November 2020 News Roundup

More than 6.65 million Americans filed for unemployment benefits over the last week alone – a bleak result of the Coronavirus pandemic. But those impacted aren’t just losing their jobs: They’re often losing their health insurance benefits too. And now is the time, especially, when health insurance may be extra crucial to you as you work to maintain good health or need coverage if you do get sick. Before weighing your options, take these steps: Know your budget and what you can afford each month. Make a list of your current health conditions and medications. List any doctors any healthcare providers you want to keep. Determine if you need dental or vision coverage. If you’ve lost your job and job-based insurance coverage, here are six options for you: 1. Join your spouse’s plan You may be able to obtain coverage through your spouse’s job-based health insurance plan, as long as your spouse or partner is already covered, which can be a cost-effective option. Ask your spouse to talk to his or her HR or benefits team to see if this is an option and what the associated healthcare costs may be for you. 2. COBRA You’ll likely receive a COBRA enrollment notice that includes information to continue your health insurance through your employer. Pros: You can keep your current health plan and continue to use your doctors and pharmacists under a policy you’re already familiar with. Your copays and deductibles will remain the same. Your spouses and children are eligible. Cons: You will likely face a higher premium because your employer will not subsidize the cost, and you’ll be charged a 2% administrative fee for continuing the plan. You can stay on COBRA for a limited time – typically up to 18 months. Some employers don’t offer this option, so be proactive and ask about it if you’re interested. 3. ACA (Obamacare) Plans Though the 2020 open enrollment period has ended, losing your job may qualify you for a special enrolment period exception. You can see if you can get coverage for an ACA plan through the Health Insurance Marketplace. Pros: Offers comprehensive major medical coverage for the 10 essential health benefits. You can’t be denied for pre-existing conditions. Tax credits are available if you meet the qualifications. Cons: You may not qualify to enroll in a plan at this time.* Can be costly if you don’t qualify for a subsidy. Plans can have narrow networks, so it’s wise to check if your doctors and providers are in-network. *Note: U.S. officials are also considering a special enrollment period to help uninsured Americans during the COVID-19 crisis. 4. Short-Term Health Insurance This type of temporary health insurance is designed to be a cost-effective and flexible insurance option if you’ve lost your job and have a gap in health insurance coverage. Pros: Flexible plan duration: Your coverage period can range from 30 to 364 days, with policy renewal of up to three years, depending on your state’s rules. Cancel anytime: You can choose how long you want to be covered (anywhere from 30 to 364 days). Plus, you can cancel your plan anytime. Enroll anytime: You can apply for and enroll in a temporary health insurance plan any time of year. And you can get coverage as soon as the day after you apply. Cons: There’s no coverage for pre-existing conditions. There are limits on prescription drug coverage: Most short-term health plans do not cover prescription drugs, but a few do offer add-on benefits and include prescription drug coverage after a deductible is met. There are limits on the number of covered doctor visits. Does not cover all of the 10 essential health benefits. You can be denied coverage. 5. Medicaid Medicaid is based on your income, family size and asset level. Though each state can set its own requirements, the limit is typically 133% of the Federal Poverty Level. If you do qualify for Medicaid, you’ll receive low-cost health insurance through your state which may cover you for: Inpatient care (hospital-type visits) Outpatient care (doctor’s office visits) Home health care Nursing care Dental, vision and hearing (in many cases) Again, benefits vary by state. And Medicaid should not be confused with Medicare (here’s how to know the differences between the two). 6. Telemedicine (not health insurance – but a way to get care) Though telemedicine isn’t a form of insurance, it’s a helpful service that people are turning to during a time of social distancing and stay-at-home orders. With telemedicine, you pay a monthly membership fee and, when you use the service, you may also pay a charge for the ‘televisit.’ Telemedicine connects you with virtual doctors who can diagnose and treat your non-emergency medical conditions, including: Allergies Asthma Behavioral and mental health services Common cold Fever Flu Men’s health issues Nausea and vomiting Pink eye Sore throat Skin conditions Sinus infections Women’s health issues Telemedicine doctors can also prescribe medications for certain conditions and submit the order to your pharmacy of choice. You can get a telemedicine quote with no obligation to you. We will continue to provide educational resources to you throughout the Coronavirus pandemic: Follow us on Facebook for news about COVID-19, telemedicine, health insurance and more. Visit our feed to get frequent updates on COVID-19 news.

