In August, Embrace National Wellness Month

July 14, 2022

When you think about “wellness,” being physically fit may come first to your mind. During National Wellness Month in August, if you also focus on self-care, managing stress, and adopting healthy routines, you can establish lifestyle changes and add long-lasting habits to your list of wellness goals.

Practicing Self-Care

At Chopra.com, you’ll learn that self-care is simply one of the best medicines for managing stress. Self-care means the daily, weekly, and lifelong behaviors, actions, and thoughts you take to preserve or improve your long-term health and happiness.

You can make small self-care changes, including:

• Increase your water intake.
• Add more fruits and vegetables to your diet.
• Monitor your sleep and make adjustments for better sleep habits.
• Join a yoga, walking, or aerobics class.
• Learn to meditate and practice it daily.

These small steps can lead to many more healthy habits in your lifestyle.

Managing Stress

There are many healthy ways to manage stress, including:

• Recognize the things you can’t change. 
• Avoid stressful situations. 
• Get exercise. 
• Change your outlook. 
• Do something you enjoy. 
• Learn new ways to relax. 
• Connect with loved ones.
• Get enough sleep. 
• Maintain a healthy diet. 
• Learn to say no. 

Adopting Healthy Routines

Physical activity is any body movement that works your muscles and requires more energy than resting. Walking, running, dancing, swimming, yoga, and gardening are a few examples of physical activity.

Being active can:

• Protect your heart.
• Improve blood flow.
• Lower blood pressure and cholesterol levels.
• Give you more stamina and the ability to cope with stress.

If you’re inactive, you’re nearly twice as likely to develop heart disease than if you’re active. Learn more about the benefits of physical activity on the National Heart, Lung, and Blood Institute website.

Keeping Track of Your Health

When you go to your healthcare provider for an annual wellness check or during the year for other medical concerns, you probably receive follow-up messages about lab test results, diagnoses, or medications recommended. Your healthcare provider keeps your medical record on file but it’s a good idea for you to maintain your personal health record.

What kind of information should you put in a personal health record? You could start with:

• Copies of your health insurance cards and vaccination records.
• Your name, birth date, blood type, and emergency contact information.
• Date of last physical.
• Dates and results of tests and screenings.
• Major illnesses and surgeries, with dates.
• A list of your medicines and supplements, the dosages, and the length you’ve taken them.
• Any allergies.
• Any chronic diseases.
• Any history of illnesses in your family.

InsureYouKnow.org

During National Wellness Month, you can save your personal health record at insureyouknow.org  and keep updating it after each visit to your healthcare provider or if you have any changes in your health conditions or prescriptions.

We’re Having a Heatwave!

June 30, 2022

When you venture out of your air-conditioned comfort zone, do you immediately think, “It’s hot as Hades” outside? Extreme heat is the most dangerous type of severe-weather event in the United States. It’s easy to talk about the weather and resolve not to be able to do anything about it but you can take action to prepare for an extreme heat event. Learn what to do before, during, and after a heatwave to be safe and healthy. 

Heat Emergencies

There are three types of heat emergencies: heat cramps caused by loss of salt, heat exhaustion caused by dehydration, and heat stroke. If you are experiencing any of these symptoms, get out of the heat, lie down, apply cool compresses, elevate your feet, drink fluids, and use a fan to blow cool air. Get medical help if needed.

Heat Exhaustion and Heatstroke

Heat exhaustion occurs when your body gets too hot. Untreated, this condition can lead to heatstroke when your internal temperature reaches at least 104°F. Heatstroke is much more serious than heat exhaustion. It can cause shock, organ failure, or brain damage. In extreme cases, heatstroke can kill you.

Symptoms of heat exhaustion are:

• Muscle cramps
• Heavy sweating
• Pale or cold skin
• Weakness and/or confusion
• Dizziness
• Headache
• Nausea or vomiting
• Fast heartbeat
• Dark-colored urine, which indicates dehydration

In addition to these symptoms, warning signs of heatstroke also include:

• Fever of 104°F or higher
• Flushed or red skin
• Lack of sweating
• Trouble breathing
• Fainting
• Seizures

Prevention of Heat Exhaustion and Heatstroke

There are many things you can do to prevent heat-related illnesses. Babies, children, and elderly people are more sensitive to heat and require extra attention. You are at greater risk if you are ill, obese, or have heart disease. People who work outside or in a hot setting are also at risk of heat exhaustion and heatstroke.

If possible, avoid going outside when the temperature and heat index are high. Stay indoors in air-conditioned areas. If you do need to go outside, take the following precautions.

