Resources & FAQ
Medicare, Marketplace plans, and retirement coverage can feel overwhelming. These resources are here to help you understand your options — no jargon, no pressure.
Frequently Asked Questions
Glossary
Insurance comes with its own vocabulary. Here are the terms you're most likely to encounter.
The amount you pay for covered services before your insurance begins to pay.
The monthly amount you pay for your insurance plan, regardless of whether you use care.
A fixed amount you pay for a covered service — for example, $20 for a doctor visit.
Your share of costs after you meet your deductible, expressed as a percentage (e.g., you pay 20%, insurance pays 80%).
The most you have to pay for covered services in a plan year. After you reach this amount, insurance pays 100%.
The group of doctors, hospitals, and other providers that have agreed to provide services to members of a specific insurance plan at negotiated rates.
A list of prescription drugs covered by a health or Part D plan. Drugs are typically organized into tiers that determine your cost.
Coverage that is at least as good as Medicare's standard. Having creditable coverage when you turn 65 lets you delay Medicare enrollment without penalty.
A time outside the standard enrollment window when you can sign up for or change coverage due to a qualifying life event.
In Medicare Part A, a benefit period begins when you're admitted to a hospital and ends when you've been out of the hospital for 60 consecutive days.
Every situation is different. If you didn't find what you were looking for, I'm happy to talk through your specific circumstances — for free, with no obligation.