When Phishing Isn’t Fun

March 30, 2021

Do you ever receive email, text messages, or phone calls that look like they’re from a reputable company requesting personal information? You may be the target of scammers who use tricky methods in attempting to steal your passwords, account numbers, or Social Security numbers. If they get that information, they could gain access to your email, bank, or other accounts. Scammers launch thousands of phishing attacks every day—and they’re often successful. The FBI’s Internet Crime Complaint Center reported that people lost $57 million to phishing schemes in one year.

Recognize Phishing Messages

The following signs from the Federal Trade Commission (FTC) will help you recognize a phishing email, text message, or phone call:

• Phishing emails, text messages, or phone calls may look like they’re from a company you know or trust. They may look like they’re from a bank, a credit card company, a social networking site, an online payment website or app, or an online store.

• Phishing emails, text messages or phone calls often tell a story to trick you into clicking on a link, opening an attachment, or providing personal information. They may say they’ve noticed some suspicious activity or log-in attempts, claim there’s a problem with your account or your payment information, say you must confirm some personal information, include a fake invoice, want you to click on a link to make a payment, say you’re eligible to register for a government refund, or offer a coupon for free merchandise.

Know the Most Common Forms of Phishing

• Emails, text messages, or phone calls claiming to be from a legitimate retailer, shipper, bank, organization or government agency. 
• Requests for charitable donations. (The FTC has a helpful Charity Checklist to review before you submit online donations.)
• IRS and tax-related emails, text messages, or phone calls. 
• Requests to verify health insurance identification numbers and account sign-in information.

Protect Yourself from Phishing Attacks

Your email spam filters may keep many phishing emails out of your inbox. But scammers are always trying to outsmart spam filters, so it’s a good idea to add extra layers of protection. Here are some steps you can take to protect yourself from phishing attacks.

• Protect your computer by using security software.
• Protect your mobile phone by setting software to update automatically.
• Protect your accounts by using multi-factor authentication.
• Protect your data by backing it up.
• Check the email address of the sender. Make sure the address displayed when you roll your cursor over the email address matches the address displayed. Most legitimate businesses have a simple, standardized email domain, so an email from a bank might come from johndoe@nationalbank.com, whereas a scammer’s address is less likely to follow this standard.
• Check for forged links. Even if a link contains a name you recognize, it doesn’t mean it links to the real organization. Roll your cursor over the link and see if it matches what appears in the email. If it doesn’t, do not click on the link.
• Don’t trust logos and corporate colors. Just because an email contains company logos and corporate colors doesn’t mean it’s a legitimate email.
• Beware of attachments. Don’t click on an email attachment unless you know the sender.
• Don’t proceed if you don’t see “https.” Secure websites for personal information begin with “https”—the “s” stands for secure.
• Requests for your personal information are warning signs. 
• If it sounds too good to be true, it probably is. 

Act if You Suspect a Phishing Attack

If you get an email, a text message, or a phone call that asks you to click on a link, open an attachment, or answer personal questions, ask yourself: “Do I have an account with the company or know the person who contacted me?” If the answer is “No,” it could be a phishing scam and you should  report the message to the FTC and then delete it. If the answer is “Yes,” contact the company using a phone number or website you know is real, not the information in the email. Opening attachments and links can install harmful malware.

Forward phishing emails to the FTC at. spam@uce.gov– or to Anti-Phishing Working Group at  reportphishing@apwg.org. This nonprofit organization includes internet service providers, security vendors, financial institutions and law enforcement agencies. Your report is most effective when you include the full email header, but most email programs hide this information. You also can report the phishing attack online to the FTC at ftc.gov/complaint. You should also forward phishing emails you receive to the organization impersonated in the email.

Recover if You Respond to a Phishing Request

If you think a scammer has your information, like your Social Security, credit card, or bank account number, go to  IdentityTheft.gov on the FTC website. There you’ll see the specific steps to take based on the information that you lost.

If you think you clicked on a link or opened an attachment that downloaded harmful software, update your computer’s security software. Then run a scan.

Don’t rely on caller ID or the incoming phone number listed to authenticate a caller’s identity. Scammers can use “spoofing,” where a caller causes a fake phone number to appear. This allows scammers to make it look like they’re calling from a legitimate business in an effort to steal your personal, financial, or health information.

Telephone scams are often carried out by individuals claiming to be from a trusted source, such as your insurance company or a government agency.

Email and internet scams are increasingly common and may target your personal or financial information or seek to compromise your devices.

InsuranceYouKnow.Org

Be suspicious of all emails, text messages, and phone calls you receive from unknown (and even some supposedly known) sources. Although you may want to delete and forget about any phishing activity that compromises your personal and financial information, you can keep a record of any security software purchases, lists of your passwords and corresponding online sites, and any reports about phishing activities you submit to authorities at insureyouknow.org.

The Long and Short of Disability Insurance

March 1, 2021

You may have never felt you needed to consider a disability insurance policy because you are young(ish), healthy, and don’t work in a business that exposes you to risky situations. Disability insurance is designed to cover a portion of your income if something happens to you like an injury or illness and you can’t work. Beginning in 2020, adverse effects of COVID-19 have been added to physical injuries, heart attacks, and cancer as major reasons to file claims for disability insurance.

COVID-19 symptoms can linger for months while the virus damages the lungs, heart, and brain, which increases the risk of long-term health problems. People who continue to experience symptoms after their initial recovery are described as “long haulers” and the condition has been called “post-COVID-19 syndrome” or “long COVID-19.”

Older people and people with many serious medical conditions are the most likely to experience lingering COVID-19 symptoms, but even young, otherwise healthy people can feel unwell for weeks to months after infection.

COVID-19 can make blood cells more likely to clump and form clots. Large clots can cause heart attacks and strokes, much of the heart damage caused by COVID-19 is believed to stem from very small clots that block tiny blood vessels in the heart muscle. Other parts of the body affected by blood clots include the lungs, legs, liver, and kidneys. COVID-19 also can weaken blood vessels and cause them to leak, which contributes to potentially long-lasting problems with the liver and kidneys.

People who have severe symptoms of COVID-19 often have to be treated in a hospital’s intensive care unit, with mechanical assistance such as ventilators to breathe. Simply surviving this experience can make a person more likely to later develop post-traumatic stress syndrome, depression, and anxiety.

Much is still unknown about how COVID-19 will affect people over time. Researchers recommend that doctors closely monitor people who have had COVID-19 to see how their organs are functioning after initial recovery.

Many large medical centers are opening specialized clinics to provide care for people who have persistent symptoms or related illnesses after they recover from COVID-19. Most people who have COVID-19 recover quickly. But the potentially long-lasting problems from COVID-19 make it even more important to reduce the spread of the disease by getting vaccinated, wearing masks, avoiding crowds, and frequently washing your hands.

Types of Disability Insurance

If you anticipate a need for disability insurance coverage or want to provide protection just in case an unforeseen injury or illness occurs, consider the two types of disability insurance: short term and long term. Both of them are designed to replace part of your regular income if you are unable to work. Even though they basically provide the same benefits, the following are differences and similarities for you to review.

