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Started Business 1971 Nations Largest Privately Held Agency Catering to Retiree’s Needs
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Who We Are... Serving You Since 1971 9 states
Started Business 1971 Nations Largest Privately Held Agency Catering to Retiree’s Needs Operating in 9 States with over 1,000,000 Policy Holders Serving You Since 1971 9 states Over 1,000,000 policy holders
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What Is Medicare Medicare is health insurance for the following:
People 65 or older People under 65 with certain disabilities People of any age with End-Stage Renal Disease (ESRD) (permanent kidney failure requiring dialysis or a kidney transplant) Consists of Four Basic Parts
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Four Parts of Medicare Medicare Part A Medicare Part B Medicare Part C
(Hospital Insurance) Medicare Part B (Medical Insurance) Four Parts of Medicare Part A – Hospital Insurance Part B – Medical Insurance Part C – Medicare Advantage Plans (like HMO’s and PPO’s) Includes Part A & B and sometimes part D coverage Part D – Medicare Prescription Drug Coverage Medicare Part C (Medicare Advantage) Medicare Part D (Medicare Prescription Drug Coverage)
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Coverage Choices At A Glance
ORIGINAL MEDICARE or MEDICARE ADVANTAGE PLAN Part C (like an HMO or PPO) Part A Hospital Insurance Part B Medical Insurance Part C Combines Part A, Part B and usually Part D Decide if you need to add drug coverage Part D Prescription Drug Coverage (Most Medicare Advantage Plans cover prescription drugs. You may be able to add drug coverage in some plan types if not already included.) Decide if you need to add supplemental coverage Medicare Supplement Insurance (Medigap) policy End Decide how you want to get your coverage. ORIGINAL MEDICARE: Part A (Hospital Insurance) and Part B (Medical Insurance) Decide if you need to add drug coverage Part D (Prescription Drug Coverage) Decide if you need to add supplemental coverage Medicare Supplement Insurance (Medigap policy) MEDICARE ADVANTAGE PLAN: Part C (like an HMO or PPO)... Combines Part A, Part B and usually Part D Part D (Prescription Drug Coverage (Most Medicare Advantage Plans cover prescription drugs. You may be able to add drug coverage in some plan types if not already included.) If you join a Medicare Advantage Plan, you don’t need and can’t be sold a Medicare Supplemental Insurance (Medigap) policy.
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Medicare Part A & Part B Part A Coverage: Part B Coverage
Medicare Part A – Hospital Insurance Helps cover inpatient care in hospitals Helps cover skilled nursing facility, hospice and home health care Medicare Part B – Medical Insurance Helps cover doctors’ and other health providers’ services, outpatient care, durable medical equipment and home health care Helps cover some preventive services to help maintain your health and to keep certain illnesses from getting worse Part A Coverage: Patient care in hospitals Skilled nursing facility Hospice Home health care Part B Coverage Doctor and other health care provider services Outpatient care Durable medical equipment Home health care Some preventive services
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Medicare Part C & Part D Part C Coverage Part D Coverage
Medicare Part C – also known as Medicare Advantage Plans Offers health plan options run by Medicare-approved private insurance companies. Medicare Advantage Plans are a way to get the benefits and services covered under Part A and Part B. Most Medicare Advantage Plans cover Medicare prescription drug coverage (Part D). Some Medicare Advantage Plans may include extra benefits for an extra cost. Medicare Part D – Medicare Prescription Drug Coverage Helps cover the cost of prescription drugs May help lower your prescription drug costs and help protect against higher costs Run by Medicare-approved private insurance companies Part C Coverage Medicare-approved private insurance companies Benefits and services covered under Part A and Part B Medicare prescription drug coverage (Part D) usually included Part D Coverage Prescription drug Lower drug costs Protect against higher costs Medicare-approved private insurance companies
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Understanding Your Options
Original Medicare Medicare Supplements Group Medicare Advantage Prescription Drug Coverage Understanding Your Medicare Options Original Medicare Fee for service coverage under which the government pays your health care providers directly for your Part A and/or Part B benefits. May be eligible for premium-free Part A Monthly premium for Part B Government pays providers directly Medicare Supplements Medicare-approved private insurance companies Optional coverage, also called Medigap Costs not covered by Original Medicare Must have Part A and Part B Guaranteed renewable Group May be similar to Medicare Supplement Medicare Advantage = Includes both Part A (Hospital Insurance) and Part B (Medical Insurance) and are also provided by private insurance companies. Most plans require use of plan doctors, hospitals and other providers or you pay more or all of the costs. Usually you pay monthly payments in addition to Part B premium. You may pay a copayment or coinsurance for covered services. Costs, extra coverage, and rules vary by plan. When can you join a Medicare Advantage Plan? (SCRIPT ON PAGE 31 OF CMS PWRPNT) 1. During 7 month initial Enrollment Period 2. During Open Enrollment Period (Oct 15 – Dec7) 3. Special Enrollment Periods Prescription Drug Coverage Optional coverage Medicare eligible Choice of plans with different covered drugs and costs Enrollment/changes allowed once each year