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Showing posts with the label Prescription Plan

Reporting Income for Apple Health and Qualified Health Plans on the Washington Healthplanfinder

OK thanks to the American Rescue Plan Act of 2021 (ARPA) and last year's Coronavirus Aid, Relief and Economic Security Act of 2020 (CARES Act), we have a lot of income that may or may not impact your healthcare. If you have a good tax preparer do not hesitate to talk with them if you have questions. As this is only some of the simple guidelines. Here is the FAQ from the Healthplanfinder about the American Rescue Plan. It is a big deal and we have talked several times about the impact that is having on healthcare for good. Here we talked about it on our Podcast: Suzilla .  Tax guideline chart On the Washington Healthplanfinder , there are two types of plans. 1. The Qualified Health Plans which can use Advanced Premium Tax Credits (APTC) to lower monthly costs. If the Income level is under 250% of poverty level then a household can also receive Cost Sharing Reduction (CSR) which lowers things like deductibles, out of pocket maximums and co-pays to increase household savings. ...

Cheap Health Insurance from American Rescue Plan Act (Covid Bill 2021)

 Here at Suzie Health Solutions , we have been talking about the Covid Bill for a while now.   One of the facebook videos is here.  If you have listened to our Podcast: Suzilla or seen one of our videos on Facebook then you know that something major is going on with the cost of healthcare.  1. Right now, the Washington Healthplanfinder have set up a FAQ sheet about the American Rescue Plan Act of 2021. There are some important things to note.   They are expecting to make the pricing changes by Mid May so talk to an enrollment center to see if they have taken effect.  Big cost savings to households for 2021 & 2022 If you want to peek at the tax credit shift then go here .  COBRA changes will only last until Sept 30. This will lower the cost of insurance for 2021 and 2022. There is no legislation to extend it at this time.  2. The Department of Health & Human Resources estimate that 79,200 will now get credits in Washington state t...

Can you sign up for Healthcare or Medicare over the phone?

We run Wenatchee Enrollment Center . For the last four years, we have been the full service enrollment center for the Washington Healthplanfinder located in Wenatchee.   In North Central Washington, we can see road closures. It is nothing to see North Cascades Highway, Sherman, or Stevens Pass close during the winter month. This year we saw Pine Canyon near Waterville, WA shut down with a landslide. So what happens if you need help with Healthcare?  For the majority of situations, we can enroll and make adjustments over the phone or using screen sharing technology.  We have been doing business from Sequim to Spokane since the first year of the ACA when people scrambling to find help. We have even been known to help people calling in on Satellite phones from the Bering Sea! We do recommend setting an appointment so that we have some introductory information and that we are not out of the office and can dedicate time for you.  We also do walk ins if you are locat...

Cheap Insulin. Some for Medicare and some for Healthcare in Washington State

  We talk about Insulin a lot. Here at Suzilla and again for example. We watch the news and see articles talking about it coming . With Enrollment is your chance to make the change for 2021.   Here is the taste of   the 2021 cost of insulin for Medicare recipients and said I would report if the prices did indeed go down.   Tresiba which retails for $537/box will be $35 copays throughout the year. Lantus, retails for $414/box as low as $25 copays for most of the year. Basaglar, retails $345/box, $35 copays. (Based on plans in my area)   If you were wondering the cost of these drug plans, they are all under $25/month   If you are just letting your Medicare D plan or your Medicare Advantage plan roll over then you might not be getting these lower costs!!   Medicare Annual Election Period is Oct 15- Dec 7th, get with your agent to review your drug plan, because you need to factor in ALL your other prescriptions!!   If you...

Covid 19 ( Corona Virus) and Medicare

We run Suzie Health Solutions in Wenatchee, WA. In addition to running the Full Service Enrollment Center for the Washington Healthplanfinder . We help people navigate through Medicare without charging fees and assist in filling in any coverage gaps.  So far Centers for  Centers for Medicare & Medicaid Services ( CMS ) has not opened a special enrollment with FEMA under the declared  Emergency . But there are some special benefits going on for Medicare enrollees because of the Emergency Waver .  As a result of the Covid- 19 outbreak, have you lost your group health insurance offered through your or your spouse's job? Are you age 65 or older? If so, you, or someone you know in the same situation, should enroll in Medicare coverage right away as you most likely qualify for a Special Enrollment Period . If you already signed up for Medicare Part A (hospital insurance) while you were actively working, you’ll need to complete the following two forms and...

COVID 19 Special Enrollment in Healthcare

Since we are a Full Service Enrollment Center , we work all year round in assisting people get healthcare. We do this with out charging a fee. There are eleven spread through out the state with different skills. The broker groups are able to fill in gaps and often are able to answer Life and Medicare questions. We happen to be in Wenatchee . We keep track of what Covid 19 is doing at this site . The Washington State Department of Health is another great site. It literally tracks the resources needed to fight it and gives a good representation of infected and forecasted death rates. Yes, this is serious stuff in that we are looking at 1600 of our neighbors being killed by Covid 19. Covid 19 has forced some businesses to remain open because they are essential.  If you need to report an non essential business breaking the law then here is the form . While some groups focus on helping small businesses during the crisis , or individuals . The first round of relief checks wi...

Local Medicare Help

Suzie & Matt McColm Suzie McColm has been our local go-to gal for Medicare for years.  She has been providing free help navigating Medicare and its various parts for four enrollments. By being a pharmacy technician for Wenatchee’s ShopKo, and Safeway and the Safeway in East Wenatchee for nearly 20 years, she developed relationships with local pharmacies and how different prescription plans worked on the ground level. She was able to witness first hand customers surprised that their prescription plans had changed the first of the year. Since pharmacies direct bill they often see the insurance problems first. Suzie figured if she could solve the problems on the front end then there would be fewer headaches for her customers. The world would be better with a few less surprises. When a person is qualified for Medicare, it is a big change in their life. They have either been disabled for an extended period of time or are getting ready to turn 65. Suzie has assisted people wit...