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Call today for quotes on health insurance for
Medicare beneficiaries
or any other type of health or life insurance!

Newsletter

Medicare - May 2025

IN THIS ISSUE...
  • HOW AARP CAN HELP YOU PREVENT AND DETECT SCAMS


  • SOCIAL SECURITY REVISES PLANS FOR IN-PERSON VISITS


  • FACT SHEET: PRESIDENT TRUMP ANNOUNCES ACTIONS TO LOWER PRESCRIPTION DRUG PRICES
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HOW AARP CAN HELP YOU PREVENT AND DETECT SCAMS

Seniors are particularly vulnerable to frauds and scams, and AARP provides considerable resources to help seniors learn more. The AARP Fraud Watch Network has a team of fraud fighters to provide real-world tips to protect you and your loved ones.


You can also sign up for bi-weekly scam watchdog alerts, and AARP provides a toll-free help line at 877-908-3360 that you can call if you suspect a scam. The line is open from 8 AM to 8 PM Monday through Friday EDT.


Please click here to learn more about the resources AARP has available for preventing frauds and scams.

SOCIAL SECURITY REVISES PLANS FOR IN-PERSON VISITS

The Social Security Administration walked back plans to reduce over-the-phone services, providing clarity to recipients about who must verify their identity in person.


The move came weeks after the agency unveiled “stronger identity verification procedures” that officials said would require more in-person visits but better protect against fraudulent claims. The announcement led to an outcry from the public.


Now, instead of requiring applicants and beneficiaries to verify their identity online or in-person for certain services, the agency said those who use the phone system “will only have to come in-person if they are flagged by our anti-fraud system,” Social Security said in an April 9 post on X.


The new security measures were set to go into effect on March 31, acutely impacting Americans who are unable to make the trip or do not have reliable internet access.


Read the balance of the article here.


FACT SHEET: PRESIDENT TRUMP ANNOUNCES ACTIONS TO LOWER PRESCRIPTION DRUG PRICES

President Trump signed an Executive Order on April 15 to expand on the efforts of his first term to lower prescription drug prices. The following is taken from the April 15 Fact Sheet and outlines the new provisions contained in the Executive Order:


  • The Order directs the Department of Health and Human Services to take steps to significantly reduce drug prices for American patients.


  • It delivers lower drug prices for Medicare by:


  • Improving the Medicare Drug Pricing Negotiation Program to eclipse the 22% in savings achieved in the program’s first year.


  • Aligning Medicare payment for certain prescription drugs with the cost by which hospitals acquire them, which can be 35% lower than what the government currently pays.


  • Standardizing Medicare payments for prescription drugs, such as cancer treatments, regardless of where the patient receives care, which can lower prices by as much as 60%.


  • It provides massive discounts to low-income patients for life-saving medications.


  • Insulin prices for low-income patients and the uninsured will be lowered to as low as $0.03, plus a small administrative fee.


  • Injectable epinephrine for low-income patients and the uninsured will be as low as $15, plus a small administrative fee.


  • The Order helps states reduce drug prices by:


  • Facilitating importation programs (e.g, from Canadian drug programs) that could save states millions in prescription drug costs.


  • Building off programs to help states get much better deals on expensive sickle-cell medications in Medicaid than the statutorily required 23.1% discount.


President Trump is dedicated to creating a transparent, competitive, and fair prescription drug market for American consumers.


  • The Order increases the availability of generics and biosimilars, which can be as much as 80% cheaper than brand alternatives.


  • The Order requireses disclosure of fees that pharmaceutical benefit managers (PBMs) pay to brokers for steering employers to utilize their services.


  • Directs the Administration to develop reforms to promote a more competitive, transparent, efficient, and resilient prescription drug value chain.


  • By addressing the influence of middlemen and promoting open competition, President Trump’s actions aim to create a fairer prescription drug market that lowers costs and ensures accountability across the health care system.

About Paul Cholak


Paul is a licensed, independent health and life insurance agent and has over forty years of benefits experience and specializes in helping Medicare beneficiaries obtain health insurance. However, he offers a complete array of life and health insurance products to individuals of all ages.


He guides Medicare beneficiaries through the steps of getting insurance and is available to help clients both BEFORE and AFTER they've made their purchase decision.


Disclaimer for Part C and D plans: "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY: 1-877-2048) to get information on all your options."

