Medicare is the federal health insurance program

What is Medicare and How Does It Work?

Medicare.gov | May 2023 | Health Insurance | Contact Briana to get started!

Medicare is the federal health insurance program for:

  • People who are 65 or older
  • Certain younger people with disabilities
  • People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD)

What are the parts of Medicare?

The different parts of Medicare help cover specific services:

  • Medicare Part A (Hospital Insurance)
    Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
  • Medicare Part B (Medical Insurance)
    Part B covers certain doctors’ services, outpatient care, medical supplies, and preventive services.
  • Medicare Part D (prescription drug coverage)
    Helps cover the cost of prescription drugs (including many recommended shots or vaccines).

Part A & Part B Premiums

Most people don’t pay a monthly premium for Part A.

You usually don’t pay a monthly premium for Part A if you or your spouse paid Medicare taxes while working for a certain amount of time. This is sometimes called “premium-free Part A.”

Learn more about premium-free Part A.

If you don’t qualify for premium-free Part A, you can buy Part A.

If you aren’t eligible for premium-free Part A, you may be able to buy Part A. You’ll pay up to $506 each month in 2023. If you paid Medicare taxes for less than 30 quarters, the standard Part A premium is $506. If you paid Medicare taxes for 30–39 quarters, the standard Part A premium is $278.

Learn more about Part A premiums.

Everyone pays a monthly premium for Part B.

Most people will pay the standard Part B premium amount. The standard Part B premium amount in 2023 is $164.90. If your modified adjusted gross income as reported on your IRS tax return from 2 years ago is above a certain amount, you’ll pay the standard premium amount and an Income Related Monthly Adjustment Amount (IRMAA). IRMAA is an extra charge added to your premium.

Learn more about Part B premiums.

How does Medicare work?

With Medicare, you have options in how you get your coverage. Once you enroll, you’ll need to decide how you’ll get your Medicare coverage.

There are 2 main ways:

Original Medicare

Original Medicare includes Medicare Part A (Hospital Insurance) and Medicare Part B (Medical Insurance). You pay for services as you get them. When you get services, you’ll pay a deductible at the start of each year, and you usually pay 20% of the cost of the Medicare-approved service, called coinsurance. If you want drug coverage, you can add a separate drug plan (Part D).

Original Medicare pays for much, but not all, of the cost for covered health care services and supplies. A Medicare Supplement Insurance (Medigap) policy can help pay some of the remaining health care costs, like copayments, coinsurance, and deductibles. Some Medigap policies also cover services that Original Medicare doesn’t cover, like emergency medical care when you travel outside the U.S.

Learn the general rules for how Original Medicare works.

Medicare Advantage

Medicare Advantage is Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These “bundled” plans include Part A, Part B, and usually Part D. Plans may offer some extra benefits that Original Medicare doesn’t cover — like vision, hearing, and dental services. Medicare Advantage Plans have yearly contracts with Medicare and must follow Medicare’s coverage rules. The plan must notify you about any changes before the start of the next enrollment year.

Learn about the types of Medicare Advantage Plans.

Each Medicare Advantage Plan can charge different out-of-pocket costs. They can also have different rules for how you get services.

Contact Briana to get started and ask any questions!

Click here for the full explanation of Medicare


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Learn About the Federal No Surprises Act

Learn About the Federal No Surprises Act

Federal No Surprises Act | Health Insurance | No Surprises | Contact Brianna for assistance

Transparency in Health Care

In October 2020, the federal government issued the “transparency in coverage” final rule under the Federal No Surprises Act. The rule provides protection against balance or “surprise” billing under certain circumstances, and phases in new transparency requirements on most group health plans and health insurers. The purpose of the requirements is to enable consumers to make informed healthcare purchasing decisions.

What is “balance billing” (sometimes called “billing surprises”)?

When you see a doctor or other health care provider, you may owe certain out-of-pocket costs, such as a copayment, coinsurance, and/or a deductible. You may have other costs or have to pay the entire bill if you see a provider or visit a healthcare facility that isn’t in your health plan’s network.

Nonparticipating describes providers and facilities that haven’t signed a contract with your health plan. Nonparticipating providers may be permitted to bill you for the difference between what your plan agreed to pay and the full amount charged for a service. This is called balance billing. This amount is likely more than in-network costs for the same service and might not count toward your annual out-of-pocket limit.