Did you know that 66% of people who file for bankruptcy cite medical issues as a key contributor to their financial downfall? It's no wonder why rising healthcare costs continue to be a hot topic of conversation. So finding creative ways to save on healthcare costs should be top of mind for you. Whether you have Medicare, coverage through your employer, or insurance through the marketplaces, here are 9 ways to save on medical costs. 1. Incorporate Healthy Habits Finding ways to improve your general health and wellness can lower your out-of-pocket health care costs. After all, fewer trips to the doctor means fewer copays and less money spent on healthcare. Here are 4 simple actions you can take to live a healthier lifestyle. Less sugar, more water. Drink plenty of water and eat foods high in water: Think cucumbers, watermelon and celery. Sit less, more movement. Stand up throughout the day, stretch, take the stairs, and park further away: These are just a few ways to move more. Get rest. When thinking of healthy habits, sleep often falls low on the list. But chronic sleep deprivation can increase heart disease, diabetes, stroke, obesity, and many other illnesses. Wash your hands. The coronavirus pandemic serves as a major reminder to wash our hands frequently and correctly. Wash your palms, fingernails, and the backs of your hands thoroughly for at least 20 seconds. 2. Reduce Stress Stress often increases with age, leading to a host of health problems. Finding ways to lower your stress can go a long way. There are many simple ways to reduce stress in your daily life. Try things like working out or moving daily, spending more time with friends and family, and reducing your caffeine intake. And don't forget to laugh more. 3. Save Money on Medications The cost of prescription drugs can really take a lot out of your wallet. So if you're used to getting brand-name medications, consider asking your doctor for a generic alternative. It could save you money in the long run. For seniors especially, the cost of medications continues to rise at an alarming rate. One of the simplest ways for seniors to save is to find and compare Prescription Drug Plans (Medicare Part D). Start by comparing quotes, or talking to an insurance agent who is willing to research the medications you take. The right agent will have knowledge of all the pharmacies close to your home and plans available in your area. He or she can also help you identify ways to save on your prescriptions. 4. Use a Health Savings Account (HSA) You may have access to a Health Savings Account (HSA) through your employer (or previous employer). Using an HSA can save you money because your contributions are pre-tax dollars and can accrue interest. And unlike a Flexible Savings Account (FSA), the HSA is owned by you, so it can carry over into your retirement. And there is no deadline on when you can spend the funds. 5. Know The Difference Between Emergency Care and Urgent Care Some people don't know the difference between emergency care and urgent care. But knowing which option to use in a given situation can save you money: Emergency room visits can cost far more than urgent care center visits. Your initial reaction might be to go to the ER when you need medical treatment but can't see your primary care doctor. But in many cases, an urgent care facility will serve you just as well at a lower cost. Start by keeping a list of nearby ERs and urgent care centers handy. An urgent care visit is good for a minor illness or injury, but if your condition is life-threatening, always go to the ER. You might also consider going the telemedicine route, which entails talking to a doctor online, rather than going to an in-person appointment. Telemedicine usage also gained momentumduring the coronavirus pandemic. Overall, turning to telehealth may not only reduce your healthcare costs - it could save you time and keep you out of the waiting room. 6. Ask If All Tests Are Necessary You may think that doctor-ordered tests are standard protocol, but those tests could get expensive fast. Be sure to ask your doctor if all diagnostic tests are necessary for your health. Don't be afraid to ask your doctor if all diagnostic tests are necessary for your health. Here are some questions to get the conversation started. Why is the test being done? What steps does the test involve? How long will it take to get the results? What will the test cost? 7. Request Outpatient Services When Possible Did you know that some inpatient procedures can be performed on an outpatient basis? Often, doctors choose to have a procedure performed on an inpatient basis, simply for the convenience of the patient and the medical staff. Many procedures do require a medically supervised period of recovery, but not all of them. There's nothing wrong with asking your doctor if a procedure can be performed in an outpatient clinic rather than at the hospital. If so, the savings can be significant. 