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Local: 561-734-3884 (TTY: 711)

Toll-free: 877-734-3884 (TTY:711)

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Schedule For 2025
Affordable Care Act Enrollment

The Open Enrollment Period for Affordable Care Act plans ran between
November 1, 2024 and January 15, 2025
on the Federal Facilitated Marketplace (https://www.healthcare.gov)

To enroll for a plan in 2025 you must NOW have
a Qualifying Life Event to qualify.
There are no pre-existing condition limitations.

Call Us At 786-970-0740 (Cell)
to determine what kind of plan you may be eligible for.


2025 Annual Enrollment Period For Medicare Beneficiaries

The Annual Enrollment Period (AEP) for enrolling in plans effective January 1, 2025 has ended. The AEP runs from October 15 to December 7 annually.

Enrollment in a Medicare Advantage, Medicare Advantage Prescription Drug, or stand-alone Part D Drug plan can now occur ONLY if a Medicare beneficiary is eligible for another election period [e.g., the Individual/Individual Coverage Election Period (ICP or ICEP)] when first becoming eligible for Medicare; a Special Election Period (for those who experience qualifying life events like an involuntary termination of their existing plan, moving outside of the plan’s service area, losing or becoming entitled to Medicare or Extra Help, declaration of a weather related emergency, etc.), or the Open Enrollment Period. Except for individuals desiring to enroll in a Chronic Special Needs Plan, there are no health questions to qualify.

Medicare beneficiaries can enroll in a Medicare Supplement plan within 6 months of their Part A and B effective dates without answering health questions. Generally, individuals with Medicare Supplement plans can change plans at any time but in many cases will need to answer health questions to qualify. Individuals with Medicare Advantage plans can enroll in Medicare Supplement plans during the Annual Enrollment Period or Open Enrollment Periods but in most cases will have to answer health questions. There are special rules for individuals with “trial rights” or eligibility for guaranteed issue policies that don’t require answering health questions.

Call us at 561-734-3884 or 877-734-3884 (TTY: 711) for details.

family consulting

We offer a comprehensive set of Affordable Care Act (“Obamacare”) plans

to individuals and families qualified to buy health (tax- and non-tax subsidized) insurance and dental/vision and/or hearing plans through the Federal marketplace (this is called buying “on-exchange” or “on-marketplace”) or directly from insurance carriers (this is referred to as buying “off-exchange or -marketplace”). Our Affordable Care Act policies comply with the Affordable Care Act and contain all of the “essential health benefits” required by that law.

We offer association group health insurance plans

to those who can qualify and are looking for less expensive alternatives to Affordable Care Act plans.

The dental/vision and/or hearing insurance

products are available both on an insured or discount basis.

We offer short-term health insurance policies

for those who are looking for coverage for a maximum of four months.

We offer Medicare Supplement, Medicare Advantage, and Part D Drug plans

to Medicare-eligibles. Our site is compliant with federal, state, and carrier guidelines in selling these policies. See the Medicare-eligibles section of this site for details.

We represent many carriers that offer supplemental benefits

to both individuals and families and Medicare beneficiaries, and the site contains information about hospital indemnity, cancer, critical illness, accident, and international medical insurance offered by many different carriers. This section of the site also contains valuable information and tools about lowering the cost of prescription medications. Call us if you want more information about or would like to enroll in one of these products.

We also offer Short- and Long-Term Disability products

and can also help you meet the costs of long-term care, nursing home, or short-term (recovery) care needs.

Finally, we have a complete array of Life, Final Expense, and Annuity products

and offer pre-need services in Florida, as we have both life insurance and pre-need licenses in that state.

You pay nothing for our services:

we’re paid directly from the carriers we represent, Premiums are NEVER EVER marked up to include paying us for our services: you pay the same whether you order directly from the carrier or the marketplace on your own or directly through us or from our site.

We ONLY offer alternatives that are suitable for you and for which we feel meet YOUR needs.
When or if we feel a product or service is not appropriate for you from either a cost or benefit point of view we will tell you so.

We’re fully compliant with privacy and security guidelines, have signed all required privacy and security agreements, have developed a privacy and security policy, and take extraordinary steps to safeguard your protected health and personal information.
In short, we’re experts in all aspects of health and life insurance and also have relationships with professionals who can help you with very specialized situations.

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561-734-3884 or 877-734-3884
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