15
THE GOOD LIFE
Mountain Views News Saturday August 4, 2012
SENIOR HAPPENINGS
HEALTH INSURANCE OPTIONS FOR PRE-MEDICARE SPOUSES
Dear Savvy Senior:
My wife, who’s 60, is on my health insurance plan through my employer. When I retire in a few months at
65, and go on Medicare, what happens to her? Do we have to purchase private insurance, or is there some
kind of Medicare coverage for dependent spouses?
Nearly Retired
Dear Nearly:
Unfortunately for you and millions of other couples
in your position, Medicare does not provide
family coverage to younger spouses or dependent
children when you qualify for Medicare. Nobody
can obtain Medicare benefits before age 65, unless
eligible at a younger age because of disability. With that said, here are some options for your wife
depending on your situation.
Work longer: If possible, you should consider working past age 65 so your wife can continue coverage
under your employer health insurance until she becomes eligible for Medicare, or, if that’s too long,
at least for a few more years.
Check employer options: If your employer provides retiree health benefits, check with the benefits
administrator to find out if they offer any options that would allow your wife to continue coverage
under their plan. Or, if your wife works, see if she can she switch to health insurance provided by her
own employer.
Use COBRA: If you work for a company that has 20 or more employees, once you make the switch to
Medicare, your wife could stay with your company insurance plan for at least 18 months (but could
last up to 36 months) under a federal law called COBRA. You’ll need to sign her up within 60 days
after her last day of coverage. You also need to know that COBRA is not cheap. You’ll pay the full
monthly premium yourself, plus a 2 percent administrative fee.
The other benefit of using COBRA is that once it expires, your wife will then become eligible for
HIPAA (Health Insurance Portability and Accountability Act), which gives her right to buy an individual
health insurance policy from a private insurer that can’t exclude or limit coverage for pre-
existing medical conditions. To learn more about COBRA, visit askebsa.dol.gov or call 866-444-3272.
If, however, the company you worked for had fewer than 20 employees, you may still be able to get
continued coverage through your company if your state has “Mini-COBRA” (39 states offer it). Contact
your state insurance department (see naic.org) to see if this is available where you live.
Buy an individual policy: This is health insurance you buy on your own, but it too can be expensive
depending on your wife’s health history. Any pre-existing condition such as heart disease, diabetes,
cancer, etc., can drastically increase her premiums or can nix her chances of being accepted at all. To
search for policy options and costs go to healthcare.gov. If you need help, contact a licensed independent
insurance agent. See www.nahu.org/consumer/findagent.cfm to locate one near you.
Or, if you only need health coverage for a short period of time – less than 12 months – a short-term
policy is another lower-cost option to consider. You can get quotes and coverage details at ehealthinsurance.
com.
Get high-risk coverage: If you can’t purchase an individual health policy for your wife because of a
pre-existing medical condition, you can still get coverage through a state or federal high-risk pool.
State pools, which are offered in 35 states (see naschip.org), provide health insurance to any resident
who is uninsurable because of health problems. While costs vary by state, premiums run about 150
percent of what an individual policy costs.
Or, consider the federal Pre-Existing Conditions Insurance Plan (see pcip.gov) which is available
nationwide. Created in 2010 under the health care reform law, this program is intended to bridge the
gap until better options become available in 2014 when the main provisions of the law go into effect.
To qualify, your wife must be uninsured for six months before applying.
Send your senior questions to: Savvy Senior, P.O. Box 5443, Norman, OK 73070, or visit SavvySenior.
org. Jim Miller is a contributor to the NBC Today show and author of “The Savvy Senior” book.
August Birthdays
Harry Enmark, Marcia Bent, Phyllis Chapman,
Beverly Clifton, Karlene Englert, Joan Spears,
Barbara Godley and Jane Zamanzadeh, Phyllis
Bugh, Mary Kay Gifford, Marjorie Peterson, Susan
Poulsen, Genevieve Stubbs, Joseph Kiss, Patricia
Miranda,
AUGUST ACTIVITIES
Senior Programs have returned to the Hart
Park House enior Center, 222 W. Sierra
Madre Blvd. in Memorial Park - Come by and
see the changes!!