Short-Term Disability Insurance (STDI)

• How much does it cover? About 60 to 70 percent of your salary.
• How long does it last? Usually 3 to 6 months, depending on the policy’s fine print.
• How much does it cost? About 1 to 3 percent of your annual income.
• How soon until you would receive your first payout? Around two weeks after your healthcare provider confirms your disability.
• Why would you get it? If your employer offers it at no cost to you.

Long-Term Disability Insurance (LTDI)

• How much does it cover? About 40 to 70 percent of your salary.
• How long does it last? Five years or longer if your disability continues.
• How much does it cost? About 1 to 3 percent of your annual income.
• How soon until you would receive your first payout? Usually around 3 to 6 months after your healthcare provider confirms your disability.
• Why would you get it? If you and dependents rely on your income and you don’t have sufficient savings to replace your regular salary long term.

You may be fortunate to have an employer who offers disability income protection insurance. If not, you can elect it during open enrollment or you may want to choose additional disability insurance to supplement what your employer provides. Ideally, you would have a three-month cash reserve to cover you before your payments go into effect. If not, the short-term disability protection, which typically starts after 14 days, would pay until the long-term disability is in place. It is important to understand how your policy defines disability which may not match your definition or need. Usually, workplace policies have a narrower definition of disability than private policies do. Depending upon your occupation, through a private policy you may be able to elect more favorable terms. Your financial advisor or life insurance agent can help you to find a policy that’s right for you.

In the United States, individuals can obtain disability insurance from the government through the Social Security Administration (SSA). To qualify for government-sponsored disability insurance, an applicant must prove that his disability is so severe that it prevents him from engaging in any type of meaningful work at all. SSA also requires applicants to demonstrate that their disability is expected to last for at least 12 months, or that it is expected to result in death.

You may find it helpful to consult an attorney when applying for a claim, regardless of your diagnosis. Qualifying for Social Security disability benefits is determined by your medical eligibility and how severely your condition affects your ability to work—an attorney can help explain the process and represent you if your case goes to court.

By contrast, some private plans only require the applicant to demonstrate that he can no longer continue in the same line of work in which he was previously engaged. If you take out your own policy, it will stay with you whenever you change jobs. But it’s cheaper if you can buy it through your employer that may offer it when you come on board, or you can talk to your HR staff about setting it up later.

STDI replaces a portion of your paycheck for a short period of time—three to six months. Most people get STDI through their employer. You can get an individual policy through some private insurers, but these plans are usually expensive. An alternative to an STDI policy is to save 3 to 6 months of expenses in an emergency fund that you can draw upon if you get sick or injured and have to take time off work for a few months.

Long-term disability insurance (LTDI) provides coverage if you’re out of work for a longer period of time—years or even decades. It, too, is sometimes offered by employers, but even if the benefit is provided, it might not be adequate. Employees often take out individual or a supplemental LTDI policy if the benefit isn’t provided by employers.

When applying for either an STDI or an LTDI policy, make sure you find out answers to the following questions from your insurer:

• What is covered under my policy?
• Does my disability qualify me for coverage?
• When and how do I make a claim?
• What do I do if a claim is denied?

Limits of Disability Insurance

Disability insurance is only designed to replace a portion of your income—it doesn’t cover extra expenses like your medical bills and long-term care costs.

According to Mason Finance, “Most disability policies come with several built-in exclusions in order to protect the insurer from claims submitted as a result of disabilities sustained from what it considers to be ‘high-risk’ activities, such as skydiving, mountain climbing, flying in experimental aircraft, or other such activities. Your insurer may also exclude any preexisting conditions that you have when you apply for coverage.”

While pregnancy isn’t usually covered by long-term policies, complications that extend beyond pregnancy, for example, if your doctor orders you to refrain from working to recuperate from a C-section, you might qualify for benefits—but only if you had a long-term policy in place before you got pregnant. 

Short-term policies do cover birth as a disability, but you might be waiting a long six-to-eight weeks for your first payout. 

InsureYouKnow.org

If you decide to apply for disability insurance, you can track your policy, payments, and any claims you submit at InsureYouKnow.org.

Planning to Retire? Find Answers to Social Security Questions

January 27, 2021

Social Security provides benefits to about one-fifth of the American population and serves as a vital protection for working men and women, children, people with disabilities, and the elderly. The Social Security Administration (SSA) will pay approximately one trillion dollars in Social Security benefits to roughly 70 million people in 2021. Almost eight million people will receive Supplemental Security Income (SSI), on average, each month during 2021. Beyond those who receive Social Security benefits, about 178 million people will pay Social Security taxes in 2021 and will benefit from the program in the future. That means nearly every American has an interest in Social Security, and SSA is committed to protecting their investment in these vital programs.

Social Security payments are adjusted each year to keep pace with inflation as measured by the Consumer Price Index for Urban Wage Earners and Clerical Workers. The 1.3 percent Social Security cost-of-living adjustment for 2021 is down from 1.6 percent in 2020. The average monthly Social Security benefit in January 2021 was $1,543. The maximum possible monthly Social Security benefit in 2021 for someone who retires at full retirement age is $3,148.

The most convenient way to get information and use online services from SSA is to visit www.ssa.gov or to call SSA at 800-772-1213 or at 800-325-0778 (TTY) if you’re deaf or hard of hearing. SSA staff answers phone calls from 8 a.m. to 7 p.m., weekdays. You can use SSA’s automated services via telephone, 24 hours a day.

What is the best age to start your benefits?

There is no one “best age” for everyone. Ultimately, it’s your choice. You should make an informed decision about when to apply for benefits based on your personal situation.

Your monthly benefit amount can differ greatly based on the age when you start receiving benefits.

• If you start receiving your benefits as early as age 62, before your full retirement age, your benefits will be reduced based on the number of months you receive benefits before you reach your full retirement age.
• At your full retirement age or later, you will receive a larger monthly benefit for a shorter period. If you wait until age 70 to start your benefits, your benefit amount will be higher because you will receive delayed retirement credits for each month you delay filing for benefits. There is no additional benefit increase after you reach age 70, even if you continue to delay starting benefits.
• The amount you receive when you first get benefits sets the base for the amount you will receive for the rest of your life.

What should you consider before you start drawing benefits?

• Are you still working? If you plan to continue working while receiving benefits, there are limits on how much you can earn each year between age 62 and full retirement age and still get all of your benefits. Once you reach full retirement age, your earnings do not affect your benefits.
• What is your life expectancy? If you come from a long-lived family, you may need the extra money more in later years, particularly if you may outlive pensions or annuities with limits on how long they are paid. If you are not in good health, you may decide to start your benefits earlier.
• Will you still have health insurance? If you stop working, not only will you lose your paycheck, but you also may lose employer-provided health insurance. Although there are exceptions, most people will not be covered by Medicare until they reach age 65. Your employer should be able to tell you if you will have health insurance benefits after you retire or if you are eligible for temporary continuation of health coverage. If you have a spouse who is employed, you may be able to switch to their health insurance.
• Should you apply for Medicare? If you decide to delay starting your benefits past age 65, be sure to go online and file for Medicare. You will need to apply for Original Medicare (Part A and Part B) three months before you turn age 65. If you don’t sign up for Medicare Part B when you’re first eligible at age 65, you may have to pay a late enrollment penalty for as long as you have Medicare coverage. Even if you have health insurance through a current or former employer or as part of your severance package, you should find out if you need to sign up for Medicare. Some health insurance plans change automatically at age 65.

