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“Understanding Your Health Insurance”

A weekly column by
Irene C. Card &
Betsy D. Chandler

Medical Insurance Claims Inc.

Individual Health Insurance
(For New Jersey and Pennsylvania Residents Only)


Individual Health Insurance is insurance you purchase on your own for you and/or your family if you are self-employed, unemployed, or your employer does not offer group health coverage. 

You are eligible to purchase NJ individual health insurance if:

  • You are a legal resident of New Jersey (Legal residency is defined by where you live, or by where your voting registration and drivers license are registered. In New Jersey you must reside in state for a minimum of 6 months per year).

  • You are not eligible for group health insurance through your employer, or through your spouse's employer (Unless your coverage is under the Cobra law or NJ Continuation law).

  • Your employment has just been terminated and you wish to purchase an individual plan rather than continue your former benefits under the COBRA Law or NJ Continuation Law (Please note these laws have specific limitations for how long you can continue coverage).

  • Premiums are dependent upon the coverage you select, the company, and type of coverage (single, parent/child etc.)

Related Reading:

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Long Term Care Insurance


Long Term Care insurance is designed to protect your assets by providing a daily benefit for care you may require when you can no longer take care of yourself.

As independent agents, we work with the leading insurance companies so that we may suggest a company and product which will be most appropriate for you!

Q: Who should consider Long Term Care Insurance?
A:
If you are age 45 or above, and are interested in protecting your net worth, you should determine whether this type of coverage is important to you. Or, if you are wondering how you will finance the care you or a spouse may require you may wish to explore this important option. You do need to be in fairly good health for this type of coverage which does observe underwriting guidelines dependent upon your health.

Q: When should you consider Long Term Care Insurance?
A:
Long Term Care insurance should be considered when you are planning for your future. Other key times to consider it include when you are nearing retirement, once you are in or beyond your forties, and certainly while you are still healthy!

Q: What will it cost?
A:
Premiums are based on your age at the time the application is taken, and are dependent upon the combination of benefits which will best meet your needs. If you are considering long term care insurance, it is highly recommended that you meet with a qualified agent who specializes in this type of coverage. Policies can be, and should be, constructed for the specific needs of each individual.

Interesting Statistics
Medicare pays for approximately 2% of all nursing home stays -meaning 98% are not covered. The average cost of a nursing home stay in NJ is about $73,000 a year. 1 in 220 homes will catch fire in any given year; 1 in 8 cars will be in an accident in any given year; 1 in 2 ½ people reaching the age of 65 will require long term care.

RELATED READING

You may request a free copy of A Shopper’s Guide to Long-Term Care Insurance by calling or writing:

The National Association of Insurance Commissioners
120 W. 12th Street
Suite 1100
Kansas City MO 64105-1925
842-3600

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Contact us today for more information or to schedule an appointment




Medicare Supplements
(For New Jersey and Pennsylvania Residents Only)


Medicare supplements are insurance policies which are designed to pick up where Medicare leaves off. Traditional Medicare was never intended to be a comprehensive medical insurance plan. By itself Medicare is not enough. If you lose your group benefits when you retire, you should consider a Medicare supplement.

  • Only those individuals eligible for Medicare Parts A & B may purchase a Medicare supplement.
  • Medicare supplements are also known as Medi-Gap policies.
  • If you choose an HMO in lieu of Medicare, you do not need a Medicare supplement.

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Our office can assist you with choosing the right Medicare supplement to best meet your needs and budget. 

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Individual Dental


Individual dental insurance is relatively inexpensive and provides benefits for dental expenses. You may purchase individual dental coverage for you and / or your family if you do not have a dental plan through your employer, or your spouse’s employer.

When you purchase a dental plan there is usually a waiting period before basic and major services will be covered. So do not wait until your dentist recommends a root canal to buy a dental plan and expect it to be covered.

A good dental plan should offer provisions for 4 categories of services:

  • Preventive - Cleanings, Exams, X-rays
  • Basic - Fillings, Extraction’s
  • Major - Root canals, Periodontal work
  • Orthodontia - Braces

Related Reading:

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Individual Life
(For New Jersey and Pennsylvania Residents Only)


As independent agents we can represent many companies to find a product that will fit your life insurance or Annuity needs.  We provide Term, Universal Life for groups and individuals.

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