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    <title>nfp</title>
    <link>https://healthcoverage.nfp.com</link>
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      <title>How to Get Financial Help for Medicare</title>
      <link>https://healthcoverage.nfp.com/how-to-get-financial-help-for-medicare</link>
      <description>Struggling with Medicare costs? Learn about Medicare Savings Programs, Extra Help, and other programs that can lower your premiums and drug costs in 2026.</description>
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          State and Federal Options to Lower Your Costs
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          Paying for health care on a fixed income is hard. Even with Medicare, the premiums, deductibles, drug costs, and copays add up fast.
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          Here's the good news. Several federal and state programs help people with Medicare cover these costs. The problem is that many people who qualify never apply. Some don't know the programs exist. Others assume they earn too much. That assumption can cost them real money.
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          The programs below can lower your premiums, cut your drug costs, and help you avoid gaps in care. It's worth a few minutes to see what you might qualify for.
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          How Medicare and Medicaid Work Together
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          Medicare is the federal health insurance program for people 65 and older, plus some younger people who have disabilities.
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          Medicaid is a joint federal and state program for people with limited income and resources.
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          Some people qualify for both. They're called "dual eligibles." If you have both, Medicare pays first for the services it can cover. Medicaid may help with your Medicare premiums, deductibles, and copays, along with some services Medicare doesn't cover, like long-term care.
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          Many dual eligibles join a special kind of Medicare Advantage plan called a Dual Eligible Special Needs Plan (D-SNP). These plans coordinate your Medicare and Medicaid benefits in one place.
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          Eligibility rules vary by state. To find out if you qualify, contact your state Medicaid office or your local State Health Insurance Assistance Program (SHIP).
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          Medicare Savings Programs
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          If you are enrolled in Medicaid, you may be eligible for one of the Medicare Savings Programs, which are some of the most valuable forms of help and are often overlooked. These state-run programs help pay some or all of your Medicare Part A and Part B costs if your income and resources are limited.
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          There are four programs:
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           Qualified Medicare Beneficiary (QMB) offers the most help. It can cover your Part A and Part B premiums, deductibles, coinsurance, and copayments. If you're in QMB, providers generally can't bill you for services Medicare covers. If you get a bill anyway, tell the provider you're in the QMB program. Additionally, if you are an eligible QMB and qualify for full Medicaid benefits, you may benefit from the QMB+ program, in which Medicaid covers services not covered by Medicare, such as long-term nursing home care or personal care services.
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           Specified Low-Income Medicare Beneficiary (SLMB) helps pay your Part B premium. It's for people whose income is a little above the QMB limit.
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           Qualifying Individual (QI) also helps pay your Part B premium. Funding is limited each year and goes out first-come, first-served, so apply early.
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           Qualified Disabled and Working Individual (QDWI) helps pay the Part A premium for certain people with disabilities who went back to work.
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          Income and resource limits for these program vary by state. If you qualify for #1 - #3 above, you automatically qualify for Extra Help with your drug costs.
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          Extra Help With Prescription Drugs
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          Extra Help (also known as the Low-Income Subsidy, or LIS) lowers or eliminates what you pay for Medicare drug coverage (Part D). That includes your premium, deductible, and the cost of each prescription.
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          You qualify automatically if you already have any of these:
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           Full Medicaid coverage
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           Supplemental Security Income (SSI)
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           A Medicare Savings Program
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          If you are not enrolled in any of those three programs, you must meet income and asset limits to qualify (per the Social Security Administration):
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           For individuals in 2026, the annual income limit is $23,475 and the resource limit is $18,090.
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           For married couples in 2026, the annual income limit is $31,725 and the resource limit is $36,100.
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          Income includes wages, alimony, annuities, self-employment income, pensions, rental income, Social Security benefits, veterans benefits, and worker’s compensation. It doesn’t include assistance from others to pay for household expenses, disaster assistance, earned income tax credit payments, home energy assistance, housing assistance, medical treatment and drugs, scholarships and education grants, Supplemental Nutrition Assistance Program (SNAP) benefits, or victim compensation payments.
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          Resources include money in bank accounts, stocks, bonds, and retirement accounts. They don't include your home, one car, up to $1,500 for burial costs, a burial plot, or personal belongings. Limits can change each year, so check the current numbers on Medicare.gov before you apply.
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          The savings from Extra Help can add up. In 2026, people with Extra Help pay no monthly premium and no deductible for their drug plan. They pay no more than $5.10 for each generic drug and $12.65 for each brand-name drug. Once their out-of-pocket drug costs reach $2,100 for the year, they pay nothing more for covered drugs.
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          If you are not enrolled automatically, you can apply any time at SSA.gov/medicare/part-d-extra-help. When you apply, Social Security can start a Medicare Savings Program application for you at the same time.
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          One more thing worth knowing. Even if you don't qualify for Extra Help, the $2,100 yearly cap on out-of-pocket Part D drug costs applies to everyone with a drug plan in 2026.
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          State Pharmaceutical Assistance Programs
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          Some states run their own State Pharmaceutical Assistance Programs (SPAPs). These help residents pay for prescriptions, Part D premiums, or other drug costs.
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          Programs differ a lot from state to state. Some give direct financial help. Others help you coordinate benefits with your Part D plan. Not every state has one. To find out, ask your local SHIP or visit go.Medicare.gov/spap.
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          Help From Drug Manufacturers
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          Many drug companies offer Patient Assistance Programs for people who meet certain requirements. These can lower the cost of specific medications. You can search for programs at Medicare.gov.
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          Help With Long-Term Care
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          Here's something that surprises a lot of people. Medicare generally does not pay for long-term custodial care, like an extended nursing home stay. Medicaid is the main payer for those services.
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          Depending on your state and your finances, Medicaid may help cover:
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           Nursing home care
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           Assisted living services
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           In-home caregiving and home health aides
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           Community-based long-term care
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          Medicaid long-term care rules are complex. Many families get help from an elder law attorney, a Medicaid planner, or their local Area Agency on Aging before they apply.
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          Where to Get Free Help Applying
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          There are a lot of resources out there to help you navigate the application process. Free, unbiased help is available from:
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           Your State Health Insurance Assistance Program (SHIP)
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           Your state Medicaid office
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           Your local Area Agency on Aging
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           Social Security, for Extra Help
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           BenefitsCheckUp from the National Council on Aging
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           A licensed Medicare insurance agent like us
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          Many people are eligible who may assume they earn too much to qualify. When in doubt, apply. Even a little help with premiums or prescriptions can save you hundreds, sometimes thousands, of dollars a year.
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          This article is for general educational purposes only and is not legal, tax, or financial advice. To confirm whether you qualify and get the most current information, contact the official sources listed above or reach out to our office. We're glad to help you explore your options.
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      <pubDate>Wed, 08 Jul 2026 06:00:15 GMT</pubDate>
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      <title>Your HSA Is One of the Best Financial Accounts You're Probably Not Using</title>
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      <description>If you have a high-deductible health plan and no HSA, you're paying more in taxes than you need to. Here's how a Health Savings Account works and why starting early makes a big difference.</description>
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          How You Can Cut Your Tax Bill Today and Build Value for Tomorrow
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          If you have a high-deductible health plan and you're not contributing to a Health Savings Account, y
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          ou're leaving real money on the table every year.
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          That's not an exaggeration. An HSA is one of the most useful financial tools available to working adults, and most people either don't have one or aren't using it to its full potential.
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          Here's what you need to know.
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  &lt;h3&gt;&#xD;
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          What Is an HSA, Exactly?
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          An HSA is a health savings account tied to a high-deductible health plan (HDHP). You contribute money to it, and you can use those funds to pay for qualified medical expenses, like doctor visits, prescriptions, dental work, vision care, and more. You access the funds with a debit card tied to the account, or through reimbursements to your bank account.
         &#xD;
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  &lt;p&gt;&#xD;
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          But here's what makes it different from a basic savings account.
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  &lt;h3&gt;&#xD;
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          The Triple Tax Advantage
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          Financial professionals love to talk about this, and for good reason. HSAs are often described as triple tax-advantaged.
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           Contributions are made with pre-tax dollars, meaning they come from your paycheck before taxes are assessed
          &#xD;
      &lt;/span&gt;&#xD;
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      &lt;span&gt;&#xD;
        