8. Choose Your Doctors Wisely Just because a physician or facility accepts your health insurance or Medicare plan doesn't mean that your costs will be controlled. If you're on Medicare, consider these two steps: First, check if the provider accepts assignment. This means that the provider has agreed to accept the Medicare-approved amount as full payment for services. If your provider doesn't accept assignment, then your out-of-pocket costs may be higher. Second, choose the right doctor for you. The ideal provider has specialized experience with those age 65 and over, which can save you repeated visits to the doctor. One way to shop around for doctors and specialists is through the physician compare feature on Medicare.gov. You can use this tool to compare providers in your area, or you may opt to discuss the topic with a licensed insurance agent. In general, researching and shopping around for the right healthcare provider could save you money over time. 9. Use Your Medicare Benefits It may sound contradictory, but going to the doctor can ultimately lower your healthcare costs. Most insurance plans, including Medicare Advantage, come with certain wellness benefits. Getting regular physicals and patient-specific tests can uncover minor health problems before they become major ones. Let's say a man gets a routine PSA blood test done, which reveals the possibility of low-grade prostate cancer. Early intervention makes the treatment cost far less early on, resulting in fewer trips to the doctor and fewer copays. In other words: lower cost. You Can Save On Healthcare Costs Bottom line: Don't be afraid to do your research, ask the right questions, and incorporate healthy habits to decrease healthcare costs. You can also find more tips to avoid medical debt in this article.

You might remember when the price tag of the EpiPen made headlines in 2016. The cost of this life-saving medication, used to treat severe allergic reactions, went from $93.88 to $608.61 in a seven-year timeframe - a 500% price increase by drug manufacturer Mylan Pharmaceuticals. While the EpiPen story was an extreme case, it's not uncommon for prescription drugs to increase in price and become unaffordable. In 2019, prescription drug costs totaled $360 billion in the United States. The average American consumer spends $1,220 each year just filling prescriptions. In comparison, Canadians spend about $882 per year while France comes in at just $653 annually. That's why you inevitably want to make sure you're paying the best price for your prescriptions. Here are some ways to be a savvy shopper and save money on your prescription drugs. Buy generic brands This may be a no-brainer for some, but it's a cost-saving tip worth remembering. Generic drugs can be significantly cheaper than brand-name versions. While everyone benefits from generic drug prices, people over age 65, especially, saved $75 billion in 2016 by choosing generic drugs. It's important to know that you're not compromising the quality of the drug if you choose a generic brand: The FDA says that generic drugs have the same active ingredients and effectiveness of brand-name drugs - a part of the FDA's approval process. So if your doctor prescribes a brand-name drug, ask if there's a generic equivalent. The savings are worth the effort. Shop around If the price of your prescription seems high, know that you don't have to "just accept" your pharmacy's costs. One pharmacy may charge $7 for amoxicillin, while the other charges $12 for the same thing. And big-box stores may have bigger discounts than smaller pharmacies. Be sure to compare prescription drug costs at different pharmacies. Drug manufacturers or insurers may also offer discounts for certain medications, so be on the lookout for special prices. Reward programs Certain stores or pharmacies may offer coupons or reward programs. Every rewards program is different, but in general: You can join a store's program (sometimes for free or for a small monthly payment) and earn points based on purchases. You can then use those points towards in-store purchases. You might also receive other perks like free 1 – 2 day shipping for prescriptions, 24/7 pharmacy consultations, or points for reporting wellness activities like walking or running. There are many reward programs to choose from - CVS ExtraCare Pharmacy & Health Rewards, Meijer mPerks, and Rite Aid wellness+ rewards are three examples. Buy in bulk You might think of paper towels or tissues when buying in bulk. But