Surprise billing is an unexpected balance bill. This can happen when you can’t control who is involved in your care, such as when you have an emergency or schedule a visit at a participating facility but are unexpectedly treated by a nonparticipating provider.

Your rights and protections against Surprises

When you get emergency care or get treated by a nonparticipating provider at a participating hospital or ambulatory surgical center, you are protected from balance or surprise billing.
Services you are protected from balance billing for:

Emergency services

If you have an emergency medical condition and get emergency services from a nonparticipating provider or facility, the most the provider or facility may bill you is your plan’s in-network out-of-pocket amount, such as copays, coinsurance, and deductibles. You can’t be balance billed for these emergency services. This includes services you may get after you’re in stable condition unless you give written consent and give up your protections not to be balanced billed for these post-stabilization services.

Michigan law also protects you from balance billing and requires that you pay only your in-network cost-sharing amounts for (i) covered emergency services provided by an out-of-network provider at an in-network facility or out-of-network facility; (ii) covered nonemergency services provided by an out-of-network provider at an in-network facility if you do not have the ability or opportunity to choose an in-network provider; and (iii) any healthcare services you receive at an in-network facility from an out-of-network provider within 72 hours of receiving services from that facility’s emergency room.

Certain services at a participating hospital or ambulatory surgical center

Learn more on how this works…

Visit http://www.cms.gov/nosurprises for more information about your rights under federal law.

Visit http://michigan.gov/difs for more information about your rights under Michigan law.


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Medical Insurance Can Provide Financial Protection.

Medical Insurance Can Provide Financial Protection.

Shield Agency Blog | Medical Insurance | Contact Brianna for a quote!

Medical Insurance is a crucial aspect of our lives that we often overlook until we need it. It provides us with financial protection against unexpected medical expenses, which can be quite expensive. Health insurance covers a wide range of medical services, including doctor visits, hospitalization, surgeries, and prescription drugs. In this blog post, we will discuss the benefits of health insurance and why it is essential to have.

One of the most significant benefits of medical health insurance is that it helps you manage your medical expenses. With health insurance, you pay a monthly premium, and in return, your insurance company covers a portion of your medical expenses. This means that you don’t have to worry about paying the full cost of medical services out of your pocket. However, it is important to note that most health insurance plans have a deductible, which is the amount you have to pay before your insurance coverage kicks in. Once you reach your deductible, your insurance company will cover a portion of your medical expenses.

Another benefit of medical insurance is that it covers prescription drugs. Prescription drugs can be quite expensive, especially if you need to take them regularly. With health insurance, you can get your prescription drugs at a lower cost, which can save you a lot of money in the long run. Some health insurance plans also cover preventive care, such as annual check-ups and screenings, which can help you detect health problems early on.

Health insurance also promotes well-being, both physical and emotional. With health insurance, you have access to medical services that can help you maintain your physical fitness and overall health. This includes regular check-ups, screenings, and access to specialists if needed. Additionally, some health insurance plans offer wellness programs that focus on nutrition and wellness, which can help you maintain a healthy lifestyle.

Emotional Health is part of Medical Insurance

Emotional health is also an important aspect of well-being, and health insurance can help you manage your mental health. Mental health services, such as therapy and counseling, can be quite expensive without insurance. With health insurance, you can get the help you need without worrying about the cost. This can be especially important for those who struggle with mental health issues, such as anxiety and depression.

Health insurance also benefits families. With a family health insurance plan, you can cover your entire family under one policy. This means that you don’t have to worry about getting individual policies for each family member. Additionally, family health insurance plans often offer lower premiums than individual plans, which can save you money in the long run.

In conclusion, health insurance is essential for managing medical expenses and promoting well-being. It covers a wide range of medical services, including doctor visits, hospitalization, surgeries, and prescription drugs. Health insurance also promotes physical and emotional health, as well as nutrition and wellness. Additionally, it benefits families by providing coverage for the entire family under one policy. If you are looking for health insurance, contact Shield Insurance Agency for all of your insurance needs at (616) 896-4600.

Learn about the Federal No Surprise Act here


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Benefits of Health Insurance for your family

Benefits of Health Insurance for your family

Shield Insurance Agency Blog | May 23, 2023 | Health Insurance | Contact Bri for a quote today!

Health insurance is a crucial aspect of our lives that we often overlook until we need it. It provides us with financial protection against unexpected medical expenses that can arise from sickness, injury, or any other medical condition. In this blog post, we will discuss the benefits of health insurance and why it is essential to have it.