Mondays: City Hall & Lunch Café
12 noon: Intervale Lunch Café: Come enjoy
a hot meal with others. Donation for
seniors (60+) of $2.00; visitors $3.75. Call
355-0256 to make your daily reservation.
Tuesdays:
FREE blood pressure checks by Methodist
Hospital Nurse; 11 am to 12 noon.
1:30 pm to 3:30 pm
BINGO; NEW TIME 1-3PM cards are
only 25 cents each so stop by & play
5:15 pm to 6:45 pm: Yoga; $6.00 - 50
& over. Please call 355-5278 for more
information
Wednesdays:
11 –11:45 am: Balance Class with Teryl.
FREE class designed to improve balance
& refresh the joints
12 noon: Intervale Lunch Café; daily reservations
needed 355-0256
2nd Wednesday of the month: FREE Legal
Consultations: 10-11:30 am. Appointments
call 355-7394
Wii Wednesday - 1:00 pm or call the senior
desk at 355-7394 to arrange another
time & day to learn how to play. No previous
experience or skills required and it is
great exercise.
Thursdays:
1:00 to 3:30 pm: Game Day. Join us for
Poker and more. Wii - 1:00 pm or call the
senior desk at 355-7394 to arrange another
time & day to learn how to play. No
previous experience or skills required and
it is great exercise. Please call for more
information.
Fridays: Intervale Lunch Café; daily reservations
needed 355-0256
1:00 pm to 1:45 pm: Strength Training
with Lisa Brandley. FREE class of stretching
with light hand weights while you sit.
Saturdays: 11:30 am: Senior Club brown
bag lunch and BINGO at 12:30 pm.
Meals-On-Wheels
Meals are delivered to home-
bound seniors by volunteer drivers
through the YWCA Intervale
Lunch Program M-F (with frozen meals for the
weekend.)
Call the YWCA at (626) 214-9460 for more
information.
LUNCH & LEARN
Join the Senior Community Commission
at the HART PARK HOUSE
for a FREE presentation. Lunch is available
for a $2 donation
Call (626) 355-0256 by
12 noon the day before.
DIAL - A - RIDE TICKETS
Tickets can now be purchased at:
Sierra Madre City Hall
Sierra Madre Library
NEW!
Senior Movie Program
The Hart Park House Senior Center is starting
a brand new monthly movie program beginning
Wednesday, August 15.
Each month a movie will be shown at no fee
in the City Council Chambers located in City
Hall.
The movie for the month of August is,
Invasion of the Body Snatchers, filmed in our
very own Sierra Madre!
All patrons are encouraged to join us monthly
and it’s a great way to beat the summer heat.
Location: City Council Chambers, 232 W. Sierra
Madre Blvd.
Time: 1:00pm-3:00pm
Cost: Free, no charge.
*Food is not allowed in the Council Chambers
2012 EXCURSIONS
NEWPORT BAY CHARTER BOAT
CRUISE AND LUNCH
Thursday, August 9, 2012
Departure: Charter bus leaves at 9:15am
from the Hart Park House Senior Center
Boat Charter: 11:00am-12:30pm
Arrival: Charter bus will arrive back in Sierra
Madre at approximately 3:00pm
Cost: $20 includes transportation and tip
(Does not include lunch)
More Info: Call the Hart Park House Senior
Center at 626-355-7394. The 90 minute
tour views the entire harbor, including
the 7 Islands of Newport Bay. The tour is
narrated by the experienced Captain and
Crew. You will get a chance to see celebrity
homes, sea lions, and much
more! For more information on the cruise
please visit their website at www.funzoneboats.
com. Lunch will be on your own
from 12:30-2:00pm in Newport Beach.
Please be sure to register early as space is
limited. Registration is available at the Hart
Park House at 222 W. Sierra Madre Blvd.,
Community Recreation Center at 611 E. Sierra
MadreBlvd. or online at www.cityofiserramadre.
com/onlineregistration.
Reduced!
|