• Wear lightweight, light-colored, loose-fitting clothing.
• Protect yourself from the sun by wearing a hat or using an umbrella.
• Use sunscreen with a sun protection factor (SPF) of 15 or higher.
• Drink plenty of water throughout the day. Dehydration and lack of salt contribute to heat-related illnesses. Some sports drinks can help replenish the salt in your body lost through sweating. Drink water or other fluids every 15 to 20 minutes, even if you don’t feel thirsty. If your urine is clear, you’re probably drinking enough fluids. Dark-colored urine is a sign that you’re dehydrated.
• Avoid alcohol and limit drinks that contain caffeine, such as tea, coffee, and soda.
• Schedule outdoor activities for cooler times of the day—before 10 a.m. and after 6 p.m.
• Take frequent breaks from the heat and outdoor activities.
• Do not stay or leave a child in your car when it is hot outside. Even if you open the windows, the intense heat can be extremely dangerous.

Certain medications can put you in danger of heatstroke. They affect the way your body reacts to heat and include some antibiotics, allergy medicines, and drugs used to manage blood pressure, cholesterol, mental health disorders, and heart disease. Talk to your doctor if you take any of these or have an ongoing health problem.

Treatment for Heat Exhaustion and Heatstroke

If you or someone near you experiences heat exhaustion, treat symptoms in the following ways.

• Get out of the heat quickly and into a cool place, or at least in a shaded area.
• Lie down and elevate your legs to get the blood flowing to your heart.
• Take off any tight or extra clothing.
• Apply cool towels to your skin or take a cool bath. This will help regulate and lower your internal body temperature.
• Drink fluids, such as water or a sports drink. Sip slowly—don’t guzzle liquids. Don’t drink fluids with caffeine or alcohol.

Call 911 if:

• Symptoms don’t improve or an affected person still has a fever of 102°F after 30 minutes of initial treatment.
• The person goes into shock, faints, or has seizures.
• The person is not breathing; begin CPR right away to try and revive them.

Living With Heat Exhaustion and Heatstroke

After you’ve had heat exhaustion or heatstroke, you’ll be sensitive to heat. This can last for about a week. It’s important to rest and let your body recover while you avoid hot weather and exercise. Ask your doctor when it’s safe to return to your normal activities.

InsureYouKnow.org

At insureyouknow.org you can keep a record of your prescriptions known to exacerbate heat-related conditions. If you do experience an emergency during a heat wave, you’ll also be able to quickly access your health insurance credentials online to help healthcare providers effectively treat you. After you recover, be sure to take recommended precautions whenever you need to endure hot weather.

College Graduates’ Guide to Insurance

May 31, 2022

Congratulations to college graduates everywhere as the graduation season kicks off in 2022! Homework continues, however, as grads meet the challenges presented by their next decisions—changing their residences, jobs, and insurance coverages. Even though this last item may not be as exciting as finding a new place to live or pursuing a lucrative career opportunity, the following options in insurance coverages are important issues that new college grads need to address.

Health Insurance

Since the passage of the Affordable Care Act (ACA), choosing new coverage—or holding on to existing coverage—has been much easier for college graduates who may decide to:

1.     Remain on a parent’s insurance plan

Before the ACA was enacted, it was common for health insurance plans to drop dependents as soon as they graduated from college. But the ACA requires almost all health plans that offer dependent coverage to allow young adults to remain on a parent’s plan until they turn 26. So, for young adults covered under a parent’s plan, graduating from college no longer requires them to quickly find new health insurance.

2.     Purchase a short-term plan

Short-term health insurance is a potential alternative for college grads who need temporary coverage to tide them over until another policy kicks in. Even for grads who have a job lined up right away, employers often have a waiting period before health insurance coverage is available to new hires. Short-term plans can be purchased at any time of the year, with immediate effective dates available.

3.     Buy an ACA-compliant individual plan

For new grads who want a more robust, ACA-compliant plan that covers the essential health benefits and pre-existing conditions, a plan purchased through the state health insurance exchange is likely to be an ideal solution. For more information about marketplace insurance, visit www.healthcare.gov. 

4.     Check Medicaid eligibility

In 38 states, Medicaid has been expanded to cover all adults with income up to 138 percent of the poverty level. In 2022, that’s $18,754 for a single individual, except in Alaska and Hawaii where the limit is higher. Medicaid enrollment is available year-round and coverage includes pre-existing conditions. In most cases, there are no premiums. For a new grad living in a state where Medicaid has been expanded, this could be a perfect solution during the weeks or months that it might take to find a job after graduation.