           The money in the account grows tax-free through interest or investment earnings
          &#xD;
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           When funds are withdrawn for qualified medical expenses, those withdrawals are also tax-free
          &#xD;
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          No other account in the U.S. tax code does all three of those things at once. Not a 401(k). Not a Roth IRA. Just an HSA.
         &#xD;
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  &lt;p&gt;&#xD;
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          Here's what that looks like in practice. If you're in the 24% federal tax bracket and contribute the full individual limit of $4,400 in 2026, you save $1,032 in federal income taxes alone. If you contribute through payroll deductions, you also avoid FICA taxes, saving an additional 7.65% on those contributions.
         &#xD;
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          Your employer may also contribute to your HSA on your behalf, which makes it even better.
         &#xD;
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  &lt;h3&gt;&#xD;
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          The Money Never Expires
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      &lt;br/&gt;&#xD;
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  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          This is the part that surprises most people. An HSA is nothing like a Flexible Spending Account (FSA), where you lose any unused funds at the end of the year. Unlike FSAs, HSA funds roll over from year to year with no expiration. You own the account, and it stays with you even if you change jobs. It's your money.
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          That means if you're in your 20s or 30s and relatively healthy, you can contribute every year and let that money grow for decades, then use it to cover medical expenses later in your life.
         &#xD;
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  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          What You're Missing By Not Having One
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      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If you have an HDHP and no HSA, here's a simple way to think about the cost of inaction.
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      &lt;br/&gt;&#xD;
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  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Every dollar you put into an HSA reduces your taxable income. Every dollar that grows in the account does so tax-free. Every dollar you spend on qualified medical expenses comes out tax-free. If you're not contributing, you're paying more in taxes than you have to, and you're missing years of compounding growth on money you were going to spend on healthcare anyway.
         &#xD;
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  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          It Can Work Like a Retirement Account
         &#xD;
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      &lt;br/&gt;&#xD;
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  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Here's the part most people miss entirely.
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    &lt;span&gt;&#xD;
      
          A family maxing out their HSA for 30 years could accumulate over $800,000 in tax-free medical money. That's a significant number.
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;p&gt;&#xD;
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          One strategy worth knowing: pay your medical expenses out of pocket now, save your receipts, and let your HSA balance grow invested. There's no deadline for reimbursing yourself. You can reimburse yourself for past medical expenses at any time, as long as you save the receipts. That means years from now, after you have allowed the money in your HSA to grow via investments, you could pull tax-free cash from your HSA to cover expenses you paid out of pocket earlier in your life.
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;p&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          And after age 65, the rules get even more flexible.
         &#xD;
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      &lt;span&gt;&#xD;
        
           After age 65, you can withdraw HSA funds for any purpose without penalty. Non-medical withdrawals are taxed as ordinary income at that point, similar to a traditional IRA, but medical withdrawals remain completely tax-free.
          &#xD;
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  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          How to Get Started
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  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          First, check whether your current health plan is HSA-eligible. Your plan documents or HR department can confirm this. If you have an HDHP, you can open an HSA through your employer's benefits platform or directly through many banks and financial institutions.
         &#xD;
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          Start with whatever you can contribute, even if it's not the maximum. Set up automatic contributions if possible. And keep your receipts for any medical expenses you pay out of pocket.
         &#xD;
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  &lt;p&gt;&#xD;
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          The earlier you start, the more time your money has to grow.
         &#xD;
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&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/June-+HSA.jpg" length="86897" type="image/jpeg" />
      <pubDate>Wed, 01 Jul 2026 06:00:02 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/your-hsa-is-one-of-the-best-financial-accounts-you-re-probably-not-using</guid>
      <g-custom:tags type="string" />
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/June-+HSA.jpg">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/June-+HSA.jpg">
        <media:description>main image</media:description>
      </media:content>
    </item>
    <item>
      <title>8 Tips for a Healthy Summer Vacation</title>
      <link>https://healthcoverage.nfp.com/8-tips-for-a-healthy-summer-vacation</link>
      <description>From reviewing your health coverage to packing your medications, here are 8 practical tips to keep you healthy and confident while traveling this summer.</description>
      <content:encoded>&lt;div&gt;&#xD;
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&lt;div data-rss-type="text"&gt;&#xD;
  &lt;h2&gt;&#xD;
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          Safe Travel Starts at Home
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    &lt;span&gt;&#xD;
      
          Travel is one of life's greatest joys. Whether you're planning a weekend road trip or a long-awaited international adventure, the exciteme
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    &lt;span&gt;&#xD;
      
          nt of setting off somewhere new is hard to beat. But the best trips are the ones where the surprises are good ones. A little preparation before you leave home, especially when it comes to your health coverage, can mean the difference between a smooth journey and a stressful one.
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  &lt;p&gt;&#xD;
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          Here's how to set yourself up for a healthy, worry-free trip.
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  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          1. Know What Your Health Plan Covers — and Where
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  &lt;p&gt;&#xD;
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          Before you book anything, take a few minutes to review your health insurance coverage in the context of your destination.
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  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If you have an individual health plan, check whether your insurer's network extends to where you're traveling. Some plans only cover in-network or in-state providers, while others include broader emergency coverage.
         &#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If you're on Medicare, here's what you need to know: Original Medicare (Parts A &amp;amp; B) typically doesn’t cover medical care outside the U.S., except in limited circumstances. If you have a Medicare Advantage Plan, it may include emergency and urgent coverage abroad, but this varies by provider. Check your plan’s Evidence of Coverage or speak to your plan provider before traveling.
         &#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If you have questions about your coverage, we can help review your policy and fill any gaps before you travel.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          2. Consider Supplemental Travel Coverage
         &#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If your existing coverage has gaps, there are several supplemental options worth exploring:
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  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           International Travel Insurance
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            covers emergency care during trips outside the U.S. and is generally affordable for short-term travel. Look for plans with medical evacuation coverage.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Medicare Supplement Insurance (Medigap)
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            — certain Medigap plans cover foreign travel emergency care up to plan limits, generally after a deductible. If you have a Medigap policy, check your plan details to see if foreign travel emergency coverage is included.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          We can help you sort through your options and find coverage that fits your trip.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
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  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          3. Smart Packing: What to Bring on the Plane
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          When it comes to medications and medical devices, one rule applies: keep them with you. Always pack prescriptions, medical devices, and essential health supplies in your carry-on bag — never in checked luggage. Bags get delayed or lost, and being without critical medications can turn a vacation into a medical emergency.
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          A few things to know before you reach the airport:
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    &lt;/span&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Medications:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Bring enough for your full trip plus a few extra days. Keep medications in their original labeled pharmacy containers when possible because it speeds up TSA screening and reduces customs questions.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Medical devices:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            CPAP machines, nebulizers, insulin pumps, and similar devices are permitted on most flights, but it is wise to carry a physician's letter explaining your need for the device. If you use a portable oxygen concentrator, notify your airline at least 48 hours in advance, as most carriers require it.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Implanted devices:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Carry your device identification card and inform TSA officers before screening if you have a pacemaker, defibrillator, or similar device.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          For specific questions, visit tsa.gov or call the TSA Cares helpline before your trip.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          4. Have Easy Access to Your Medical Information
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          A health emergency is stressful enough without having to scramble for basic information. Before you leave, put together a simple travel health packet that includes:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Your insurance and/or Medicare cards
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Emergency contact numbers, including country codes for international travel
          &#xD;
      &lt;/span&gt;&#xD;
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    &lt;li&gt;&#xD;
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           A current medication list with dosages
          &#xD;
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      &lt;span&gt;&#xD;
        