How can you get a personalized retirement benefit estimate?

Choosing when to retire is an important and personal decision. The best way to start planning for your future is by creating a my Social Security account. With your personal my Social Security account, you can verify your earnings and use SSA’s Retirement Calculator to get an estimate of your retirement benefits.

What happens to Social Security payments when a recipient dies?

• If a person who was receiving Social Security benefits dies, a payment is not due for the month of his death.
• In most cases, funeral homes notify SSA that a person has died by using a form available to report the death.
• The person serving as executor of the decedent’s estate or the surviving spouse also can report the death to SSA.
• Upon the death of a Social Security recipient, survivors are generally given a lump sum payment of $255.
• Survivor benefits may be available, depending on several factors, including the following:
• If the widow or widower has reached full retirement age, they can get the deceased spouse’s full benefit. The survivor can apply for reduced benefits as early as age 60, in contrast to the standard earliest claiming age of 62.
• If the survivor qualifies for Social Security on their own record, they can switch to their own benefit anytime between ages 62 and 70 if their own payment would be more.
• An ex-spouse of the decedent also might be able to claim benefits, as long as they meet some specific qualifications.
• For minor children of a person who died, benefits also may be available, as well as to surviving spouse who is caring for the children.

How can you start receiving Social Security benefits?

• To start your application, go to SSA’s Apply for Benefits page and submit your application online.
• After SSA makes a decision about your application, you’ll receive a confirmation letter in the mail. If you included information about other family members when you applied, SSA will let you know if they may be able to receive benefits from your application.
• You can check the status of your application online using your personal my Social Security account. If you are unable to check your status online, you can call SSA at 800-772-1213 (TTY 800-325-0778) from 8 a.m. to 7 p.m., weekdays.
• You can do most of your business with SSA online. If you cannot use these online services, your local Social Security office can help you apply. Although SSA offices are closed to the public during the COVID-19 pandemic, employees from those offices are assisting people by telephone. You can find the phone numbers for your local office by using the Field Office Locator and looking under Social Security Office Information.

What if you want to withdraw your application?

After you have submitted your application, you have up to 12 months to withdraw it. You will be required to repay any benefits you’ve already received. Learn more about Withdrawing Your Social Security Retirement Application.

InsureYouKnow.Org

At insureyouknow.org, you can keep track of applications you submit to SSA and responses you receive for Social Security benefits. You also can file statements and notices you get from SSA throughout the years ahead during your retirement.

2021 Benefits for a Happy, Healthy, and Productive Workforce

December 30, 2020

According to a study by the Stanford Institute for Economic Policy Research, 42 percent of the U.S. workforce worked from home in 2020. New challenges for a stay-at-home workforce include balancing work while caring for children or the elderly, dealing with mental health and other medical issues, and having opportunities for options in their work schedules. In response to these issues, some proactive businesses plan to provide child-care enhancements, telehealth benefits, and other flexible opportunities in 2021 to keep employees happy, healthy, and productive.

Child Care Benefits

For working parents, COVID-19 has been a balancing act of work and home responsibilities. At the beginning of the pandemic, 60 percent of parents had no child care support and they currently spend, on average, 52 hours per week on child care, homeschooling, and other household tasks according to a Boston Consulting Group survey.

One of the most innovative trends of 2021 will be to offer expanded support for child care. Some employers will boost child care benefits to include tutoring services, emergency child care support, virtual support groups for parents, onsite day care in the workplace, in-home child care for work-at-home employees, and virtual activities to keep kids occupied. These supportive measures will help alleviate stress at home so parents can be more focused and productive at work.

Mental Health Support

During the COVID-19 pandemic, many employees struggling with mental health challenges seek support from employers to cope with stress, anxiety, and burnout. Employers can offer telehealth resources and other virtual health tools like meditation apps, access to professional therapy, sleep tools, resilience training, and one-on-one behavioral coaching.

In a recent survey of employers by the Business Group on Health, two-thirds of businesses said they offer online mental health support and that is expected to grow to 88 percent in 2021. The stress of the pandemic combined with increased access to telemedicine will result in expansion of mental health benefits. Patients who are uncomfortable seeking help for stress and anxiety in person may experience less apprehension in a telemedicine environment.

Most employers also are providing increased access to other online mental health support resources such as apps, videos, and additional on-demand information. Still others are implementing manager training to help supervisory staff recognize mental and behavioral health issues and direct employees to appropriate services.

Telehealth Benefits

Since the pandemic began, an unprecedented number of people have scheduled virtual medical appointments, fearing potential exposure to the coronavirus. As telehealth availability increased in 2020, more patients began opting for this type of care. Even those not worried about contact with COVID-19 have appreciated the convenience of not missing a day of work to spend hours going to a doctor’s office in person.

Telehealth options have been expanding for years with both healthcare providers and health insurance carriers offering consumers the option to seek non-emergency care for minor illnesses from the comfort of their own homes or offices.

Additional telehealth alternatives will likely be added to many employee health plans as a way to address concerns over direct contact during the COVID-19 pandemic and because of the overall convenience of virtual visits.

Improved In-office Benefits

During the pandemic, patients who have gone into a doctor’s office have been met with thermometers, sanitizers, fewer fellow patients in waiting rooms, and shorter waiting times. Consumers will continue to demand in 2021 a streamlined in-office experience without a loss of efficiency in the administration of healthcare.

Flexible PTO and Sick Leave

The COVID-19 pandemic has redefined the workplace and employers’ leave policies to expand paid time off (PTO) and to provide more flexibility around work hours.

The Families First Coronavirus Response Act, passed in March 2020, ensured all employees receive two weeks of paid sick leave to care for themselves or loved ones.

Taking time off includes not only going on a vacation but also allows for leave for family and caregiver roles to achieve a good work-life balance that helps employees be productive at work and more present in their personal lives. With many employees having no place to go for an extended vacation, employers are also changing PTO policies out of concern employees won’t use allotted paid time off during the pandemic.

Some employers are allowing employees to carry over a portion of unused PTO into 2021, while others are experimenting with PTO sharing programs, so employees can donate their vacation time to a charity, a general company fund, or a specific colleague.

A combination of adjusting time off policies, offering more flexible work schedules, or adopting new policies in general are some of the ways employers will address these concerns in 2021.

Financial Wellness

As the pandemic sent shockwaves through the U.S. labor market with layoffs, pay cuts and furloughs, employers made sure to support employees through financial challenges with benefits like early wage access, automated savings programs, and education resources.

Many employers provide optional benefits like additional life or disability insurance as well as offering employees resources and education to reduce stress and enhance financial well-being. Some programs include educational sessions on common topics like reducing debt, while others include complimentary meetings with financial advisors. A few companies have opted to solve their PTO dilemma and financial stress by allowing employees to directly apply a PTO payout to student loan debt.

