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.
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.
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.
Every year, some Medicare Advantage plans may leave the Medicare program by Dec. 31. You should receive a letter from the plan by Oct. 2 explaining your options. It is always a shock.
Suzie has been around long enough that she worked with Soundpath Health Medicare Advantage Customers when that Insurance Plan left in 2019. Suzie has worked with various insurance companies from around the state and we built out action plans over the years to make these transitions as easy as possible.
When can I join a new Medicare Advantage plan?
The three most common Medicare Advantage plan enrollment periods are the:
Initial Coverage Enrollment Period when you first join Medicare Parts A and B usually around your 65th birthday.
The Annual Enrollment Period, Oct. 15 – Dec. 7.
Medicare Advantage Open Enrollment Period, Jan. 1 – March 31 each year if you have a Medicare Advantage Plan then you can change to another plan.
In addition to these three enrollment periods, because your plan is leaving Medicare, you also get a Special Enrollment Period in which you have two options:
Join a different Medicare Advantage plan from Dec. 8 to the last day of February.
or
Join a new Medicare Part D stand-alone plan from Dec. 8 to the last day of February (this automatically enrolls you in Original Medicare). This also allows you to enroll in a Medigap (Medicare Supplement) plan within 63 days after your Medicare Advantage plan ends.
The company offering the Medigap plan must take you if you choose a B-N plan and you don’t have to take a health screen.
Note: If you’re under age 65 on Medicare due to disability, you might not be able to get a Medigap.
Whichever option you choose, your new plan starts the first day of the month after you switch. To avoid a coverage gap you should sign up with a new plan before Dec. 31.
Whenever Suzie sees a large shift Medicare Shift, we recommend setting an appointment as early as possible. We have seen people miss the deadlines and it makes for a tough year. For the appointment, you will need:
Bring any doctor’s names or medications that you would like for us to look up
If you enroll during the Annual Enrollment Period in a Medicare Advantage Plan and discover that it is not a good fit then we change during the Medicare Advantage Open Enrollment which runs January 1st through March 31st. Yes, you have options prior to the next Annual Enrollment Period
Hello again, fabulous followers of Wenatchee Insurance’s Medicare blog! Today, we’re diving into the alphabet soup that is Medicare. Grab your spoons, and let’s ladle out some knowledge on the different parts of Medicare: A, B, C, and D!
Let’s start with Part A, also known as Hospital Insurance. Picture it as the bedrock of your Medicare coverage. It helps cover:
Inpatient hospital stays: If you’re admitted to the hospital, Part A swoops in to help with the costs.
Skilled nursing facility care: After a hospital stay, you might need some time in a skilled nursing facility to recover. Part A has your back.
Hospice care: For those with terminal illnesses, Part A ensures you receive compassionate end-of-life care.
Home health care: If you need health services at home, Part A can help cover those too.
Example Time!
Imagine Grandpa Joe, who had a nasty fall while trying to fix the roof (don’t ask why). He ends up in the hospital for a week and then spends another month in a skilled nursing facility to regain his strength. Part A helps cover these costs, giving Grandpa Joe peace of mind and more time to perfect his roof-fixing skills (hopefully from the ground this time).
Part B: The Everyday Medicare Hero
Next up is Part B, or Medical Insurance. This is your go-to for everyday health care needs. It covers:
Doctor visits: Routine check-ups, specialists, and outpatient care.
Preventive services: Vaccinations, screenings, and annual wellness visits to keep you in tip-top shape.
Durable medical equipment: Things like wheelchairs, walkers, and other equipment you might need.
Mental health care: Outpatient mental health services.
Example Time!
Take Aunt Clara. She’s a sprightly 70-year-old who loves gardening. She visits her doctor for regular check-ups and gets her flu shot every year. Part B helps cover these visits, ensuring Aunt Clara stays healthy enough to grow those prize-winning roses.
