| When a good friend of mine inquired where he | | | | There are literally hundreds of thousands of |
| could obtain information about medical | | | | insurance agents and brokers advertising on |
| insurance for his out-of-state, elderly | | | | the Internet. Most of them will provide |
| mother, I told him to try the Internet. | | | | instant on-line quotes and even applications |
| | | | for the potential insured. I highly |
| He reported back to me about a week later, in | | | | discourage a layperson to purchase insurance |
| desperation: "I am giving up, I am too | | | | in this fashion. A little knowledge can be |
| confused." He had taken on an overwhelming | | | | dangerous. The federal government has |
| project with his widowed mother, living in | | | | mandated to all states through legislation, |
| another state. As the only child, and | | | | the standardized senior health insurance |
| following the sudden death of his father, it | | | | policy guidelines, which are governed and |
| was his responsibility to care for his | | | | regulated by each state insurance department. |
| mother. | | | | There are plans for almost every level of |
| | | | health. Some are designed and priced for a |
| In this world of technology, the family unit | | | | less than healthy individual. Others are for |
| is often living in different geographical | | | | a person with minimal health concerns. The |
| areas and the family members are usually | | | | whole concept of insurance is to provide |
| quite involved with their own lives, careers, | | | | protection for "unanticipated" sickness or |
| and families. In addition, when both parents | | | | injury, especially catastrophic expenses, |
| are alive, often one or both parents are | | | | which would devastate a person's net worth. |
| quite independent and do not require a lot of | | | | The more small expenses a person is willing |
| assistance. As time goes on things, of | | | | or able to pay (self-insure), the lower the |
| course, change, and sometimes change very | | | | rate. I recommend this strategy when |
| suddenly. There can be a crisis, with regard | | | | evaluating your insurance options. Another |
| to the health care needs of one or both aging | | | | consideration when reviewing various |
| parents. | | | | insurance plans is to look at the company |
| | | | itself. How long has the company been selling |
| With our baby boomers facing this problem in | | | | this type of insurance? Do they have a lot of |
| ever increasing numbers, and with the | | | | complaints filed with the local department of |
| information highway in full bloom, there is a | | | | insurance? Are the rates stable? Does it pay |
| definite need for planning. Protecting your | | | | claims on time? Service? Most agents talk |
| parent's assets and health is a huge and | | | | about the rating. These ratings are as |
| daunting undertaking, which requires a | | | | follows: A+, A, A? B+, B, B? C+, C, C? or |
| tremendous amount of education and practical | | | | "not rated." Do not be fooled by rating |
| application. Our seniors face many diverse | | | | alone. It is good to have a high rating, but |
| responsibilities upon reaching age 65. To | | | | it is far better to have a company that has |
| name just a few: Estate planning, taxation, | | | | longevity, stability, innovation, service, |
| Medicare, social security, wills, insurance, | | | | and expertise. The problem is that some |
| and various other legal and financial | | | | companies enter into a market and quickly |
| matters. All of these different areas require | | | | leave without explanation. This does not give |
| expertise from accountants, lawyers, estate | | | | security to the policyholder. The most |
| planners, insurance agents, home brokers, | | | | important consideration should be a review of |
| financial advisors, and others. | | | | the profit/loss ratio for that product. This |
| | | | will establish stability, and longevity in |
| The Internet is a good starting point for | | | | the market. An insurance company with a |
| most people to find resources for questions | | | | moderate profit in a particular line of |
| and solutions for your problems. There is, | | | | business will remain in that market. On the |
| however, no replacement for good solid | | | | other hand, a company with losses will make |
| intelligent advice from an expert. Twenty | | | | changes and possibly even withdraw. This is |
| years ago, insurance for elders was sold by | | | | information not normally available to |
| "senior insurance specialists," with just a | | | | Internet users. Before entering into an |
| handful of companies in each state. The | | | | insurance contract , the senior person, the |
| programs were most often Medigap or Medicare | | | | family, and other advisors must be realistic, |
| supplemental policies, which covered the | | | | and a careful evaluation of the entire |
| expenses not covered by Medicare, including | | | | picture must be examined. The age, the health |
| hospital and doctor deductibles, durable | | | | of the senior, the financial resources, the |
