you would have a late enrollment penalty for each month you did not have Part B & Part D, and that penalty will last for the rest of your life. Part B covers doctors, imaging, blood work, ambulance, durable medical equipment, etc. Part D is a Medicare Drug Plan and covers medications. During your initial enrollment period it is especially important to understand your options! Medicare Supplements/Medigap Plans are NOT guaranteed issues; you may need to medically qualify. You can purchase a Medigap Plan during your 1st 6 months on Medicare Part B without medical underwriting. There are a lot of things you need to know. Again, work with an agent you can trust! Especially important: when you move you need to know your options. Can you keep the same plan? Do you need to make a change and what does that look like? Logical Insurance Solutions is a SWFL Insurance Broker that works with most of the insurance carriers in your area, we are happy to help you through the maze. We offer Free Medicare Seminars, Personal Appointments & Virtual appointments. Please e-mail [email protected] to register or call 239-362-0855 for dates. Medicares website is www.Medicare.gov. www.Logicalinsurance.com    239-362-0855    [email protected] Ulla-Undine Merritt (Dee) National Producer Number (NPN) 8853366 

One of the most important decisions families can make as their loved one's age is when to begin exploring senior living options. Too often, the conversation doesnt happen until a crisis occursa fall, hospitalization, medication concern, caregiver burnout, or sudden change in care needs.At that point, families may feel overwhelmed and pressured to make a major decision quickly. Instead of choosing what truly feels right, they may simply choose what is immediately available.Senior Living Should Be a ChoiceNot a CrisisPlanning ahead gives seniors and their families something incredibly valuable: time.Time to tour communities.Time to ask questions.Time to compare services and costs.Time to meet the team.Time to understand care options.And most importantly, time for the senior to have a voice in the decision.When the decision is made proactively, seniors can participate in choosing where they want to live, what lifestyle appeals to them, and what is important to their daily happiness and independence.Why Families Choose Springwood CourtAt Springwood Court Assisted Living, we believe the transition to senior living should feel like a new beginningnot a response to an emergency.Our goal is to provide a warm, welcoming environment where residents can receive support while continuing to enjoy the things that make life meaningful.With a tenured, experienced team, 24/7 staff presence, engaging activities, chef-prepared meals, housekeeping, outings, and a strong focus on personalized care, Springwood Court strives to create a community where residents feel known, valued, and at home.Our philosophy is simple:The building may be brick and mortar, but the people are what make it a home to thrive! That is why we encourage families to visit us before there is a crisis. Come through the doors. Meet our team. Talk with residents. Ask questions. Learn about our services and how we can support changing needs.Planning Ahead Protects ChoiceExploring senior living early does not mean someone has to move immediately.Sometimes the best first step is simply taking a tour and beginning a conversation. A senior may decide they arent ready todaybut now the family knows their options and has a relationship with a community they trust.That preparation can make an enormous difference when circumstances eventually change.Dont Wait Until There Is No ChoiceA crisis can take away options. Planning creates them.At Springwood Court, we want families to feel comfortable starting the conversation earlywhen there is time to make thoughtful decisions, involve their loved one, and find the right fit.Start the conversation. Take the tour. Ask the questions. Know your options.Because senior living should be about choosing where you want to livenot simply finding somewhere to go when you have nowhere else to turn.Springwood Court Assisted LivingFeel the Difference.The Residents Are Not Our Business. They Are Our Why.

Downsizing or Selling Your Home in Retirement: Tax Implications to KnowSelling the family home is one of the biggest financial decisions many people make in retirement whether you're downsizing something smaller, moving closer to family, or relocating somewhere warmer. Before you list the house, it's worth understanding how the sale could affect your taxes.The Good News: Most Home Sellers Owe Little or No TaxUnder federal tax law, homeowners can exclude a significant amount of profit from capital gains tax when they sell a primary residence: Up to $250,000 in gain excluded for single filers Up to $500,000 in gain excluded for married couples filing jointly These limits have stayed the same since 1997 they aren't adjusted for inflation but for most sellers, especially those who haven't owned an especially high-value home for decades, they're enough to eliminate the tax bill entirely.Do You Qualify for the Full Exclusion?To claim the exclusion, you generally need to pass two tests: Ownership test: You owned the home for at least 2 years during the 5-year period before the sale. Use test: You lived in the home as your primary residence for at least 2 years during that same 5-year period. For married couples claiming the full $500,000 exclusion, both spouses need to meet the use test, though only one spouse needs to meet the ownership test. If only one spouse meets the use test, the exclusion drops to $250,000.If you don't fully meet the two-year requirements but had to sell due to a job change, health issue, divorce, or similar unforeseen circumstance, you may still qualify for a partial exclusion.How Your Gain Is Actually CalculatedThis is where record-keeping pays off. Your taxable gain isn't your sale price it's your sale price minus your cost basis, which includes: What you originally paid for the home The cost of qualifying capital improvements over the years (a new roof, an addition, major renovations not routine repairs or maintenance) Selling costs, such as agent commissions Every dollar documented improvement raises your basis and lowers your taxable gain. If you've owned your home for decades, digging up old receipts and records for major projects can make a meaningful difference sometimes the difference between owing tax and owing nothing at all.What Happens If Your Gain Exceeds the ExclusionIf your profit is larger than your exclusion amount, the excess is taxed as a long-term capital gain (assuming you owned the home more than a year), generally at 0%, 15%, or 20% depending on your overall taxable income. For higher-income sellers, an additional 3.8% Net Investment Income Tax may also apply above certain income thresholds. This is more common than it used to be for retirees who've owned a home for many years in an area where property values have risen substantially.A Few Other Situations Worth Knowing Home office deductions: If you claimed depreciation on a home office in past years, that portion is generally "recaptured" and taxed differently when you sell, separate from the main exclusion. Selling a second home or rental property: The primary residence exclusion generally doesn't apply to vacation homes or rental properties. Different rules, including possible depreciation recapture, come into play. Inherited homes: If you're selling a home you inherited, the property typically receives a stepped-up basis to its fair market value at the time of the original owner's death which can significantly reduce or eliminate taxable gain compared to using the original purchase price. Using the exclusion more than once: The exclusion isn't a one-time benefit. You can generally use it again for a future home sale, as long as you meet the ownership and use tests again and haven't claimed it on another sale within the prior two years. Why Planning Ahead MattersThe tax side of selling a home is often simpler than people expect, especially with the exclusion in play but assumptions can be costly in either direction. Some retirees overestimate their tax exposure and hesitate to sell when they'd actually owe little or nothing. Others underestimate it, especially with a long-held, appreciated home, and are surprised by a gain above the exclusion. Reviewing your specific numbers before you list the home, rather than after the sale closes, gives you room to plan.Thinking about downsizing or selling a home in retirement? Contact Zunic Advisory Services to walk through what the sale could mean for your taxes.