Health Insurance Bills

One of the most significant benefits of health insurance is that it helps you manage your medical bills. Medical bills can be expensive, and without insurance, you may find yourself struggling to pay them. Health insurance covers a portion of your medical expenses, which can help you save a significant amount of money. The amount of coverage you receive depends on your policy, but it can cover anything from doctor visits to hospital stays.

Another benefit of health insurance is that it helps you manage your deductibles. A deductible is the amount of money you pay out of pocket before your insurance coverage kicks in. With health insurance, you can choose a deductible that fits your budget and needs. This means that you can choose a higher deductible to lower your monthly premiums or a lower deductible to pay less out of pocket when you need medical care.

Prescriptions are another area where health insurance can be beneficial. Prescription drugs can be expensive, and without insurance, you may find yourself struggling to afford them. Health insurance can help cover the cost of prescription drugs, which can make it easier for you to manage your medical condition.

Injury and sickness are two of the most common reasons people need medical care. Health insurance can help cover the cost of medical care for both injuries and sickness. This means that you can get the medical care you need without worrying about the cost.

Medical emergencies can happen at any time, and they can be expensive. Health insurance can help cover the cost of emergency medical care, which can be a lifesaver in a medical emergency. This means that you can get the medical care you need without worrying about the cost.

Finally, health insurance can be beneficial for your family. If you have a family, you want to make sure that they are protected in case of a medical emergency. Health insurance can help cover the cost of medical care for your family, which can give you peace of mind.

In conclusion, health insurance is essential for anyone who wants to protect themselves and their family from unexpected medical expenses. It can help you manage your medical bills, deductibles, prescriptions, and emergency medical care. It can also be beneficial for your family. If you are looking for health insurance, contact Shield Insurance Agency for all of your insurance needs at (616) 896-4600. They can help you find the right policy for your needs and budget.

Learn about the Federal No Surprise Act


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Five Parts of an Insurance Policy

Five Parts of an Insurance Policy

Shield Insurance Agency Blog | May 19, 2023 | Insurance | Start a quote today!

Insurance policies can be complex and confusing, but understanding the different parts of a policy is essential to ensure that you have the right coverage for your needs. In this blog post, we will discuss the five parts of an insurance policy: premium, deductible, policy limits, exclusions, and riders.

1. Premium: The premium is the amount you pay for your insurance coverage. It is typically paid on a monthly or annual basis and is based on several factors, including your age, location, and the type of coverage you need. The premium is the cost of your insurance policy, and it is important to choose a premium that fits your budget.

2. Deductible: The deductible is the amount you pay out of pocket before your insurance coverage kicks in. For example, if you have a $500 deductible and your car is damaged in an accident that costs $1,000 to repair, you will pay $500, and your insurance company will pay the remaining $500. Choosing a higher deductible can lower your premium, but it also means you will pay more out of pocket if you need to file a claim.

3. Policy Limits: Policy limits are the maximum amount your insurance company will pay for a covered loss. For example, if you have a $100,000 policy limit for liability coverage and you are sued for $150,000, you will be responsible for paying the remaining $50,000. It is important to choose policy limits that are high enough to protect your assets in the event of a lawsuit.

4. Exclusions: Exclusions are specific situations or events that are not covered by your insurance policy. For example, if you have a homeowner’s insurance policy that excludes flood damage, you will not be covered if your home is damaged by a flood. It is important to read your policy carefully to understand what is and is not covered.

5. Riders – Additional coverage and options: Riders are additional coverage options that you can add to your insurance policy. For example, if you have a homeowner’s insurance policy that does not cover earthquake damage, you can add an earthquake rider to your policy for an additional cost. Riders can provide additional protection for specific situations that are not covered by your standard policy.

Does Your Insurance Meet Your Needs?

Understanding the different parts of an insurance policy is essential to ensure that you have the right coverage for your needs. It is important to review your policy regularly and make changes as needed to ensure that your coverage meets your current needs. If you have questions about your insurance policy or need help choosing the right coverage, contact your insurance agent for assistance.

At Shield Insurance Agency, we are committed to helping our clients find the right insurance coverage for their needs. Our experienced agents can help you understand the different parts of your insurance policy and make sure that you have the coverage you need to protect your assets and your family. Contact us today to learn more about our insurance products and services.


