The Importance of Medicare 

 Medicare is the federal government that provides coverage to those who are 65+, under 65 and receiving Social Security Disability Insurance (SSDI) for a certain period of time, or under 65 and with End-Stage Renal Disease (ESRD). The Medicare program is funded in part by the Social Security and Medicare taxes paid on income, in part through premiums that those with Medicare pay, and additionally in part by the federal budget. The Centers for Medicare & Medicaid Services (CMS) is the federal agency that runs Medicare. 

How Does It Work? 

The availability of Medicare does not factor in income. Once you’ve become Medicare-eligible and enroll you can choose to get your Medicare benefits from Original Medicare (the traditional fee-for-service program offered directly through the federal government) or from a Medicare Advantage Plan. A Medicare Advantage Plan is a type of private insurance offered by companies that contract with Medicare. Original Medicare consists of Part A and Part B when it comes to providing coverages.  

It’s important to understand all of your choices for Medicare options and to pick your coverages carefully. How you choose to get your benefits and who you are getting them from can greatly affect your out-of-pocket costs and where you will receive your care. Medicare consists of four parts: Part A, Part B, Part C, and Part D. Each part covers a specific type of coverage. Below is a list of what each part of Medicare covers.  

  • Part A provides inpatient/hospital coverage
     
  • Part B provides outpatient/medical coverage
     
  • Part C provides Medicare Advantage
     
  • Part D provides prescription drug coverage 
     

Medicare and Medicaid Are Not the Same 

Both programs are similar but they are serving different purposes. Medicare is a government-run program that provides health insurance. Unlike Medicare, Medicaid is run by the federal government in partnership with states to help cover those with limited income. Depending on the state, Medicaid can become available for those who are below a certain income level while meeting other criteria (such as age, disability status, pregnancy) or it will become available for all people below a certain income level.  

Why Stay At Home Parents Need Life Insurance

You may think that the only parents who need life insurance are working parents, but that isn’t exactly correct. A stay at home parent is more than just a mother or father. These individuals wear many hats: tutor, chef, chauffeur, housekeeper, caretaker, and more. The true value of these duties is priceless, but the economic value of them is clearly measurable. Purchasing a life insurance policy for a stay at home parent is a smart and compassionate way to ensure that your family is financially protected in the event of the unthinkable.

The Value of the Invaluable

Purchasing life insurance for a stay at home parent may seem strange since one of the purposes of life insurance is to replace the insured’s income that dependents rely on. Even though they do not earn an income, a stay at home parent’s work may be valued at over $100,000 a year. This means that in the case of a stay at home parent’s death, the surviving parent could be responsible for over $100,000 of equivalent services each year. Daycare alone can cost up to $20,000 a year, depending on the state you live in and the age of the child. Even if it doesn’t cost that much, this kind of expense can put a heavy burden on a surviving parent – and this is only one example. For this parent to continue earning an income, some or all of the work the stay at home parent previously performed will need to be outsourced. Having a life insurance policy in place for the stay at home parent can assist in alleviating these newfound financial responsibilities.

Consider Term Life Insurance

A term life insurance policy is a good option for a stay at home parent since it can cover a range of years in which the family is at the most risk in case of the stay at home parent’s death. After children are grown, there are fewer services that a stay at home parent performs, and less coverage may be needed.

Other Advantages

In addition to providing assistance with the duties of child and home care, life insurance for a stay at home parent can also provide financial help with final expenses, debts, and other common uses for life insurance.

Speak to an Agent

If you and your spouse are considering purchasing life insurance for the stay at home parent in the family, the best way to figure out what kind of coverage is best for your needs is to speak to one of our independent agents. We are here to help you think about the difficult things so your family can be better protected.

How Smoking Affects Your Health Insurance Premiums

You are probably aware of how smoking can affect your health, but do you know how it changes your health insurance premiums?

Determining Factors

Health insurance premiums are determined based on five factors: age, location, plan category, number of dependents, and tobacco use. Insurance companies define tobacco use as the use of tobacco products (cigarettes, cigars, pipe tobacco, and chewing tobacco) on an average of four times a week and within the last six months.

Tobacco Rating

Health insurers cannot outright deny coverage to smokers, but they can charge them higher premiums than non-smokers. The Affordable Care Act allows insurance companies to charge smokers up to 50% more for premiums. The explanation for this is simply that smokers are more likely to develop health concerns in the future, and therefore represent a greater risk for insurance companies. This surcharge is also known as tobacco rating, and states may opt out or charge below 50%. At this point most states charge the maximum 50% rate, but there are a handful that have taken the other options.

Honor System

It is important to point out that when applying for health insurance, lying about your smoking habits in order to receive lower premiums is considered a form of insurance fraud. In effect, by lying about tobacco use you are misrepresenting your health risks. Even if you use a smoking cessation device such as a vaporizer or an e-cigarette, many insurance companies will still consider you a smoker and raise your premiums in the same they will for tobacco product users.

Uninsured Dangers

Because of the higher premiums, some smokers may opt out of health or life insurance altogether. This can be a costly mistake due to the increased risk of diseases that commonly arise from long term tobacco use. If an uninsured smoker does become diagnosed with something like cancer or heart disease, they will surely wish they had insurance coverage to assist with treatment.

Preventative Care

There is some disagreement over whether higher insurance premiums actually help people stop smoking, but there are some providers that offer coverage for smoking cessation programs as preventative care.

Having healthy habits is not only beneficial to your wallet; it is also beneficial to you and those who love you the most. Health insurance can help ensure that you’ll be there for family and friends for many more years to come. Reach out to one of our agents today to learn more about what you can be doing to take precautions for the future of your health.