By Ulla-Undine Merritt (Dee) National Producer Number (NPN) 8853366
It is illegal for an insurance agent 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 an unsolicited call.
CMS has made many changes for Medicare recipients. 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.
One of the biggest changes for 2026 related to Medicare Part D Prescriptions whether withing a Part C Advantage plan or a stand-alone Part D drug Plan. Your yearly Part D out-of-pocket costs will be capped at $2,100 in 2026. You must buy medications using your plan and the medication must be in formulary to go toward the cap. You will also have a payment option to pay out-pocket costs in monthly amounts over the plan year, instead of paying when you receive the medications. This is done through the insurance company that you purchased your plan.
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 guaranteed issue 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?
Special Enrollment Periods – You moved out of your plans service area, New to Medicare, Retiring and coming off your employer group plan, Going into or out of Skilled Nursing, Medicaid and other’s may apply.
We offer Free Medicare in person consultations, please e-mail info@logicalinsurance.com to schedule or call 239-362-0855. Medicare’s website is www.Medicare.gov.
Travel Insurance – Did you know that most health insurance does NOT cover you outside of the country and that includes a cruise, in international waters (4 miles out). Travel insurance is not just about trip cancelation but most importantly what if you got sick or had an accident on your trip. Medical Trip insurance is very important and most of the time not very costly when you are out way the benefits.
Life Insurance – You are never too young to have life insurance, and many types offer living benefits. As an example, I purchase life insurance for my grandchildren almost as soon as they are born. Their policy continues to build cash value that they can use during their lives, for education, wedding or even a 1st home purchase. The younger you are the lower the cost. There are many types of life insurance, and it is important to understand the differences between them. You also have payment options, such as 10-Pay, this type of policy you can pay the premium in full in 10 years, there are other terms available as well.
Long Term Care Insurance – Overall, 48.7% of older adults with ADL difficulties (or an estimated 3 million persons aged 70 and older) reported needing some sort of personal assistance with one or more ADLs, and, of those individuals with need, 20.7% (or an estimated 629,000 persons) had an unmet need. Long Term Care Insurance helps pay for in-home or facility-based needs, such as assistance with acts of daily living or help with paying for a facility. Start shopping for this insurance in your 40’s, but it’s never too late to try. Your overall health will pay a major roll in the cost of the plan’s premium. The sooner than later for affordability. You have payment options such as a single payment, 10-Pay where the premium is paid-in-full in 10 years. You also get a discount with most companies doing a joint policy with your spouse. Remember Medicare is NOT meant for Nursing Home Care/Skilled Nursing.
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, I am licensed in 36 states.
www.Logicalinsurance.com
info@Logicalinsurance.com