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 ...

Suzie and I have been working with Health and Medicare Plans for years. What happens when my medicare advantage plan leaves ? It comes up frequently during the initial enrollment period. The quick answer is we go through the different options and select a different one at that time. We have seen Molina & Premera paid plans leave our Chelan County. Lifewise leave and come back, Moda leaves the state, Soundpath Health Medicare Advantage wave goodbye to North Central Washington. We have been taking care of the entire Washington state for over eleven years. It is tough when a plan that you are comfortable with cannot continue in your area. Not every county in Washington state has Medicare Advantage plans. The insurance company has to identify that there is enough people who qualify, obtain contracts with providers in the area, and have enough profits that can be made in the area to continue to operate. Every year, some Medicare Advantage plans may leave the Medicare program by Dec....

The Suzie @ Wenatchee Insurance , we do our best to answer questions regarding health insurance for our clients. Sometimes we go a little extra like how do you dispose of used needles.  This is a hot topic right now. How does a person properly throw away their needles after they have used them? Insulin, Heparin, Dupixen t, etc, there are a lot of medicines that can be done at home that you need to properly dispose of the supplies. You don't want someone to stick themselves by an improperly disposed of used needle. The Food and Drug Administration recommends that used needles and other sharps be placed in approved disposable containers. They are generally available through pharmacies, medical supply companies, health care providers, and online. Seriously, Amazon has a huge selection.  Let's talk about alternative containers. If an FDA-cleared container is not available, then some organizations and community guidelines recommend using heavy-duty plastic household containers. W...

  The Suzie @ Wenatchee Insurance is asked about Medicare a lot. We help people understand and enroll. If you are looking for PEBB information then go to the HCA and request customer service and if you don't like their options request that they contract with brokers. Once they contract then we get access to the specialized training and can effectively assist PEBB retirees. We work with plans that contract out with licensed producers.  Who can get Medicare? Medicare is the federal health insurance program in the United States that provides coverage to individuals who are 65 years or older and certain groups of people including: 1.        Individuals who are 65 years or older: If you are a U.S. citizen or a legal permanent resident and you or your spouse have worked and paid Medicare taxes for at least 10 years, you are eligible for Medicare at age 65. 2.        Individuals with certain disabilities: If you h...

  At the Enrollment Center , we get asked this alot. Matt has assisted with 10 Open Enrollments helping thousands of people get healthcare. There are 10 Enrollment Centers in Washington State and you can catch Matt in Wenatchee's most of the time. If you need insurance help in Washington State then an easy way to contact him on his office's landing page .  Special enrollment periods (SEPs) for health insurance are periods of time outside of the regular open enrollment period during which certain individuals are able to enroll in or make changes to their health insurance coverage. SEPs are typically available to people who have experienced certain life events, such as the birth of a child, marriage, loss of other coverage, or a permanent move to a new area. In general, the following individuals are typically eligible to enroll in health insurance during a SEP: • People who have recently had a child, adopted a child, or placed a child for foster care. • People who have rece...