           A summary of any allergies or significant medical conditions. If you are traveling somewhere English isn't widely spoken, consider having it translated.
          &#xD;
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          Keep the originals in a waterproof sleeve in your bag and leave a copy with someone you trust back home.
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          5. Take Care of Preventive Health Before You Go
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          Most insurance plans cover preventive care at no additional cost, so use it. Before your trip, make sure you're current on vaccinations, including flu, COVID-19, and tetanus. For international travel, check the CDC's destination-specific recommendations, which may include Hepatitis A or B, typhoid, yellow fever, or other vaccines depending on your destination.
         &#xD;
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          6. Protect Yourself from Health-Related Fraud
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          Travelers are frequent targets for scams, and health information is no exception.
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          If you're a Medicare beneficiary, guard your Medicare number the same way you'd protect a credit card.
         &#xD;
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  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Only share Medicare or insurance information on official websites or with verified agents.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           When you return home, watch your Explanation of Benefits for any claims you don't recognize.
          &#xD;
      &lt;/span&gt;&#xD;
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          7. Have an Emergency Preparedness Plan
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          A little research can go a long way if something goes wrong. Before you arrive at your destination:
         &#xD;
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    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Identify the nearest hospital or urgent care facility, confirm whether they accept your insurance, and understand the process if you need medical evacuation.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Know the medical emergency phone number at your destination. What is the equivalent of calling 9-1-1?
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           In international locations, remember that you may encounter language barriers, unfamiliar billing practices, and different standards of care. The U.S. Embassy or Consulate at your destination can often provide referrals to local English-speaking physicians and hospitals.
          &#xD;
      &lt;/span&gt;&#xD;
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  &lt;h3&gt;&#xD;
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          8. Keep Your Body in Good Shape Along the Way
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          It's very easy to leave good habits behind when you head out on a trip, but taking care of your body is important for a good vacation.
         &#xD;
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    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Move regularly:
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      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Stretch and walk every few hours, especially on long flights or car rides.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
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    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Hydrate, hydrate, hydrate!
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Drink plenty of water to counter the effects of extra activities, extra sun, and extra food and drink.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Eat balanced meals:
          &#xD;
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      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Meals on the go tend to lack a healthy dose of fiber, which can lead to digestive distress. Be sure to seek out veggies and whole grains, and consider bringing a fiber supplement with you.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
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    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Rest:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Fatigue lowers immunity. Don't skip on sleep.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Keep germs at bay:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Use hand sanitizer, wash your hands frequently, and consider wearing a mask on crowded airplanes or mass transit.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
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  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Conclusion
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  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          A great trip starts long before you leave home. By reviewing your coverage, filling any gaps, organizing your health information, and taking a few smart precautions, you can travel with real confidence. Whether you're hiking the Rockies or relaxing on a beach abroad, being prepared means your focus stays where it belongs — on the adventure ahead.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Safe travels!
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/June+-+Travel.jpg" length="117871" type="image/jpeg" />
      <pubDate>Mon, 22 Jun 2026 06:00:01 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/8-tips-for-a-healthy-summer-vacation</guid>
      <g-custom:tags type="string" />
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/June+-+Travel.jpg">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/June+-+Travel.jpg">
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    <item>
      <title>How to Find the Best Home Health Care</title>
      <link>https://healthcoverage.nfp.com/how-to-find-the-best-home-health-care</link>
      <description>U.S. News &amp; World Report has rated over 12,000 home health agencies. Learn how the rankings work and why they matter for your care and coverage decisions.</description>
      <content:encoded>&lt;div&gt;&#xD;
  &lt;img src="https://irt-cdn.multiscreensite.com/md/pexels/dms3rep/multi/pexels-photo-1068989.jpeg" alt=""/&gt;&#xD;
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          U.S. News &amp;amp; World Report Now Rates Over 12,000 Agencies
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    &lt;span&gt;&#xD;
      
          Choosing a home health agency for yourself or a loved one is rarely a simple decision — and it often has to b
         &#xD;
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    &lt;span&gt;&#xD;
      
          e made quickly, during an already stressful time. Now, a trusted and familiar name is stepping in to help make that process a little easier.
         &#xD;
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          In February 2026, U.S. News &amp;amp; World Report released its first-ever Best Home Health ratings, evaluating more than 12,000 Medicare-certified home health agencies across the country. The goal is straightforward: give patients, families, and caregivers an independent, data-backed resource to help guide one of the most important care decisions they may ever face.
         &#xD;
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          What the Ratings Measure
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          The ratings combine clinical performance measures — such as timely initiation of care and hospitalization outcomes the potential to prevent future hospitalizations— with patient experience surveys to provide a comprehensive assessment of care quality. The underlying data comes directly from the Centers for Medicare &amp;amp; Medicaid Services (CMS), giving the ratings a strong foundation in publicly available, government-reported information.
         &#xD;
    &lt;/span&gt;&#xD;
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          For agencies with both a Quality of Patient Care Star Rating and a Patient Survey Rating, U.S. News incorporates both by averaging the two measures into a composite score, reflecting performance across multiple dimensions of care.
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;h3&gt;&#xD;
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          What the Results Show
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          Of the approximately 12,000 agencies evaluated, 1,319 earned the "High Performing" Best Home Health distinction for exceeding expectations in care quality and patient experience, while 5,288 were rated "As Expected" for meeting baseline standards.
         &#xD;
    &lt;/span&gt;&#xD;
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    &lt;span&gt;&#xD;
      
          The ratings also revealed some encouraging findings about what top-performing agencies are actually delivering. Patients treated by top-rated agencies were more likely to improve in key activities of daily living — such as getting out of bed, bathing independently, and taking their medications correctly — compared to patients nationwide. These may sound like small wins, but for someone recovering from surgery or a serious illness at home, they represent meaningful milestones on the road back to independence.
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Where the Top Agencies Are
         &#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          The distribution of top-rated agencies varies widely by state. California leads the nation with 151 best home health agencies, followed by Texas (133) and Florida (105). Availability in other states ranges considerably, so where you live can make a real difference in how many highly rated options are accessible to you.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Why This Matters for Your Coverage
         &#xD;
    &lt;/span&gt;&#xD;
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    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Home health care services — including skilled nursing, physical therapy, occupational therapy, and more — are a critical component of the recovery journey for millions of Americans, and a need predominantly covered by Medicare for seniors when certain eligibility requirements are met. Understanding what your plan covers, and how to access quality care within your benefits, is just as important as knowing which agencies have earned strong ratings.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Experts advise that the search for home care should ideally happen before a hospital stay whenever possible, not during the stress-filled hours following a discharge. Talking with your doctor about home health options ahead of time — and making sure you understand your coverage — can make a difficult situation much more manageable. Coverage of home health services is based on the plan of care provided by your doctor, so ensure the plan clearly and fully describes all the home health care s/he feels is needed.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If you have questions about how your Medicare or insurance plan covers home health services, speaking with a licensed insurance broker can help you understand your options before you need them. A little preparation today can go a long way when it matters most.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/How-to-Find-the-Best-Home-Health-Care.jpg" length="176332" type="image/jpeg" />
      <pubDate>Mon, 15 Jun 2026 15:14:00 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/how-to-find-the-best-home-health-care</guid>
      <g-custom:tags type="string" />
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/How-to-Find-the-Best-Home-Health-Care.jpg">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/How-to-Find-the-Best-Home-Health-Care.jpg">
        <media:description>main image</media:description>
      </media:content>
    </item>
    <item>
      <title>Medicare’s New Bridge Program for GLP-1s</title>
      <link>https://healthcoverage.nfp.com/medicares-new-bridge-program-for-glp-1s</link>
      <description>Starting July 2026, Medicare's new GLP-1 Bridge program may cover Wegovy, Zepbound, and Foundayo for weight loss at a $50 monthly copay. Here's what to know.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Medicare Part D to Cover GLP-1s for Weight Loss
         &#xD;
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  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           A significant shift in Medicare drug coverage is underway. Starting July 1, 2026, the
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Medicare GLP-1 Bridge
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           program w
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;span&gt;&#xD;
      
