Washington State Healthcare Solutions

  How does we know that big changes is coming to Medicare for 2025 without talking about insurance plan details? Well it is real simple, the Inflation Reduction Act put in some very positive changes that impact Prescriptions in a big way. 1. Insulin at $35/month (already started). 2. vaccine access (already started). 3. Expansion of low income subsidy (already started). 4. $2000 yearly out of pocket max of prescription drug cost 2025. 5. Medicare Prescription Payment plan starts in 2025. 6. Manufacturer discount program starts in 2025. 7. In 2026 we will see the first 10 negotiated drug prices. These impact every Medicare Prescription Plan including Medicare Advantage plans that have prescriptions! Yes, large insurance companies have been predicting 50% of people using Medicare with prescriptions will switch plans this year. The Medicare Annual Enrollment Period runs from October 15th through December 7th. Set your appointments early for Suzie . While we can not discuss Medicare ...

How big is the unwinding effecting our neighbors. Let's look at the Continuous Enrollment Data that was pulled 02/14/2023 Chelan County 5,766 Douglas County 3,030 Grant County 8,012 Okanogan County 3,210 Kittitas County 2,324 Yakima County 22,744 Yes, Central Washington is looking at 45,086 people that have been enrolled continuously renewed into Apple Health. We are looking at a large percentage of our neighbors having to review their health insurance over the next year. Most of that will be outside of Open Enrollment period which runs usually from November 1st through December 15th.  People are setting appointments year round  so that we can travel to outreach events around the state to assist in education and enrollments.  Yes, CHIP payments are restarting Key resources are the Enrollment Centers . Our office moved to 413 N Mission street a few months ago if you want assistance in Central Washington we can do phone, online and in person appointments . The reason th...

There is a variety of coverages out there. At Suzie Health Solutions , the Enrollment Center located in Wenatchee for the Washington Healthplanfinder , we work with Qualified Health plans.  We are going to talk about non-medicare health insurance plans today. We offer a lot of insurance but health insurance we have worked through 10 open enrollments which usually run from November 1st through December 15th across the United States.  This means that they cover the 10 Essential Coverages.  Inpatient and outpatient medical care Prescription drug coverage Preventive care and screenings Mental health and substance abuse treatment Emergency services Hospitalization Rehabilitation services Pregnancy and maternity care Laboratory services Pediatric care, including dental and vision services. Each plan will cover them in a variety of ways. We do run applications year round however are limited by enrollment dates. If we are outside a open enrollment then a person may have to ...

 As a full service enrollment center  for the Washington Healthplanfinder , Suzie Health Solutions educates and enrolls people into healthcare for no cost. There are 11 enrollment centers however we are the one located in Wenatchee.  If you do not have health insurance then enroll now. You may not be able to get it until 2023 as there are special rules however it means that you are one step closer to having coverage. Schedule an appointment and get your options .  For the last nine years, we have assisted with people enrolling into Apple Health . While the application can be confusing or you might not understand the letters, these are things that we assist with so that you have coverage.  In June of 2021, the American Rescue Plan Act went into effect in Washington State and we saw costs plument. In Washington state over 10,000 were eligible for $0 cost plans . To be fair they often come in at a $1 per month however they have serious cost sharing at the silver ...

  We enroll people into health insurance . Over the last year plus, we have also had to battle with COVID restrictions. We were one of the fortunate small businesses in that we could help people remotely and we had most of the internal protocols ready because of a Tuberculosis exposure a few months earlier. There are 11 enrollment centers located through the state, we just happen to be in Wenatchee. It wasn't until May, that we noticed something. A local Health district published the vaccination rate by zip code. When we started looking at the vaccine hesitancy they have an commonality. It is not a real surprise because both are created in a similar fashion for people to operate in a destructive, toxic fashion. We have fought that disinformation wall for nine years. We know that there are a ton of our neighbors sitting in the center that will leave it for friends and family to pick up after they followed bad information. When you are in the country then you will probably recognize...

 At the Wenatchee Enrollment Center, we assist with every possible plan. We are one of the eleven full service enrollment centers for the Washington Healthplanfinder . One of the three biggest individual health insurance plans is Lifewise in our area. We get a lot of questions and this blog should answer the questions.  If you do not have a broker like Suzie or Matt McColm assigned to your account then take time to do so right now.   By taking the 5 minutes to connect, it helps us keep our lights on and provide assistance throughout the year. Call the Washington Healthplanfinder at: 1-855-923-4633.  Onto the help. Here is the map for the Major Providers connected to Lifewise for 2021.  Here is where you want to go for details into major networks .  Protip: An easy way to confirm is talking with the billing department of the doctor. Here is where you want to go to look up doctors or dentists .  If you want to look up prescription coverage .  If y...

