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413 N Mission St
Wenatchee, WA 98801

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How Do I Choose the Right Medicare Plan for Me?

Medicare plan 65 Wenatchee Advantage

Hey it’s Suzie with Wenatchee Insurance coming in from 413 Mission Street! Today, we’re tackling the question that’s as tricky as choosing the right toppings for your pizza: “How do I choose the right Medicare plan for me?” Like finding the perfect slice, selecting the right Medicare plan requires a bit of thought, a touch of flair, and maybe a dash or two of pepperoni.

Step 1: Know Your Cravings (er, Needs)

First up, you need to understand your healthcare cravings – I mean, needs. Ask yourself:

  • How often do I visit the doctor? Does your doctor’s office know your cat’s favorite toy, or do you just drop by for an annual tune-up like a leaf in the wind?
  • What meds am I taking? Is your nightstand a mini-pharmacy, or do you have a couple of trusty prescriptions?
  • Who are my favorite healthcare providers? Do you have a doc you’d follow to the ends of the earth (or at least across town)?

Example Time!

Take Rita. She’s got more doctor appointments than a socialite has lunch dates and takes a medicine cabinet’s worth of prescriptions. She needs a plan that covers all her meds and keeps her favorite doctors in-network. Rita’s Medicare plan hunt is like finding the perfect pair of shoes: practical, stylish, and something you can walk miles in.

Step 2: Check Out the Menu (Plan Options)

Here’s the Medicare menu:

  1. Original Medicare (Parts A & B): The classic. Like a good cheese pizza, it’s dependable and straightforward.
  2. Medicare Advantage (Part C): The supreme combo. These plans, offered by private companies, bundle Parts A, B, and usually Part D, plus extra toppings like vision, dental, and gym memberships.
  3. Medicare Part D: Standalone prescription drug plans. It’s like adding a side of garlic knots.
  4. Medigap (Medicare Supplement): These plans cover costs that Original Medicare doesn’t. Think of it as the Ranch dipping sauce for your crust.

Example Time!

Picture John. He’s a minimalist at heart. Original Medicare with a side of Medigap is his go-to. No frills, just solid coverage that gets the job done, like a perfectly baked Margherita pizza.

Step 3: Compare the Costs (Count the Dough)

Don’t get caught with an empty wallet. Here’s what to look at:

  • Premiums: Your monthly fee – like your subscription to that pizza-of-the-month club.
  • Deductibles: The amount you pay before coverage kicks in. Consider it your ante at the poker table.
  • Copayments/Coinsurance: Your share of the bill – like splitting the tab on pizza night.
  • Out-of-pocket maximums: The most you’ll pay in a year before insurance takes over. Think of it as your “all-you-can-eat” cap.

Example Time!

Meet Mary. She’s on a tight budget but loves a good value. She compares plans to find one with low premiums and reasonable out-of-pocket costs, ensuring she doesn’t end up eating ramen instead of pizza.

We love our senior insurance customers
Why be boring, life is short.

Step 4: Star Ratings (Yelp for Medicare)

Medicare plans come with star ratings (1 to 5 stars). Think of it as checking Yelp reviews before trying a new pizza joint.

Example Time!

Tom wants the best of the best. He checks out the 5-star Medicare Advantage plans, ensuring he’s getting top-notch service, like dining at a five-star pizzeria.

Get Expert Help (Call the Pizza Hotline)

Feeling overwhelmed? Don’t worry! Wenatchee Insurance agents are like your personal pizza hotline. We’ll help you compare plans, answer your questions, and find the perfect Medicare pie for you.

Example Time!

Jane was lost in the sauce until she called Wenatchee Insurance. With expert guidance, she found a plan that fit her health needs and budget, like a pizza made just for her.

Final Thoughts

Choosing the right Medicare plan is like finding your favorite pizza: once you get the right combo, it’s pure bliss. With Wenatchee Insurance by your side, you’ll be enjoying your perfect Medicare slice in no time. Stay tuned for more insights, tips, and plenty of cheesy puns!

Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability,

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What Is My Deductible and How Does It Affect My Premium?

insurance deductibles are important to the policy

The Deductible question

What if you are at the Chelan County Fair, and you have to choose between the giant purple monkey or the smaller, but equally cute, stuffed llama. This choice is like deciding on your deductible and understanding how it affects your premium cost with Wenatchee Insurance Agency.

The High Deductible Option: The Giant Purple Monkey  It is like opting for a high deductible when you go for the giant purple monkey. You’ll save money on your premiums. However, if disaster strikes like fire, you’ll need to cough up more cash upfront to cover the deductible first. It’s a gamble, but the savings can be worth it if you don’t foresee many claims in your future.

The Low Deductible Option: The Smaller Stuffed llama Choosing a lower deductible is like going for the smaller, safer stuffed llama. Your premiums will be higher, but you’ll pay less out of pocket if something happens. There is no drama to this llama. It’s a safer bet for those who prefer peace of mind.

The Mid-Range Choice: The Best of Both Worlds Can’t decide? Go for a mid-range deductible. It’s like choosing the medium-sized prize – balanced and reasonable. You can have moderate premiums and a manageable deductible.

Bonus prize

The Premium-Boosting Mystery Box Remember, your premium is influenced by other factors too, like your home’s location, age, condition of the roof and safety features. Just like opening a mystery box at the carnival – you never know what you’re going to get until all factors are considered.

It is why we prefer to have conversations with our clients as sometimes we can uncover discounts that you do not know existed.

Navigate the deductible dilemma with Wenatchee Insurance and find the perfect balance that suits your needs and budget. Happy insuring!

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Topics: Wenatchee Insurance, Deductible, Home Insurance, Bundle, Chelan, Fire, Okanogan, Grant, Medicare, health, Wind, Liability, Cheap Insurance

What does Medicare Cost?

medicare does cost even medicare advantage

Hey North Central Washington, from Wenatchee Insurance on Mission street! Today, we’re diving into the nuts and bolts of Medicare cost. Understanding these costs will help you make the best decisions for your bank account and health.

Breaking Down the Medicare Costs

Medicare isn’t free, but understanding its costs is as easy as pie (or at least as easy as a slice). (When Medicare first came out in 1966, the annual deductible for Part A was $40, and the monthly premium for Part B was $3.) There are programs for low income however that is another post. Here’s the breakdown:

Medicare Part A: Hospital Insurance

  • Premium: Most people don’t pay a premium for Part A if they’ve worked and paid Medicare taxes for at least 10 years (40 quarters). If you haven’t, you might pay up to $506 per month.
  • Deductible: In 2024, the deductible for each benefit period is $1,600.
  • Coinsurance: After the deductible, you pay coinsurance for hospital stays:
    • Days 1-60: $0 per day
    • Days 61-90: $400 per day
    • Days 91 and beyond: $800 per “lifetime reserve day” (up to 60 days over your lifetime)

Medicare cost example!

Meet Sam, who’s 65 and newly retired. Since he worked for over 30 years, he doesn’t pay a Part A premium. After a brief hospital stay, he’s grateful his deductible and coinsurance costs are manageable.

Medicare Part B: Medical Insurance

  • Premium: The standard premium for Part B in 2024 is $164.90 per month, but it can be higher based on your income (IRMAA).
  • Deductible: The annual deductible is $233.
  • Coinsurance: After meeting the deductible, you typically pay 20% of the Medicare-approved amount for most doctor services, outpatient therapy, and durable medical equipment.

Note: The Income-Related Monthly Adjustment Amount (IRMAA) is based on the tax return of the previous two years.

Medicare cost example!

Consider Lucy, who loves her yearly wellness visits. She pays her monthly Part B premium and a small deductible, but thanks to Medicare, her out-of-pocket costs for doctor visits and preventive care are minimal.

Part C: Medicare Advantage

Medicare Advantage Plans vary in cost, depending on the plan and provider. Some plans have low or even $0 premiums but may have different deductibles, copayments, and out-of-pocket maximums. These plans vary from company to company and can even be different by zip codes in the same state. We recommend having a trained person walk you through these plans.

Medicare cost example!

Picture John, who chooses a Medicare Advantage Plan with a $50 monthly premium but no additional deductible. His plan includes vision and dental coverage, making it a sweet deal for his needs.

