FAQs
Is there a waiting period before coverage starts for Cancer Insurance?
Yes. Most plans include a waiting period (typically 30 days) after enrollment during which claims for a diagnosis may be excluded or limited.
Is there a waiting period to receive the death benefit?
Some carriers offer graded-benefit policies with waiting periods—commonly two years—while others provide immediate coverage once approved. Always review policy terms.
Should I choose MA or Original Medicare?
Consider MA for bundled coverage, extra benefits, Part B givebacks, and max out-of-pocket protection. Original Medicare offers nationwide provider freedom and works with Medigap but lacks annual caps.
Should I get Medigap or Medicare Advantage?
Medigap offers provider freedom and predictable costs, while Advantage includes additional perks but restricts providers and may need referrals. Choice depends on needs and preferences.
What about pre-existing conditions and Medigap?
During your Open Enrollment, all conditions are covered. Outside that, insurers may impose waiting periods (usually up to 6 months) or deny coverage based on health history.
What affects my Term Life insurance policy premium?
Premiums depend on your age, gender, health status, occupation, lifestyle habits (e.g., smoking), and the coverage amount.
What are “guaranteed issue rights” in Medigap?
Guaranteed issue rights allow you to buy certain Medigap plans without health questions if you meet specific events (like leaving a Medicare Advantage plan under a trial right).
What are the 2025 changes to Part D?
New rules include the out-of-pocket cap at $2,000, simplified cost-sharing phases, and optional payment smoothing to spread costs over the year.
What are the different “metal” tiers in Marketplace plans?
- Bronze – lowest monthly premium, highest out-of-pocket costs
- Silver – moderate premium and cost-sharing (qualifies for most subsidies)
- Gold – higher premium, lower out-of-pocket
- Platinum – highest premium, lowest out-of-pocket
Coverage quality is the same across tiers—only the cost-sharing structure changes.
What are the enrollment periods for MA plans?
You can enroll during your Initial Enrollment Period (IEP), the Annual Enrollment Period (Oct 15–Dec 7), or a Special Enrollment Period (SEP) after a qualifying event. There’s also a Medicare Advantage Open Enrollment (Jan 1–Mar 31) for switching or dropping your MA plan.
What are the pros and cons of UL insurance?
Pros include flexible premiums, adjustable death benefits, access to cash value, and potential tax-advantaged growth.
Cons include policy complexity, risk of lapse, non-guaranteed returns, potential for high fees, and responsibility to actively manage policy .
What are the risks of Short-term medical insurance plans?
Though often cheaper, coverage is limited—and may include caps on care, exclusions, and high out-of-pocket costs.
What are UL insurance policy living benefits?
Some UL policies include accelerated death benefit riders, allowing you to access part of the death benefit for critical illness or long-term care expenses.
What benefits must ACA plans cover?
All Marketplace plans must include 10 Essential Health Benefits: hospitalization, preventive services, mental health, prescription drugs, maternity care, lab services, pediatric care (including oral and vision for kids), rehabilitation, ambulatory care, and emergency services.
What core coverages should I look for?
At minimum: travel medical, medical evacuation/repatriation, trip cancellation/interruption, trip delay, and baggage. Confirm the policy covers your destinations, trip length, and planned activities.