  Hi I am Suzie one of the Agents here at Wenatchee Insurance Agency . You might have found this through our Medicare Bot , a Facebook post or found this link through a friend. Each year, I give this presentation to hundreds of times to people who are new to Medicare or have had Medicare Advantage Plan the previous year and there was important updates. In the past these were held at Red Lion and meeting rooms all across the country.  With COVID-19 we had to take a different approach.  Since there are rules involved, we are required to cover materials laid out by the company and by  U.S. Centers for Medicare & Medicaid Services (CMS). We are going to have the complete sales presentation here so that you can review the materials. If you don't have any questions then we request you use the provided links so that we can assist you through out the year as your licensed insurance agent. If you do have questions then please contact Suzie for an one on one session...

https://wenatcheetown.podbean.com The further that we get into August and the higher the COVID 19 infected, the more that sending our kids back to school will be an issue. As parent's of a 14 year old, it maters to us will our kid be safe. What level of illness floating around is a reasonable risk? How can he get that needed social contact with out contracting something that can injure or even kill him? Everyone needs to follow what actions are occurring to help them find what is safe for their family. Let's start with the politicians. 1. There is a great conversation between Representatives Kim Schrier and Katherine Clark . If you have not heard of Rep Schrier then you should know that she is a Doctor and parent of an 11 year old so she is a good person to listen to, 2. It recently became an issue with Florida Lawmakers when it Senator Rick Scott reveled that his Grandkids were going with distance learning instead of traditional school. 3. Baron Trump will be dis...

Enrollment Centers in Washington State are unique as people are able to get help with out extra charges. We provide Statewide help for the Washington Health Benefits Exchange. Consumers get no cost help in selecting and enrolling in health and dental plans through the Washington Healthplanfinder. There is wi-fi available.  As a bonus, the broker partners may provide additional assistance with additional insurance products such as Medicare, Supplemental and Life Insurance products so ask. At Wenatchee , we upload documents, notarize and do our best to assist our clients in effectively using healthcare. Hands Free Hand Sanatizer Broker Affiliated Enrollment Centers Wenatchee Suzie & Matt 413 N Mission Street, Wenatchee, WA 98801 1-509-295-9055 Schedule an appointment suzie@wenatcheeinsurance.com Bellingham Rice Insurance 1400 Broadway Street, Bellingham, WA 98225 1-360-734-1161 keith@riceinsurance.com Kennewick The Advisor Benefits Group 5101 W. Cl...

Hey from Suzie at Wenatchee Insurance. We have been doing some updates. Have you seen what has been going on at our Website ?  So we started a blog this week. We wanted people to get information in 1/2 hour light chunks. We have two episodes up so far. You can find us on Spotify , Google and Apple so far. You can also find us on PODBEAN .

Suzie and Matt work at Wenatchee Insurance Agency 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 fol...

It takes minutes Temporary work, contract jobs, seasonal jobs, freelance, piece work, driving for Uber, selling on Etsy, etc. The gig economy has been around for ever. Whether it is picking apples for the season, working the slopes at mission ridge, to being a contractor at a server farm it is easy to fall into a gig career path. About a third of the American workforce has found themselves bouncing from short term job to short term job. While the pay can be good temporary, what about the long term? A policy for everyone When was the last time that you met someone that retired after working from the same job for 40 years? On average, you will change jobs times 12 times in your lifetime. What happens if the next company doesn't offer a plan? We have seen companies terminate life insurance policies for retirees. Do really want to leave your family high and dry for a short term job? What happens when you die? Your bills don't go away . A majority of adults say a fu...

Open Enrollment is November 1st through December 15th. Outside of that time frame, it requires a special documented reason. Awarded for first year's production. We have been helping people enroll into plans on the Washington Healthplanfinder with out charging fees since the first Open Enrollment. Insurance is expensive and complicated. Not everyone has been trained by the Insurance Companies how their plans function nor went through the education and licensing for a Insurance Producer in Washington State. Just as last year, there are a lot of little or no cost plans available. When I say a lot I mean that the people in charge of Healthcare.com (Centers for Medicare and Medicaid Services) put out a report stating 2/3 will be able to purchase a plan for $10 or less . An analysis Thursday from the consulting firm Avalere Health found that low-income residents in 96% of counties served by HealthCare.gov can find a basic "bronze" plan at no cost to them , factoring...

These are the top two requests  and solved for a ton of people.  Apple Health Kids is awesome. If you are on Apple Health then you have Dental . You want to use the heck out of it. Kids can get braces if they are medically necessary. You can get cleanings and fillings. It is run by the Healthcare Authority so do not hesitate to call them directly and grill them. They don't cover bridges, implants or crowns. Their phone number is 1-800-562-3022. On Apple Health and can't find a dentist/doctor then go here .  Apple Health Vision, the kids 20 and younger are covered and the adults need to contact the administering insurance company and see what they cover. The adult's eyeglass frames and lenses are generally not covered by Apple Health but they have a discount program. These change from time to time on what they cover. The Apple Health managing companies are: Amerigroup Washington: 1-800-600-4441 Community Health Plan of Washington 1-800-440-1561 Coordinated...

Women's health is important. Not only are they half the population, women are capable of carrying the next generation. With the U.S. maternal mortality rate more than doubling from 1991 to 2014, we can do better. Yes, women's healthcare is tremendously important if we are focused on improving our nation. Together we can change. We are seeing some cause and effect results of bad policies.  Cervical Cancer mortality rates rise as women's health clinics close. Researchers found this trend as nearly 100 women's health clinics across the county closed from 2010 to 2013. The greatest impacted under these closures were Hispanic, uninsured and young women. The closure of these clinics reduced screening and because cancer was identified later increased deaths. Gender bias can have catastrophic results . Women may have different complaints than men — even with similar health conditions — and they experience pain differently, but most doctors are trained to identify and ...