Medicare clients and friends of Kenton Henry and All Plan Med Quote,
Greetings! Please take a few minutes to read this in its entirety. Whether you have Medicare Supplement through me, or another agent, what I am proposing could save you up to 20%, or more, of what you are currently paying for coverage.
To those who are current clients – thank you so much for your continued business. We made it through another Prescription Drug Plan Open Enrollment Period which ran, as always, from October 15th through December 7th. During that time (for those who requested assistance) I shopped for your best value in a 2018 Part Medicare Drug Plan. It is my goal to keep my clients in the lowest “total cost” drug plan available to them, and I moved many of you to that plan. Others were in that plan already, and I advised them to stay the course.
It was a very hectic period for everyone in my industry, made more hectic because it overlapped with the Open Enrollment Period for Under Age 65 (Obamacare) health plans. Personally, it was all I could do to meet everyone’s need as well as possible without hiring additional staff. A staff which I would only have to have let go―at the end of the 8 weeks. This, most as soon as I had them adequately trained. For those who have Medicare Supplement policies, I advised you that, once this busy period was over, I would be in a position to re-shop your Supplement plan to see if there is a better value for you. That time has come.
If you have had your Medicare Supplement policy three or more years, you have had a series of premium increases. These usually correspond with your policy anniversary and, hopefully, they have been reasonable. But, the reality is, you may now be paying more than necessary for equivalent or ideal coverage. I say “ideal” because things have changed. Many of you are with Supplement Plan F. This is because, historically, it was considered the best value. In 2016 that changed in that the Center For Medicare Services (CMS) informed the insurance companies they were phasing out plan F and mandated they cease offering it in 2020. At that time, those who have plan F will be “grandfathered“. In other words, they will be allowed to keep theirs. But no new plan F policies will be issued.
With this mandate, the insurance companies re-priced plan G, which is the second most comprehensive plan after plan F. Plan F pays all eligible expenses for a calendar year. The only thing plan G does not pay is the $183 Medicare Part B calendar year out-patient deductible paid by plan F. So―yes―if you have plan G―you will pay the first $183 for out-patient care each year. (This will most likely be for your first doctor’s visit and perhaps a portion of the second). But, guess what? Your annual premium savings is probably going to be as much as twice that deductible. Therefore, plan G makes better financial sense than F.
Couple the yearly inflation of your policy premium by the three-year mark―with the fact you may be in plan F―and I can probably save you substantial premium dollars if we move you to plan G based on new first-year rates. Or― if you have had your plan G three or more years―we can attempt to move you to a lower cost plan G.
Is there a catch? Yes. The catch is―because you are now past your period of “Guarantee Issue” which, in general, ended six months after you turned age 65 and entered Medicare Part B. This means you now have to answer health questions and be approved for new coverage based on your health history. While approval is not as difficult as it used to be for those applying for under age 65 health insurance, you are going to have been in at least moderately good health and had no major illnesses in the last two years or more. I want you to ask yourself if this applies to you. If so, I would like to see if we can move you to a lower cost Medicare Supplement Plan.
Here is an example of the typical health questions you must answer “negative” to be approved – taken from what is currently one of the most competitive Medicare Supplement policies:
OPTION I: at lower rates than OPTION II
- Have you been prescribed or taken any prescription medications within the past 12 months? If “YES,” please indicate below.
If “NO,” indicate “None.” Agent – This is to assist in preparing the Applicant to answer questions in sections 3 through 5.
Name of Medication, Date Prescribed and Condition
(Example: Vytorin, 10/2009, High Cholesterol)
Name of Medication, Date Prescribed and Condition
(Example: Vytorin, 10/2009, High Cholesterol)
- Personal History Questions:
- Have you ever been diagnosed with diabetes?
- Have you ever:
- been advised by a physician to have or are you currently waiting for an organ transplant?
- been diagnosed with, treated, or advised to receive treatment for Alzheimer’s Disease, dementia,
mental incapacity, organic brain disease or any other cognitive disorder?
- been diagnosed with, treated or advised to receive treatment for Lou Gehrig’s disease (ALS),
Huntington’s disease or any terminal medical condition?
- been diagnosed with, treated or advised by a licensed member of the medical profession to
receive treatment for Systemic Lupus, Osteoporosis with Fractures, or kidney disease or failure
- used insulin to treat or control diabetes?
- had any type of Diabetes with Complications including retinopathy, neuropathy, nephropathy,
peripheral vascular disease, heart disease, stroke, transient ischemic attack (TIA), high blood
pressure, or skin ulcers?
- been in a diabetic coma or had or been advised to have an amputation due to disease or disorder?
- been diagnosed with, treated or advised to receive treatment for Cirrhosis, Emphysema, Chronic
Obstructive Pulmonary Disease (COPD) or other chronic pulmonary disorders?
- been diagnosed as having or told by a medical doctor that you have AIDS, HIV, or ARC disorders?
- been diagnosed, treated or advised to receive treatment for any neurological disease or disorder
such as Myasthenia Gravis, Multiple or Lateral Sclerosis, or Parkinson’s disease?
- Within the past 2 years have you:
- been advised to or do you currently use a wheelchair?