Available for all people with Medicare and provided by Medicare-approved private insurance companies Eligible When: Turning 65 Eligible for Medicare because of a disability and turning 65 Enrolled in Part B During General Enrollment Period for the first time Each Medicare Prescription Drug plan has its own list of covered drugs each placed into different “tiers” on their formularies. Each tier has a different cost; lower tiers generally cost less than higher tiers. Once a year you have a chance to make changes to your Medicare Advantage or Medicare Prescription drug coverage for the following year. 1. Open Enrollment Period = October 15 – December 7 a. Cover what can be done 2. Medicare Advantage Disenrollment Period = January 1 –February 14 a. Cover what can and cannot be done Other help is available: Help is available for people with limited income and resources Medicaid Children’s Health Insurance Program (CHIP) Extra Help Medicare Savings Programs Help Is Available Medicaid Children’s Health Insurance Program (CHIP) Extra help Medicare Savings Programs
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Long-Term Care Health or personal needs over a long period of time
Activities of daily living Medicare benefits cover short- term services Medicare does not cover non- skilled assistance Long Term Care Long-term Care is a range of services and supports that may be needed to meet health or personal needs over a long period of time. Most long-term care is not medical care, but rather assistance with the basic personal tasks of everyday life, sometimes called “Activities of Daily Living”. A common misunderstanding is that Medicare pays for long-term care services. However, Medicare only pays for long-term care if you require skilled services or rehabilitative care for a short period of time. Medicare does not pay for non-skilled assistance with Activities of Daily Living, which makes up the majority of long-term care services. Nursing home... $210/day Assisted living facility... $105/day Home health care... $173/day Common Types of LTC
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Life Insurance Options
What Are Your Options? Permanent Whole Life/Final Expense Universal Life Temporary Term Life Life Insurance Options Permanent: Whole Life/Final Expense Insurance & Universal Life Insurance (Cash Value) Whole Life/Final Expense Insurance offers a fixed premium for the duration of the policy, guaranteed annual cash value growth or guaranteed death benefit. However, policies do not provide investment flexibility. Once established, you are not allowed to change the policy coverage. Universal Life Insurance allows the policyholder to determine the amount and timing of premium payments (within certain limits) and to adjust coverage levels as needs change. Policies include guaranteed annual cash value growth but no investment flexibility. Temporary: Term Life Insurance Term Life insurance is sometimes referred to as “temporary” because the term policy only lasts for a specific period. Generally the premiums are lower in the early years, but do not build up cash value. Term insurance covers for a term of one or more years and pays a death benefit only if you die in that term.
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Clients pay premium and receive regular income payments in the future
Income can be guaranteed to last as long as you live Annuities Annuities An annuity is a contract in which an insurance company makes a series of income payments at regular intervals in return for a premium or premiums you have paid. Annuities are most often bought for future retirement income, and can pay an income that can be guaranteed to last as long as you live. Types of Annuities Single Premium Annuity: An annuity in which you pay the insurance company only one premium payment. Multiple Premium Annuity: An annuity in which you pay the insurance company multiple premium payments. Immediate Annuity: An annuity in which you begin to receive income payments no later than one year after you pay the premium. Deferred Annuity: An annuity in which you begin to receive income payments many years later. Fixed Annuity: An annuity in which your money, less any applicable charges, earns interest at rates set by the insurance company or in a way specified in the annuity contract. Variable Annuity: An annuity in which the insurance company invests your money, less any applicable charges, into a separate account based upon the risk you want to take. The money can be invested in stocks, bonds or other investments. If the fund does not do well, you may lose some or all of your investment. Equity-Indexed Annuity: A variation of a fixed annuity in which the interest rate is based on an outside index, such as a stock market index. The annuity pays a base return, but it may be higher if the index increases Single Premium Annuity Multiple Premium Annuity Immediate Annuity Deferred Annuity Fixed Annuity Variable Annuity Equity-Indexed Annuity
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For over 40 years, AmeriLife has been dedicated to senior Americans and the challenges of helping seniors meet important health and life insurance needs. We understand and care about the challenges senior Americans face in making key health and life insurance decisions. That's why AmeriLife represents the nation's leading insurance companies and is also endorsed by the Association of Retired Americans(ARA). Working with some of the nation's largest insurance companies, AmeriLife representatives can offer a complete health and financial protection kit consisting of health and dental insurance, Medicare Supplements, Medicare Advantage plans, life, final expense and long term care insurance, and annuities. Conclusion
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