you can also be a bulk shopper with certain prescriptions - the more you buy, the less they cost. The bulk buying principle might make sense for maintenance drugs that treat chronic conditions. Let's say you have a prescription to treat your chronic heartburn: If you buy 14 tablets of Prilosec, each tablet is $1.43 - a total of $19.98. But if you buy 40 tablets, each one is $0.79 - a total of $33.04. That's 44.75% saved. Anyone can benefit from buying in bulk: Just be sure to consult with your doctor before you buy a 90-day supply of your prescriptions. Prescription savings cards Prescription savings cards provide discounts or coupons for medications at thousands of retailers nationwide. Many companies such as GoodRx and WellRx now offer them. Some even allow you to use them for pet prescriptions. Prescription savings cards typically show you where a drug is available and what the prices are at certain pharmacies. Simvastatin is a popular drug used to lower cholesterol and reduce the risk of stroke or heart attack. The average retail price of Simvastatin is around $66.39, but it can be about $3.64 with a prescription savings card. Prescription savings cards are suitable for almost everyone, including Medicare recipients who want to receive further discounts, those experiencing gaps in medical coverage or students on a tight budget. However, it's important to check out the fine print to see what's covered. Apply for assistance You may qualify for prescription drug assistance programs (PAPs) if you're an early retiree, in between jobs, a senior on a fixed income, or a college student. PAPs offer low-cost or free medication to those who don't have health insurance, are underinsured or can’t afford their medications. Assistance may be available through the drug manufacturer or through independent non-profits offering financial aid, such as NeedyMeds and National Council on Aging (NCOA). The cost-benefit varies by drug and PAP. Prescription home delivery You might save cash if you get your prescription drugs shipped directly to your home. In some cases, you can order a 60- to 90-day supply for a better price than buying the drug in person at your local pharmacy. Prescription home delivery makes sense for anyone who wants the convenience of not having to travel to the pharmacy to pick up medications. College students living away from home or those without a car might especially benefit from this option. But first: Check with both your doctor and your insurance company to make sure the home delivery option is available for your specific prescription drug. If you need to ask questions about your medication, picking it up in person at the pharmacy might be a better option for you. Free trial programs Some pharmaceutical companies offer free trial programs for those in between jobs or facing gaps in insurance. Think of being a first-time subscriber to Hulu, for example. Hulu might offer you a free week or month before you officially sign up. After all, the goal is to make you a long-term customer. This same concept applies to free trial programs through certain drug companies. Free trial programs might help you get the medication you need until you enroll in an ACA insurance plan or find a short-term health insurance plan with prescription coverage that works for you. Medicare recipients If you have Medicare, you may not have prescription drug coverage. Medicare has four different parts: A, B, C and D. When you enroll in Medicare, you can choose to enroll in Original Medicare (Part A and B) or Medicare Advantage Insurance (Part C). However, you can't enroll in both. If you choose Original Medicare and want prescription coverage, you must purchase a Medicare prescription drug plan (Part D) from a private company for a monthly fee. A Medicare Advantage plan is all-in-one insurance and most plans include prescription drug benefits. But not all have this benefit, so it's essential to check the fine print. The good news is that when you're ready to shop for Medicare, you have a few different options. Medicare recipients can also use "preferred pharmacies" to shop for their prescriptions. Preferred pharmacies are in-network pharmacies that offer lower out-of-pocket costs on medications. If you leave the network, your prescription drugs might not be covered, costing you more money. Preferred pharmacies may offer other benefits like a home delivery for a 90-day supply of your prescription drug. Final thoughts You don't want to be in a situation where you have to skip taking your medications or put your health in jeopardy. Know that there are ways to save on prescription drugs. And not all health insurance plans include a prescription drug benefit, so review each option closely.