Part D: Prescription Drug Coverage

  • Premium: Varies by plan, with an average of around $33 per month.
  • Deductible: Some plans have a deductible, which can be up to $480.
  • Copayments/Coinsurance: Costs vary based on the medication tier and whether you use a preferred pharmacy.

Note if you do not sign up for Part D or have credibly prescription coverage then you can have a penalty from Medicare.

Wenatchee Insurance: Your Budget Buddy

At Wenatchee Insurance, we understand that navigating Medicare costs can feel like assembling a financial jigsaw puzzle. But don’t worry – we’re here to help you piece it all together. Suzie at Wenatchee Insurance can provide personalized guidance and ensure you understand all the costs involved.

Remember, folks, planning for Medicare doesn’t have to be a budget-busting headache.

Are Secret Discounts Available for Home or Bundling Policies?

Unlocking the Secret Discounts

Wenatchee insurance bundling Health insurance, Medicare, Life, Car, Home in for secret discounts

Shh… Can you keep a secret? Wenatchee Insurance has secret discounts that can save you big bucks on your home insurance. It doesn’t always have to be with the same company or type of insurance! Let’s embark on a treasure hunt to uncover these elusive savings.

The Safe Home Bonus Installing safety features in your home is like finding a hidden stash of gold coins. Smoke detectors, alarm systems, and deadbolt locks can earn you discounts. Your home becomes a fortress, and you fend off the inflation bandits for the year.

The Golden Parachute of Savings. Keep your receipts, if you have a roof that is less than ten years old then you could be entitled to some savings. Age plays a tremendous role for underwriters being able to cover your home.

The Bundling Bonanza Why stop at home insurance when you can bundle with auto insurance and save even more? It’s like finding a two-for-one deal at your favorite store. Bundle your policies with Wenatchee Insurance. Some companies allow us a discount if you have a Health or Medicare policy with us.

The Claim-Free Treasure Been a good sailor with no claims? Wenatchee Insurance rewards you for smooth sailing. The longer you go without filing a claim, the more you save. Boring is better when it comes to pleasing the underwriters.

The Loyalty Loot Sticking with Wenatchee Insurance pays off. Loyal customers often receive discounts just for being awesome and staying with the same insurer. It’s like getting a thank-you gift for being part of the family.

So, grab your treasure map and start hunting for those hidden discounts with Wenatchee Insurance. Your savings adventure awaits!

Topics: Wenatchee Insurance, Deductible, Home Insurance, Bundle, Chelan, Fire, Okanogan, Grant, Medicare, health, Wind, Liability, Cheap Insurance, independent insurance broker,

What Are Medicare Advantage Plans?

medicare advantage mutlitool of health

Greetings, Wenatchee Insurance aficionados from Mission Street! Today, Suzie is shining a light on the mystery of Medicare Advantage Plans, also known as Part C. Think of these plans as the Renaissance Man of the Medicare world, combining various benefits into one convenient bundle.

Medicare Advantage: The Healthcare Multi-tool

Medicare Advantage Plans are offered by private insurance companies approved by Medicare. These plans include all the benefits of Part A (Hospital Insurance) and Part B (Medical Insurance), and may also include Part D (Prescription Drug Coverage). A Medicare Advantage plan is like a subcontractor. They come in and replace your Part A & B coverages and add different benefits.

While they have undergone changes through the years, Private plans have been around since the beginning of Medicare in 1966. Medicare Advantage plans must cover all medically necessary services that Original Medicare Covers.

Example Time!

Imagine Mary Jo retires and wants to simplify. Instead of juggling separate plans, she opts for a Medicare Advantage Plan that places everything in a convenient package. Mary Jo now has more time to enjoy gardening and less time digging through the different health insurance options.

Medicare Advantage senior in the flowers

Extra Perks: More Than Just Basics

Medicare Advantage Plans often offer additional benefits that Original Medicare doesn’t cover, such as:

  • Vision care: Routine eye exams and glasses
  • Dental care: Cleanings, x-rays, and dentures
  • Hearing care: Hearing exams and hearing aids
  • Wellness programs: Gym memberships, fitness classes, and more

Medicare Advantage plans vary by company and some cases by zip code so it is important to review the benefits based on your address.

