Business Details
Will you be retiring soon or are you confused about what your options really are when it comes to Medicare? Medicare Part C, more commonly known as Medicare Advantage (MA), is not part of Original Medicare (Part A and Part B). Instead, its type of health insurance plans offered by private health insurance companies approved by Medicare.
A Medicare Supplement Insurance (Medigap) policy, sold by private companies, can help pay some of the health care costs that Original Medicare doesn't cover, like co-payments, coinsurance, and deductibles.Eligible beneficiaries across the nation have the option of enrolling in a Medicare Part D plan to receive their prescription drug coverage. Life is filled with unforeseeable events, such as being hospitalized unexpectedly.
In these situations, it's important to know that you can rely on your insurance policy to protect you. As an independent agency, we are here to help you find solutions tailored to your individual needs. Here at SHK & Associates, we draw from a vast pool of personal health and life insurance policies.
A Medicare Supplement Insurance (Medigap) policy, sold by private companies, can help pay some of the health care costs that Original Medicare doesn't cover, like co-payments, coinsurance, and deductibles.Eligible beneficiaries across the nation have the option of enrolling in a Medicare Part D plan to receive their prescription drug coverage. Life is filled with unforeseeable events, such as being hospitalized unexpectedly.
In these situations, it's important to know that you can rely on your insurance policy to protect you. As an independent agency, we are here to help you find solutions tailored to your individual needs. Here at SHK & Associates, we draw from a vast pool of personal health and life insurance policies.
Services
About Us
Our company was created to serve the needs of our clients, offering affordable products that provide additional coverage that always place the client needs first!
Over the past 9 years, SHK & Associates has grown our agency with over 3,000 clients and 3 offices and 45 agents located in Greenville, SC, Elberton, GA, and Anderson, SC.
We are looking to expand new offices in Greenwood, SC, Columbia, SC, Rock Hill, SC, Athens area GA and Augusta, GA in the foreseeable future.
Bonnie is Responsible for a Vast Array of Duties in Support of the Day-to-Day Operations of the Insurance Agency.
Over the past 9 years, SHK & Associates has grown our agency with over 3,000 clients and 3 offices and 45 agents located in Greenville, SC, Elberton, GA, and Anderson, SC.
We are looking to expand new offices in Greenwood, SC, Columbia, SC, Rock Hill, SC, Athens area GA and Augusta, GA in the foreseeable future.
Bonnie is Responsible for a Vast Array of Duties in Support of the Day-to-Day Operations of the Insurance Agency.
Medicare
Getting Medicare is a major milestone.
Here's where you can get the information you need, no matter where you are in your Medicare journey.
There are certain times of the year when you can sign up or change how you get your coverage.
People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.
Here's where you can get the information you need, no matter where you are in your Medicare journey.
There are certain times of the year when you can sign up or change how you get your coverage.
People with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD).
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.
Medicare Part A
Part A covers inpatient hospital stays, care in a skilled nursing facility, hospice care, and some home health care.
Medicare Part A is hospital insurance.
Part A covers inpatient hospital care, limited time in a skilled nursing care facility, limited home health care services, and hospice care.
Most Medicare Part A beneficiaries don't have to pay a monthly premium to receive coverage under this part of Original Medicare; this is called "premium-free Part A." Generally, if you've worked at least 10 years (40 quarters) and paid Medicare taxes while you worked, you're eligible for premium-free Part A. Otherwise, you pay a monthly premium.
Medicare Part A is hospital insurance.
Part A covers inpatient hospital care, limited time in a skilled nursing care facility, limited home health care services, and hospice care.
Most Medicare Part A beneficiaries don't have to pay a monthly premium to receive coverage under this part of Original Medicare; this is called "premium-free Part A." Generally, if you've worked at least 10 years (40 quarters) and paid Medicare taxes while you worked, you're eligible for premium-free Part A. Otherwise, you pay a monthly premium.
Medicare Part B
Part B covers certain doctors' services, outpatient care, medical supplies, and preventive services.
Medicare Part B is medical insurance.
Part B benefits cover certain non-hospital medical expenses like doctors' office visits, blood tests, X-rays, diabetic screenings and supplies, and outpatient hospital care.
You pay a monthly premium for this part of Original Medicare.
The fee can be higher for people with high incomes.
A different government program, Medicaid, can help cover Medicare Part B premiums for low-income beneficiaries.
Medicare Part B is medical insurance.
Part B benefits cover certain non-hospital medical expenses like doctors' office visits, blood tests, X-rays, diabetic screenings and supplies, and outpatient hospital care.
You pay a monthly premium for this part of Original Medicare.
The fee can be higher for people with high incomes.
A different government program, Medicaid, can help cover Medicare Part B premiums for low-income beneficiaries.
Medicare Part C
Medicare Part C, more commonly known as Medicare Advantage (MA), is not part of Original Medicare (Part A and Part B).
