Everything you wanted to know about Health Care, but were afraid to ask, by Ken Mahoney

Mahoney Asset Management

Your health will drive your retirement decisions and options. The older you get, the more likely it becomes that health care will be a major and recurring concern. You need to be very careful when choosing and using health care providers--as well as other people who can make life and death decisions for you, when you can’t. You’ll want to consider long-term care insurance, Medicare Part B, Medicare Supplemental and Medicare Part D. You may also profit from understanding the various Medicaid tricks, traps, and troubles which have bankrupted many a family when one member needed nursing home care.

What you need to know about health insurance

With the health care costs continuing to rise, it is important to understand that health insurance is not really an option for most individuals—more like a necessity. While you are working, most employees obtain a health plan from their employer, but once you hit retirement the employer paid premiums, low co-payments, and cheap out-of-pocket expenses for you may get thrown out their window. Unless your retirement with your employers covers your health insurance after retirement (which most do not) then you need to consider what options of health care coverage are available to you. And choosing the best health insurance policy and coverage takes time to research before you can make a decision on which is the right plan for you and your needs.

Health plan coverage

There are many health plans to choose from and these plans also have many features and exclusions. The older you get, the harder it can be to get health insurance coverage. So keep in mind that the sooner you can establish one after retirement and the healthier you are when you get one, the better off you will be where the costs, terms, and conditions of the policy are concerned.

Types of coverage
There are five main areas of coverage you need to be concerned with when shopping for a health insurance plan--major medical coverage, choice of health care providers, lifetime maximum benefits, deductibles and co-payments, and guaranteed renewals.

Major medical coverage is your primary concern because it is the most expensive part of health care that can drain your wallet if you have a major accident or are diagnosed with a major illness. This type of coverage includes hospital stays, visits to the doctor, X-rays, and laboratory work.

The next type of coverage you need to be concerned with is your ability to choose the doctors and specialists you want. While being able to choose any doctor you want should not be the deciding factor for you to choose a health plan, you should be aware of what your patient rights are with the policy. A plan that allows you to choose any doctor may be very expensive—making it cost prohibitive for you to have. a contestant. mafia and townspeople are chosen at random.

The most common and least expensive of health plans are Health Maintenance Organizations (HMO) plans and Preferred Provider Organizations (PPO) plans. Both HMOs and PPOs help to keep the cost of health insurance, co-payments, and out-of-pocket expenses down.

While there are differences between HMO and PPO plans, these plans have more similarities than differences. The main difference between the two plans occurs when the doctor you wan to see is not on the preferred provider list. If you have an HMO, it may not cover the cost of services from the doctor. A PPO may still pay the majority of the expenses, and then you are responsible for paying the rest.

The third item you want to be ware of when shopping for a health plan is the lifetime maximum benefits. This is the total amount the insurance will pay over the life of the policy. Ideally, you may want to choose a plan that has a maximum lifetime benefit of $5 million or does not have a maximum limit at all—just in case you have a scenario where you come down with a major disease or have a horrible accident.

Fourth, you need to consider the deductibles and co-payments involved with the policy. These two items have a direct affect on the premium of the policy, so the higher the amount of the deductible and the higher the amount of the co-payments, the lower the monthly premium payments. The best way to keep your health insurance premiums affordable for you is to choose a plan with the highest deductible and co-payments you can afford.

Finally, you may want to seek a plan that has a guaranteed renewal feature—especially as you get older. This feature allows your policy to continue to renew, unless you cancel it, regardless of your health condition and without having to administer to a physical exam. Again, as we age, our bodies are more susceptible to illness, disease, and complications. We need a policy that sticks by us no matter how healthy we are as we age. The guaranteed renewal feature extends our protection at a time when we probably need it the most.

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