          ill temporarily allow coverage of certain weight-loss medications — including Wegovy, Zepbound (KwikPen formulation), and Foundayo — for eligible Medicare Part D beneficiaries.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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          For many seniors who have struggled with the high cost of these medications, this pilot program represents one of the most notable changes to Medicare prescription coverage in years.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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  &lt;h3&gt;&#xD;
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          Why This Program Matters
         &#xD;
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  &lt;p&gt;&#xD;
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          Historically, Medicare has been prohibited by law from covering drugs prescribed specifically for weight loss. That long-standing restriction has put GLP-1 medications financially out of reach for many beneficiaries, with cash prices that can range from roughly $150 to nearly $700 per month, depending on the drug and dosage.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          The Bridge program is designed to fill that coverage gap on a short-term basis while the Centers for Medicare &amp;amp; Medicaid Services (CMS) studies whether broader access could improve long-term health outcomes.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
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  &lt;/p&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          How the Bridge Program Works
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           The Medicare GLP-1 Bridge will run from
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          July 1, 2026, through December 31, 2027
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          . Here's a quick overview:
         &#xD;
    &lt;/span&gt;&#xD;
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  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Covered medications (as of June, 2026):
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Wegovy (injection and tablets), the KwikPen formulation of Zepbound, and Foundayo
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Monthly copay:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            A flat $50 per prescription, regardless of dosage
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Eligibility requirement:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Enrollment in a Medicare Part D standalone plan or a Medicare Advantage plan with drug coverage (MA-PD). See the next section for additional eligibility criteria.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Prior authorization:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Required, submitted by your prescribing provider
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Processing:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Handled through a centralized CMS system rather than individual Part D plans
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Because the program operates outside the standard Part D benefit, prescribers and pharmacies will route claims through a central processor designated by CMS.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Who May Be Eligible
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Eligibility is based on body mass index (BMI) and related health conditions. According to CMS, a beneficiary must be at least 18 years old and fall into one of these clinical categories at the time GLP-1 therapy is initiated:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           BMI of 35 or higher
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            (no additional condition required); or
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           BMI of 30 or higher
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           , plus a diagnosis of heart failure with preserved ejection fraction, uncontrolled hypertension, or chronic kidney disease (stage 3a or higher); or
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           BMI of 27 or higher
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           , plus a diagnosis of pre-diabetes, previous heart attack, previous stroke, or symptomatic peripheral artery disease
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          The medication must also be prescribed alongside structured lifestyle modifications, including nutrition and physical activity guidance consistent with FDA-approved labeling.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          It's important to note that beneficiaries already taking GLP-1 drugs for Medicare-covered health conditions such as Type 2 diabetes or certain cardiovascular indications will continue to access those medications through their existing Part D plan. The Bridge program is specifically for weight-loss prescriptions.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          A Quick Look at GLP-1 Medications
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          This class of drugs, GLP-1 receptor agonists, mimic a hormone that helps regulate blood sugar and appetite. They slow digestion, help people feel full longer, and may support meaningful weight reduction when combined with lifestyle changes.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          For beneficiaries with weight-related health concerns, sustained weight loss may help with:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Heart disease
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           High blood pressure
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Type 2 diabetes
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Sleep apnea
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Joint problems
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          As with any medication, GLP-1 drugs carry potential side effects and aren't right for everyone. Conversations with a qualified provider are essential.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Important Limitations to Understand
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          While the Bridge program offers significant savings, there are a few notable trade-offs:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            The $50 copay
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           does not count
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            toward the Part D deductible or the annual out-of-pocket prescription drug spending cap
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Part D low-income subsidies (Extra Help) cannot be applied to these prescriptions
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           The program is temporary (for now), ending December 31, 2027
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Studies suggest many people regain weight after stopping GLP-1 therapy, which raises important planning considerations once the program concludes
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          What Happens After 2027
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           CMS originally designed the Bridge as a transition to a longer-term initiative called the
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          BALANCE Model
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           (Better Approaches to Lifestyle and Nutrition for Comprehensive hEalth). However, the timeline and structure of that model are still evolving, and ongoing access to GLP-1s for weight loss beyond 2027 is not yet guaranteed.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Beneficiaries who benefit from the Bridge program will want to review their drug plan options carefully during future Annual Enrollment Periods to understand what coverage may be available.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Recap
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          The Medicare GLP-1 Bridge represents a temporary, targeted opportunity for eligible Part D beneficiaries to access weight-loss medications at a more predictable cost. Like any pilot program, the details may continue to evolve as CMS releases additional guidance.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           If you think you may qualify, the best first step is a conversation with your health care provider about whether a GLP-1 medication fits your overall health picture. For program specifics, visit
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;a href="https://CMS.gov" target="_blank"&gt;&#xD;
      
          CMS.gov
         &#xD;
    &lt;/a&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           or
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;a href="https://Medicare.gov" target="_blank"&gt;&#xD;
      
          Medicare.gov
         &#xD;
    &lt;/a&gt;&#xD;
    &lt;span&gt;&#xD;
      
          , or call 1-800-MEDICARE (1-800-633-4227).
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/GLP1.jpg" length="56612" type="image/jpeg" />
      <pubDate>Wed, 10 Jun 2026 21:23:25 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/medicares-new-bridge-program-for-glp-1s</guid>
      <g-custom:tags type="string" />
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/GLP1.jpg">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/GLP1.jpg">
        <media:description>main image</media:description>
      </media:content>
    </item>
    <item>
      <title>7 Ways to Reduce Your Risk of Developing Dementia and Alzheimer’s</title>
      <link>https://healthcoverage.nfp.com/7-ways-to-reduce-your-risk-of-developing-dementia-and-alzheimers</link>
      <description>Learn seven research-backed lifestyle changes that can help reduce your risk of dementia and Alzheimer’s and support long-term brain health.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Dementia and Alzheimer’s are terms people often use interchangeably — but they’re not exactly the same.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Dementia
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           is a broad category describing symptoms like memory los
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           s, confusion, and difficulties with thinking or reasoning that interfere with everyday life.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Alzheimer’s disease
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           is the most common cause of dementia, and it involves specific changes in the brain that gradually worsen over time. Most people’s risk increases with age, but research shows many factors that influence risk are
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;span&gt;&#xD;
      
