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December 10, 2018

Avoid surprises with Your Medicare Benefits – What’s not covered

health coverageWhen people turn 65 and become eligible for Medicare, they are sometimes surprised to learn that Medicare doesn’t cover all of their healthcare expenses and services.

On average, Medicare covers around 80% of your inpatient and outpatient services. There are also some items which are not covered by Medicare at all.

Learning what Medicare covers ahead of time will certainly help you not to experience any unwelcome surprises. doesn’t cover will help you be better prepared for your enrollment ahead of time.

Items That Medicare Doesn’t Cover

When Medicare was first rolled out in the 1960’s, it was designed to cover hospital services and medical services. There are several things that fall outside of these that are not covered by Medicare at all.

These include routine dental, vision, hearing and foot care. Original Medicare also does not cover cosmetic surgery, most medical care in foreign countries, or long-term care like nursing home or assisted living facility care.

Medicare also did not cover any outpatient prescription drugs for many years. However, in 2006, Congress rolled out a voluntary program to help with outpatient medication expenses called Medicare Part D.

For many years, Medicare didn’t cover preventive care, but in 2010 this was changed and now Medicare offers an annual physical as well as a number of other preventive care procedures.

Fortunately, there are also many individual insurance policies on the private marketplace to help with some of the other items, such as dental, vision and hearing insurance or long-term care insurance.

Covering the Gaps

We mentioned that Medicare covers only about 80% of your medical expenses. You pay the rest in the form of deductibles, coinsurance, and copays.

You can purchase insurance coverage that helps you to pay these expenses when they arise. There are two primary types of additional coverage that you can choose.

You can choose to enroll in a Medigap plan or you can opt to get your Original Medicare benefits through a private insurance program instead, called a Medicare Advantage plan.

Medigap plans are sometimes called Medicare supplements. These plans pay after Medicare first pays its share. The plans help to cover the deductibles, copays, and coinsuranceon your behalf. There are ten standardized plans to choose from in most states, and there are several plan options provide a foreign travel emergency benefit up to $50,000 as well.

You can use your Medigap plan at any Medicare provider nationwide and you never need to get a referral.

Medicare Advantage plans are also called Medicare Part C plans. These private insurance plans typically involve treating with the plan’s network of providers. Typical networks include HMO-style networks where you must choose a primary care doctor or PPO networks where you can see any doctor in the network and even treat outside the network at additional costs.

You will pay copays for various medical services as you go along, and these expectations will be outlined in the plan’s Evidence of Coverage booklet.

Part C Medicare Advantage plans can also build in some extras that Original Medicare doesn’t usually cover, such asdental care, vision exams, and eyeglasses, hearing aids, and even gym memberships. Each plan must cover all of the same medical services as Original Medicare, but how you pay for your share of these services is different. Approximately 30% of Medicare beneficiaries enroll in a Medicare Advantage plan.

Prepare Ahead of Time

Though Medicare isn’t free, you can work with a financial planner or Medicare insurance broker to estimate your costs for Medicare ahead of time. This will help you avoid any unwelcome financial surprises and also help you to fully understand how your coverage will operate.

Danielle Roberts is the co-founder at Boomer Benefits, where she and her team help new Medicare beneficiaries to learn about their coverage and benefits. You can visit her website to learn more about your eligibility for Medicare.

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August 25, 2018

Cancer Insurance: Need of the Hour

insurance for cancerAmongst all the other health insurances, cancer insurance is becoming more and popular day by day. This is because the rate of the diagnosis of cancer is increasing worldwide so speedily and the cost of the treatment of this disease sometimes exceeds our capacity. Now before going further, you must know what cancer insurance is first. This specialized policy provides a limited coverage when you are diagnosed with cancer. This supplemental insurance policy reduces the cost related to the treatments and diagnosis which includes radiation, hospitalization, surgery, chemotherapy, blood transfusions, nursing care and the medicines prescribed by the doctors. The total of the assured amount depends on which stage of cancer you are being diagnosed a- major, minor or critical. Here are reasons why you should invest in this policy:-