Health and Fitness Options

The transition to remote work means employees may be more sedentary than in an office building. To help employees alleviate stress and stay physically active, new virtual fitness offerings have become a must-have employee benefit during the COVID-19 pandemic.

Countless employers are taking their wellness programs online, offering virtual yoga, kickboxing, Tae Kwon Do, and other types of fitness classes. Wellness contests such as virtual fun runs, walks, and biking competitions also have been popular.

Some employers have hosted virtual lunch and learning programs, as well as online happy hours, and collaborative movie viewing. Many have introduced online gaming sessions, which have included trivia contests, Zoom bingo, and competitions for best virtual backgrounds. Still others are relying on old-fashioned but Zoom-friendly games such as Scattergories, Pictionary, Charades, and Heads-up.

Expansion of Other Benefits

Many employers will continue to make their benefits plans more attractive by increasing the availability of additional voluntary benefits such as life and disability insurance, home, auto, and pet insurance, financial counseling, and legal services. These options can often differentiate one business from another helping to attract and retain qualified employees.

Employers are also finding creative ways to reward remote staff with food delivery service gift cards and subsidies to pay for home office equipment such dual monitors and comfortable, ergonomic office chairs, as well as Internet or cellular services that they use for work.

In 2021, out-of-pocket costs are predicted to increase from 5 to 10 percent for healthcare premiums. Insurance claims for preventive and elective care that were put on hold during the pandemic also may increase maximum costs and deductibles.

If your employer institutes any new benefits or offers you upgraded options designed to contribute to your happiness, health, and productivity, keep track of your employment benefit changes at InsureYouKnow.org.

Home for the Holidays

December 17, 2020

As 2020 comes to a close, memories of past holiday gatherings with family and friends may increase the stressful and isolating feelings you have experienced during the COVID-19 pandemic. Holiday celebrations will be different this year to prevent the spread of COVID-19. 

Texas Medical Association has compiled a Know Your Risk This Holiday Season chart to provide a list of high-risk activities to avoid and fun alternatives to adapt that pose lower risk of spreading COVID-19. The chart ranks 34 holiday activities from least to most risky so holiday revelers can make informed choices during the busiest travel and social-gathering season of the year. Among the least risky items on the chart are shopping for gifts online, watching holiday movies at home, or viewing holiday lights with your family in your car. The riskiest activities include attending a large indoor celebration with singing, attending a college house party, and celebrating New Year’s Eve at a bar or nightclub.

The Centers for Disease Control and Prevention (CDC) reports that the best way to stay safe and protect others this holiday season is to stay home and celebrate with people with whom you live. Getting together with family and friends who do not live with you can increase the chances of getting or spreading COVID-19 or the flu. 

Travel Plans up in the Air

Travel is highly discouraged because it may increase your chance of getting and spreading COVID-19. Consider postponing travel and staying home to protect yourself and others this year.

If you are considering traveling, the CDC recommends asking yourself the following questions before you make your travel plans.

• Are you, someone in your household, or someone you will be visiting at increased risk for getting very sick from COVID-19?
• Are cases high or increasing in your community or your destination? Check CDC’s COVID Data Tracker for the latest number of cases.
• Are hospitals in your community or your destination overwhelmed with patients who have COVID-19? To find out, check state and local public health department websites.
• Does your home or destination have requirements or restrictions for travelers? Check state and local requirements before you travel.
• During the 14 days before your travel, have you or those you are visiting had close contact with people they don’t live with?
• Do your plans include traveling by bus, train, or air which might make staying 6 feet apart difficult?
• Are you traveling with people who don’t live with you?

If the answer to any of these questions is “yes,” you should consider making other plans, such as hosting a virtual gathering or delaying your travel.

The safest thing to do is to stay home, but if you do decide to travel, testing can make travel safer but it does not eliminate all risk.

Safety Measures from Home and Back

If you decide to travel, get a flu vaccine prior to traveling and follow these safety measures during your trip to protect yourself and others from COVID-19:

• Wear a mask in public settings—on public and mass transportation, at events and gatherings, and anywhere you will be around people outside of your household.
• Avoid close contact by staying at least 6 feet apart from anyone who is not from your household.
• Wash your hands often with soap and water for at least 20 seconds or use hand sanitizer that contains at least 60 percent alcohol.
• Avoid contact with anyone who is sick.
• Avoid touching your face mask, eyes, nose, and mouth.

According to the CDC, for those who decide to travel, COVID-19 tests should be considered one to three days before the trip and again three to five days afterward. The agency also recommends travelers reduce non-essential activities for a full week after they return or for 10 days if not tested afterward. 

Based on extensive modeling, the CDC has revised quarantine guidance and now recommends that people who have been in contact with someone infected with the virus can resume normal activity after 10 days, or seven days if they receive a negative test result. That’s down from the 14-day period recommended since the pandemic began.

At InsureYouKnow.org, you can keep track of travel insurance, medical records, including any COVID-19 testing and results as well as vaccines for the flu and COVID-19, when it becomes available. Social gatherings next winter are predicted to be more enjoyable and fraught with less fear of contracting and spreading a coronavirus. You’ll also have more opportunities to travel and to reconnect with family and friends after a COVID-19 vaccine has been disseminated worldwide.

Winterize Your Home

November 29, 2020

According to the Insurance Information Institute, “Winter storms caused $2.1 billion in insured losses in 2019.” By heeding the following suggestions now to winterize your home, you may avoid costly and time-consuming remedies later, enjoy a safe and warm winter, and conserve energy consumption while saving on your electric bill.

Protect Your Pipes

• Drain your outside hose spigots if you live where pipes can freeze. Insulate pipes that could be susceptible to freezing. When freezing temperatures are forecasted, keep a stream of water running in a few faucets to prevent freezing and bursting.
• Drain garden hoses and store them inside. Also shut off outdoor water valves and insulate faucets in cold weather. Any water left in exterior pipes and faucets can freeze and expand, breaking the pipes.
• Consider installing an emergency pressure release valve in your plumbing system. This measure will protect against increased pressure caused by freezing pipes and can prevent them from bursting. Act now to learn how to shut off the water and know where your pipes are located before an emergency.
• By insulating your hot-water pipes, you’ll reduce heat loss and save energy and money. Insulation will help keep water hot inside pipes, so your water heater won’t have to work so hard. Also, you won’t have to waste as much time or water waiting for hot water to flow out of the faucet or showerhead.
• If you vacate your house for an extended period this winter, turn the water off completely and consider draining the plumbing system to keep pipes from freezing. Also, have a friend or neighbor check on your home regularly to look for any issues and let you know if a problem is detected.