5.     Get coverage through a new employer

College grads may be able to enroll in group coverage at their new jobs. Employer-sponsored health insurance generally offers substantial benefits, and employers typically pay a large portion of the premiums. Employee contributions are paid through payroll deductions. Participants also may be eligible to enroll in a Health Savings Account that minimizes the financial impact of out-of-pocket medical expenses. 

Renters’ and Homeowners’ Insurance Policies

Before graduation, college students probably lived in a dorm room or shared housing with other students. Now, it may be time for them to relocate to their first apartment, condo, or house. 

Renters need to understand that their landlord’s insurance doesn’t cover their belongings. Suppose renters experience an unforeseen situation, including burglary, stormy weather that causes a leaky roof to destroy their furnishings, or a fire that creates smoke damage. In these scenarios, they could be protected by renters’ insurance.

Homeowners’ insurance policies, available to college grads buying their first condos or houses, combine several types of coverage, including dwelling, personal property, other structures, loss of use, personal liability, and medical payments into one policy,

It’s a good idea for renters and homebuyers to create a spreadsheet with an inventory of the contents of their residences, placing approximate values on their belongings.

Auto Insurance

Upon completing college, grads may be ready to buy a new car that requires upgrading their auto insurance, especially if they had been previously covered under their parents’ policy. Personal auto insurance is a package policy providing four coverages—liability, medical payments, uninsured and underinsured motorist, and physical damage.

Life Insurance

Unless a college grad is married or has individuals, such as a child or an aging parent dependent on their income, life insurance may not be needed right away. However, if young adults are single, healthy, and in a family with a good health history, they may be at an insurability peak and would benefit from the best rates on life insurance.

InsureYouKnow.org

College graduation prompts a transition from a school-based existence to one replete with adult responsibilities, including the need to put insurance policies in place. By preparing for the unforeseen future, college grads who do their homework on insurance options and keep copies of policies, inventories of their belongings, and records of any claims submitted at insureyouknow.org, can begin living their lives to the fullest.

Shopping for SHOP Coverage

May 15, 2022

Signed into law in 2010, the Affordable Care Act changed many regulations affecting small businesses and insurance. The law established the Small Business Health Options Program (SHOP) for small employers —generally those with 1–50 employees—who want to provide health and dental coverage to their employees affordably, flexibly, and conveniently.

Qualifications to provide SHOP coverage

Find out on the HealthCare.gov website if your business or non-profit organization qualifies for SHOP by meeting the following four requirements:

1.  You have 1-50 full-time equivalent employees (FTEs)

• Use the FTE Calculator to see if you qualify. Note: To qualify for SHOP, you must have at least one FTE employee other than owners, spouses, and family members of owners and partners.

2.  You offer coverage to all full-time employees—generally, workers averaging 30 or more hours per week

• You don’t have to offer coverage to part-time employees—those averaging fewer than 30 hours per week—or seasonal workers.

3. You enroll at least 70 percent of the employees to whom you offer insurance

• Employees with other health coverage aren’t counted as rejecting your offer.
• Use the SHOP Minimum Participation Rate Calculator to see how many of your employees must accept.
• Some states have different minimum participation requirements. See if this affects you.
• If you don’t meet your minimum participation requirement, you can enroll between November 15-December 15 any year. During this time, the participation requirement isn’t enforced.

4. You have an office or employee work site within the state whose SHOP you want to use

• Visit this page, select your state, and see how to access SHOP insurance in your state.
• See what to do if your business operates in multiple states.
• If eligible, you don’t have to wait for an open enrollment period. You can start offering SHOP coverage to your employees any time of year.

Reasons to offer SHOP coverage

• SHOP insurance gives you choice and flexibility to: 
  • Offer your employees one plan or let them choose from multiple plans.
  • Offer only health coverage, only dental coverage, or both.
  • Choose how much you pay toward your employees’ premiums and whether to offer coverage to their dependents.
  • Decide how long new employees must wait before enrolling.
• You can get the information you need in one location. You can make an informed decision about your SHOP insurance options with the tools at HealthCare.gov where you can compare plans and prices and find out if you qualify for SHOP.
• You can use your current SHOP-registered agent or broker or find an agent or broker in your area to help you enroll in coverage.
• You may be able to get the Small Business Health Care Tax Credit. Enrolling in SHOP insurance is generally the only way for eligible small employers to take advantage of the Small Business Health Care Tax Credit. You may qualify if you have fewer than 25 FTE employees making an average of about $56,000 or less. See how much your business could save. Updated IRC guidelines for small business health care tax credit and the SHOP marketplace can inform you if you are a small employer.

InsureYouKnow.org

Whether you are an employer or an employee in a small business, you may find it helpful to review SHOP coverage how-to guides, fact sheets, tools, and other resources. After making SHOP health insurance decisions, you can keep your records about the best plan for you and its costs, benefits, and features at insureyouknow.org.