  • Cancer Runs in the History of The Family:-The cost of the treatment of cancer is tremendously increasing with the increased number of cancer patients today. If you have a family history of cancer, then the chance of you being diagnosed with cancer at some point in your life is very high. In this case, choosing a cancer insurance policy can actually help you in the future.
  • Not Enough Financial Backup: In the case of medical emergencies, financial affluence can make a huge difference. Deadly diseases like cancer can leave you without a single penny. If you have a cancer insurance policy then it works as a backup and covers the costs of the treatment and makes you financially stable during hard times so that you can bear the medical expenses further. You do not need to worry about any sudden financial crisis as your chosen cancer insurance policy will surely have a pay-out option where you will be paid a lump sum amount if you are diagnosed with cancer. You can spend this money in any form you wish- to spend on travel expenses if you have to travel to some other place for the treatment or to pay the everyday hospital bills.
  • Can be used as a Supplementary to the current policy:-The premium of a cancer policy is lesser than the traditional health insurance policies. You must go for a comprehensive health insurance policy which is budget friendly and meets every need if you have a family history which indicates even the faintest chance of you, developing cancer. If you do not have any kind of health insurance yet and you have that little risk of being diagnosed with cancer, then based upon your financial capacity, you should go for this cancer insurance plan. Don’t think that in every case, having both comprehensive health insurance and a cancer insurance policy will provide you double coverage of non-cancerous diseases and cancer. There is a ‘co-ordination of benefits’ cause complementing with other health insurance plans, as mentioned in the cancer insurance plan. According to this clause, the benefits of the other health insurance plans are not provided. So if you are going only for a cancer policy then you must go through the exclusions and inclusions of the policy first.
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June 18, 2018

8 Smart Tips for Flooring Renovation to Increase Home’s ROI at Resale

resellable flooringThe best home improvements are those that give you the best return on investment (ROI.) Some of these, like flooring from Wraps Studio, work well, as long as you choose the best options for each room of your home. Certain types of flooring, like luxurious carpeting from carpet grapevine tx or traditional hardwood floors, are guaranteed to give you the best ROI. Here are eight tips that will help you with this process.

1) Know the Different Types Of Flooring

You need to understand the differences between the types of flooring. There are so many options on the market, from various kinds of tile to laminate and bamboo floors that just going into Wraps Studio may give you a headache. If you educate yourself first, you’ll be much better off.

2) Choose Flooring That Fits Your Needs

Don’t just buy the cheapest or most expensive flooring out there. Instead, pick the type that best fits each room of your home. Look for study options for busy rooms and luxurious, finicky ones for the spaces that get less traffic.

3) Don’t Be Afraid To Ask For Advice

Flooring store employ experts who can answer questions and help you choose a style or finish. They’re in the store for a reason – ask them for help if you need it.

4) Diversity Your Flooring

It can be tempting to cover every inch of your subfloor with carpeting from carpet grapevine tx. However, you should break things up as needed and choose the very best flooring for the room. Your home will look more complete, and you won’t have to worry about scaring buyers off with a carpeted bathroom or kitchen.

5) Personalize Your Floor

The key to making your house stand out from all of the others on sale in your area is by adding some personalized touches. Buyers will appreciate those hand-stenciled floors and other details.

6) Redo Your Floors When Needed

If you can’t afford to have, new flooring installed, then make the most of what you already have. You can restain hardwood floors, and they’ll end up looking as good as new. In fact, if you’re afraid of the staining process, paint works just as well. It will cover up any stains and watermarks and give your home a whole new look.

7) Spend Time Doing Necessary Maintenance

You’ll need to do some regular maintenance in order to keep your floors looking nice. It might be something as simple as wiping up spills right away to steam cleaning your carpets every few months. Do what you need to in order to make your flooring look as good as new.

8) Prevent Your Floor from Becoming Damaged

Some types of flooring are prone to damage. If you have this finicky flooring, be gentle with it. If your wood floors are light in color and you’re worried about permanent stains, then lay down a rug. However, at times you might just have to install new flooring in order to reverse any damage.

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March 9, 2018

Reasons Why Your Health Insurance Claim Can Be Denied

health insurance coverageIn this time of rising medical inflation, investing in a medical insurance policy has become the need of the hour. The benefits of a health care plan indeed out weigh the cost. Many individuals, therefore, invest in a health care policy to enjoy financial protection in case of a medical emergency.

You may either opt for a reimbursement of the medical expenses incurred by you, or you may file a cashless claim. Though the procedure for filing a claim is quick and hassle-free, sometimes it may get rejected.

Following are six major reasons why your health insurance claim may be denied.