          modifiable
         &#xD;
    &lt;/span&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           — meaning we can take action throughout life to help keep our brains healthier, longer.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Evidence from health authorities and scientific research suggests that a variety of lifestyle and health habits can help lower your risk — regardless of your age. Below are the seven important lifestyle choices supported by latest medical guidance to maintain brain health and reduce your chances of developing dementia or Alzheimer’s.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          7 Strategies for Brain Health
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          #1 Stay Physically Active
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Physical activity is one of the most consistently recommended ways to support brain health. Exercise improves blood flow, supports heart health (which is closely linked to brain health), reduces inflammation, and may help slow cognitive decline over time. Even moderate exercise — like brisk walking, cycling, or dancing — done regularly can make a difference.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h4&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Tips to Get Moving:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h4&gt;&#xD;
  &lt;h4&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/h4&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Aim for
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           150+ minutes of moderate‑intensity activity per week
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Include strength training (like resistance bands or light weights) at least twice weekly
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Break up sitting time with short activity breaks
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          #2 Eat for Brain Health
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           While no specific food can “prevent” dementia, healthy eating patterns are linked to better cognitive outcomes. Diets rich in fruits, vegetables, whole grains, lean proteins, and healthy fats — such as the
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Mediterranean
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           or
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          MIND diets
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           — are associated with lower risk of cognitive decline and Alzheimer’s.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h4&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Ways to Nourish Your Brain:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h4&gt;&#xD;
  &lt;h4&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/h4&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Load up on leafy greens, berries, nuts, and fish
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Choose olive oil over saturated fats
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Limit highly processed foods, excess sugar, and refined carbohydrates
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          #3 Manage Cardiovascular and Metabolic Health
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Conditions like
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          high blood pressure
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           ,
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          diabetes
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           , and
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          high cholesterol
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           are linked to increased dementia risk — not just heart disease risk. Controlling these through lifestyle and medical care supports both your brain and body.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Key Actions:
         &#xD;
    &lt;/strong&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Get regular screenings for blood pressure and blood sugar
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Follow medical guidance for managing chronic conditions
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
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           Maintain a healthy weight
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          #4 Keep Your Mind &amp;amp; Senses Engaged
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          Mental challenges and social connections help build and sustain “cognitive reserve,” which refers to the brain’s resilience against age‑related changes. Staying socially active and mentally engaged is linked to lower risk of cognitive decline.
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          Brain‑Boosting Habits:
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           Read books, learn a language, or explore new hobbies
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           Play games that challenge memory and reasoning
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           Stay socially connected with friends, family, and community
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          #5 Address Vision &amp;amp; Hearing Loss
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          Uncorrected vision or hearing loss can lead to social isolation and reduced cognitive stimulation. Research shows that people who use hearing aids or correct vision loss may experience slower cognitive decline.
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          #6 Avoid Tobacco &amp;amp; Minimize Alcohol
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          Smoking damages blood vessels, increases inflammation, and interferes with healthy brain aging — but quitting can significantly reduce risk, even later in life. Alcohol use has also been shown to harm brain health, including short-term memory and cognition.
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          #7 Prioritize Sleep
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          Quality sleep supports memory, mood, and overall brain function. Poor sleep patterns and untreated sleep disorders, like sleep apnea, are associated with higher dementia risk. Aim for consistent, restful nights and talk with a healthcare provider if you struggle with sleep.
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          Final Thoughts
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          There is no guaranteed way to prevent dementia or Alzheimer’s — age, genetics, and family history play a role. However, lifestyle choices throughout your life can help support brain health. Sustained changes in how you move, eat, think, and engage with the world can meaningfully lower your risk and improve your overall well‑being.
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          If you’re concerned about dementia or Alzheimer’s risk for yourself or someone you love, consult a healthcare provider with any specific concerns.
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      &lt;span&gt;&#xD;
        
           ﻿
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&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/group-park-2025041021334540.jpg" length="36755" type="image/jpeg" />
      <pubDate>Tue, 24 Feb 2026 07:00:00 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/7-ways-to-reduce-your-risk-of-developing-dementia-and-alzheimers</guid>
      <g-custom:tags type="string" />
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/group-park-2025041021334540.jpg">
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    <item>
      <title>Avoid These Common Retirement Planning Mistakes</title>
      <link>https://healthcoverage.nfp.com/avoid-these-common-retirement-planning-mistakes</link>
      <description>Learn the most common retirement planning mistakes—from starting too late to underestimating healthcare costs—and how to avoid them.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
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          When it comes to retirement, many people unknowingly make the same mistakes — missteps that can quietly erode long-term financial security.
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          From delaying planning to un
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           derestimating expenses, these are the
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          10 most common retirement planning mistakes
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           that can throw even well-intentioned plans off track.
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          1. Not having a retirement plan
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          Many people drift toward retirement without a clear roadmap. But even a simple plan can provide valuable insight into whether your income will support your future lifestyle.
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          At a minimum, take inventory of your assets and debts, identify expected income sources, and estimate retirement expenses. Having a clear snapshot of your financial position makes it easier to make informed adjustments over time.
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          2. Starting too late
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          Time is one of the most powerful tools in retirement planning. Starting early—even with small contributions—gives your money more time to grow through compounding.
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          Someone who begins saving in their mid-20s will often end up far ahead of someone who waits until mid-life, even if the later saver contributes significantly more each month.
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          3. Not knowing how much you’ll need
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           Many people choose a retirement number that
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          feels
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           right instead of estimating what they’ll actually spend.
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          It’s often more helpful to think in terms of income rather than a lump sum. Consider Social Security or pension benefits, withdrawals from savings or investments, and everyday expenses like housing, food, insurance, taxes, and unexpected costs.
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          4. Failing to take full advantage of employer plans
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          If your employer offers a 401(k) or similar plan with a matching contribution, not contributing enough to receive the full match is essentially leaving free money on the table.
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          Even small increases to your contribution rate, especially over time, can significantly improve your retirement outlook.
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          5. Investing poorly or not diversifying
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          Concentrating too much money in a single investment, employer stock, or narrow asset class can increase risk unnecessarily.
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          A well-balanced portfolio typically includes a mix of stocks, bonds, and other assets aligned with your age and risk tolerance. As retirement approaches, adjusting that mix to reduce volatility becomes increasingly important.
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          6. Borrowing from retirement accounts
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          Taking loans from retirement accounts may seem harmless since you’re repaying yourself, but the true cost is lost growth.
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          Money withdrawn from investments isn’t compounding during that time. And if you leave your job, repayment may be accelerated, potentially triggering taxes and penalties on any unpaid balance.
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          7. Underestimating medical and long-term care costs
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          Healthcare expenses tend to increase in retirement. While Medicare helps, it doesn’t cover everything. Supplemental coverage, copays, prescriptions, dental and vision care, and long-term care can add up quickly.
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          Factoring these costs into your plan is essential. If you have access to a health savings account (HSA), funding it can be a powerful strategy. HSAs can grow like a retirement account, offer investment options, and allow tax-free withdrawals for qualified medical expenses—unlike 401(k) distributions.
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          8. Carrying debt into retirement
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          Debt can consume income you’ll need when your paycheck stops.
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          Reducing or eliminating high-interest debt before retirement can provide greater flexibility and peace of mind, helping you manage fixed expenses more comfortably.
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          9. Assuming you’ll work forever
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          Some people plan to work indefinitely, but life doesn’t always cooperate.
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          Health issues, caregiving responsibilities, economic changes, or job loss can derail those intentions. Planning financially as though you won’t be working—even if you choose to later—creates a more resilient retirement strategy.
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          10. Not reviewing your plan regularly
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          Retirement planning isn’t a one-time event. Income changes, family needs evolve, health circumstances shift, and tax laws update.
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          Reviewing your plan at least once a year—ideally with guidance from a financial professional—can help ensure you stay on track and adjust while there’s still time.
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          Takeaway
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          Retirement planning can feel overwhelming, but small, intentional steps can make a big difference.
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          Start early, save consistently, maximize employer benefits, diversify your investments, and revisit your plan as life changes. Retirement planning doesn’t require perfection, but it does require attention and intention.
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          Ready to take the next step?
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          Retirement planning doesn’t have to be something you figure out on your own. A qualified retirement planner can help you evaluate your current strategy, identify gaps, and make informed decisions based on your goals and timeline.
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          Whether you’re just getting started or nearing retirement, speaking with a professional can provide clarity and confidence. A conversation today could help you avoid costly mistakes and build a plan designed to support the retirement you envision.
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           ﻿
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&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/retirement-mistakes-2026012222152504.png" length="2044912" type="image/png" />
      <pubDate>Tue, 17 Feb 2026 07:00:01 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/avoid-these-common-retirement-planning-mistakes</guid>
      <g-custom:tags type="string" />
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    <item>
      <title>Case Study: Navigating a Cancer Scare on a High Deductible Health Plan</title>
      <link>https://healthcoverage.nfp.com/case-study-navigating-a-cancer-scare-on-a-high-deductible-health-plan</link>
      <description>See how a High Deductible Health Plan works during a real medical crisis—and what one cancer scare cost out of pocket.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
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          Follow one man's journey through a medical scare, and learn how his HDHP worked for him in real life.
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          Meet Marcus. He’s 52 years old and in decent health. He rarely use
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          d his insurance beyond the usual annual checks. Until one day, he suddenly needs it.
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          Self-Employed and in a Medical Crisis
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           Marcus is a 52-year-old freelance graphic designer. He’s healthy overall, exercises regularly, and only visits the doctor for annual checkups. Because he doesn't expect many medical expenses, he chose a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          High Deductible Health Plan (HDHP)
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           with a lower monthly premium and a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $6,000 individual deductible
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           . His plan includes a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Health Savings Account (HSA)
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          , which he contributes to when he can.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Then something changes. He starts having pain and frequent urination. His primary care provider refers him to a urologist for further examination.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Step 1: The Specialist Visit
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Cost:
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $280
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           (negotiated rate)
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Plan covers: $0 until deductible is met
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Marcus pays:
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $280
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            out of pocket
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           On an HDHP, you typically pay the
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          full cost of most services
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           and this is applied toward the deductible before the plan begins to share costs.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Step 2: Imaging and Lab Tests
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           The urologist orders a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          CT scan
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           and a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          urine cytology test
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          .
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            CT scan cost (negotiated rate):
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $1,300
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Lab test cost:
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $220
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Marcus pays:
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $1,520
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Out-of-pocket total:
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $1,800
         &#xD;
    &lt;/strong&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Step 3: Outpatient Cystoscopy Procedure
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Next, Marcus undergoes a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          cystoscopy
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           (a procedure using a scope to look inside the bladder).
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Facility + physician cost (negotiated rate):
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $2,000
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Marcus pays:
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $2,000
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Out-of-pocket total: $3,800
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
           