Example Time!

Meet Jimmy, an avid cyclist and fitness enthusiast. His Medicare Advantage Plan includes a fitness program, giving him access to numerous gyms and fitness classes at no extra cost. Jimmy’s cycling buddy Fred in a neighboring state has the same company but his plan does not include the fitness program. Jimmy learned about the fitness plan benefits by carefully reviewing the Medicare Advantage plan materials.

Medicare Advantage Senior using benifits

Choosing the Right Plan

Selecting the perfect Medicare Advantage Plan can feel like choosing the right flowers for your garden– so many options! Here are some factors to consider:

  • Network: Check if your preferred doctors and hospitals are in-network.
  • Costs: Compare premiums, deductibles, copayments, and out-of-pocket maximums.
  • Coverage: Ensure the plan covers your medications and any extra benefits you need.
  • Ratings: Look at the plan’s star ratings to gauge its quality and performance.

Example Time!

Consider Jane, who needs regular medication for a chronic condition. She carefully reviews different Medicare Advantage Plans to find one that covers her prescriptions and includes her trusted healthcare providers. With Suzie @ Wenatchee Insurance’s help, Jane selects a plan that fits her needs.

Suzie @ Wenatchee Insurance has been assisting people with Medicare for over ten years.

Navigating the variety of Medicare Advantage Plans can be tricky, but that’s where Wenatchee Insurance can lend a hand. Our trained agents are here to guide you through the options, explain the benefits, and assist you in making an educated decision on which plan is right for you.

Remember, folks, understanding Medicare Advantage doesn’t have to be underwater basket weaving. You’ll find a great plan in no time with Wenatchee Insurance by your side. Stay tuned for more insights and tips!

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Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability,

What Is the Process for Filing a Claim and How Long Does It Typically Take?

Fire around Central Washington can make insurance tough for filing a claim
Wild Fire along the Columbia River

When I saw smoke up the Number 2 Canyon, ‘Oh no get ready’ is the first thing that goes through my mind. Fire Season is upon North Central Washington, and I know we could be filing a claim soon at Wenatchee Insurance. Let’s talk about Claims.

The Great Filing a Claim Adventure

Grab your map and compass because we’re embarking on the Great Claim Filing Adventure with Wenatchee Insurance. Filing a claim might seem like a daunting quest, but with the right guide, you’ll navigate it like a pro.

Step 1: The Call to Action Your adventure begins with a phone call. Report your loss and provide all the necessary details. Think of it as the moment you receive your mission – exciting and full of possibilities!

Step 2: The Inspection Quest An adjuster will be dispatched to assess the damage. They’re like the Gandalf of home insurance, wise and thorough. They’ll document everything and help you understand the extent of your loss. Yes, sometimes they will find more damage than expected.

Step 3: The Paperwork Maze Fill out the required forms, provide receipts, and submit photos. It’s a bit like solving a riddle, but fear not, Wenatchee Insurance’s trusty agents are there to guide you through this labyrinth. Matt made a personal claim after January’s snowstorm that was a breeze.

Step 4: The Waiting Game Ah, the waiting period. Use this time to train (or binge-watch your favorite series). The supply chains have made them longer than we want. The processing time varies, but patience is key. Remember, good things come to those who wait – like a well-handled claim!

Step 5: The Victory Celebration Once your claim is approved, it’s time to receive your payout. Whether it’s repairing your home or replacing your lost treasures, the end of this adventure is always sweet. Celebrate your victory and enjoy the peace of mind that comes with being well-insured.

We are guides along the way that do our best to smooth out a difficult time. If you ever have a question do not hesitate to call us at Wenatchee Insurance so that we can lend a hand.

Embark on your claim-filing adventure with Wenatchee Insurance and discover that even the most challenging quests can have happy endings.

Topics: Wenatchee Insurance, Independent Agency, Deductible, Home Insurance, Wildfire, Chelan, Fire, Okanogan, Grant, Flood, Earthquake, Wind, Liability,

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How Do I Enroll in Medicare?

Medicare Advantage questions answered by Suzie at Wenatchee Insurance

Hello, North Central Washington from Wenatchee Insurance!

