Friday, October 7, 2016

Retirement Notes

Why do I want to retire now?  Main reason is my health, Not sure how much time I have left.

Timeline
    2022  November 01-06  (Done)
        Enroll in Medicare Part A & B
        Withdraw 20,000 (16,,000 after taxes) from annuity
    2022 November - Dental and Vision for Both of us (Done)
    2023 June 06 
        Apply for Social Security

Apply Social Security - January 2023
Apply for ACA - Donna November

Pre-plan after retirement
    Lolo - replace Century Link
    Lolo - Wells - POA
    Get Honda fixed
    Get roof fixed
    Air conditioner check up
    Lolo - fix plumbing
    Lolo - clean patio
    Finish coffee table Steph/Sarah
    
    
            

What's the plan for retirement?

Pay off the house with IRA. 
    Current balance $109,000
    Will be taxed as ordinary income
    Hopefully use extra money 
        Air conditioner/hvac 
        New roof
Fixed income annuity - add an income rider, lifetime income riders LIFO

Took out 10% of annuity (16000 after taxes)
    
Add term life insurance  (too expensive)



Voya 401k
    $5000 
        add to new roof
        car maintenance / new tires?
        mini vacation
  

What will I do?
    Buy and install new cooler (or fix old one)
    Wood projects
     Resurface both all bathroom counters
    Paint the inside of house
    Maybe resurface the kitchen cabinets
     Maybe resurface the kitchen counters
    Backsplash
    More time for church stuff
    Support Donna while she works
        All cleaning, laundry, cooking
    Spend more time with Lolo
        Clean his house
    Take woodworking classes
    Babysit when needed
    Remove Pool heater (need dumpster)
    Play WoW

Social Security
    How much per month - as of now it's $2448 month
                                     +8.7%

64.11 = 2494
65 = 2510
65.6 =2610 
65.8 =2641
66 = 2703
66.6 = 100 = 2804

Option A:
    Use IRA to age 70, then draw SS
            If cola is lower 3%, this loses
            If you live past 84, this wins
Option B:
    Draw SS at 62, use 401k to supplement
            If interest is higher then 5% then this wins
            If you live less than 84 this wins

Medical Insurance
    ~$400 monthly 
        Med Supplement looks good
        Donna will get insurance from Lowes (no)
        We will get ACA medical insurance around 350/month
        Will add me on dental and vision
   
Donna
    Lowes
       ??full time

    Home insurance  $1400 yearly
    Property Tax    $1100 yearly
    Car insurance
    

Medicare
Enroll 
    ssa.gov/medicare    
        create ssa account (if you don't already have one)
        It will ask you to also apply for Med Part B

        Enroll 1st week of November for both Part A and B
        If you enroll in November, coverage starts when 
            you turn 65.
        If you enroll when your 65, you're cover starts the following
            month

    Med Part A - Hospital coverage, skilled nursing care, 
            hospice, home health care
        No premium
        $1408 Deductible per plan period (every 60 days)
         After deductible, Part A covers 1st 60 days, 61- 90 days $352/ day co-insurance amount    
        Part A covers 1st 20 days in skilled nursing facility, 21 -100 days $176/day
        Note - some Medigap insurance cover the above deductibles at 100%
         Limits on coverage


     Med Part B - Medical Coverage
        Doctor, Outpatient, Urgent Care, Ambulance, Durable Medical Equipment, Preventative care,
            Many non-self administered medications
        $148 monthly
        $198 deductible / year
            then 20%  there's no cap on charges       

        You have 3 months before and 3 months after birthday to enroll
        You have 8 months after you leave employment to enroll in Part B
        General enrollment period Jan 1st- Mar 31st, but coverage won't start until July 1st
        

    Med Part D - Prescription Drug
        $34 monthly
        SilverScriptRx
             $435 Deductible
            But $0 Deductible for generic Tier 1 drugs
            Brand name or Tier 3 or higher drugs will pay full price until deductible
        Donut Hole
                If you reach $4020 threshold, then you have to pay $25 percent of retail price
                    if drug = $400, then you will pay $100
        Catastrophic phase
                If you reach $6350, then you pay only 5% or $3 for Tier 1 drugs.
    
    Medigap supplement Policy 
        Travel abroad - pay 20% of emergency care abroad
        $200 monthly
    
        No dental, vision, hearing

                                            Total $368 monthly
    Medicare Advantage
        Covers A - B - C - D
        $170 monthly
        But no out of country coverage
        Only 1 teeth cleaning / year
    
Part B - Regular Medical coverage
    Part D - Prescription Drug
    Part C - All of the above - Medicare Advantage
                                             Total $ 170 monthly

If preexisting condition then sign up promptly.
    
