Southwest Florida's Health and Wellness Magazine Health and Wellness Articles
By Ulla-Undine Merritt (Dee) National Producer Number (NPN) 8853366
Individual/Family Health Insurance Open enrollment will start November 1, 2018, to December 15, 2018 for January 1st 2019 effective. This deadline pertains to fully insured plans that meet the Affordable Care Act (ACA)/Obama Care Guidelines. * Very important for people that have pre-existing conditions and or would qualify for government subsidies. There are many additional options for people that are health and do not qualify for subsidy. There are so many options and some good but many with big risk factors. New for 2019 the tax penalty will go away for individual that do not have health insurance that meets ACA guidelines.
You should really work with a local broker to explore all of your options. Don’t invite strangers into your house or give them your personal information over the phone. Go or call a local agent, build a relationship and if in the future you have a questions you can back and see them.
Medicare Beneficiaries who currently have Medicare Advantage Plan and Part D (Prescription Drug Plans) will be receiving their “Notice of Change” documents in September. These notices compare any plan changes from your current 2018 to your new 2019 plan. You will be automatically re-enrolled in your current plan if you do nothing and the new changes will take place January 1st 2019. OPEN ENROLLMENT for MEDICARE PLAN changes starts October 15th and runs through December 7th, 2018 for a January 1st, 2019 effective date. The last plan you select during this period will be your plan for 2019.
Medicare can be very confusing so I would recommend that you meet with a licensed insurance broker that represents multiple insurance carriers. You should explain to them your current needs and concerns. Before choosing a plan you need to check the network to make sure you can see your doctors and check your medications to make sure they are in the plans formulary. Having a local agent that specializes in Medicare Plans is important. If you have a question you should be able to reach the person who enrolled you in your plan. If you go online or call a toll free number chances are they are not local and you won’t be able to talk to them to clarify any questions.
Medicare enrollment is NOT the same as Social Security! There seems to be a lot of confusion between the two.
Social Security – you can apply online at www.ssa.gov for retirement benefits or benefits as a spouse if you:
• are at least 61 years and 9 months old;
• are not currently receiving benefits on your own Social Security record;
• have not already applied for retirement benefits; and
• want your benefits to start no more than 4 months in the future. (We cannot process your application if you apply for benefits more than 4 months in advance.)
Medicare – you can apply online at www.medicare.gov for Medicare benefits for yourself 3 months before your 65th birthday month. Example, June 20th birthday you can apply as early as March 1st. If your birthday is any day of the month except the 1st, your Medicare will be effective the 1st day of your birth month. For the June 20th birthday example above, your benefits would begin June 1st.
If your birthday is effective the 1st of the month then your benefits begin the month before, so a June 1st birthday your benefits would begin May 1st. VERY important: if you DO NOT take Medicare Part B & Part D when you are eligible, when you do take it there is a penalty for each month you did not have them. That penalty will last for the rest of your life or for as long as you take these services. If you have employer coverage (not cobra) this is a valid waiver. If you take these after you leave employment there is a special form your employer must fill out so that you are not charged a penalty.
Both Medicare and Social Security require you to be eligible by qualifying either through yourself or your spouse.
Most people that have worked in the United States of America receive Medicare Part A at no monthly cost to them. This is because they have worked at least 40 quarters (approx. 10 years); this is based on a minimal earnings calculator (see www.medicare.gov for more information).
To learn more about your options call to schedule an appointment contact: Logical Insurance Solutions – Dee Merritt www.Logicalinsurance.com 239-362-0855
Also remember when moving you may have a special enrollment period to apply or change your health insurance coverage. Also check your wills, trusts, and make sure they follow Florida’s laws and guidelines. Establish yourself with a local Insurance Broker, Attorney and CPA. An annual review is very important. Too many times people assume, don’t assume. Ask a professional, most of the time your first consultation is at no charge. To learn more or schedule an appointment, contact: Logical Insurance Solutions- Dee Merritt www.Logicalinsurance.com 239-362-0855 Dee@Logicalinsurance.com