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Step 4: Biopsy and Pathology
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           The urologist spots a suspicious area and performs a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          biopsy
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          . The sample is sent to a lab.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Biopsy procedure cost:
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $1,400
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Pathology lab cost:
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $400
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Marcus pays:
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $1,800
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Out-of-pocket total: $5,600
         &#xD;
    &lt;/strong&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Step 5: Prescription Medications
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           After the biopsy, Marcus experiences inflammation and receives a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          prescription for antibiotics
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           and
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          pain medication
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          .
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Generic antibiotic:
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $18
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Pain medication:
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $10
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Marcus pays (retail price, but discounted under plan):
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           $28
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Running total:
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $5,628
         &#xD;
    &lt;/strong&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Step 6: Insurance Kicks In
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Marcus goes back for a follow-up test, and $372 later, he meets his
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $6,000 deductible
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           . At this point,
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          coinsurance begins
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           . His plan will now pays
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          80%
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           of his expenses for the rest of the calendar year, and Marcus will pay
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          20%
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           until he hits his
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $8,000
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          out-of-pocket annual maximum.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Running total:
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $6,000
         &#xD;
    &lt;/strong&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Step 7: The Diagnosis
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Unfortunately, Marcus’s biopsy confirms
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          early-stage bladder cancer
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           . Fortunately, it is caught early and is a highly treatable form of cancer. His doctors recommends
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          surgery
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           to remove the tumor, followed by a short course of
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          radiation therapy
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           to reduce the risk of recurrence. 
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Step 8: Treatment
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           As a reminder, because Marcus met his
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $6,000 deductible
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           , he is in the
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          coinsurance phase
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           of his High Deductible Health Plan. So his plan covers
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          80% of eligible medical costs
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           , and Marcus pays
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          20%
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           until he reaches his annual out-of-pocket maximum of
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $8,000
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          . Here's a breakdown of the typical negotiated costs and what Marcus pays under his HDHP:
         &#xD;
    &lt;/span&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           ﻿
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;&#xD;
&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          GRAND TOTAL: $8,000
         &#xD;
    &lt;/strong&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Since Marcus pays another $2,000 in coinsurance, he hits his
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          $8,000 out-of-pocket maximum
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           . From that point on,
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          his plan covers 100% of covered care
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           through the end of the plan year.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Total Cost Comparison
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Let’s look at the bigger picture:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Total Marcus paid out of pocket:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            $8,000 (maximum allowed under his plan)
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Total billed amount for all care and treatment:
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            About $33,000
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          A Happy (and Cautiously Optimistic) Ending
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Marcus is now
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          cancer-free
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          , recovering well, and back to walking his dog in the mornings. He’s grateful for early detection, good doctors, and supportive friends.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           He’s not thrilled to have spent an unexpected $8,000 in a year, and this puts a strain on his finances for a little while, but he understands it could have been much worse. His HDHP protected him from financial devastation — but it did require him to
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          pay a lot up front
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          , and quickly. He also knows he’s lucky that he had this medical crisis earlier in the year. Had it all started in November or December, his annual deductible and out-of-pocket maximum would have reset on January 1, causing him to essentially double his expenses.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Would a Different Plan Have Been Better?
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          It’s a fair question, and one Marcus is asking as open enrollment approaches.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           A
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          High Deductible Health Plan
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           works well when you're healthy and rarely need care, but it can feel financially painful when something serious happens. Marcus wonders now if a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          lower-deductible plan with a higher monthly premium
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           might make budgeting easier, even if the total annual cost ends up being similar.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          For example:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            A
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Gold plan
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            or
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           PPO with copays
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            could have allowed him to pay smaller amounts more gradually (e.g., $50 for specialist visits, fixed amounts for tests or procedures).
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Some plans also offer
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           cancer-specific riders
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            or
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           critical illness coverage
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            to provide a lump-sum payout upon diagnosis, which could have helped offset non-medical costs like time off work or travel for care.
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Final Thoughts
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Marcus’s story is a powerful reminder that:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Understanding
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           how your plan works 
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           before you need it is key
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            Hitting your
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           max out-of-pocket 
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           can be painful, but it beats the alternative in a worst-case-scenario
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           There’s no one-size-fits-all plan — the “right”  plan depends on your health needs, budget, and risk tolerance
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If your situation changes, your health evolves, or you're worried about what a future diagnosis could bring, it may be time to review your coverage and explore whether another plan type might offer more peace of mind.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          We’re here to help talk you through your options.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/feb-firefly-man-in-hospital-room-2026012219284447.png" length="2113130" type="image/png" />
      <pubDate>Wed, 11 Feb 2026 07:00:03 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/case-study-navigating-a-cancer-scare-on-a-high-deductible-health-plan</guid>
      <g-custom:tags type="string" />
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/feb-firefly-man-in-hospital-room-2026012219284447.png">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/feb-firefly-man-in-hospital-room-2026012219284447.png">
        <media:description>main image</media:description>
      </media:content>
    </item>
    <item>
      <title>February Is American Heart Month — Show Your Heart Some Love</title>
      <link>https://healthcoverage.nfp.com/february-is-american-heart-month-show-your-heart-some-love</link>
      <description>February is American Heart Month. Learn simple, preventive steps to support heart health and understand how insurance benefits can help.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           February isn’t just about Valentine’s Day—it’s also
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          American Heart Month
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          , a time dedicated to raising awareness about heart health and encouraging simple steps to protect one of your most vital organs: your heart.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Heart disease remains the leading cause of death in the United States, but the good news is that many risk factors are preventable or manageable with the right habits and healthcare support. American Heart Month is a perfect reminder to pause, reflect, and show your heart a little extra love—today and all year long.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Taking care of your heart doesn’t require drastic changes. Small, consistent actions can make a meaningful difference. Staying active with regular movement, choosing heart-healthy foods, managing stress, and getting enough sleep all contribute to better cardiovascular health. Even something as simple as a daily walk or swapping processed foods for fresh fruits and vegetables can support a stronger heart over time.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Preventive care also plays a crucial role in heart health. Routine checkups help monitor blood pressure, cholesterol levels, and other key indicators that may not show symptoms early on. Many health insurance plans cover preventive services such as annual wellness visits and cardiovascular screenings at little or no cost. These benefits are designed to help catch potential issues early, when they’re often easier to manage.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Stress is another factor that can quietly impact your heart. While life can be busy and unpredictable, finding healthy ways to unwind—such as deep breathing, light exercise, hobbies, or spending time with loved ones—can support both your mental well-being and your heart. Your heart works hard for you every day, and it deserves moments of rest, too.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          This American Heart Month, consider making one small commitment to your heart—whether it’s scheduling a checkup, adding more movement to your day, or learning more about your health coverage options. And remember, you don’t have to navigate these decisions alone. A trusted insurance professional can help you understand your benefits and ensure you’re making the most of the coverage available to support your long-term health.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           ﻿
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Your heart has been with you through every moment of your life. This February, take a little time to return the favor.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/heart-health-2026012222365459.jpg" length="75551" type="image/jpeg" />
      <pubDate>Wed, 04 Feb 2026 07:00:04 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/february-is-american-heart-month-show-your-heart-some-love</guid>
      <g-custom:tags type="string" />
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/heart-health-2026012222365459.jpg">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/heart-health-2026012222365459.jpg">
        <media:description>main image</media:description>
      </media:content>
    </item>
    <item>
      <title>Cold &amp; Flu Season: How to Decide When to Stay Home and When to Seek Care</title>
      <link>https://healthcoverage.nfp.com/cold-flu-season-how-to-decide-when-to-stay-home-and-when-to-seek-care</link>
      <description>Learn how to decide when cold or flu symptoms can be treated at home—and when to use telehealth, urgent care, or the ER—based on symptoms and coverage.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Cold and flu season can bring a lot of confusion — runny noses, fevers, coughs, chills, maybe even a touch of panic if you haven’t felt well in months. For many of us, especially during the winter months, the big question becomes: “Should I rest at home and ride it out, or get help now?” The right choice depends largely on how severe your symptoms are, your personal health risks, and which care settings are the safest and most appropriate.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Here’s a helpful guide to navigating cold and flu — and making informed decisions based on symptom severity, risk factors, and insurance coverage.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Mild Illness: At-Home Care Is Often Enough
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Most colds, and even many flu cases, are mild and improve on their own with time. According to the Centers for Disease Control and Prevention (CDC), most people with flu have “mild illness” and do not require medical care or antiviral drugs.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Common symptoms of
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          cold or mild flu-like illness
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           may include:
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Runny or stuffy nose, sneezing
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Sore throat or mild cough
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Low-grade fever or chills (or no fever)
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Mild fatigue or body aches
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Mild headache
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Here’s what to do if symptoms are mild:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Rest, stay home, and limit contact with others. Avoid spreading the virus.
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;a href="https://www.cdc.gov/flu/takingcare/index.html?utm_source=chatgpt.com" target="_blank"&gt;&#xD;
      &lt;/a&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           St
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           a
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           y hydrated and get plenty of sleep.
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Use over‑the‑counter medications (like acetaminophen or ibuprofen) to relieve fever, aches, or sore throat — as long as you don’t have underlying conditions that make these unsafe.
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;a href="https://www.cdc.gov/common-cold/treatment/index.html?utm_source=chatgpt.com" target="_blank"&gt;&#xD;
      &lt;/a&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Consider a humidifier, sinus rinse, and warm drinks to soothe congestion or sore throat.
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Because antibiotics don’t work on viruses, avoid seeking antibiotics unless a health professional diagnoses a bacterial complication (e.g., sinusitis, ear infection, pneumonia).
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If after a few days you begin feeling better (less fever, improved energy) and symptoms remain mild, home care is often sufficient.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          When to Consider Calling Your Primary Care Provider (PCP) or a Telehealth Provider
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Certain groups — including older adults, young children, pregnant individuals, and people with chronic health conditions — are at higher risk for flu complications. If you belong to one of these groups and begin experiencing flu‑like symptoms, it’s often wise to call your doctor early. The sooner potential antiviral treatment starts, the better chance of avoiding serious complications.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          You might want to call your doctor if:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           You belong to a high-risk group (age 65+, chronic lung disease, heart disease, immunocompromised, etc.)
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Symptoms begin to worsen after a day or two (higher fever, increasing cough, fatigue)
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           You’re unsure whether it’s flu, a cold, or possibly COVID-19 — as these can present similarly
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           You want guidance on whether antiviral treatment may help (flu antivirals work best if started early)
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If your doctor is unavailable or you’d like a quicker option, telehealth or virtual-care services can be a good alternative. Many clinics offer telehealth, especially during flu season, so you can get evaluated from home and avoid potentially exposing others.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Urgent Care: A Smart Option for Moderate Symptoms
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           If your symptoms are more than mild but not life-threatening — or if you want to get a flu test, get antiviral prescriptions, or want symptomatic relief but don’t want to go to the hospital — an
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          urgent care clinic
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           is a sensible middle ground.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Urgent care is most appropriate when you experience:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Fever over 101°F that isn’t improving with medication, or lasting more than a few days
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;a href="https://doctorondemand.com/blog/cold-and-flu/when-to-go-to-urgent-care-for-the-flu/?utm_source=chatgpt.com" target="_blank"&gt;&#xD;
      &lt;/a&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Moderate to severe body aches, persistent cough or sore throat, worsening congestion
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Mild to moderate dehydration (e.g., less urination, dizziness, dark urine)
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;a href="https://doctorondemand.com/blog/cold-and-flu/when-to-go-to-urgent-care-for-the-flu/?utm_source=chatgpt.com" target="_blank"&gt;&#xD;
      &lt;/a&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Need for flu or COVID testing, or rapid evaluation when your PCP is unavailable
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Urgent care centers typically offer rapid flu testing, can prescribe antiviral medications (if appropriate), and help manage dehydration or moderate symptoms, often with shorter wait times and lower cost than a hospital ER.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          When It’s Time to Go to the Emergency Room (ER)
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          The ER is reserved for serious or potentially life-threatening symptoms. According to experts, flu (or flu-like illness) becomes an emergency when warning signs appear.
         &#xD;
    &lt;/span&gt;&#xD;
    &lt;a href="https://www.cedars-sinai.org/blog/when-to-go-to-the-er-for-the-flu.html?utm_source=chatgpt.com" target="_blank"&gt;&#xD;
      
