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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.

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. 

Ray Silverstein, president of small business advisory group President’s Resource Organization, has said that there are specific benefits that good employees expect out of a job. Entrepreneur published his perspective that while medical insurance is at the top of that list of expectations, business owners should also be intentional about offering employees retirement plans, disability insurance, and life insurance as well. The reality is, only some benefit packages are required by law. These include withholding FICA taxes for the sake of retirement and disability; complying with FMLA; aligning with worker’s compensation requirements; and giving your employees time off for jury duty, military duties, or voting. However, it’s important to see why a great benefits package–including less traditional benefits like flex time–is key to showing your employees they have value. Here’s why.

Employee attainment and retention. 

Randstand US Research has noted that 61 percent of employees would consider accepting a lower salary if the company making the offer had a great benefits package. Forty-two percent of employees would actually consider quitting their current job and accepting a new one elsewhere because they are unhappy with current benefits. An attractive benefits package is basically viewed as a part of a salary offer and can, at times, make up for an annual wage that could be topped elsewhere.

Focus and attention. 

Employees who aren’t worried about finances are employees whose minds won’t wander as much at work. When it comes to long-term financial planning, the difference between feeling focused and committed to the job you have (instead of daydreaming for what position you should pursue next) can be rooted in a healthy 401(k) match, life insurance, or college debt assistance.

Loyalty. 

You want loyalty not just from your customers but also from your employees. Employees who feel seen and understood seem to know that their employer recognizes the number of hours they are putting in, not just in the office but on the telephone at home and during what was supposed to be a lunch break as well. At times, this recognition looks like the benefit of flex time. This may mean permission to head home early on a Friday, or permission to work some days remotely from home. Flex time also recognizes the pull of family circumstances on full time employees. 74 percent of employees say they have missed work due to a family circumstance. Employers who offer benefits communicate that they understand employees are also parents, children of aging parents, and simply “doing life” with people they love who have unexpected needs. 

Overall general health. 

Employees who have a strong health insurance package are more likely to see a physician when health issues arise. Instead of avoiding astronomical bills and giving a potentially treatable problem a chance to snowball, employees with health care plans, co-pays, and reasonable deductibles are less likely to put off important procedures and more likely to seek care when needed. This is where dental and vision insurance also steps in. If the numbers are doable for you as a business owner, you want to communicate to your employees that you fully value their physical and mental well-being.

While most of us don’t like to think about what happens when we die, it’s important to prepare ourselves and our loved ones whether we like it or not. Having life insurance on your side can only help for when the time comes, but there are some myths and fears about the plan that may deter people from coverage. To clear up any confusion, we have debunked some of the most common myths about life insurance. The truth might surprise you! 

Myth 1: It Costs Too Much 

It is very understandable that when looking into investing in insurance, you don’t want it to cost you an arm and leg. While the coverage is important to have, you want it to fit comfortably into your budget. One of the main reasons people turn down life insurance is this belief that it’s too expensive, but that is not necessarily the case. According to a study performed by Life Happens, approximately 80% of people misjudge how costly life insurance truly is. In fact, plans such as term life insurance are more affordable than you might think. Plus, you can always change or add coverages to your plan over time. If you’re on a budget, give your agent a call to see what plan works best for you.  

Myth 2: It’s Unnecessary If You Are Young and Healthy 

There are many factors that go into how much your life insurance will cost, including your age and health. While many think that being young and healthy means you don’t need life insurance, it’s actually not true. Chances are you will need life insurance down the road when you are older and your health has changed. If you wait until then, your life insurance premium will be higher than when you were young and healthy. It’s best to go ahead and purchase life insurance so you don’t have to worry about major expenses later on. Take advantage of this part of your life so if you are not in good condition later, you don’t have to pay for it.  

Myth 3: It’s Not Available to Those Who Have Health Problems 

As stated before, your health does influence the cost of life insurance. While you may be paying more on life insurance for serious health problems, this does not mean it’s not available at all. However, it is true that if you have a terminal illness, some coverages may not be available. In any case, it would be wise to speak with your agent about your options when your health changes so you receive the best coverage for the right price.  

Myth 4: It’s Not Available for Older People Either 

While it’s true that health typically declines as you get older, this still does not mean life insurance isn’t available for the elderly. In fact, there are important coverages available such as final expense which can help with funeral and burial costs. While we may not like to think about this stage of life, it cannot be ignored. Therefore, the elderly are able to have life insurance available even in their final moments to help after they are gone.  

Myth 5: Single People Don’t Need It 

While it is true that life insurance is beneficial to those who have others depending on them, such as children or their spouse, that doesn’t mean single people don’t need life insurance at all. In the event that you are single and pass away, you can still be left with debt from loans that were previously drawn out. The expenses will be transferred to co-signers or immediate family to take care of which is the last thing that needs to happen after losing a loved one. However with life insurance, you don’t have to worry about anyone taking on your debt after you are gone. Life insurance will also handle any burial and funeral expenses so the family can properly grieve. Also, keep in mind that plans change throughout time. So while you may be single now, that doesn’t mean it is a permanent deal. In the event that you may have children in the future or get married, having life insurance now can benefit you later.  

Myth 6: All You Need is Your Work’s Life Insurance Plan 

While it is great to accept life insurance through your work, keep in mind that it is not transferable when or if you leave for another job. If you have your own life insurance account not through your work, you don’t have to worry about the possibility of not being insured when something changes.  

If you have any questions about how life insurance works or what plan works best for you, get in touch with one of our agents!