Before You Take a Deep Breath Outside This Spring

April 15, 2022

You’ve got cabin fever and spring weather is beckoning you to enjoy the great outdoors.  Before you venture forth–even if it’s just to your backyard—curtail allergic reactions to pollen that may cause you to have hay fever and start to sniffle and sneeze.

Causes and symptoms

The biggest spring allergy trigger is pollen from trees, grasses, and weeds that release tiny grains into the air to fertilize other plants. When these particles get into the nose of someone who’s allergic, they send the body’s defenses into high gear.

The immune system mistakenly sees the pollen as a danger and releases antibodies that attack the allergens leading to the release of histamines into the blood. Histamines are chemicals that trigger a runny nose, itchy eyes, dark circles under your eyes, and other symptoms that are familiar if you have allergies.

Pollen counts tend to be particularly high on breezy days when the wind picks up sneeze-inducing grains and carries them through the air. Rainy days wash away allergens.

Being inside may protect you from windblown pollen, but other seasonal triggers, such as mold and dust mites, can be prevalent inside your house and cause allergic reactions. 

Diagnosis

Start with your primary physician who may refer you to an allergist for tests. An allergy specialist may give you a skin test, which involves either pricking the surface of the skin with a tiny amount of allergen or injecting a tiny sample of a diluted allergen under the skin of your arm or back. If you’re allergic to the substance, a small red bump (called a wheal or hive) will form. You may also undergo a blood test to detect and measure the allergen-specific antibodies in your blood.

Treatments

Many over-the-counter and prescription drugs can ease the symptoms of allergies. They include:

• Antihistamines reduce sneezing, sniffling, and itching by lowering the amount of histamine in your body.
• Decongestants shrink blood vessels in the nasal passageways to relieve congestion and swelling.
• Antihistamine/decongestant combos combine the effects of both drugs.
• Nasal spray decongestants relieve congestion and may clear clogged nasal passages faster than oral decongestants without some of the side effects.
• Steroid nasal sprays ease inflammation and are the preferred initial treatment.
• Eye drops relieve itchy, watery eyes.
• Immunotherapy gives you gradually increasing doses of the allergen until your body can handle it. The treatment can relieve your symptoms for a longer time than other types of allergy medications. Although it doesn’t work for everyone, it can stave off some people’s symptoms for a few years.

If you feel like you need over-the-counter antihistamines and decongestants for more than a few days, ask your doctor to recommend an effective regimen, which may include:

• Prescription medications, including steroid nasal sprays,
• Allergy shots, or
• Under-the-tongue immunotherapy tablets.

Some natural and alternative remedies for allergies that may ease your symptoms include:

• Nasal irrigation, a way to rinse your nasal passages with saline solution
• Butterbur, an herb from a European shrub that shows potential for relieving seasonal allergy symptoms
• Acupuncture,  a technique in which practitioners stimulate specific points on the body—most often by inserting thin needles through the skin

Talk to your doctor before you start any herbal product or alternative treatment. Some can cause side effects or react with medications you take.

InsureYouKnow.org

After you choose and try allergy remedies, keep track of your selections and effectiveness at insureyouknow.org. On this handy portal, you’ll also be able to retain health insurance coverage records, details about office visits and allergy tests, and dates of prescriptions so you’ll know when you need refills to prevent seasonal allergies from interrupting your spring activities.

Challenges of Long-Haul COVID-19

March 15, 2022

COVID-19 syndrome lasts about two weeks for most people. But for others, long-lasting symptoms persist even after they have recovered from the acute phase of the illness.

If you are living with post-COVID-19 syndrome, you may be referred to as a “long hauler.” Under this label, you may continue to experience fatigue; shortness of breath; hyperlipidemia; cough; joint, muscle, or chest pain; cognitive problems, difficulty concentrating, depression, headache, rapid heartbeat, or intermittent fever. You also may be enduring anxiety, the most common psychological symptom of long-haul COVID-19, or depression.

Conclusions in the white paper A Detailed Study of Patients with Long-Haul COVID: An Analysis of Private Healthcare Claims, published by the nonprofit organization FAIR Health, show the odds of death for patients hospitalized with COVID were 46 times higher 30 days after their diagnosis than those who hadn’t been hospitalized. Of patients who had COVID-19, 23.2 percent had at least one post COVID condition 30 days or more after their initial diagnosis with COVID-19. Post-COVID conditions were found to a greater extent in patients who had more severe cases of COVID-19, but also in patients whose cases were asymptomatic.

