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