Today, we’re tackling a question that’s as popular as free Costco Samples: “How do I enroll in Medicare?”

It doesn’t matter if you are turning 65 or qualifying through other means like a disability determination, Suzie with Wenatchee Insurance going to help you walk through the process with ease.

Suzie McColm has been assisting people pick plans in Wenatchee for over a decade. Before that, you may have encountered her when she was a Pharmacy Technician. Seeing the struggles first hand, she took on Medicare to improve the lives around her in our Valley and state.

Medicare Enrollment: Your Golden Ticket

We are going to talk about the basics first. Medicare enrollment typically happens in one of three ways:

  • Automatic Enrollment
  • Initial Enrollment Period (IEP)
  • Special Enrollment Period (SEP)

Automatic Enrollment: The Easy Street

If you’re already receiving Social Security benefits when you turn 65, you’ll be automatically enrolled in Medicare Parts A and B. It’s like finding a surprise gift in your mailbox! You should receive your Medicare card three months before your 65th birthday along with a ton of marketing materials.

Yes, you will get a forest of envelopes from Medicare salespeople trying to sell you their plan. Suzie is here to walk people through the choices to make an informed decision.

 If you want Part D (prescription drug coverage) or a Medicare Advantage plan, you’ll need to enroll separately.

Enrollment Medicare Example!

Imagine Mike, who has been receiving Social Security benefits for a couple of years. He doesn’t need to lift a finger – her Medicare card arrives just in time for her 65th birthday bash.

Medicare Advantage  and health questions answered by Suzie at Wenatchee Insurance

Initial Enrollment Period (IEP): The First-Time Fun

If you’re not automatically enrolled, don’t worry! The IEP is your chance to join the Medicare party. This period starts three months before your 65th birthday, includes your birthday month, and extends three months after. That’s a seven-month window to sign up for Medicare Parts A and B.

Enrollment Medicare Example!

Picture Tom, who’s turning 65 in July. His IEP runs from April to October. Tom decides to sign up in June to avoid any last-minute rush. Smart move, Tom!

Special Enrollment Period (SEP): The Backup Plan

For those who miss the IEP or have specific circumstances, the SEP is a lifesaver. We see many folks with an employer health plan that can delay Medicare without penalty. Once your employment ends or you lose coverage, the SEP kicks in, giving you eight months to enroll in Parts A and B.

Enrollment Medicare Example!

Meet Linda, who’s been happily working past 65 with employer-provided health insurance. When she retires at 68, she has an eight-month SEP to enroll in Medicare without facing late penalties.

Step-by-Step Enrollment Guide

Online: Visit the Social Security website and follow the steps to apply online.

By phone: Call Social Security at 1-800-772-1213.

In person: Visit your local Social Security office.

You will want to have a couple of things on hand before you start. Gather these documents before enrolling:

Social Security number

Birth certificate

Proof of U.S. citizenship or legal residency

W-2 forms or self-employment tax returns for the previous year

Final Thoughts

Whether it’s automatic, during your IEP, or through a SEP, enrolling in Medicare is your ticket to comprehensive health coverage. Suzie with Wenatchee Insurance is here to guide you through every step, ensuring you understand your options and make the best choice for your health needs.

Remember, enrolling in Medicare doesn’t have to feel like Rocket Science. With Suzie and Wenatchee Insurance by your side, you will have guidance every step of the way to make an informed decision. Stay tuned for more helpful tips and friendly advice!

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Topics: Medicare, Medicare Advantage, Suzie, Wenatchee Insurance, SSDI, ESRD, Hospital Insurance, Prescription Drug Coverage, Part D, Medical Insurance, Disability,

How Is the Value of My Home and Personal Property Determined?

Family home insurance washington state

The Home Insurance Price Is Right!

Welcome to “The Home Insurance Price Is Right!” where you don’t have to guess the price, but you do need to understand how it’s determined. Let’s dive into the thrilling world of replacement costs and actual cash value with Wenatchee Insurance.

They don’t teach us the difference between Replacement Cost and Actual Cash value in High School nor when you were home eating crackers and sipping tea. We like to go over it because we don’t like surprised clients.