           
         &#xD;
    &lt;/a&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Adults should seek immediate care if they experience:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Difficulty breathing or shortness of breath
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Persistent chest or abdominal pain or pressure
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Sudden dizziness, confusion, or inability to stay awake
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Severe or persistent vomiting, dehydration (e.g., not urinating)
           &#xD;
        &lt;br/&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           For children — especially infants — warning signs are different and may appear quickly. Seek emergency care if your child shows: trouble breathing, bluish lips or face, fast breathing, dehydration (no wet diapers or urine), persistent high fever (especially under 3 months), or lethargy / difficulty waking. If you or a loved one experiences any of these,
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          don’t wait.
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Head to the ER or call 911.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Insurance &amp;amp; Coverage Considerations: What to Know Before You Go
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Your health insurance — whether it’s under Medicare or an Affordable Care Act (ACA)/private plan — can affect where and how you seek care. Here are a few things to double‑check:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Network vs. out-of-network
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           : If you go to urgent care or the ER, be sure the facility is in-network, or you may face higher out-of-pocket costs. If you see a provider out-of-network, expect possible increased charges.
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Urgent care vs. emergency care
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           : Often the copay for an ER visit is several times higher than an urgent care visit. If your symptoms are moderate, start with urgent care, and they will recommend you go to the ER if necessary.
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Copays, deductibles, and prior authorization
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           : For non-emergency urgent care, know your copay or deductible before walking in. For those on Medicare, urgent care and ER are typically covered, but prescription costs (for antivirals) could vary depending on your Part D or supplemental coverage.
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Telehealth coverage
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           : Many plans (both ACA and Medicare Advantage) now include telehealth visits. For mild or moderate symptoms, this can offer a convenient, lower-cost first step.
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Documentation and follow-up
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           : Keep records of your visit, any prescriptions and follow-up care, especially if you have chronic conditions. This will help your provider monitor recovery and stay on top of complications.
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Final Thoughts
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Cold and flu seasons can bring sniffles and coughs — and sometimes worse. It’s important to pay attention to symptoms, know what type of care you need, and understand how your insurance works.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If you’re unsure what to do, contact your primary care provider or use telehealth to be on the safe side. The sooner respiratory illness is addressed, the easier it often is to avoid complications.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          And don’t forget prevention: practice good hygiene, keep current with all recommended shots for your age group, and avoid close contact when you or others are sick. For those with Medicare or ACA/private plans, today’s coverage options often include preventive services and telehealth, making it easier than ever to stay safe and healthy this season.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/july-illness-distress.jpg" length="84563" type="image/jpeg" />
      <pubDate>Sat, 31 Jan 2026 14:45:00 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/cold-flu-season-how-to-decide-when-to-stay-home-and-when-to-seek-care</guid>
      <g-custom:tags type="string">Everyday Living</g-custom:tags>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/july-illness-distress.jpg">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/july-illness-distress.jpg">
        <media:description>main image</media:description>
      </media:content>
    </item>
    <item>
      <title>How to Transition to Your New ACA Health Plan in the New Year</title>
      <link>https://healthcoverage.nfp.com/how-to-transition-to-your-new-aca-health-plan-in-the-new-year</link>
      <description>Enrolled in a new ACA health plan? Learn when coverage starts and how to avoid gaps by checking ID cards, provider networks, prescriptions, and payments.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           If you enrolled in a new health insurance plan through the
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Affordable Care Act (ACA) Marketplace
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          , the new year brings new coverage—and a few important steps to make su
         &#xD;
    &lt;/span&gt;&#xD;
    &lt;span&gt;&#xD;
      