Weatherproof Your Home

• Weatherstripping or installing storm doors and windows will prevent cold air from entering your home or heat from escaping it, which will reduce your power bills.
• Check your fireplace for animal nests or creosote buildup that can be hazardous. Have an annual inspection before building your first fire of the season. Also, soot and other debris build up in the chimney. Call a chimney sweep to thoroughly clean the chimney before your first winter use. You should also vacuum or sweep out any accumulated ash from the firebox.
• Caulk around windows and use foam outlet protectors to prevent cold air from entering your home. However, the majority of heat loss typically occurs via openings in the attic. Check to make sure that you have sufficient insulation.
• Adjust your thermostat. The U.S. Department of Energy reports you can save as much as 1 percent on your energy bill for every degree you lower your home’s temperature during the winter. Set your thermostat for at least 65 degrees and make sure your home is well-insulated.
•  Install a programmable thermostat and save money by keeping the temperature adjusted when you’re not at home.
• Place draft guards by doors in drafty rooms to prevent heat loss.
• To help keep chilly air from leaking in through window cracks, use thermal lined curtains. They’ll help keep your home warm and lower your heating bill. For windows that don’t get direct sunlight, keep curtains closed to keep out cold air and to keep in warm air.
• Install window insulation film that can keep up to 70 percent of heat from leaking out of the windows.
• For maximum heat retention, pack fiberglass insulation around basement doors, windows in unused rooms, attic floors, and window air conditioning units.
• Fill with caulk any remaining gaps in siding, windows, or doors. For extra drafty windows and doors, caulk the inside too, pulling off moldings to fill all gaps in the insulation. 

Protect Your Plants and Outdoor Equipment

• Bring plants and flowering trees inside before the first cold snap. Typically, you should bring your plants in before temperatures dip below 45 degrees.
• Cold temperatures, snow, and ice can damage outdoor furniture and grills. If possible, store them in the garage or basement. If you have a gas grill with a propane tank, close the tank valve and disconnect the tank first. It must be stored outside. If you don’t have storage space for your items, purchase covers to protect them from the elements. You also need to maintain your grill and cover it before putting it away for the season.
• Clean and maintain outdoor power tools such as mowers and string trimmers prior to storing. If you have a snow blower, inspect it before the first snowfall.
• Examine your pool cover for damage and replace it if needed.
• Weather-strip your garage door. Make sure the seal between your garage door and the ground is tight to prevent drafts and keep out small animals.
• Inspect your driveway for cracks. Clean out and repair any damage with driveway filler, then coat with a commercial sealer.
• Keep driveways and sidewalks clear of ice and snow and repair any faulty steps and handrails.

Save on Your Energy Bills

• Call your local power company to see if energy saving assessments are offered. It’s often a free service where a representative will identify specific changes to make your home more energy efficient and save you money. LED light bulbs and water heater blankets can also make a difference.

Service Your HVAC System

• Your HVAC (heating, ventilation, and air conditioning) system will function more efficiently with a clean filter. A dirty filter with trapped lint, pollen and dust obstructs airflow and makes your HVAC system run longer to heat your home. You may need to replace filters at least every three months.
• Adjust your ceiling fans to move in a clockwise direction so they push hot air along the ceiling towards the floor. 

Check Your Roof and Gutters

• Inspect your roof. Look for broken, frayed, curled or missing shingles; clogged valleys; damaged flashing; or deterioration.
• Clear leaves, pine needles, dirt, and other accumulated debris from the roof.
• Cut back overhanging branches to prevent damage to shingles and gutters.
• To prevent clogging, inspect and clean the gutters of leaves and other debris. Having clean gutters will also allow melting snow to drain properly.
• Install snow guards.
• Check the attic and ceilings for staining from water leakage. While you’re up there, make sure the attic is properly ventilated to prevent mold and mildew.
• If you live in an area that is prone to snow, keep a snow roof rake handy.
• Make sure that water can flow freely through your gutters now to help prevent icicles and ice dams from forming later. 

Flush Your Water Heater

• Particles and sediment can collect over time in the bottom of your water heater, hindering the unit’s efficiency. Flush the water through the drain valve to clear out the material and keep your heater functioning at its best. 

Test Your Detectors

• Residential fires are more common in winter, so it is important that all of your smoke detectors work. Check them monthly and replace batteries as needed. You should also consider installing a carbon monoxide detector to avoid inadvertently trapping this toxic gas in your home.

Most homeowners insurance policies cover damages due to extreme winter weather, but make sure you speak with your independent agent to answer any questions you have about your specific homeowners, condo, or renters insurance policy. Keep a record of all your winterizing activities and your insurance policies at InsureYouKnow.org. You’ll then be prepared to take on weather-related challenges that come blowing your way this winter.

Ensure Your Health Care Coverage

November 15, 2020

Changing your calendar to the month of November signals the need to review your health insurance coverage for the coming year. If you don’t have health insurance coverage through an employer, you’ll need to buy it yourself if you want coverage in 2021.

The Affordable Care Act (ACA) (also known as Obamacare), enacted in March 2010, called for the creation of a health insurance exchange in each state, with three primary goals:

• Make affordable health insurance available to more people. The law provides consumers with subsidies (“premium tax credits”) that lower costs for households with incomes between 100 percent and 400 percent of the federal poverty level.
• Expand the Medicaid program to cover all adults with income below 138 percent of the federal poverty level.
• Support innovative medical care delivery methods designed to lower the costs of health care in general.

In the article, “Insurance Coverage after Job Loss—The Importance of the ACA during the Covid-Associated Recession,” published on October 22 in The New England Journal of Medicine, the authors state, “The ACA, having created several new options for health insurance unrelated to employment, will protect many recently unemployed people and their families from losing coverage.” The article also emphasizes, “The very virus that has brought about record unemployment levels is the same agent that makes health insurance—and the new options created under the ACA—more important than ever.

Open Enrollment for 2021

In every state, open enrollment for ACA-compliant 2021 health coverage for individuals and families started on November 1 and, in most states, will end on December 15, 2020. This deadline applies to the 36 states that use HealthCare.gov and it also may apply in some of the states that run their own exchanges.

You can enroll for a health insurance plan online, over the phone, or in-person. When you enroll in a plan through the exchange, you need to have the following information on hand for each enrollee:

• Name, address, email address, Social Security number, birthdate, and citizenship status.
• Household size and income if you’re planning to apply for premium subsidies or cost-sharing reductions. A wide range of documentation can be used to prove your income, including pay stubs, W2s, or your most recent tax return.
• Coverage details and premium for any employer-sponsored plan that’s available to your household (regardless of whether you’re enrolled in that plan or have declined it).
• Payment information that the insurer will be able to use to charge your premiums.
• Your doctors’ names and zip codes, so that you can check to make sure they’re in-network with the health plans you’re considering.
• A list of medications taken by anyone who will be covered under the policy. Each insurance plan has its own formulary so you’ll want to check to see which one will best cover the medications you need.
• If you want to enroll in a catastrophic plan and you’re 30 years old or older, you’ll need a hardship exemption (note that premium subsidies cannot be used with catastrophic plans, so these are generally only a good idea if you don’t qualify for a premium subsidy, but can meet the requirements for a hardship exemption).