Instead, its type of health insurance plans offered by private health insurance companies approved by Medicare.
Medicare Advantage health plans (such as HMOs and PPOs) are legally required to offer the same benefits as Original Medicare, but can include additional coverage as well.
Costs and coverage details can vary depending on the insurance company.
Medicare SNPs are a type of Medicare Advantage Plan (like an HMO or PPO).
Instead, its type of health insurance plans offered by private health insurance companies approved by Medicare.
Medicare Advantage health plans (such as HMOs and PPOs) are legally required to offer the same benefits as Original Medicare, but can include additional coverage as well.
Costs and coverage details can vary depending on the insurance company.
Medicare SNPs are a type of Medicare Advantage Plan (like an HMO or PPO).
Medicare Supplement
A Medicare Supplement Insurance (Medigap) policy, sold by private companies, can help pay some of the health care costs that Original Medicare doesn't cover, like copayments, coinsurance, and deductibles.
If you have a Medicare Advantage Plan, you can apply for a Medigap policy, but make sure you can leave the plan before your Medigap policy begins.
You pay the private insurance company a monthly premium for your Medigap policy in addition to the monthly Part B premium that you pay to Medicare.
If you have a Medicare Advantage Plan, you can apply for a Medigap policy, but make sure you can leave the plan before your Medigap policy begins.
You pay the private insurance company a monthly premium for your Medigap policy in addition to the monthly Part B premium that you pay to Medicare.
Choosing a Category
There are 5 categories or "metal levels" of coverage On or Off the Marketplace.
Plans in each category pay different amounts of the total costs of an average person's care.
This takes into account the plans' monthly premiums, deductibles, copayments, coinsurance, and out-of-pocket maximums.
The actual percentage you'll pay in total or per service will depend on the services you use during the year.
Catastrophic: Catastrophic coverage plans pay less than 60% of the total average cost of care on average.
Plans in each category pay different amounts of the total costs of an average person's care.
This takes into account the plans' monthly premiums, deductibles, copayments, coinsurance, and out-of-pocket maximums.
The actual percentage you'll pay in total or per service will depend on the services you use during the year.
Catastrophic: Catastrophic coverage plans pay less than 60% of the total average cost of care on average.
Choosing a Plan
Plan category: There are 5 categories of Marketplace insurance plans: Bronze, Silver, Gold, Platinum, and Catastrophic.
Plans in these categories differ based on how you and the plan share the costs of your care.
The categories have nothing to do with the amount or quality of care you get.
Monthly premiums: This is the amount you pay your insurance company for your plan, usually monthly, whether you use medical services or not.
Out-of-pocket costs: These include the costs you pay before your insurance begins to pay its share (your deductible, copayments, coinsurance, and your out-of-pocket maximum).
Plans in these categories differ based on how you and the plan share the costs of your care.
The categories have nothing to do with the amount or quality of care you get.
Monthly premiums: This is the amount you pay your insurance company for your plan, usually monthly, whether you use medical services or not.
Out-of-pocket costs: These include the costs you pay before your insurance begins to pay its share (your deductible, copayments, coinsurance, and your out-of-pocket maximum).
Key Terms
Out-of-Pocket Costs: Your expenses for medical care that aren't reimbursed by insurance.
Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
Deductible: The amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay.
For example, if your deductible is $1,000, your plan won't pay anything until you've met your $1,000 deductible for covered health care services subject to the deductible.
Out-of-pocket costs include deductibles, coinsurance, and copayments for covered services plus all costs for services that aren't covered.
Deductible: The amount you owe for health care services your health insurance or plan covers before your health insurance or plan begins to pay.
For example, if your deductible is $1,000, your plan won't pay anything until you've met your $1,000 deductible for covered health care services subject to the deductible.
What is Covered
All private health insurance plans offered On or Off the Marketplace offer the same set of essential health benefits.
These are services all plans must cover.
Ambulatory patient services (outpatient care you get without being admitted to a hospital) Emergency services.
Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy).
Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills).
These are services all plans must cover.
Ambulatory patient services (outpatient care you get without being admitted to a hospital) Emergency services.
Mental health and substance use disorder services, including behavioral health treatment (this includes counseling and psychotherapy).
Rehabilitative and habilitative services and devices (services and devices to help people with injuries, disabilities, or chronic conditions gain or recover mental and physical skills).
Vision
If you see the big picture, you know how important eye health is to overall well-being.
A little attention to those baby blues, browns, greens, or hazels can make all the difference.
Our affordable vision coverage offers an annual routine eye exam for a low copayment.
Plus you get coverage for contact lenses or eyeglass lenses and frames-including designer brands-and discounts on laser services like Lasik.
A little attention to those baby blues, browns, greens, or hazels can make all the difference.