1. Providing inaccurate or incomplete details

One of the reasons for denial of the claim is a failure to furnish complete or accurate details. These details may pertain to your health condition, pre-existing conditions, or nature of employment, among others. Since these factors are crucial in helping the insurance provider to determine your eligibility and premium, they may deny the claim if they find out that crucial information has been withheld or if facts have been misrepresented.

2. Seeking claims for exclusions

Most medical health insurance plans come with a list of diseases and ailments that are beyond the scope of coverage. Making a claim for any conditions or ailments in the exclusion list will fail to qualify for coverage and hence the claim will be rejected.

3. Making a claim during the waiting period

Waiting period refers to the specified time frame that you must wait for, before beginning to enjoy benefits of the policy. This is the period during which pre-specified illnesses are not covered by your policy. Hence, making any health insurance claim during the waiting period will result in it being rejected.

4. Admission to a non-network hospital

Insurance companies have a network list of hospitals. In order to avail of a cashless facility, it is imperative to get admitted at any of the hospitals in the insurer’s network. The insurance provider may reject your cashless claim in an event that you are admitted to a non-network hospital. In such a case, however, you may seek reimbursement of the hospital expenses incurred by you. You may submit the original bills, medical reports, and fill the claim form while seeking reimbursement.

5. Claims made on lapsed policies

Your policy may stand lapsed in case you have failed to make premium payment before the due date. Making a claim once your policy has lapsed will mostly result in denial of the filed claims. It is, therefore, necessary to make timely payment of your medical health insurance premiums in order to enjoy uninterrupted benefits of your health policy.

6. Failure to notify the insurer within the stipulated time frame

Your medical health insurance policy states the period within which you must inform the insurance provider of your hospitalization. If the claim has not been brought to the notice of the insurer within the time frame stipulated in the terms and conditions of the policy document, the insurance claim will be rejected. You may, therefore, submit the insurance claim request within the time frame. You may also submit the original hospital bills as well as post-hospitalization expenses if any.

A medical health insurance claim denial may threaten your financial security and the ability to receive medical care. It is, therefore, necessary to identify the possible causes of rejection. Once you are well aware of the possible causes of claim denial, you may follow the guidelines to ensure that your claims are honored.

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October 19, 2017

What You Should Know About Startup Accelerators

startup financeWith so many startup companies, the competition is fierce. It doesn’t matter what field you’re in. It’s likely that there are many other entrepreneurs in your niche. The trick is finding a way to make your company stand out above the rest. For some companies, that means working with a startup accelerator.

What is it?

A startup accelerator is an experience that supports the growth of an early company. To accomplish this growth, they provide education, mentoring, and financing. They give you a way to build your company from the ground up. The accelerator only lasts for a certain amount of time; it’s a rapid growth process. While the time period might be short, you can see a great deal of growth in the process. In only a few months, you can see the same growth that you would expect in years of hard work.

Start-up accelerators work for almost any type of industry you can imagine. For example, new insurance companies can benefit from Insurance accelerators. An insurance accelerator would specifically focus on growing a start-up insurance company. Meanwhile, a new clothing brand could find an appropriate accelerator to give them intense growth. There’s something for every company.

What makes them so special?

There are many different ways to cultivate a start-up. However, an accelerator is particularly effective. There are a few reasons for this. For one, there’s the fixed time frame. Instead of having an open-ended agreement with no true end date, you have a set time frame. It’s easier to analyze your results and predict your company’s future when you have strict time frame. You get results, and you get them before your time is up.

There’s also the fact that an accelerator uses mentorship to get results. Unlike crowd-funding campaigns and other types of investors, accelerators give you advice. While that advice helps your company in the present, it also helps your company in the future. You can learn invaluable business skills through mentorship. Additionally, you can gain insight into your industry and use that insight for years to come.

Finally, accelerators are cohort-based. For years, educators have seen the benefits of an education cohort-based environment. Those same benefits translate to business education. Being part of a larger group is a great way to grow your company.

Do accelerators really work?

While the concept of accelerators is sound, it’s important to ask yourself if they really work. It seems so, considering that many entrepreneurs would be happy to relive the experience. About 90% of entrepreneurs in a survey said that they would do the accelerator program again. Similarly, 95% of them said that the accelerator was worth equity stake that they lost. The time and equity lost in an accelerator program seems well-worth the gain.

An accelerator program might not be the right option for everyone. However, it could be the right option for your company. If you’re looking for a way to gain insight and knowledge while gaining momentum in your business, an accelerator is a great option. You could see huge business growth in only a short time.

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