Coverage Effective January 1

In almost all cases, your coverage will take effect on January 1, 2021 if you sign up during the open enrollment window in the fall of 2020. If you’re already enrolled in an individual-market plan and you’re picking a different plan during open enrollment, your current plan will end on December 31 and your new plan will take effect seamlessly on January 1 if you continue to pay your premiums.

December Deadline Limitations

If you don’t enroll in an ACA-compliant health insurance plan by the end of open enrollment on December 15 in most states, your buying options may be limited for the coming year. Open enrollment won’t come around again until November 2021, with coverage effective January 1, 2022. Exceptions include:

• Medicaid and CHIP enrollment are available year-round for those who qualify. If your income drops to a Medicaid-eligible level later in the year, you’ll be able to enroll at that point. Similarly, if you’re on Medicaid and your income increases to a level that makes you ineligible for Medicaid, you’ll have an opportunity to switch to a private plan at that point, with the loss of your Medicaid plan serving as the qualifying event that triggers a special enrollment period.
• Native Americans can enroll year-round in in plans through special provisions in the ACA that apply to Native Americans.
• If you have a qualifying event during the year, you’ll have access to a special enrollment period. Qualifying events include marriage (if at least one spouse already had coverage prior to the marriage), the birth or adoption of a child, loss of other minimum essential coverage, or a permanent move to a new geographical area where the available health plans are different from what was available in your prior location (if you already had coverage prior to your move).     

You can access a guide to all of the qualifying events that trigger special enrollment periods in the individual market including details about the specific rules that apply to each of them.

No Federal Penalty but Some States Levy Tax Penalties

There is no federal government penalty for being uninsured in 2021 but four states (Massachusetts, New Jersey, California, and Rhode Island) and Washington, DC, impose tax penalties for not having health insurance.

For More Information About ACA-Healthcare Coverage

Follow these steps:

• Get a quotation at healthinsurance.org. 
• ‘Window shop’ anonymously on your state exchange (if you’re in Washington, DC, or one of the 14 states that run their own exchanges) or HealthCare.gov’s plan browsing page if you’re in one of the other 36 states.
• Consult with a trained advisor by setting up an appointment with a navigator or broker in your area who will be able to help you sort through the available options and figure out which one will best meet your needs.
• Talk with your health care providers if you’re considering a policy change during open enrollment. You’ll want to know which provider networks include your doctors, and whether any network changes are planned for the coming year.

Auto-Renewal for Existing ACA-Compliant Health Plan

If you’re already enrolled in an ACA-compliant health plan through your state’s marketplace, you can probably let your plan automatically renew for 2021. Auto-renewal is an option for nearly all exchange enrollees, although Pennsylvania and New Jersey have transitioned away from HealthCare.gov and are using their own new enrollment platforms instead. Residents in those states need to pay close attention to notifications they receive from the marketplace with instructions on how to renew coverage or select a new plan for 2021.

But, relying on auto-renewal for ACA-compliant insurance coverage may not be in your best interest. No matter how much you like your current plan, it pays to shop around during open enrollment and see if a plan change is worth your while because:

• In most states, you won’t be able to pick a new plan after your coverage is auto-renewed. 
• Your subsidy amount will generally change from one year to the next. If your subsidy gets smaller, auto-renewal could result in higher premiums next year. 
• If you receive a subsidy, auto-renewal could be risky even if the subsidy amount isn’t declining. This FAQ explains details that you may encounter if you let your individual health insurance plan automatically renew.
• If your plan is being discontinued, auto-renewal will result in the exchange or your insurer picking a new plan for you. 
• Auto-renewal might result in a missed opportunity for a better value. 

You might still decide that renewing your current plan is the best option for 2021. But, it’s definitely better to actively make that decision rather than letting your plan auto-renew without considering other available options.

After you have squared away your health care coverage for 2021, you can record all the decisions you make, enrollment forms you submit, and confirmations you receive at InsureYouKnow.org. By doing that, you’ll be able to review your health insurance coverage commitments in November 2021 in preparation for 2022.

On the Road Again . . . Returning to Your Workplace

October 14, 2020

If you’ve been working from home during the COVID-19 pandemic, you may look forward to rejoining your colleagues in the offices deserted by your company earlier this year when you started working from home. According to a survey conducted by The Conference Board, about 35 percent of U.S. companies don’t know when they will allow employees back into the office. The survey also concluded that about 39 percent of companies plan to reopen offices by early 2021, while 13 percent of offices have remained open throughout the pandemic.

While decisions to reopen are being made by individual companies that see benefits of staff working collaboratively and creatively in person that many workers miss, and worry that continued lockdowns could damage the economy and society, the return to the office isn’t without risk when the number of coronavirus cases continues to climb.

Returning to the office will be a big change for millions of employees who have gotten used to working from home without long commutes and a daily separation from family during strictly structured work hours. Companies need to prepare for reopening offices even if they don’t plan to call workers back until 2021. Every organization is going to be different in the response needed to get offices back open, depending upon who owns the building, office size, and whether employees are likely to use public transportation.

Office building employers, owners and managers, and operations specialists may find useful guidelines from the Centers for Disease Control and Prevention (CDC) to prepare for the time when employees return to work by creating a safe and healthy workplace for workers and clients. The following list is an abbreviated version of the CDC’s recommendations to protect your staff and others while slowing the spread of COVID-19.

Check the building to see if it’s ready for occupancy.

• Evaluate the building and its mechanical and life safety systems to determine if the building is ready for occupancy.
• Ensure that ventilation systems in your facility operate properly.
• Increase circulation of outdoor air by opening windows and doors if possible, and using fans.
• To minimize the risk of waterborne diseases, take steps to ensure that all water systems and features and water-using devices are safe to use after a prolonged facility shutdown.

Identify how workers might be exposed to COVID-19 at work.

• Conduct a thorough hazard assessment of the workplace to identify potential workplace hazards that could increase risks for COVID-19 transmission.
• Identify work and common areas where employees could have close contact (within 6 feet) with others—for example, meeting rooms, break rooms, the cafeteria, locker rooms, check-in areas, waiting areas, and routes of entry and exit.
• Include all employees in communication plans—for example, management staff, utility employees, relief employees, and janitorial and maintenance staff.
• If contractors are employed in the workplace, develop plans to communicate with contracting companies about changes to work processes and requirements for the contractors to prevent transmission of COVID-19 in your facility.

Develop hazard controls to reduce transmission among workers.

• Modify or adjust seats, furniture, and workstations to maintain social distancing of 6 feet between employees.
• Install transparent shields or other physical barriers to separate employees and visitors where social distancing is not an option.
• Arrange chairs in reception or other communal seating areas by turning, draping, spacing, or removing chairs to maintain social distancing.
• Use methods to physically separate employees in all areas of the building, including work areas and other areas such as meeting rooms, break rooms, parking lots, entrance and exit areas, and locker rooms.
• Replace high-touch communal items, such as coffee pots and bulk snacks, with alternatives such as pre-packaged, single-serving items. Encourage staff to bring their own water to minimize use and touching of water fountains or consider installing no-touch activation water fountains.
• Consider taking steps to improve ventilation in the building, in consultation with an HVAC professional, based on local environmental conditions and ongoing community transmission in the area.
• Ensure exhaust fans in restroom facilities are functional and operating at full capacity when the building is occupied.