Causes of Long-Haul COVID-19

The causes of long-haul COVID are still unknown. Theories include persistent immune activation after the acute phase; initial damage from the virus, such as damage to nerve pathways, that is slow to heal; and persistent presence of a low-level virus.

Treatment for Long-Haul COVID-19

Doctors and therapists can work with you to address symptoms. Healthcare institutions, such as Johns Hopkins Medicine, have set up multidisciplinary clinics to support the recovery of people who have had COVID-19.

Long-term COVID-19 symptoms can be like signs of other diseases, so it is important to see your doctor and rule out other problems, such as cardiac issues or lung disease.

Don’t ignore the loss of smell or the occurrences of depression, anxiety, or insomnia, or conclude that they are “all in your head.” Any symptom that interferes with your daily life is worth contacting your doctor, who can help you address these problems and improve the quality of your life.

If you experience new chest pain, difficulty breathing, bluish lips, or any other sign of a life-threatening problem, call 911 or emergency services right away.

Breathing exercises, physical therapy, medications, and other treatments can help improve your health, but be prepared for a gradual recovery.

Prevention of Long-Haul COVID-19

The best way to avoid post-COVID-19 complications is to prevent infection with the coronavirus in the first place. Practicing coronavirus precautions and getting a COVID-19 vaccine are effective ways to avoid getting COVID-19.

Understanding the seriousness of COVID-19 and its potential for long-term, debilitating symptoms is good motivation for protecting yourself and others by observing current CDC guidelines and being aware of community levels and prevention steps by county.

Insurance Coverage of Long-Haul COVID-19

Most insurance plans will automatically pay for familiar and frequently used tests, treatments, and procedures for common conditions, but may require proof that a service is “medically necessary” to cover a claim. Be sure you work with your healthcare providers to receive the best care possible for long-haul COVID-19 symptoms under the parameters of your specific health insurance plan.

As of July 2021, long-haul COVID-19 can be considered a disability under the Americans with Disabilities Act (ADA) if it substantially limits one or more major life activities. “Guidance on ‘Long COVID’ as a Disability Under the ADA” provides information that may answer your questions about disability coverage for long-haul COVID-19.

It is your responsibility to provide proof of loss and disability which may require you to be under the regular care of a physician. A specific diagnosis of long-haul COVID-19 will be helpful for you to claim coverage under long-term disability benefits. You’ll also need your diagnosis to be supported by appropriate testing, including lab results or neurologic or cognitive function testing.

InsureYouKnow.org

At InsureYouKnow.org, you can store your COVID-19 vaccination and booster records and keep track of visits to healthcare providers as well as clinical tests and results. You also can document your application and correspondence for disability insurance for your recovery from long-haul COVID-19.

The Great Resignation Continues in 2022

January 29, 2022

“The Great Resignation” is a term coined in May 2021 by Anthony Klotz, Ph.D., an associate professor of management at Mays Business School at Texas A&M University who predicted the mass exodus of employees abandoning jobs during the pandemic.

In April, a month before Dr. Klotz made this prediction, a record 4 million people quit their jobs, many of them in low-paying, inflexible industries such as retail trade sectors and food services. He explained that during the pandemic, employees have been able to reflect about family time, remote work, commuting, passion projects, life and death, and what it all means which led workers to consider alternatives to their current positions.

Because the latest data suggests this trend, also called the “Big Quit,” will continue through 2022, employees, as well as employers, must prepare for changes in the workforce.

Employees

Before you submit your resignation, consider the following suggestions to guide your decision:

• Reassess your duties: Expanding your responsibilities within the company may offer the growth that you’re looking for without leaving your workplace. Promotion within your company may lead to a higher salary and additional benefits. On the other hand, you may feel overworked or are experiencing burnout, resulting in work-related stress, and seeking a less demanding opportunity may be a solution during this difficult time.

• Meet with your employer: If you prefer to work remotely, meet with your employer and plead your case to work all or part of your workweek away from the corporate office, especially if you have health and safety concerns, childcare issues, or COVID-related care responsibilities. Explain how important work/life flexibility is to you and ask if your employer is willing to consider your needs for your home life situation. Take this opportunity to ask if your salary, benefits, and health insurance could be improved to entice you to stay.

• Be flexible with your transition: If possible, notify your supervisor in person when you decide to resign and be flexible about the ending date in your position. Be professional in your exit interview, request a letter of recommendation for your files, find out when you’ll receive your last paycheck, and ask about the continuation of your benefits.

• Assess your financial situation: If you determine that you need to continue receiving a steady paycheck and insurance benefits, secure another position or outline a solid self-employment opportunity before you resign. If you are close to retirement age, figure out if you can delay collecting Social Security and retirement benefits so you can collect higher monthly payments in the future.

