Southwest Florida's Health and Wellness Magazine Health and Wellness Articles
By Ulla-Undine Merritt (Dee) National Producer Number (NPN) 8853366
In today’s intricate societal fabric, healthcare often presents itself as a labyrinth. The common tendency is to focus on the cost and the additional services a health plan might offer. However, the real focus should be on access to care – the ‘what if’s’. What if you are diagnosed with cancer or a heart condition? The importance of a robust network cannot be overstated, as it ensures you receive the best care from the hospital and specialist you need.
Unfortunately, many individuals overlook their potential future needs, focusing solely on their current health status and the financial implications. It’s crucial to understand that in Individual, Group, and Medicare Advantage insurance, a doctor or hospital can exit the network or be asked to leave, and this does not constitute grounds for changing plans.
The upcoming 2025 Medicare season will bring significant changes. It’s imperative to conduct a thorough review and work with a broker who represents multiple companies in your area. You can review plans starting October 1-14 and enroll from October 15 to December 7, 2024, for 2025. Ensure you review doctors, hospitals, and other medical services to verify they are in-network. Remember, just because they are in-network now doesn’t guarantee they will be in 2025.
Prescription medications will undergo substantial changes in 2025 due to the Inflation Reduction Act, which caps the annual out-of-pocket expenses at $2,000 for Part D Medications. We anticipate an increase in Part D premiums and changes in the formularies. The cap ONLY applies to in-formulary medications. This also affects Advantage Plans.
If your insurance company has recently dropped your doctor, we may still have options. Contact us or a professional specializing in Medicare. As insurance agents, we are not notified when your doctor is no longer in the network. It’s your responsibility to reach out to us so we can assist you before it’s too late.
Under the new Biden administration rules for short-term health plans, plans issued or sold on or after September 1, 2024, will be limited to total durations of no more than four months, including renewals.
Short Term and Tri-Term Health Insurance plans are affordable options for many. The Affordable Care Act/Market Place/Obama Care is available to all residents at the regular price. Affordability comes into play if you receive a subsidy to help pay for a portion of your healthcare, based on your household income and if you have qualified group coverage that the government considers affordable to you.
Health insurance is complex, but you don’t have to navigate it alone. We suggest you seek help from a professional. We don’t charge for our services and neither do most in our industry.
Travel Insurance – Summer is a time when many of us are traveling within the USA, on a cruise, or abroad. Check to make sure your insurance has you covered. Travel Medical Insurance is not that expensive and if you were to need it, it’s a very small investment in peace of mind.
Life Insurance – You are never too young, and you can never have enough. Life insurance also has living benefits. The younger you start, the more affordable it is. Your insurability is not guaranteed so the younger and healthier, the better.
Logical Insurance Solutions is a SWFL Insurance Broker that works with most of the carriers. We are happy to help you navigate the maze. This is what we do daily; it is second nature to us. We offer virtual seminars, one-on-one virtual via screen sharing, phone, and in-person appointments.
To learn more about your options, schedule an appointment with Logical Insurance Solutions for all your insurance needs. I am licensed in most states. Visit www.Logicalinsurance.com or call 239-362-0855. You can also reach us at info@Logicalinsurance.com.
239-362-0855
www.Logicalinsurance.com
info@Logicalinsurance.com