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A Mom Posted to Find Friends for 24-yo Son with Down Syndrome–the Flood of Support Shocked Her

A Mom Posted to Find Friends for 24-yo Son with Down Syndrome

A Mom Posted to Find Friends for 24-yo Son with Down Syndrome –the Flood of Support Shocked Her

GoodNewsNetwork | May 8, 2023 | By Andy Corbley | Down Syndrome | Health Insurance | Start A Quote Today!

Christian Bowers has Down Syndrome but likes to do normal guy stuff like go bowling and play video games.

Making friends was never hard for the young man, now 24, until he finished school and found, as many people without Down Syndrome do for that matter, it’s not as easy and straightforward to maintain a social life.

Bowers’ mother, Donna Herter, watched her son sink further and further into the dumps because he didn’t have any friends to visit him.

Eventually, Herter put up a post on Facebook asking if any local guys near Rochester, Minnesota, would be interested in coming to hang out with Christian for two hours, a service for which she was willing to offer $80,00 in compensation.

A nurse on the night shift put the post up at 4:00 AM before ending her workday and going to sleep. When she woke up, it had amassed 5,000 comments.

“I was freaking out. My hands were shaking, I was sweating. I was just looking for some local guys, I didn’t want to invite like the entire world into our house,” she told CBS News.

Her friends encouraged her to calm down and take a closer look at the comments, in which she found parents offering suggestions and others volunteering to help.

She eventually found 7 fellows from Wentzville, Minnesota, who visit Christian once a week on a rotating schedule. Herter says her son goes to sleep with a smile on his face now, and is excited about life in general, and of the future as well.

Friendships are important for people born with Down Syndrome, and associations urge parents to plan for the eventuality of their child exiting school and needing to take a more precise attitude towards socializing.

Christian occasionally attends gatherings and groups of other special needs men and women his age, but craves friendship with the rest of the population as well.

“And I’ve never asked him, but I assume because it kind of makes him feel normal, just for an hour or two. ‘Hey, somebody who doesn’t have Down syndrome wants to hang out with me,’” she said.

One of the 7 friends, James Hasting, said he felt terrible that Herter had reached the point where she was trying to pay people to visit her son. Hasting, who volunteers with special needs folks, said hanging out just for a few hours to watch a movie or play video games with Christian has changed the way he looks at the world.

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Fancying a snack from the foliage in Anchorage’s Providence Alaska Health Park’s cancer center, it was last Thursday that a moose decided to walk into the building.

Moose Walks in Alaska Hospital For Lunch – Or Maybe to Get a PET Scan

GoodNewsNetwork.org | By Andy Corbley | Moose | Apr 11, 2023 | Pet Insurance | Start A Quote Here

In Alaska, amazing animals, even the moose, are simply part of the scenery—even, as it turns out, in the hospital.

Fancying a snack from the foliage in Anchorage’s Providence Alaska Health Park’s cancer center, it was last Thursday that a moose decided to walk into the building.

Its hooves were no impediment to the motion-activated door, and soon, the security staff had to get on the intercom to warn visitors, patients, and staff that a moose was on the loose.

However the announcement served mostly to draw people in to see the moose, which wasn’t the first to ever enter the building, nor has it only been members of the deer family. Providence has also had bears try to enter their facilities.

Security managed to corral the animal before it could damage anything beyond the plants.

“Finally, I think it had enough of everybody watching him, watching him eat,” said Randy Hughes, the hospital’s director of security.

WATCH the final stages of the moose appointment…

Alaska Problems!


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Fundamentals of Estate Planning

Fundamentals of Estate Planning

Nationwide Blog | October 07, 2022 | Estate Planning | Life Insurance | Start a quote today!

Key Takeaways for Estate Planning

  • Estate planning can be difficult to talk about—a 2021 Gallup poll showed that 64% of American adults working with a financial advisor have never discussed their estate plans with that advisor.
  • Distribution of assets plan can help ease your anxiety and broach the problematic subject of legacy planning with a trusted financial professional.
  • Familiarizing yourself with the 2 main types of trusts and how they are utilized can prepare you for conversations with your financial professional.

If you’ve put off estate planning due to the difficult nature of the topic, you are not alone. According to a 2021 Gallup poll, 64% of American adults working with a financial advisor have never discussed their estate plans with that advisor.