Change the way people work.

Employees who have symptoms of COVID-19 or who have a sick family member at home with COVID-19, should be encouraged to notify their supervisor, stay home, and follow CDC-recommended steps. Employees should not return to work until they meet the criteria to discontinue home isolation, in consultation with their healthcare provider. At the office, the employer needs to:

• Perform enhanced cleaning and disinfection after anyone suspected or confirmed to have COVID-19 has been in the workplace.
• Consider conducting daily in-person or virtual health checks of employees before they enter the work site.
• Stagger shifts, start times, and break times to reduce the number of employees in common areas such as screening areas, break rooms, and locker rooms.
• Follow the CDC’s guidance for cleaning and disinfecting to develop, follow, and maintain a plan to perform regular cleanings of surfaces.
• Give employees enough time to wash their hands and access to soap, clean water, and paper towels.
• Discourage handshaking, hugs, and fist bumps.
• Encourage the use of outdoor seating areas and social distancing for any small-group activities such as lunches, breaks, and meetings.
• Use no-touch trash cans.
• Remind employees and clients to wear cloth face coverings in public settings and avoid touching their eyes, noses, and mouths.

The magazine Financial Management encourages employers to find a balance when planning to reopen the office and offers some key considerations, including the following ones, to keep in mind when considering reopening the office.

Allow choices and review policies. 

Employers must be aware that some employees or someone they live with will have health conditions which make them particularly vulnerable to the coronavirus, meaning a return to the office remains unlikely for many months.

Organizations also may find that some employees have discovered that they enjoy working from home and don’t want to come back into the office. The optimal situation is likely to be to give employees the choice of coming into the office or continuing to work from home. Coaxing any staff working from home to return to the office may prove a challenge, but for high-risk employees, those with vulnerable family members, or ones with children doing remote learning, going back to the workplace simply is not an option at present.

Support employees who work at home.

Companies need to ensure that staff have the right technology and resources to continue working from home. More firms are now more likely to consider flexible working requests than before the pandemic struck.

Policies covering sick leave, health benefits, and paid time off also will need to be reviewed so that they adequately protect staff who contract COVID-19 or are required to self-isolate.

Plan for possible outbreaks.

Companies already have plans in place to evacuate offices in case of fires, earthquakes, or other disasters but now they need to add health emergencies to the list. If an employee develops COVID-19 symptoms in the workplace, know how to get them safely out of the building. Companies may need to close a floor or an entire building, before deep-cleaning it, track and trace all staff in contact with the employee, and cover the costs for COVID-19 tests and resulting treatment if an employee tests positive.

With so many changes envisioned for your return to work, at InsureYouKnow.org, you can keep track of modifications in company policies for your health care coverage and paid time off, technology purchases for which you may be reimbursed by your company, and records of COVID-19 testing that may be requested by your employer or when you travel.

Hold onto Your Hat (and Your Home)! It’s Hurricane Season!

August 14, 2020

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The word hurricane comes from the Taino Native American word, hurucane, meaning evil spirit of the wind. An Atlantic hurricane or tropical storm is a tropical cyclone that forms in the Atlantic Ocean. In the Pacific Ocean, hurricanes are generally known as typhoons and in the Indian Ocean they are called tropical cyclones.

The National Oceanic and Atmospheric Administration (NOAA) warns that as many as 25 named storms—twice the average number—will occur in 2020 to present an extremely active season that began on June 1 and ends November 30 with more frequent, longer, and stronger storms in the Northern Atlantic Ocean.

Storms get names once they have sustained wind speeds of at least 74 miles per hour. NOAA anticipates that 2020 could deliver a total of 19 to 25 named storms. That would put this year in league with 2005, which experienced more than two dozen named storms including Hurricanes Katrina and Wilma. Each year, only 21 storm names are designated because the letters Q, U, X, Y, and Z are not used. The first hurricane of the year is given a name beginning with the letter “A.” The list of names selected for 2020 storms starts with “Arthur” and ends with “Wilfred.”

If all the allotted names are used, the National Hurricane Center will use the Greek alphabet for additional names. This has only happened one time on record—in 2005 when the Atlantic Ocean experienced 28 named storms.

“We are now entering the peak months of the Atlantic hurricane season, August through October,” National Weather Service Director Louis Uccellini said in a recent news teleconference. “Given the activity we have seen so far this season, coupled with the ongoing challenges that communities face in light of COVID-19, now is the time to organize your family plan and make necessary preparations.”

FEMA’s (Federal Emergency Management Agency) Ready website provides checklists to help you put a plan together, consider specific needs in your household, download and fill out a family emergency plan, and to practice your plan with your family/household.

In planning for hurricanes and in dealing with outcomes of storm damage, you’ll also need to review your insurance coverage to make sure it matches your needs. Hurricanes provide little advance notice of their arrival, and as landfall approaches, insurance companies may temporarily suspend new coverage and coverage changes.

An insurance representative can review your policy, explain limits and deductibles, and help you identify coverage gaps. “You should ask your representative for tips on hurricane risk mitigation that may lower your insurance premiums and better protect your property,” says Tom Woods, assistant vice president of property underwriting for USAA.

Insurance Information Institute (III) website shares precautionary measures you can take to protect your home as well as your business from destructive storms. Don’t wait until a hurricane watch is issued, because it may already be too late to take certain recommended precautions, including reviewing your insurance policies.

III also offers a hurricane season insurance checklist that can help you understand your coverage and whether it’s adequate to repair or rebuild your home and to replace your belongings. Keep in mind that your homeowners insurance covers the cost of temporary repairs for hurricane damage, as well as reasonable additional living expenses over and above your normal living expenses if you have to relocate.

However, your homeowners policy doesn’t cover flood damage, so you may want to consider looking into flood insurance. If you live by the coast, you may also need a separate policy for protection against wind and wind-blown water damage. Check for wind-damage exclusions, and if wind damage isn’t covered by your standard policy, buy one from your state’s insurance program. In hurricane-prone states, for instance Louisiana, Texas, and Florida, some standard home insurance policies won’t pay for windstorm damage. So, if you want coverage, you need to buy an extra windstorm insurance policy in addition to your normal home insurance policy. In this case all wind damage would fall under this policy instead of your traditional homeowners policy.

After reviewing and revising insurance coverage with your insurance professional for your home, car, and business, store your updated insurance policies at InsureYourKnow.org where they will be readily available if a hurricane comes calling and wreaks havoc on printed versions of policies kept in your home or office.

During hurricane season, visit FEMA’s Ready website for more information and stay tuned to the National Hurricane Center for updates on tropical storm and hurricane activity in the Atlantic Ocean.

Managing Your Health While Avoiding COVID-19

June 29, 2020

Has your fear of coronavirus also induced a fear of going to your doctor for non-COVID symptoms, regular checkups, or recommended health screenings? By using telemedicine options or making sure your doctor’s office is observing safety guidelines for patients and staff, you can fearlessly visit your healthcare provider online or in person. By maintaining continuity of care, you can avoid negative consequences from delayed preventive, chronic, or routine care. 