Medical Supplement Plans - MediGap


        Med Part A & B (sometimes add Part D)
        No doctor networks, can go anywhere
        You won't be hit with a really huge bill
            Will cover almost all of out of pocket costs
        Has a monthly premium on top of Part B that you're already paying
        $80 - 150 monthly depending on area
        Doesn't include vision or dental or hearing


Medical Advantage Plans Part C
        Dental, Vision, Prescription Drugs
        Private Insurance carriers
        Covers all services by Med A & B
        Also covers Part D (prescription)
        Managed care plan - HMO/PPO don't bill Medicare, they bill the insurance co.
        You still have to pay the Part B premium
        Can be inexpensive
        All in one plan.
        You can only use provider doctors, may be limited
        Has Out-of-pocket cap $ 750 /year
        May need authorization for medical procedures
        Enrollment period - every fall

Medicare Part G (supplement - google a chart with Part G)
        Med A coinsurance & hospital costs
        Med B coinsurance
        Blood (first 3 pints)
        Part A hospice care coinsurance or copayment
        Skilled nursing facility care coinsurance
        Med A deductible
        Med B excess charge
        Foreign travel emergency first 60 days pays 80%
        Med B deductible must be payed first - $203/year
        Cost $100 - 150 monthly and are subject to rate increases
 
Medicare Part N (supplement)
        Med A coinsurance & hospital costs
        Med B coinsurance & copayment
        Blood (first 3 pints)
         Part A hospice care coinsurance or copayment
        Skilled nursing facility care coinsurance
        Med A deductible
        Foreign Travel Emergency (up to plan limits)
        Have to pay Med B copay after meeting deductible ($20 office / $50 emergency room)
        Doesn't cover Med B excess charges

Aetna - Dental Savings + Rx
        15% -- 50% - dental services general dentistry, root canals, crowns, etc
        10$ - 40% - generic or brand name prescription drugs like Rite-Aid
        Save eyeglasses, sunglasses, contact lenses
        Save 40% on hearing aids, hearing services
        $ 159 / year

Nevada Medigap Plan G
    Aetna  
    Avg cost $140.91                  1690.92/yr         Deductible amount 233
      High deducti $52.76            624.00/yr       Deductible amount 2490
                                                 < 1066  >  * 5 YEARS =  5330

 
ABT Insurance
Wednesday 09/14/22  6 am

Questions
How much Part G in Nevada
    Low deductible
    High deductible
     
Is Part N viable you'll be responsible for excess charges
        also have copay for Drs or ER

What's the difference between Part G and Part N
    Guaranteed issue right plan (will have to go through medical underwriting if 
                you miss the Plan B enrollment period. within 6 months of Plan B enrollment)

How much Part B in Nevada
How much to add Part D
    get a plan that has all your medication
Can I add vision and hearing at any time, not just on enrollment period.
Best to have best company with modest raises of premiums
    How about Aetna?
For example
    I have to have a stress test in the summer. I'm assuming medigap is better.
How do I enroll / when
Is there a medicare supplement card.  Do I show both Medicare card and supplement card.
How do agents make their money


I have included rates below for two of the most popular Medigap Plans, Plan G and Plan N.
As you know, Medicare Supplement Plans are always exactly the same no matter which insurance company you buy from. However, pricing can vary from one company to another. You want to be sure you're choosing a company with a good price, financial stability, and an overall good rate increase history as well. 
Here are some of the top companies I would recommend:
Plan G
(Only out of pocket expense is the annual Part B deductible of $233)
$141.83/mo, Accendo (A CVS Co. & Aetna Affiliate)$143.91/mo, Mutual of Omaha $151.52/mo, Aetna
Plan N
(Out of pocket expenses are the annual Part B deductible of $233 followed by $20 copays at dr/specialist; $50 - ER, waived if admitted)
$95.70/mo,  Accendo (A CVS Co. & Aetna Affiliate)$99.59/mo,  Mutual of Omaha $114.20/mo, Aetna
--------------------------
Based on your 3 medications, I would recommend the SilverScript Smart Rx Plan at $7.30/mo. Each of your meds is a $1 copay at CVS. Your next best option is the Wellcare Value Script Plan at $12.00/mo and all meds are $0 copays. The monthly premiums for each of these plans will most likely change in January of 2023. 
!=========================
Jake called 10/31/2022 Set up Medicare part N
On December 1st will be charged 95.70 (premium) + 25 one time charge by Aetna
The automatic withdrawal will be Jan 15th (or the15th of every month).

Medicare part B premium will be billed via mail.  It will be billed quarterly (164.90/month).
494.70 every quarter.

Prescription-Silver Script Well Care plan 11.10 per month but 0 co-pays.


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