A common roadblock to having these conversations is the idea that estate planning is complex and possibly uncomfortable to talk about. It’s easy to think of estate planning as just wills, trusts, and advanced directives, but it’s so much more. There are other tactics and techniques that can make a big difference in your legacy planning objectives, so it’s worth the effort to start the conversation with a financial professional as soon as you can.

The importance of estate planning

Estate planning is one of the most important topics to cover with a financial professional. The process of creating a plan for the distribution of assets at death can encompass the following:

  • Limiting income and estate tax liabilities
  • Determining who receives the assets — and when and how they’re received
  • Facilitating timely payment of estate obligations and taxes
  • Limiting costs of administration

Estate planning should be considered if you own property; it’s not just for the wealthy or those with complex situations. There are consequences for failing to plan—for example, if you pass away without a will, the State will use intestacy laws to determine the distribution of property. Unfortunately, this might not align with your intent. A proper plan can provide you with a level of certainty and help safeguard your assets for the benefit of your heirs.

Beginning the process of estate planning

When implementing strategies for saving, you may want to consider these 3 steps with a financial professional to develop an effective plan for yourself:

  1. Identify estate transfer needs and goals – In this step, you should know where you are and want to go. The most significant considerations here are identifying beneficiaries, clearly understanding tax obligations, looking at estate assets, and knowing where to find liquidity in the estate. It’s also important in this step to consider future income, expenses, debts, and needs.
  2. Develop strategies to reduce costs – Taxes are the largest potential expense your estate may have. These can include the federal gift tax, federal estate tax, generation-skipping transfer tax, state death and inheritance taxes, federal income taxes, and estate administration expenses. There are exclusions, deductions, and transfers that you should be aware of to minimize this burden. A financial professional can help you navigate these strategies.
  3. Pay for remaining expenses – This is where having the proper liquidity to pay estate expenses helps ensure your beneficiaries receive what you intend. Liquidity is the estate’s ability to pay taxes and other costs that arise after death (usually in the form of cash or cash alternatives). If your portfolio consists largely of real estate or business interests, the estate may be forced to sell a portion to pay for expenses when they are due. Knowing this, estate liquidity will likely be a primary objective for you and your financial professional. Having the right tools to meet the liquidity need is crucial. Annuities and life insurance with the right strategy behind them can accomplish this goal.

Using a trust as part of your estate planning strategy

Familiarizing yourself with the basic types of trusts and how they are utilized can prepare you for conversations with your financial professional about trust strategies and options. Here are some things you should know about trusts and their role in estate planning:

  • There are two main types of trusts – revocable and irrevocable. Trusts can be used in many ways in estate planning, including helping your estate avoid probate, reducing estate taxes, and protecting yourself and your beneficiaries from creditors.
  • Trusts have drawbacks – depending on the type of trust, you may not receive any tax benefits or be able to easily make needed changes.
  • A credit shelter trust is a common type of irrevocable trust used in estate planning – this type of trust can help married couples reduce or avoid estate taxes.
  • Many assets can be used to fund a trust – nearly any type of asset can be used to fund a trust, including stocks, bonds, cash, mutual funds, real estate property, life insurance, and annuities. Life insurance and annuities have become common ways to fund a trust in estate planning because they can offer your beneficiaries an immediate source of liquidity to provide potential financial security.

Estate planning can be complex, so consider working with a financial professional who can help you understand your options.

Helpful tools

Nationwide’s trust guide can help make a key component of estate planning easier to understand and provide proper context on the choices you’ll want to make. I invite you to use this today to help kick off an estate planning conversation with a financial professional.

Disclaimer:

Federal income tax laws are complex and subject to change. The information is based on current interpretations of the law and is not guaranteed. Nationwide and its representatives do not give legal or tax advice. Please consult an attorney or tax advisor for answers to legal questions.


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Medicare Questions – Answering the Most FAQ

Medicare Questions – Answering the Most FAQ

Nationwide Blog | November 10, 2022 | Medicare | Medicare Insurance | Start A Quote Today!

Key Takeaways:

  • Many people don’t realize that Medicare decisions can have financial implications, and Medicare costs can be incorporated into comprehensive financial planning.
  • “When and how can I enroll in Medicare?” “How much does Medicare cost and what does it cover?” are all common questions you may have regarding your health care plan for retirement.
  • In addition to working closely with your financial planner, you can assess specific Medicare drug and health care plan costs by utilizing online tools.