- been advised to enter or do you reside in a nursing home, assisted living facility, long term
care facility, received hospice, attended an adult day care facility, required home health care, or
- been admitted to a hospital 3 or more times or are you currently admitted to a hospital?
- been diagnosed, treated or advised to receive treatment for cancer (other than basal cell carcinoma)?
- been diagnosed, treated or advised to receive treatment for alcoholism or drug abuse, mental or
nervous disorder requiring psychiatric care?
- been diagnosed, treated or advised to receive treatment for heart attack, coronary or carotid artery
disease (not including high blood pressure), peripheral vascular disease, congestive heart failure
or enlarged heart, stroke, transient ischemic attacks (TIA) or heart rhythm disorders?
- been diagnosed, treated or advised to receive treatment for degenerative bone disease impacting
multiple joints, crippling/disabling or rheumatoid arthritis or been advised to have a joint
- been advised to have surgery, medical tests, treatment or therapy that has not yet been performed
or undergone testing by a medical professional for which the results have not yet been received?
- Have you been advised by a physician that surgery may be required within the next 12 months for
cataracts or have you used or been advised to use oxygen equipment, respirator or a catheter?
If any question in 3, 4 and 5 is answered “YES,” please STOP. The Applicant is NOT eligible for underwritten Medicare Supplement.
Take note of that last line. If you answered “yes” to any of these questions you are not going to be approved for the lowest cost plan of your choice. However, this does not mean I cannot get you approved with a new plan. I have a second company whose underwriting requirements are significantly more lenient. There are far fewer health questions to be answered, and no information regarding prescription drug use is requested. Mostly, this company is concerned with whether you have been hospitalized in the last 90 days and have you suffered any major health issues in the last 2 years. If you can answer “negative” to these, you will be approved at their lowest cost. Answer in the affirmative and you may still be approved but at a higher premium. Either of these premiums may or may not be lower than your current premium. This company’s health questions appear next. Only consider them if you feel you would not qualify for Option I:
OPTION II: BUT AT RATES HIGHER THAN OPTION I (BUT WHICH MAY STILL BE LOWER THAN YOUR CURRENT PREMIUM)
4A. Within the past 2 years, did a medical professional provide treatment or advice to
you for any problems with your kidneys?
Yes No Not Sure
4B. Within the past 2 years, did a medical professional tell you that you may need any of
- hospital admittance as an inpatient
- joint replacement
- organ transplant
- surgery for cancer
- back or spine surgery
- heart or vascular surgery
Yes No Not Sure
If you answered YES or NOT SURE to any question in Section 4, we will contact you for further information.
5A. Within the past 90 days, were you hospitalized as an inpatient (not including
overnight outpatient observation)? Yes No Not Sure
5B. Are you currently being treated or living in any type of nursing facility other than an
assisted living facility? Yes No Not Sure
5C. Has a medical professional told you that you have End-Stage Renal (Kidney) Disease
or that you require dialysis? Yes No Not Sure
Answering YES to any question in Section 5 will result in a denial of coverage.
If your health status changes in the future, allowing you to answer NO to all of the
questions in this section, please submit a new application at that time.
If you answered NOT SURE to any question in Section 5, we will contact you
for further information.
*This company has LEVEL 1 RATES (lower) for clients who answer “No” to the health questions. And LEVEL 2 RATES (higher) for those who have not provided a response which would result in a declination but
did answer “Yes” to any question in Section 6. This last scenario would result in you being approved but at a higher rate which may be higher or lower than what you are currently paying for Medicare Supplement insurance.
Based on all this, if you feel optimistic, here is what I would like you to do:
To save the time required to pull your file (for current clients), please provide me the following in response to this email:
1) Your name
2) Your residential zip code
3) Your birth date
4) your tobacco usage
5) Your current Medicare Supplement Company and plan letter designation, e.g., F or G
6) For which new plan would like to seek approval? The lowest cost (harder to be approved) plan or the higher cost plan with less stringent approval criteria?
7) What is your current Medicare Supplement Premium?
Upon receipt, I will quote both options. The first will be for your lowest cost plan G option (unless you request a different letter designation). When I quote, I will include the application for that plan unless you have informed me it is appropriate to seek approval for the higher cost option. That option will be your second quote and, where you have indicated it is appropriate, I will include its application.
As to those of you who have Medicare Advantage―you are locked into your current plan for this calendar year. We can re-shop your coverage this fall (October 15th to December 7th) for 2019. To that end―and for those who have Medicare Supplement plans and simply cannot bear the premium increases and / or cannot qualify for new Supplement coverage―I have a new website for those willing to accept the copays and provider limitations of Medicare Advantage. You will be able to get quotes and apply for these options this fall. Click on this link or – if necessary – copy and paste into your browser:
I anticipate this letter will generate an increase in activity on my part. As such, my phones may be very busy. If it is important you speak with me right, and convenient for you, you may want to text me during this period. My cell phone number appears below. I look forward to keeping you as a client or acquiring you as one in the first place. I commit to working to limit your medical and Medicare-related insurance expenses and providing the best of service. Thank you for reading and carefully considering this correspondence.
Text my cell @ 713.907.7984
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