Replacement Cost: The High Roller’s Choice Imagine winning a fabulous new dining room set on our show. Replacement cost coverage means you get a brand-new version of your old stuff. No depreciation here, folks! It’s all shiny and new, just like the day you bought it.

Actual Cash Value: The Bargain Hunter’s Delight For those who love a good deal, actual cash value coverage considers depreciation. It’s like buying a gently used couch from a thrift store – still great, but not quite brand new. Your payout reflects the current market value of your items.

Sometimes Actual Cash Value is the only option available. It is worth the conversation if you see this valuation on your home owner’s policy.

Spin the Wheel of Claims! When it’s time to file a claim, Wenatchee Insurance uses their magical wheel (or more likely, some sophisticated calculations) to determine the value of your home and belongings. Don’t worry, they’re experts at making sure you get the right amount.

So, come on down to Wenatchee Insurance and find out how much your home and personal property are worth. It’s always a win when you’re properly covered!

Finding Medicare Advantage Plans with Suzie at Wenatchee Insurance

assistance in understanding and enrolling with Medicare with Suzie

Mary, a resident of North Central Washington, was approaching her 65th birthday and wanted to select a Medicare Advantage plan. She was overwhelmed by the numerous options and unsure how to compare them. She decided to contact Suzie at Wenatchee Insurance for guidance.

Understanding Medicare Advantage Plans

Medicare Advantage plans, also known as Part C, offer an alternative to Original Medicare. These plans are provided by private insurance companies and often include additional benefits like vision, dental, and prescription drug coverage. Each plan is rated based on preventive care, management of chronic conditions, member experiences, and customer service.

Mary’s Experience

When Mary contacted Wenatchee Insurance, an Suzie helped her understand the different plans available in her area. They discussed the star ratings of various plans and compared their benefits. Mary learned about the top-rated plans and how they cater to specific healthcare needs.

Choosing the Right Plan

With the Suzie’s help, Mary selected a Medicare Advantage plan that was highly rated and included comprehensive benefits suited to her health requirements. Wenatchee Insurance made the process straightforward by providing clear comparisons and expert advice.

Mary was relieved to have found a plan that offered excellent coverage and fit her budget, thanks to the assistance from Wenatchee Insurance.

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Does My Policy Cover Natural Disasters Like Wildfires or Earthquakes?

Let’s look at coverages in a light hearted manner. Imagine your home insurance policy as a superhero squad, each member ready to tackle different villains. Wenatchee Insurance brings together a team of coverage options to protect you from the most dastardly natural disasters.

The Disaster Superhero Squad

Wildfire-Woman She’s fierce, she’s fiery, and she’s here to save your home from going up in flames. Wildfire coverage ensures that if a firestorm hits, you won’t be left in the ashes.

Flood-Fella He’s always in his waders, ready to combat rising waters. With flood coverage, your home will stay dry even when Mother Nature tries to turn your neighborhood into a lake.

Flash Floods are not uncommon in the Canyons and can be deadly.

Earthquake Enforcer When the ground shakes, he stands firm. Earthquake coverage helps rebuild and repair after seismic activity shakes things up.

Being earthquake prepared is an advantage when we have locations like Earthquake Point that highlight the dangers.

Windstorm Warrior Defending against gale-force winds, this hero ensures that your roof stays where it belongs and your windows remain intact.

Hailstorm Heroine Fighting against the icy pellets from the sky, she makes sure your home isn’t left looking like Swiss cheese after a hailstorm.

Beware of percentage deductibles not everyone expects them and can make for a rude surprise.

Disaster Summary:

Join forces with Wenatchee Insurance’s Disaster Superhero Squad and ensure your home is protected from nature’s most chaotic villains.

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Topics: Home Insurance, Wenatchee Insurance, Independent Insurance Agency, Wind Damage, Fire Damage, Wildfire, Flood, Deductible,

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Suzie Health Solutions

Health & Medicare

For nearly a decade we have assisted with Health & Medicare Solutions. We are proud to be selected by the Washington Healthplanfinder to be one of ten Enrollment Centers located in Washington State.

We work with all ages and charge no fees.

Health & Medicare

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