Every day, around 10,000 members of the Baby Boomer Generation turn age 65, which is generally the age they become eligible for Medicare. [1][2] Often, this is the first time that many Baby Boomers realize that decisions around Medicare aren’t just medical decisions; Medicare decisions also have significant financial implications. Once you come to this realization, you can turn to the financial professionals on whom you depend to help make sense of Medicare and in turn help you make financially sound Medicare decisions.

Understanding Medicare can be difficult, but the Nationwide Retirement Institute® is here to help you by sharing some of the most common Medicare questions. Working with a financial professional and utilizing various planning tools can help you incorporate Medicare costs into your financial plan.

When do I enroll in Medicare?

For everyone who turns 65 and is eligible for Medicare, there’s a seven-month “initial enrollment period,” or IEP. The IEP spans from the start of the third month before your 65th birthday through the end of the third month following the month of your 65th birthday. This IEP is available regardless of whether you continue to work past age 65.

Initial Enrollment Period for Medicare

If you choose to work past age 65 and remain eligible for group health coverage provided by your employer (or your spouse’s employer), then you may choose not to enroll in Medicare during your IEP. If this is the case, you’ll have a second chance to enroll during a “special enrollment period,” or SEP. The SEP generally lasts 8 months, beginning from the month after your employment or group health coverage ends, whichever occurs first. If you do not enroll in Medicare during your IEP or SEP, then you must wait to sign up during the General Enrollment Period between January 1st and March 31st of each year; but beware that in this circumstance, you may be subject to lifelong penalties in the form of increased premiums once you do enroll.

How do I enroll in Medicare?

That depends.

If you are already receiving Social Security when you turn 65, you will automatically be enrolled in Original Medicare, which means Medicare Parts A & B. Your eligibility will be effective the first day of the month you turn 65. You will not even need to sign up. You should simply receive a red, white, and blue Medicare card in the mail around three months before your 65th birthday.

If you choose to stay on Original Medicare, you will likely want to proactively enroll in a Medicare Part D plan as well, to get prescription drug coverage. In the alternative, you may choose to enroll in a Medicare Advantage Plan, which is known as Medicare Part C. Medicare Advantage plans to replace Original Medicare and Medicare Part D, but you must proactively enroll in Medicare Advantage plans as well. You can enroll in a Medicare Advantage Plan or a Medicare Part D plan during your IEP.

Medicare.gov/plan-compare shows specific Medicare drug plans and Medicare Advantage plan costs, and you have the opportunity to call the plans you’re interested in to get more details. For help comparing plan costs, the State Health Insurance Assistance Program (SHIP) can also assist you.

If you’re not already receiving Social Security at least 4 months before turning 65, you’ll need to sign up by:

  • Applying online at Social Security. (If you start your online application and receive a re-entry number, you can go back to Social Security to finish your application at a later time.);
  • Visit their local Social Security office; or
  • Call Social Security at 1-800-772-1213 (TTY: 1-800-325-0778).

Nationwide teamed up with the National Council on Aging (NCOA) to create an unbiased tool to help sort through Medicare options. It’s called the NCOA My Medicare Matters® tool brought to you by Nationwide. The tool allows you to work with financial professionals so that they can assist you in the Medicare decision-making process before the completion of the enrollment process.

How much does Medicare cost?

That also depends. The first and most important thing to understand in the context of cost is that it will not be free! There are still premiums, copays, coinsurance, and deductibles to plan for.

If you sign up for Original Medicare, Part A will be free if you have paid at least 10 years of Medicare taxes. Part B will require a monthly premium of $170.10 in 2022. [3] That amount may be more if your income is high enough to cross certain thresholds.

Medicare Part D (for prescription drugs) and Medicare Advantage plans (Part C, an alternative to Original Medicare and Medicare Part D) will also have monthly premiums. The costs of those premiums will vary plan by plan and be impacted by other factors, like your age at enrollment and geographic location.

What does Medicare cover?

Not everything! That may be the simplest yet most important fact you need to understand. Medicare will not cover all medical care.

In particular, Medicare does not cover long-term care (LTC), nor vision or dental care. Also, Medicare does not cover care received outside of the USA. This means that supplemental insurance for LTC, dental and vision, and travel insurance, will be important to look into.