Part C: The All-In-One Plan
Part C is also known as Medicare Advantage. These plans are offered by private companies and bundle together Part A and Part B, often with additional benefits. Some even include:
Prescription drug coverage (Part D)
Vision, dental, and hearing services
Wellness programs
Example Time!
Consider Cousin Sally, who prefers simplicity. She opts for a Medicare Advantage plan that includes prescription drug coverage and vision care. Now she doesn’t need separate plans for her glasses and medications – it’s all in one neat package.
Part D: The Rx Solution
Finally, we have Part D, the prescription drug coverage. This helps cover the cost of medications, ensuring you don’t break the bank when picking up your prescriptions.
Example Time!
Let’s look at Uncle Bob, who has a daily regimen of medications for his blood pressure and cholesterol. Part D helps cover the cost of these prescriptions, allowing Uncle Bob to focus on his favorite hobby – fishing – without worrying about his medication bills.
Wenatchee Insurance to the Rescue!
At Wenatchee Insurance, Suzie understands that Medicare can feel like a jigsaw puzzle with a few pieces missing. But fear not! We’re here to help you fit all the pieces together seamlessly. Whether it’s explaining the different parts or assisting with enrollment, we’ve got your back.
Remember, understanding Medicare doesn’t have to be a daunting task. With Wenatchee Insurance guiding you, you’ll be navigating the Medicare maze like a pro. Stay tuned for more tips, tricks, and delightful Medicare insights!
Mary, concerned about out-of-pocket costs not covered by Medicare, was exploring Medicare Supplement Insurance (Medigap) plans. She needed help understanding the costs and benefits of these plans. Mary sought advice from Suzie at Wenatchee Insurance.
Medigap plans help cover costs like copayments, coinsurance, and deductibles that Original Medicare does not cover. Plan G is among the most popular Medigap plans, offering extensive coverage but varying in premium costs by state.
Mary’s Consultation
Mary met with a Suzie at Wenatchee Insurance who explained the different Medigap plans and their costs. They reviewed the benefits of Plan G and other available options, taking into account Mary’s healthcare needs and budget.
Making an Informed Medigap Plan choice
With detailed information from Wenatchee Insurance, Mary chose a Medigap Plan G that provided comprehensive coverage at a reasonable premium. The agent also helped her understand how to manage her monthly premiums effectively.
Mary felt confident in her decision, knowing she had chosen a plan that would protect her from high out-of-pocket expenses, all thanks to the expert guidance from Wenatchee Insurance.
Medicare Supplement plan can be selected year round
When the Medicare Supplement plan increased in cost, Mary was able to talk with Suzie and switch to a lower priced plan. This would reduce inflation for years to come.
Along with the Medigap Plan
Mary selected a Medicare Plan D to cover prescriptions. While she didn’t have many prescriptions now, this prevented a late enrollment penalty and could be changed during the Annual Open Enrollment Period (October 15th through December 7th).
Surviving the Wild, Wild (North Central) Washington
Let’s face it, living in North Central Washington can sometimes feel like you’re starring in our own reality TV survival show. With Wenatchee Insurance by your side, you’ll be prepared for all the unique risks our beautiful home has to offer.
We have some of the greatest parts of the country. Whether it is hiking the Enchantments, to boating Lake Chelan, fishing the Potholes, or horseback riding up in Okanogan. There is plenty of adventure to be had in NCW.
Wildfires: Nature’s Unwanted BBQ You might love a good barbecue, but not when it’s your backyard going up in smoke. Wildfires are a real threat, and you’ll want coverage that doesn’t leave you feeling burnt. This is something that you can not cover up with a bottled sauce.
Flooding: Surprise Water Parks Nothing like waking up to find your living room has turned into an indoor pool. Flooding can strike unexpectedly, so ask Wenatchee Insurance about flood coverage to keep your home from becoming an aquatic adventure park. In town, we are seeing sinkholes, so it is worth the ask.
Earthquakes: The Unscheduled Dance Party When the ground starts to shake, it’s not time for a dance party. While it won’t be the Big One like they predict for the Coast, we do feel them. Earthquake insurance can help you pick up the pieces (literally) after an unexpected rumble.
