Health Insurance – Important Dates 2023!
Logical Insurance Solutions USA, Inc
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Oct 09, 2023
Florida - Southwest
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HEALTH INSURANCE is more
important than ever! There is no way to determine when something will
happen or when you could be diagnosed with a serious medical condition. So,
saying I am healthy, so I don’t need health insurance makes no sense. Insurance
is moving the financial risk from you to the insurance company. There are
always options for about every budget. Work with a professional that is
contracted with many carriers and offers multiple options. Many plans are
available year-round, the government plans such as the Marketplace and Medicare
have specific times that you can enroll unless you have a Special Enrollment
Period due to, as an example loss of coverage, marriage, moving out of the
plans service area, etc.
MEDICARE –
Annual Enrollment Period October 15-December 7th, 2023, for
January 1st, 2024, effective. Medicare Advantage –
Part C & Part D Prescription Plans
Most of the plans in your area
have made many changes and things you might not notice, especially important,
are your doctors still in network, what tier are your medications and maybe the
tier changed, copays, coinsurance. What extras are the plans offering? Maybe
you need extra dental, vision, hearing aids. Many plans include some wonderful
extra benefits, but it is also particularly important to know how to use the
benefit and if they work for you. If the insurance company, you are with comes
up with a better plan they will NOT switch you to it automatically. Your insurance agent should be making you
aware of a better option. It is illegal
for a insurance person to call you regarding Medicare, do not talk to someone
you have not given permission to call.
Ask them for their National Producer number and report them to Medicare
for a unsolicited call.
CMS has made many rules for 2024
Medicare season. If you want to enroll or review your plan over the phone, you
need to agree to be recorded and Medicare requires us to keep the recording for
10 years. In person appointments do not have that requirement, but you need to
sign a scope of appointment that authorizes us to talk to you about Medicare
Advantage or a Drug Plan it does not allow us to do anything but talk to you
about these topics. Many plans have decreased the cost of Insulin which will be
a huge savings for so many in 2024. Part
D after you, the plan and the pharmaceutical company paid $8,000 you no longer
have a cost for your medications for the rest of the year.
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 it
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 guarantee issue you may need to medically
qualify. You can purchase a Medigap Plan during your 1st 6-month 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?
We offer Free Medicare Seminars
in Lee & Collier County please e-mail info@logicalinsurance.com to
register or call 239-362-0855 for dates. Medicare’s website is www.Medicare.gov.
MARKETPLACE -Obama
Care/Affordable Care Act – open enrollment starts November 1st-
December 15th for January 1st effective. December
16th to January 15th will have February 1st,
2024, effective. The website is HealthCare.gov, your local
insurance agent can help you through the maze. The government also changes each
year what how much you can earn to receive subsidy to help lower your cost for
insurance. Many people are not aware that they do not need to forgo having
health insurance and there are affordable options for them. Insurance is not
just about the price of the premium but particularly important the network of
doctors, hospital, etc. that you can have access to. Be careful carriers that
are selling in your area might not have a good network, so the price might be
right but if your hospital and your doctors are not in their network that is a
problem. So always check the network! Understanding deductibles, out-of-pocket
maximums, what applies to the deductible? Do I have to pay the deductible
before the plan pays? This differs by each plan, Copays vs. coinsurance if you do
not understand ask, become informed about what you are buying and how it works.
Individual/Family Health
Insurance – Being young and healthy does not mean you do not need
health insurance. Do you know anyone that knew when they were going to be
diagnosed with cancer, or when they were going to have a heart attack or even a
serious accident? I do not, it happens, and insurance is there to help you get
the care you need and limit your financial exposure. What are your insurance
options, and what is best for you? Employer Group Coverage, Individual
Medically Underwritten Health Insurance, Medicaid, or the Government Market
Place Guaranteed Issue Health Insurance. There is a lot to know about the differences,
as well as the cost. The monthly premium should not be your only consideration.
You do not know what you do not know so ask the experts, which do know
about all of plans and can help educate and guide you thru the enrollment
process. When it comes to medically underwritten plans, most of them you can
enroll all year long, but you can also be denied based on medical underwriting.
Logical Insurance Solutions is a
SWFL Insurance Broker that works with most of the carriers, we are
happy to help you through the maze. This is what we do daily, it is second
nature to us. We offer virtual seminars, one on one WebEx, phone and in person
appointments.
To learn more about your
options call to schedule an appointment contact: Logical Insurance Solutions
for all your insurance needs, we I am licensed in 30 states.
www.Logicalinsurance.com 239-362-0855 info@Logicalinsurance.com
By Ulla-Undine Merritt
(Dee) National Producer Number (NPN) 8853366
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Logical Insurance Solutions USA, Inc
Medicare Health Providers 11090 McGregor Blvd, Fort Myers, Florida, 33919Logical Insurance Solutions USA, Inc. is dedicated to providing quality, affordable insurance to best suit your needs and budget. Whether it is Health Insurance, Life Insurance, Dental Insurance, Vision, Short Term Disability Insurance, Long Term Care, Catastrophic Insurance Plans, Supplemental Insurance Plans or Medicare Insurance, let us do the research to find you dependable coverage for the best possible price.Life, technologies and ways to do business are always changing. Ethics, the foundation on which Logical Insurance Solutions USA, Inc. was created, never change. It is only logical that we treat our clients the way that we want to be treated. So, it is our commitment to listen, educate, mentor and do our best for all of our clients. Our commitment is like a drop of water. It has no boundaries, just the bonds that it creates. We give nothing less than the best guidance a friend can offer. 30 years later, we are proud to say that this is still our way of doing business. We welcome the opportunity to serve you!
Logical Insurance Solutions USA, Inc
Medicare & Medicaid Information 11090 McGregor Blvd, Fort Myers, Florida, 33919Logical Insurance Solutions USA, Inc. is dedicated to providing quality, affordable insurance to best suit your needs and budget. Whether it is Health Insurance, Life Insurance, Dental Insurance, Vision, Short Term Disability Insurance, Long Term Care, Catastrophic Insurance Plans, Supplemental Insurance Plans or Medicare Insurance, let us do the research to find you dependable coverage for the best possible price.Life, technologies and ways to do business are always changing. Ethics, the foundation on which Logical Insurance Solutions USA, Inc. was created, never change. It is only logical that we treat our clients the way that we want to be treated. So, it is our commitment to listen, educate, mentor and do our best for all of our clients. Our commitment is like a drop of water. It has no boundaries, just the bonds that it creates. We give nothing less than the best guidance a friend can offer. 30 years later, we are proud to say that this is still our way of doing business. We welcome the opportunity to serve you!
Logical Insurance Solutions USA, Inc
Medicare Advantage Plans 11090 McGregor Blvd, Fort Myers, Florida, 33919Logical Insurance Solutions USA, Inc. is dedicated to providing quality, affordable insurance to best suit your needs and budget. Whether it is Health Insurance, Life Insurance, Dental Insurance, Vision, Short Term Disability Insurance, Long Term Care, Catastrophic Insurance Plans, Supplemental Insurance Plans or Medicare Insurance, let us do the research to find you dependable coverage for the best possible price.Life, technologies and ways to do business are always changing. Ethics, the foundation on which Logical Insurance Solutions USA, Inc. was created, never change. It is only logical that we treat our clients the way that we want to be treated. So, it is our commitment to listen, educate, mentor and do our best for all of our clients. Our commitment is like a drop of water. It has no boundaries, just the bonds that it creates. We give nothing less than the best guidance a friend can offer. 30 years later, we are proud to say that this is still our way of doing business. We welcome the opportunity to serve you!