That being said, Medicare does cover most medical treatments and procedures. Original Medicare Parts A and B cover most basic medical services. In general, Medicare Part A covers hospitalizations (i.e., inpatient care) and Medicare Part B covers outpatient care. In addition to inpatient care, Part A also covers home healthcare in limited circumstances, as well as hospice care. Medicare Part B covers outpatient clinical services like doctor’s visits and emergency room visits, including observation. In addition to outpatient care, Part B also covers medical supplies (think splints and casts, or crutches or a wheelchair), X-rays and other radiology services, and preventive care and screening services. One important fact about this last category is that many of the preventive care and screening services covered under Part B are free; there is no coinsurance or other cost-sharing. Screenings for many cancers (including breast, cervical and vaginal, colorectal, and lung) are free, as are screenings for depression and diabetes. Many Medicare beneficiaries do not understand that these screenings, as well as many other preventive services (like flu shots), are free; consequently, they fail to seek out those services. It’s important for you to be aware of and take advantage of these free preventive and screening services to avoid delayed diagnosis and treatment of many different health conditions. Failing to do so can ultimately impact your longevity and quality of life, not to mention increase the eventual cost of treatment when an ailment’s symptoms appear later in a more advanced stage. As the adage goes, an ounce of prevention is worth a pound of cure!

Which Medicare coverage option is right for me?

For the third time in this blog, I must say it again: it depends. Decisions around Medicare are incredibly complex and depend on both medical and financial factors that are individual to each person. Many folks end up talking to their friends or neighbors for advice, but what works best for them may not work best for you! You should do some independent research and consult with your primary care physician or other medical professionals with whom you have an existing relationship so that you can make the most informed choices about the coverage and cost of your healthcare in retirement.

Medicare Coverage Options

Where can I find out more?

If you want or need to learn more about Medicare, you can utilize other resources from Brianna, Shield Insurance Specialist. We are here to help answer all Medicare coverage questions.

GET IN TOUCH

Schedule a Visit

Medicare Questions to Ask Before Enrolling

Costs Associated with Medicare Coverage

Think ahead when choosing your Medicare plan

Sources:

[1] https://www.aarpinternational.org/initiatives/aging-readiness-competitiveness-arc/united-states

[2] https://www.hhs.gov/answers/medicare-and-medicaid/who-is-eligible-for-medicare/index.html#:~:text=Generally%2C%20Medicare%20is%20available%20for,Part%20B%20(Medicare%20Insurance)

[3] https://www.medicare.gov/your-medicare-costs/part-b-costs

NFM-22483AO

Disclaimer:

This information is general in nature and is not intended to be tax, legal, accounting, or other professional advice. The information provided is based on current laws, which are subject to change at any time, and has not been endorsed by any government agency.

Nationwide and its representatives do not give legal or tax advice. Please consult an attorney or tax advisor for answers to legal questions.

My Medicare Matters® is a registered trademark of the National Council on Aging.

Nationwide and NCOA are separate and non-affiliated companies.

Nationwide Investment Services Corporation (NISC), member FINRA, Columbus, Ohio. The Nationwide Retirement Institute is a division of NISC.

Nationwide, the Nationwide N and Eagle, Nationwide is on your side, Nationwide Retirement Institute and other marks displayed in this message are service marks of Nationwide Mutual Insurance Company and/or its affiliates unless otherwise disclosed. Third-party marks that appear in this message are the property of their respective owners © 2022 Nationwide and Shield Insurance Agency


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Negotiate Pets with Your Landlord

How to Negotiate Pets with the Landlord

Nationwide | September 28, 2022 | Pets | Pet Insurance | Start A Quote Today!

If you’re worried about finding quality housing that will welcome your pet, you’re in good company. Navigating a tight rental market can be especially frustrating for pet owners. However, it is possible to negotiate your pet with your landlord whether you’ve found a home you would like to rent or are hoping to bring a furry friend into your current residence.

Acquire a landlord permission letter for pets

It’s important to get your landlord’s permission upfront. You can even come to your landlord prepared with a pet agreement to help start the conversation. You’ll want to make sure you have documentation of your landlord’s permission to have your pet on the property. [1]

The law allows for landlord discretion on pets.