| medical devices, and non-approved Medicare | | | | personality and attitude of the senior, and |
| costs. Ironically these specialists did not | | | | most importantly the desires of the senior, |
| sell a lot of nursing care policies, even | | | | should all be considered. Early planning is |
| though Medicare paid a national average of | | | | important, as qualification becomes |
| less than 2% of these expenses. With the | | | | increasingly more difficult as the |
| advent of "financial and estate planning" and | | | | applicant's health declines. The senior |
| more insurance companies entering this | | | | health care market is complex. I will offer |
| market, a more broad and diversified product | | | | some words of advice to attempt to alleviate |
| line became available to agents, brokers, | | | | potential pitfalls. *C hoose a well-informed, |
| planners, and seniors. Part of this new | | | | seasoned, and service oriented agent or |
| diversification was the "home health care | | | | broker to assist your decision making |
| plan," sold by itself, and in conjunction | | | | process. The professional can offer |
| with senior health insurance products. The | | | | invaluable information, but do not be afraid |
| appeal of the "home health care policy" was | | | | to ask a lot of questions and even get a |
| that a senior could stay at home and still | | | | second opinion. *Do not wait until your |
| receive medical and custodial benefits, | | | | parent or loved one is sick, or injured. Plan |
| allowing a person to recuperate in the | | | | ahead and take the time needed to cover all |
| comfort of their own home. This was the | | | | the options. *C hoose an experienced |
| answer to a huge problem. The last place an | | | | insurance company. A Company that has been in |
| older person wanted to go was a "retirement | | | | the marketplace for a significant time and |
| home," or "rest home," or, God forbid, the | | | | has maintained a balance of rates and |
| "nursing home." It appeared that seniors | | | | benefits and sound risk selection with |
| could now rely on this new innovation without | | | | moderate rate increases over time is your |
| worry of having to move out of their home | | | | best bet. *T he plan should be flexible, with |
| environment in the event of a health problem. | | | | a broad range of options and benefit |
| As with most things," if it is too good to be | | | | selections to the insured. There should be no |
| true." ... The home health care policy is no | | | | tricks, or complicated language for the |
| exception. The problem is, there is not | | | | coverage. An incredibly low rate is a red |
| enough coverage for a lengthy illness or | | | | flag for trouble in the future. *Do not rush |
| recuperation time. The fact is, the new trend | | | | or be rushed by an over aggressive sales |
| is toward an "all in one" type facility, | | | | person. This policy will not be inexpensive |
| allowing for a variety of levels of care all | | | | and will need to be read and reviewed for a |
| in one location. In other words a senior | | | | clear understanding of the contents. This is |
| could start off with little or no health care | | | | one advantage to the Internet. You are |
| concerns in an independent, less expensive | | | | allowed to read indefinitely before you act. |
| area, and then go to an assisted living, or | | | | |
| nursing care facility, all within the same | | | | A long-term care program, with or without |
| compound. A "nursing home" requires a nurse | | | | insurance coverage, will only work if the |
| on the premises 24 hours per day, assisted | | | | senior has input into the care selection |
| living is just eight hours. The advantages to | | | | process. If there are any questions about the |
| this are financial. The patient or senior is | | | | accreditation of a facility please call the |
| only charged according to the care level | | | | "Continuing Care Accreditation Commission at |
| required during the time he or she is | | | | 202-783-7286. |
| admitted to that facility. Another benefit is | | | | |
| it alleviates a lot of planning because the | | | | By William H. Pritchett This article is free |
| care is delivered, as it is needed. The | | | | for republishing |
| medical attention is available to all | | | | |
| residents regardless of their current health. | | | | Source: |
| Some people are offered a lifetime package , | | | | |
| which covers their care for the rest of their | | | | In 1984, William Pritchett, Jr. developed the |
| life, regardless of their current age. It | | | | first Home Health Care plan of its kind, |
| also allows for social outlets to an | | | | which revolutionized the insurance industry |
| otherwise somewhat isolated group. On-line | | | | in this market. The program was developed to |
| shopping services have become a huge | | | | allow seniors to recuperate in the comfort of |
| business. It is definitely here to stay and | | | | their own ho.me as an alternative to assisted |
| many insurance policies are purchased from | | | | living facilities. This idea has grown into |
| Internet quotes and on-line applications. | | | | an entire industry. |