Employers

Employers who want to reduce staff turnover and retain experienced employers may benefit from the following tips adapted from the article, “How Employers Can Overcome The Great Resignation” from the Worth Media website.

• Be creative in putting together benefits packages that can support a diverse workforce with broad, varying needs.
• Remain flexible when employees choose their work locations.
• Keep an open line of communication with your employees.
• Emphasize the importance of employees’ mental and physical well-being.
• Prioritize pay equity and adopt a spirit of transparency.
• Remind your employees about your company’s mission, values, and vision.
• Treat employees who do leave with respect, a sense of professionalism, and kindness.

Employers’ main goal during this tumultuous time should be to remain calm, listen to employee feedback, and use it to make any necessary changes to their business model, benefits package, and salaries.

InsureYouKnow.org

Are you planning to join “The Great Resignation” in 2022?  If so, consider not only how you can improve your present work situation but also what the future may hold for your career choices, continuing education, home life, insurance coverage, and financial goals. As you put each of these options in place, keep records regarding your decisions at insureyouknow.org.

Resolve to Go Paperless in 2022

December 30, 2021

In January, follow the example of the U.S. government that has committed to moving to a paperless archival system by December 31, 2022. The Office of Management and Budget’s (OMB) directive for government agencies to transition to electronic records has prompted them to take steps in their modernization journeys.

The government faces multiple challenges with paper records, such as burdens on the workforce and high costs to manually create, use, and store nonelectronic information. As an individual, you may face similar dilemmas in dealing at home with your printed files, insurance records, and other important documents that would be difficult to replace if damaged or destroyed by natural disasters or accidents.

As government agencies transition to electronic records, many are experimenting with new technologies to sort through electronically stored information. Universities and businesses also have guidelines for storing electronic records in online repositories that they strive to:

• Back up regularly
• Comply with all privacy and security requirements
• Allow for shared access through a network or a cloud-based program
• Organize in such a way that records can be identified and purged appropriately
• Set up to migrate content to a new system upon replacement
• Maintain through regular software updates

InsureYouKnow.org

After you review the electronic storage practices of the government, universities, and businesses, establish your own ground rules for storing your important records at InsureYouKnow.org. Keep in mind the following tips:

• A systematic plan for keeping track of important documents can save you hours of anxious searching for misplaced items. It also can help you reduce the number of nonimportant papers cluttering your home.
• It is important to carefully store valuable papers which would be difficult or time-consuming to replace. Original hard-to-replace documents are ideally kept in a safe deposit box or a fire-proof, waterproof, burglar-proof home safe or lockbox. Scanned copies can be stored at InsureYouKnow.org where they will be readily accessible.
• Electronically stored records must be legible, readable, and accessible for the period of limitations required. It is important to back up electronic files at InsureYouKnow.org in case of a computer malfunction in your home office.
• Wherever you live, there is always a risk of fires, floods, and other disasters, and your home and important documents could be destroyed. If you have stored photographic images, you’ll have records accessible whenever you need them, including keeping peace of mind knowing documents are indestructible at InsureYouKnow.org.

Valuable papers can be sorted into two types: those needed for day-to-day use and those needed occasionally.

Examples of valuable papers used frequently include:

• Drivers’ licenses
• Credit cards
• Health insurance cards
• Bank account records
• Identification cards
• Special health documentation such as COVID-19 vaccinations, allergies, disabling conditions, prescriptions, and blood types for family members

Examples of valuable papers used occasionally include:

• Birth, marriage, and death certificates
• Deeds, leases, and property records and titles
• Income and employment records
• Passports
• Contracts
• Insurance policies
• Income tax records
• Military papers
• Divorce decrees
• Social Security records
• Retirement and pension plans
• Wills

Regular filing and reviewing of paper and electronic documents are important. Making decisions on when to discard old, printed files and purge electronic versions may be difficult but worth the effort to keep accurate, up-to-date records.

Medicare Enrollment: Open Until December 7

October 28, 2021

Medicare is a national health insurance program administered by the federal government for people 65 or older. You’re first eligible to sign up for Medicare three months before you turn 65. You may be eligible to get Medicare earlier if you have a disability, End-Stage Renal Disease (ESRD), or Amyotrophic lateral sclerosis (ALS)—also known as Lou Gehrig’s disease. 

From October 15 through December 7 every year, depending on your circumstances, you are allowed to enroll in or switch to another Medicare Advantage plan or Medicare Part D prescription drug plan, or to drop your plan and return to Original Medicare. View a complete list of Medicare enrollment dates.

If you qualify for Medicare coverage or know someone who may need your help to learn about Medicare, coverage options, and how to apply, keep reading for a quick course in Medicare Basics.