Windstorms: Nature’s Extreme Blow Dry Hold onto your hats, folks! Windstorms can be powerful enough to turn your patio furniture into dangerous projectiles. Yes, we have had 100 mph winds. Make sure your home can withstand these gusty invaders with the right coverage.
Risk Summary:
With Wenatchee Insurance, you’ll be equipped to handle all the wild adventures that North Central Washington throws your way. Wildfires, Flooding, Earthquakes and Windstorms! Oh my. Stay insured and stay safe!
Hello, wonderful readers of Wenatchee Insurance’s Medicare blog! Today, we’re tackling a question that buzzes around like a rogue mosquito at a cook out: “What is Medicare, and who is eligible?” If Medicare were a party, who’s on the guest list? Let’s get to it!
Medicare: The Party Planner for Your Health
Medicare is a federal health insurance program that throws open its doors primarily to those aged 65 and older. Think of it as an exclusive club for seasoned citizens! But wait, there’s more – younger folks with certain disabilities or those with End-Stage Renal Disease (ESRD) also get a VIP pass.
To be eligible for Medicare, you generally need to be:
65 or older: Congratulations! You’ve reached the golden age and earned your ticket to the Medicare party.
Under 65 with a disability: If you’ve been receiving Social Security Disability Insurance (SSDI) for 24 months, Medicare raises the velvet rope and says, “Come on in!”
Any age with ESRD: If you’re dealing with permanent kidney failure and need dialysis or a transplant, Medicare rolls out the red carpet.
Example Time!
Imagine dear old Aunt Martha. She’s just turned 65, loves knitting, and dancing at family weddings. She’s eligible for Medicare because of her age. Now, let’s talk about Cousin Bob. He’s only 45 but has been on SSDI for over two years due to a serious accident. Medicare welcomes him with open arms too!
The ABCs and Ds of Medicare
Medicare has two parts, and then some additional toppings:
Original Medicare
Part A (Hospital Insurance): Covers hospital stays, skilled nursing facility care, and some home health care. It’s like the comfy bed you get to rest in.
Part B (Medical Insurance): Covers doctor visits, outpatient care, and preventive services. Think of it as your day-to-day health care needs.
Medicare Toppings
Part C (Medicare Advantage): These are plans offered by private companies that include Part A and B, and often Part D, plus extra benefits. It’s like getting a combo meal with a little extra sauce.
Part D (Prescription Drug Coverage): Helps cover the cost of prescription drugs. Because nobody likes an unexpected bill for their medications!
How Do I Sign Up?
Signing up for original Medicare is as easy as pie, and Wenatchee Insurance is here to guide you every step of the way! You can enroll:
If you have questions and want to look at toppings, then you want to ask Suzie.
Final Thoughts
Whether you’re as spry as Aunt Martha or managing health issues like Cousin Bob, Medicare is designed to help. At Wenatchee Insurance, we’re your trusted advisors, ready to answer all your questions and make the process as smooth as the chicken dance at a wedding. Stay tuned for more Medicare tips and tricks!
Remember, folks, navigating Medicare doesn’t have to be like figuring out Aunt Martha’s Blue Ribbon Cherry Pie recipe. With Wenatchee Insurance by your side, you’ll be saying, “Medicare? Nailed it!” in no time.
Mary was living on a fixed income and was worried about rising Medical costs despite having Medicare. She had heard about Medicare Savings Programs but wasn’t sure if she qualified or how to apply. Mary turned to Suzie at Wenatchee Insurance for guidance.
Medicare Savings Programs help pay for Medicare Part A and Part B premiums, deductibles, coinsurance, and copayments for individuals with limited income and resources. Programs like the Qualified Medicare Beneficiary (QMB) and Specified Low-Income Medicare Beneficiary (SLMB) are designed to offer financial relief.
Mary’s Journey
At Wenatchee Insurance, Mary met with an Suzie who explained the eligibility criteria for these programs. Together, they reviewed her income and resources, and the agent helped her complete the necessary applications.