Our affordable vision coverage offers an annual routine eye exam for a low copayment.
Plus you get coverage for contact lenses or eyeglass lenses and frames-including designer brands-and discounts on laser services like Lasik.
Cancer Plans
Cancer insurance is a type of supplemental insurance policy that helps to reduce the cost of cancer treatment.
It is not designed to replace a traditional health insurance policy, but to compliment it by covering additional cancer expenses that may not be covered by one's current policy.
To be eligible for cancer insurance, you cannot have a pre-existing cancerous condition.
For example, you cannot have been diagnosed with uterine cancer and then apply for a policy.
In most cases, people who have previously been diagnosed and treated for cancer are ineligible for coverage, also.
It is not designed to replace a traditional health insurance policy, but to compliment it by covering additional cancer expenses that may not be covered by one's current policy.
To be eligible for cancer insurance, you cannot have a pre-existing cancerous condition.
For example, you cannot have been diagnosed with uterine cancer and then apply for a policy.
In most cases, people who have previously been diagnosed and treated for cancer are ineligible for coverage, also.
Hospital Indemnity Plans
Hospital indemnity plans, also known as hospital and surgical health insurance plans, can be a temporary solution for individuals and families without a traditional health insurance plan as well as long-term supplemental coverage for those who do and want some extra benefits.
This type of plan fixed payment amounts and lump-sum cash benefits for specific services and care.
It is important to note that hospital indemnity does not cover catastrophic care and is not intended to be a replacement for major medical insurance.
This type of plan fixed payment amounts and lump-sum cash benefits for specific services and care.
It is important to note that hospital indemnity does not cover catastrophic care and is not intended to be a replacement for major medical insurance.
Long-Term Care Insurance
Unlike traditional health insurance, long-term care insurance is designed to cover long-term services and supports, including personal and custodial care in a variety of settings such as your home, a community organization, or other facility.
Long-term care insurance policies reimburse policyholders a daily amount (up to a pre-selected limit) for services to assist them with activities of daily living such as bathing, dressing, or eating.
You can select a range of care options and benefits that allow you to get the services you need, where you need them.
Long-term care insurance policies reimburse policyholders a daily amount (up to a pre-selected limit) for services to assist them with activities of daily living such as bathing, dressing, or eating.
You can select a range of care options and benefits that allow you to get the services you need, where you need them.
Home Health Care
Home health care is a wide range of health care services that can be given in your home for an illness or injury.
Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF).
The goal of home health care is to treat an illness or injury.
Home health care helps you get better, regain your independence, and become as self-sufficient as possible.
If you get your Medicare benefits through a Medicare health plan, check with your plan to find out how it gives your Medicare-covered home health benefits.
Home health care is usually less expensive, more convenient, and just as effective as care you get in a hospital or skilled nursing facility (SNF).
The goal of home health care is to treat an illness or injury.
Home health care helps you get better, regain your independence, and become as self-sufficient as possible.
If you get your Medicare benefits through a Medicare health plan, check with your plan to find out how it gives your Medicare-covered home health benefits.
Life Insurance
A protection against the loss of income that would result if the insured passed away.
The named beneficiary receives the proceeds and is thereby safeguarded from the financial impact of the death of the insured.
If you're thinking about the future, you probably are interested in protecting the people you love when you die.
But did you know that life insurance also can help you create the potential for a supplemental source of income for the future?
Or that it can help you boost your financial flexibility?
The named beneficiary receives the proceeds and is thereby safeguarded from the financial impact of the death of the insured.
If you're thinking about the future, you probably are interested in protecting the people you love when you die.
But did you know that life insurance also can help you create the potential for a supplemental source of income for the future?
Or that it can help you boost your financial flexibility?
Term Life
It provides affordable protection for a specific period of time at a scheduled premium level.
Premiums may increase at the end of the term.
You choose a coverage level, a term (usually 10, 15, or 20 years) and name a beneficiary, that is, the person you want to receive the benefit if you die.
If you die while your term life insurance policy is in force, the death benefit is paid to the beneficiary you chose.
Premiums may increase at the end of the term.
You choose a coverage level, a term (usually 10, 15, or 20 years) and name a beneficiary, that is, the person you want to receive the benefit if you die.
If you die while your term life insurance policy is in force, the death benefit is paid to the beneficiary you chose.
Universal Life
And, within a Universal Life insurance policy, cash value accumulations grow tax-deferred at competitive interest rates.
Generally less expensive than other permanent life insurance but more expensive than term insurance, universal life gives you the flexibility to choose the amount of protection that best suits your family or business, and it enables you to increase or decrease your coverage level as your business or personal insurance needs change.
Generally less expensive than other permanent life insurance but more expensive than term insurance, universal life gives you the flexibility to choose the amount of protection that best suits your family or business, and it enables you to increase or decrease your coverage level as your business or personal insurance needs change.