Medicare Basics

Medicare and Medicare-approved private insurance companies offer the following options for you to get health care coverage:

• Part A (Hospital Insurance): Helps cover inpatient care in hospitals, skilled nursing facility care, hospice care, and home health care.

• Part B (Medical Insurance): Helps cover:
  • Services from doctors and other health care providers
  • Outpatient care
  • Home health care
  • Durable medical equipment (like wheelchairs, walkers, hospital beds, and other equipment)
  • Many preventive services (like screenings, shots, or vaccines, and yearly “wellness” visits)

• Part C (Medicare Advantage): Medicare-approved private insurance companies that provide all Part A and Part B services and may provide prescription drug coverage and other supplemental benefits.

• Part D  (Prescription Drug Coverage): Medicare-approved private insurance companies that provide outpatient prescription drug coverage.

• Medicare Supplemental Insurance (Medigap): Extra insurance you can buy from a private company that helps pay your share of costs in Original Medicare. Policies are standardized, and in most states named by letters, like Plan G or Plan K. The benefits in each lettered plan are the same, no matter which insurance company sells it.
  • You need both Part A and Part B to buy a Medigap policy.
  • Some Medigap policies offer coverage when you travel outside the United States.
  • Generally, Medigap policies don’t cover long-term care (like care in a nursing home), vision, dental, hearing aids, private-duty nursing, or prescription drugs.
  • If you’re under 65, you might not be able to buy a Medigap policy, or you may have to pay more.
  • Medigap policies are standardized, and in most states named by letters, like Plan G or Plan K. The benefits in each lettered plan are the same, no matter which insurance company sells it.
  • Find a Medigap policy that works for you.

Medicare Options

When you first sign up for Medicare and during open enrollment periods, you can choose one of the following two ways to get your Medicare coverage.

• Original Medicare (Includes Part A and Part B)
  • With Original Medicare, you can go to any doctor or hospital that takes Medicare, anywhere in the United States. Find providers that work with Medicare.
  • Join a separate Medicare drug plan (Part D) to get drug coverage. If you choose Original Medicare and want to add drug coverage, you can join a separate Medicare drug plan. Medicare drug coverage is optional. It’s available to everyone with Medicare.
  • If you have other insurance you also may have other coverage, like employer or union, military, or veterans’ benefits, learn how Original Medicare works with your other coverage.

• Medicare Advantage (Part C)
  • Medicare Advantage is a Medicare-approved plan from a private company that offers an alternative to Original Medicare for your health and drug coverage. These “bundled” plans include Part A, Part B, and usually Part D.
  • In most cases, you’ll need to use doctors who are in the plan’s network.
  • Plans may have lower out-of-pocket costs than Original Medicare.
  • Plans may offer some extra benefits that Original Medicare doesn’t cover—like vision, hearing, and dental services.
  • Most Medicare Advantage Plans include Part D coverage.
  • Below are the most common types of Medicare Advantage Plans:
  • Health Maintenance Organization (HMO) Plans  
  • Preferred Provider Organization (PPO) PlansPrivate Fee-for-Service (PFFS) PlansSpecial Needs Plans (SNPs)
  • Find a Medicare Advantage Plan for 2022.

Medicare Costs

Generally, you pay a monthly premium for Medicare coverage and part of the costs each time you get a covered service. There’s no yearly limit on what you pay out-of-pocket, unless you have supplemental coverage, like a Medicare Supplement Insurance. Get Medicare costs for current premium rates.

Health Insurance Assistance

Contact your local State Health Insurance Assistance Program (SHIP) to get free personalized health insurance counseling. SHIPs aren’t connected to any insurance company or health plan.

Sign Up Process

When you’re ready, contact Social Security to sign up for Medicare coverage:

• Apply online (at Social Security): This is the easiest and fastest way to sign up and get any financial help you may need. You’ll need to create your secure my Social Security account to sign up for Medicare or apply for Social Security benefits online.
• Call 1-800-772-1213. TTY users can call 1-800-325-0778.
• Contact your local Social Security office.
• If you or your spouse worked for a railroad, call the Railroad Retirement Board at 1-877-772-5772.
  

Note: Medicare provides your coverage, but you’ll sign up through Social Security (or the Railroad Retirement Board) because they need to see if you’re eligible for Medicare, including whether you (or another qualifying person) paid Medicare taxes long enough to get Part A without having to pay a monthly premium. They also process requests to sign up for Part B for Medicare.

InsureYouKnow.org

After you’ve met all the requirements to apply for Medicare coverage, have made your choices, and have signed up online, keep track of your decisions and copies of your Medicare, Medigap, and Medicare Advantage Plan membership information at insureyouknow.org.