Even if your landlord grants you approval to have a furry friend in your home, you still want to clearly read your lease agreement and make sure you understand the rules and restrictions around which pets are allowed on the property. The law allows for landlord discretion in determining whether or not tenants can own a pet as well as what breeds and sizes of animals are permitted. The law also grants landlords the right to impose fees related to pets. It’s important to make sure you’re carefully going over your landlord’s pet policy to make sure you understand any restrictions or limitations before signing your lease. [1]

Tips for negotiating pets with your landlord

Some landlords are weary of having pets on their property because of the potential noise and damage they can cause. This can be a barrier to finding housing that will allow pets, but there are several ways you can help improve your chances of finding a place for you and your furry friend to call home.

Be proactive in the housing search

Give yourself as much time as possible to find pet-friendly housing. If you don’t currently have a pet but are thinking of getting one in the future, you might want to find housing that will allow pets well before bringing one home. You can make your search easier by researching animal-friendly listings online. Ask your friends, family, and social media connections if they happen to know of any pet-friendly landlords or available properties. [2]

Come to the negotiations prepared

If you found a home you like but the landlord is not currently allowing pets, there are a few things you can come prepared with to help change their mind: [1] [2] [3]

  • Pet rent: You can offer pet rent. In most cases, landlords will require it anyway, but offering it helps to show good faith. It should be noted that pet rent is separate from your base rent and should not be incrementally increased as your base rent is increased.
  • Pets deposit: Additionally, you can suggest a pet deposit for any potential damages. Pet deposits are also separate from your standard deposit and cannot legally be withheld for any dispute unrelated to your pet.
  • Sample pet agreement: There are resources online that can help provide a sample pet agreement for you to share with your landlord. Coming prepared with one will help show you’re a thoughtful and knowledgeable tenant.
  • Pets resume with references: Show your landlord that your furry friend is well-behaved by sharing any training certifications your pet has. Even sharing photos of your pet playing with children can help show that your pet is friendly and won’t be a problem to your neighbors, and your veterinarian can also help by providing documentation of your pet’s vaccine records and a letter of reference.
  • Research building policies and local laws that might work in your favor: Sometimes the law is on your side when it comes to having a pet in your rental home. For example, in New York, if you get a pet and the building board doesn’t start a court proceeding against you within 3 months, you’re allowed to keep your pet. Research the laws in your state and find out whether there are any that could apply to your situation.
  • Reasonable accommodation: If you have an emotional, physical, or psychiatric disability, the law allows you to keep an assistive animal, and you’re legally protected from discrimination as a tenant. The law also requires landlords to make reasonable accommodations for you and your pet if your pet is an emotional support animal (ESA). The Rehabilitation Act of 1973 and The Fair Housing Amendments Act of 1988 both protect assistive pets in cases where landlords prohibit pets. In this instance, you may have to produce documentation that your pet is an assistive animal. This documentation can usually be provided by a health professional, such as a psychiatrist, psychologist, doctor or licensed therapist.

Common pet complaints and problems for renters

Even if your landlord grants approval for your pet, you might still deal with some challenges that could even result in eviction: [1]

  • Lease documentation specifies no pets: It’s important to read over your lease carefully and suggest any necessary changes before signing. If your lease stipulates that pets aren’t allowed on the property, make sure this is removed before signing and bringing a pet into the residence.
  • New ownership of property decides to not allow pets: If your place of residence is bought by new ownership that chooses not to allow pets, you may be asked to remove your pet or to leave the property.
  • Complaints from other tenants: This could cause your landlord to issue an eviction notice.

Pets are an important part of the family that help bring comfort and joy into our homes. Protect your pet like family with Nationwide’s Pet Insurance Policies.

Sources:

[1] “Negotiating for Pets: Tips for Success,” bhrentersalliance.org/2017/09/negotiating-for-pets/

[2] ”Information for renters with pets,” humanesociety.org/resources/information-renters-pets

[3] “How to Negotiate Pets with Skeptical Landlords,” emotionalpetsupport.com/2020/03/how-to-negotiate-pets-with-skeptical-landlords/

Disclaimer:

The information included is designed for informational purposes only. It is not legal, tax, financial or any other sort of advice, nor is it a substitute for such advice. The information may not apply to your specific situation. We have tried to make sure the information is accurate, but it could be outdated or even inaccurate in parts. It is the reader’s responsibility to comply with any applicable local, state or federal regulations. Nationwide Mutual Insurance Company, its affiliates and their employees make no warranties about the information nor guarantee of results, and they assume no liability in connection with the information provided. Nationwide and the Nationwide N and Eagle are service marks of Nationwide Mutual Insurance Company. © 2022 Nationwide and Shield Insurance Agency


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