Achieving Financial Relief
Mary qualified for the QMB program, which helped pay for Medicare premiums and significantly reduced her out-of-pocket costs for medical services. She also received extra help with prescription drug costs, easing her financial burden.
Mary could sign up for a Medicare Savings Program (MSP) at any time during the year; there is no specific enrollment period for these programs. Here’s what you need to know:
Eligibility Requirements: To qualify, you must meet income and resource limits set by your state. These limits may vary, but generally, your income must be below a certain threshold, and you must have limited financial resources.
Application Process: Applications for Medicare Savings Programs are handled by your state’s Medicaid office. You can apply at any time, and your state will determine which program you qualify for based on your income and resource information.
Medicare Plan Selection: Once the Medicaid Office has processed the application, then any Medicare Plan adjustments could be made.
Thanks to Wenatchee Insurance, Mary was able to understand the complexities of Medicare Savings Programs and secure the assistance she needed.
Imagine walking into an all-you-can-eat buffet, but instead of food, it’s filled with different types of home insurance coverages. That’s right, folks, it’s time to feast your eyes on the delectable options that Wenatchee Insurance serves up in a standard home insurance policy.
The Main Course: Dwelling Coverage This is the meat and potatoes of your policy, the coverage that ensures your home is protected from disasters like fires, lightning strikes, and those rare but pesky incidents involving rampaging alpacas.
The Side Dishes: Personal Property Coverage Your stuff matters too! Whether it’s your collection of rare, autographed rubber duckies or your high-tech espresso machine, personal property coverage ensures your belongings are covered. Watch out for limitations as they are like raisins in the potatoe salad and can restrict what you are claiming.
The Gravy: Liability Protection Ever had a guest slip on a banana peel in your kitchen? Liability protection has you covered for those unfortunate and highly embarrassing moments. Say goodbye to potential lawsuits from banana-related accidents! If you like parties, have a pool, or a tiger in your back yard then you want extra gravy.
The Dessert: Additional Living Expenses Imagine your house is under repair because of an unexpected waterbed explosion. Where will you live? Who will feed you? Fear not! Additional living expenses cover your hotel stays and meals while you wait for your home to be restored. We have seen homes take over a year to be rebuilt after wildfires so do not go short.
So, why wait? Dive into this home insurance buffet with Wenatchee Insurance and make sure every corner of your home and life is covered!
If you have a homeowner’s insurance policy from Wenatchee Insurance, it’s important to understand how your deductible works, especially when it comes to insurance claims.
Here’s what you need to know about a 2% deductible simply and funnily:
What’s a Deductible?
The deductible is the amount of money you have to pay out of your pocket before the insurance policy kicks in to cover the rest. Think of it as the entry fee to a really expensive concert where Taylor Swift is the headlining act. It is going to be expensive but it is a really big show.
Understanding the 2% Deductible
Let’s say your house is worth $300,000. With a 2% deductible, you need to pay 2% of your home’s value before the insurance company pays anything.
2% of $300,000 = $6,000
So, if a sinkhole decides to turn your living room into an underground swimming pool, you’d need to cough up $6,000 before the insurance company starts to help.
Imagine your house is a giant chocolate bar worth $300,000. If a sinkhole takes a big bite out of your chocolate bar, you’d have to pay for the first $6,000 worth of chocolate to fill the hole. Only after that will the insurance company start giving you more chocolate to patch up the rest.
Why It Matters
Knowing your deductible helps you be prepared for unexpected costs. So, if you have a 2% deductible, make sure you have some money saved up for those just-in-case moments, like when your lawn suddenly wants to become a cave.
Quick Tips
Save Up: Have enough savings to cover your deductible.
Know Your Policy: Read your policy details to understand what’s covered.
Stay Prepared: Keep an emergency fund for surprises like sinkholes.
Remember, Wenatchee Insurance is there to help, but you need to do your part too. Stay chocolatey and be prepared!
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.