What’s New for Flu?

September 30, 2021

During flu season last year, a record-low number of flu cases was linked to face mask wearing, remote work and school attendance, and physical distancing. But this year, experts fear that the reopening of schools, decreased adherence to pandemic precautions, and surging breakouts and Delta variant infections could result in a serious flu and COVID-19-season.

Take note of differences for 2021-2022 flu season

The Centers for Disease Control and Infection (CDC) pinpoints a few things that are different for the 2021-2022 influenza (flu) season including:

• The composition of flu vaccines has been updated.
• All flu vaccines will be quadrivalent (four component), meaning designed to protect against four different flu viruses. For more information: Quadrivalent Influenza Vaccine | CDC.
• Licensure on one flu vaccine has changed. Flucelvax Quadrivalent is now approved for people 2 years and older.
• Flu vaccines and COVID-19 vaccines can be given at the same time.
• Guidance concerning contraindications and precautions for the use of two flu vaccines – Flucevax Quadrivalent and Flublok Quadrivalent – were updated.

Take time now to get a flu vaccine

You can get your flu vaccine as you normally do, whether that’s through your health care provider or your local pharmacist. CDC has been working with health care providers and state and local health departments on how to vaccinate people against flu without increasing their risk of exposure to respiratory viruses, like the virus that causes COVID-19, and has released Interim Guidance for Immunization Services During the COVID-19 Pandemic.

• CDC recommends a yearly flu vaccine as the first and most important step in protecting against flu viruses.
• Flu vaccines help to reduce the burden of flu illnesses, hospitalizations, and deaths on the health care system each year.
• This season, all flu vaccines will be designed to protect against the four flu viruses that research indicates will be most common.
• Everyone 6 months and older should get an annual flu vaccine, ideally by the end of October.
• Vaccination of people at higher risk of developing serious flu complications is especially important to decrease their risk of severe flu illness.
• People at higher risk of serious flu complications include young children, pregnant women, people with certain chronic health conditions like asthma, diabetes or heart and lung disease, and people 65 years and older.
• Vaccination also is important for health care workers, and other people who live with or care for people at higher risk to keep from spreading flu to them. This is especially true for people who work in long-term care facilities, which are home to many of the people most vulnerable to flu.
• Children younger than 6 months are at higher risk of serious flu illness but are too young to be vaccinated. People who care for infants should be vaccinated instead.

Take preventive actions to reduce the spread of flu

• Avoid close contact with people who are sick.
  • If you are sick, limit contact with others as much as possible to keep from infecting them.
• Cover coughs and sneezes.
  • Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
• Wash your hands often with soap and water. If soap and water are not available, use an alcohol-based hand rub.
• Avoid touching your eyes, nose, and mouth to prevent the spread of germs.
• Clean and disinfect surfaces and objects that may be contaminated with viruses that cause flu.
• For flu, CDC recommends that people stay home for at least 24 hours after their fever is gone except to get medical care or other necessities. Fever should be gone without the need to use a fever-reducing medicine. Note that the stay-at-home guidance for COVID-19 may be different. Learn about some of the similarities and differences between flu and COVID-19.
• In the context of the COVID-19 pandemic, local governments, or public health departments may recommend additional precautions that you should follow in your community.

Take antiviral drugs if prescribed

• If you are sick with flu, antiviral drugs can be used to treat your illness.
• Antiviral drugs are different from antibiotics. They are prescription medicines and are not available over-the-counter.
• Antiviral drugs can make flu illness milder and shorten the time you are sick. They may also prevent serious flu complications.
• Studies show that flu antiviral drugs work best for treatment when they are started within 2 days of getting sick, but starting them later can still be helpful, especially if the sick person has a higher risk factor or is very sick from flu.
• If you are at higher risk from flu and get flu symptoms, call your health care provider early so you can be treated with flu antivirals if needed. Follow your doctor’s instructions for taking this drug.

Flu symptoms include fever, cough, sore throat, runny or stuffy nose, body aches, headache, chills, and fatigue. Some people also may have vomiting and diarrhea. People may be infected with flu and have respiratory symptoms without a fever. Visit CDC’s website to find out what to do if you get sick with flu. Learn about some of the similarities and differences between flu and COVID-19, and the difference between flu and the common cold.

InsureYouKnow.org

After you have gotten your vaccine for the 2021-2022 flu season, keep a record of the date of and description of your injection at insureyouknow.org. On this secure website, you also can keep copies of your insurance cards and driver’s license that could be helpful when you fill out medical forms at your doctor’s office or neighborhood pharmacy.