Telemedicine

During the COVID-19 pandemic, you don’t have to choose between medical care and social distancing if you use telemedicine options available from your provider’s office. Remote access also can help preserve the patient-provider relationship at times when an in-person visit is not practical or feasible. 

Telemedicine can be a beneficial way to address mental health concerns for the majority of patients. Many patients are comfortable in their own home, scheduling is often more convenient, concerns with transportation and time may be reduced, and adolescents and young adults especially are comfortable using technology to communicate. Telemedicine also can reach patients in rural areas where behavioral health professionals are otherwise in limited supply. Remote access to healthcare services may increase participation for those who are medically or socially vulnerable or who do not have ready access to providers.

In Person

Safety guidelines for healthcare providers’ facilities from the Centers for Disease Control (CDC), the U.S. Department of Health & Human Services, and the World Health Organization include the following recommendations for waiting areas, patient examination rooms, labs, and restrooms:

• Provide supplies—tissues, alcohol-based hand sanitizers, soap at sinks, trash cans, and face masks.
• Place chairs at least 6 feet apart. 
• If your office has toys, reading materials, or other communal objects, remove them or clean them regularly.
• Clean areas often with attention to frequently-touched surfaces including doorknobs, armrests, and handrails.
• Fully clean and disinfect exam rooms between each patient. 
• Require the use of face masks by staff, patients, and accompanying visitors.

This issue of InsureYouKnow provides preventive health guidelines for the general adult population, based on the recommendations of recognized clinical sources such medical associations and government entities, including the CDC and the United States Preventive Services Task Force. An individual patient’s medical history and physical examination may indicate that further medical tests are needed. Guidelines may also differ from state to state based on state regulations and requirements. 

Insurance Coverage

Some tests and vaccinations may not be covered by Medicare or by your health insurance plan, so it’s important to check on your specific coverage before obtaining them. Some insurance companies are currently not only waiving copayments and deductibles for COVID-19 related diagnoses and treatments, but also for telehealth and in-person visits for non-COVID concerns.

Screening Recommendations

• Routine Health Examination: every visit or at least, based on age and insurance contract, your healthcare provider will perform an exam that includes height and weight, calculation of body mass index, obesity determination, and blood pressure measurement. 
• Abdominal Aortic Aneurysm: one-time screening with ultrasonography in men ages 65 to 75 years who have ever smoked.            
• Breast Cancer: mammography and physician breast exam: annually for women ages 40 and over; breast self-exams: recommended monthly for women beginning at age 20. 
• Cervical Cancer: Pap/Human Papilloma Virus (HPV) testing: for women ages 21 to 65, or starting 3 years after the onset of sexual activity, annually without HPV test to age 30; Pap test with HPV test every 3 years after age 30. Women who have had a hysterectomy or are over age 65 may not need a Pap test.
• Colorectal Cancer: for men and women ages 50 to 75 (in certain situations, also may be advisable from ages 75 to 85). Colonoscopy: for men and women, every 10 years. Other screening tests are: Fecal Immunochemical test: stool blood test, every 1-3 years, and CT colonography (an x-ray examination): every 5 years.
• Lung Cancer: annually with low-dose computed tomography in adults ages 55 to 80 years who have a history of heavy smoking and currently smoke or have quit within the past 15 years. 
• Prostate Cancer: Digital rectal exam (DRE) and prostate specific antigen (PSA) test/discussion with physician: annually for men 50 and over (starting at age 40 for African-Americans).
• Cholesterol: Lipid Panel, including LDL: every 5 years, or more frequently based on results and risk profile for all men and women starting at age 20, or earlier if cardiac risk profile reveals high risk.
• Diabetes: Fasting Plasma Glucose or Random Plasma Glucose: men and women with high blood pressure, are overweight, or have cardiovascular risk factors; all others age 45 and over. 
• Hepatitis B: screen persons at high risk for infection (such as geographic location, HIV positive, immunocompromised); screen pregnant women at their first prenatal visit.
• Hepatitis C: one-time testing of all adults 18 and all pregnant women during every pregnancy. People with risk factors, including people who inject drugs, should be tested regularly.
• Human Immunodeficiency Virus (HIV) Infection: screen in adults age 13 to 65 years and younger adolescents and older adults at increased risk; all pregnant women.
• Hypertension: blood pressure measurement every 1-2 years for all men and women, regardless of age.
• Osteoporosis: DXA (bone-density testing): baseline testing with follow-up intervals based on test results for women ages 65 and over, or starting at menopause if additional risk factors exist. 
• Sexually Transmitted Infections (STIs): screen sexually active and those at high risk for syphilis, chlamydia, and gonorrhea and offer intensive behavioral counseling for adults who are at increased risk for STIs.

 Immunization/Vaccine Recommendations

• Diphtheria/Tetanus/Pertussis: one time in place of Diphtheria/Tetanus Booster for men and women ages 19 to 64.
• Diphtheria/Tetanus: every 10 years for men and women up to age 65; single vaccination only for men and women 65 or over.
• Human Papillomavirus (HPV): one series of three vaccines for females between ages 11 and 26, and men, two to three doses depending on age at time of initial vaccination; age 19-21 if not already given.
• Influenza (Flu): annually for high-risk adults of any age with diabetes or heart, lung, kidney or immune disease; annually for all adults ages 50 and over; annually for any adult desiring immunization, regardless of age.
• Pneumococcal (for Pneumonia): one dose of PCV 13 and one dose of PCV 23 at least one year after PCV 13 for adults ages 65 and over who are at average risk, for high-risk adults of any age with diabetes, cancer, or heart, lung, or immune disease, Initial vaccination, with single revaccination 5 years later.
• Varicella Zoster (for Shingles): two doses starting at age 50; single vaccination for adults ages 60 and older.

Mental Health Awareness

• Physical Exam: Your primary care provider may give you a physical exam and ask you about your feelings, mood, behavior patterns, and other symptoms. Your provider may also order a blood test to find out if a physical disorder may be causing mental health symptoms.
• Coping with Stress: The COVID-19 pandemic is stressful for many people. Public health actions, such as social distancing, can make people feel isolated and lonely and can increase stress and anxiety. However, these actions are necessary to reduce the spread of COVID-19. Coping with stress in a healthy way will make you, the people you care about, and your community stronger. Know where and how to get treatment and other support services, including counseling or therapy in person or through telehealth services. Free and confidential resources can also help you connect with a skilled, trained counselor in your area.
• Domestic/Intimate Partner Violence: screening and counseling for interpersonal and domestic violence should be addressed immediately. The CDC provides a list of services to assist victims of violence.

Prescriptions

• Doctor visits and approvals as well as lab results are sometimes required in order to obtain or renew prescriptions. 

Although health care news covered daily focuses on COVID-19, it’s important not to neglect other medical issues for which you should seek attention and advice from your healthcare professional.

At InsureYouKnow.org, you can save your medical files, lab results, and a list of prescriptions. You also can set up alerts to prompt you to schedule appointments to keep you on track to stay healthy.