          re your transition goes smoothly.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Whether you're starting fresh with ACA coverage or switching to a different plan, here’s what you need to know to avoid disruptions in care or unexpected costs.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Know When Your New ACA Coverage Begins
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            If you
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           enrolled or made changes by December 15
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            , your coverage likely
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           started on January 1
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           .
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            If you enrolled or changed your plan between
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           January 1 and January 15
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;span&gt;&#xD;
          
            (during the extended Open Enrollment window), your new plan will
           &#xD;
        &lt;/span&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           start February 1
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           .
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Knowing your
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          effective date
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           is key to avoiding gaps in coverage. If you’re moving from one plan to another, your old coverage typically ends the day before the new one begins.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Tips for a Smooth ACA Plan Transition
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          1. Look Out for Your New Member ID Card
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           After enrollment, your health insurance company will send you a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          welcome packet and ID card
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          . You’ll need this for medical visits and prescriptions, so keep it handy.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           If your card hasn’t arrived yet and your coverage has started, contact your insurance company. Many insurers also offer
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          digital ID cards
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           through their websites or apps.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          2. Double-Check Your Provider Network
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Whether you’re seeing new doctors or continuing care, make sure your providers are
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          in-network
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           under your new plan. ACA plan networks can vary significantly—even if you stayed with the same insurer.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Out-of-network care usually comes with much higher costs (or may not be covered at all), so it pays to confirm before your next appointment.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          3. Confirm Prescription Coverage
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Review your plan’s
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          drug formulary
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           (list of covered medications) to ensure your prescriptions are included. If anything has changed, ask your doctor about alternatives or contact your plan for prior authorization steps, if needed.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Tip:
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Refill essential prescriptions before your old plan ends—or if your new plan starts February 1, use your previous coverage through January to avoid gaps.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          4. Set Up Online Access and Autopay
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Once your new plan is active, set up your
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          online member account
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           so you can:
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           View benefits and coverage details
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Pay premiums
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Access digital ID cards
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Find in-network providers and pharmacies
          &#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
      &lt;span&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           If you qualify for
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          premium tax credits
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      
          , make sure to keep your Marketplace account updated with any income or household changes throughout the year.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          5. Watch Your Mail (and Email)
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           You’ll receive important documents like your
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          plan summary
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           ,
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          premium notices
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           , and eventually,
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Form 1095-A
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           for your taxes. Read everything carefully, and don’t hesitate to call your insurer or licensed agent with questions.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Need Help Understanding Your New ACA Plan?
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           If your new plan isn’t working the way you expected, or you have questions about next steps, we’re here to help. Even if Open Enrollment is over, you may still qualify for a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          Special Enrollment Period
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           in certain life situations—like losing coverage, moving, or changes in your household.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/aca-transition.jpg" length="73648" type="image/jpeg" />
      <pubDate>Sun, 25 Jan 2026 15:15:00 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/how-to-transition-to-your-new-aca-health-plan-in-the-new-year</guid>
      <g-custom:tags type="string">Individual Health / ACA</g-custom:tags>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/aca-transition.jpg">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/aca-transition.jpg">
        <media:description>main image</media:description>
      </media:content>
    </item>
    <item>
      <title>Tips for Transitioning to a New Medicare Plan</title>
      <link>https://healthcoverage.nfp.com/tips-for-transitioning-to-a-new-medicare-plan</link>
      <description>Enrolled in a new Medicare plan? Read practical tips to help you transition smoothly, from reviewing plan materials and sharing your new ID card to confirming coverage and prescriptions.</description>
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If you recently enrolled in a new Medicare plan during the Annual Enrollment Period (AEP), your coverage likely started on January 1st. Whether you switched Medicare Advantage plans, changed Part D drug coverage, or moved between Original Medicare and a Medicare Advantage plan, it’s important to make a smooth transition.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Here are some tips to help you get started with your new plan:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          1. Watch for Your New Plan Materials
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           You should receive a
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          welcome packet
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           and a new
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;strong&gt;&#xD;
      
          member ID card
         &#xD;
    &lt;/strong&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           from your plan. Be sure to review these materials carefully. They’ll include important details about your coverage, provider networks, drug formularies, and how to get care.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          2. Share Your New Card with Providers
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Give your new Medicare Advantage or Part D card to your doctor, pharmacy, and any specialists you see. This ensures your care is billed correctly from day one.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          3. Double-Check Your Coverage
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Even if you already reviewed your benefits before enrolling, it’s smart to confirm:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Your doctors and pharmacies are in-network (if applicable)
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Your medications are covered and fall within the plan’s formulary
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;span&gt;&#xD;
        
           You understand copays and other out-of-pocket costs
           &#xD;
        &lt;br/&gt;&#xD;
        
            
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          4. Prepare Your Prescriptions for the First 30 Days
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          If your medications or providers have changed, plan ahead to avoid any disruptions. Refill prescriptions early if possible, and call your plan’s customer service if you have any trouble getting your medications or setting up care.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;h2&gt;&#xD;
    &lt;span&gt;&#xD;
      
          5. Keep an Eye on Your Mail
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h2&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          You may receive additional documents throughout the year, like Explanations of Benefits (EOB) when you receive plan services, or plan updates. Don’t ignore them—these may contain information about your costs or changes to provider networks.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Have Questions or Concerns?
          &#xD;
      &lt;br/&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           ﻿
          &#xD;
      &lt;/span&gt;&#xD;
      
          If something about your new plan isn’t working the way you expected, or you’re unsure about what to do next, we’re here to help you understand your coverage and explore any options you may still have.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/chatgpt-image-dec-19--2025--01-46-12-pm.png" length="2307519" type="image/png" />
      <pubDate>Mon, 19 Jan 2026 21:27:07 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/tips-for-transitioning-to-a-new-medicare-plan</guid>
      <g-custom:tags type="string">Medicare</g-custom:tags>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/chatgpt-image-dec-19--2025--01-46-12-pm.png">
        <media:description>thumbnail</media:description>
      </media:content>
      <media:content medium="image" url="https://irp.cdn-website.com/3d42c2a1/dms3rep/multi/chatgpt-image-dec-19--2025--01-46-12-pm.png">
        <media:description>main image</media:description>
      </media:content>
    </item>
    <item>
      <title>Rethinking Your Soft Drink Habits</title>
      <link>https://healthcoverage.nfp.com/rethinking-your-soft-drink-habits</link>
      <description />
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          As the summer sun beckons and thirst levels rise, it's tempting to reach for a cold, fizzy beverage. But before you pop open that soda can, consider this: your drink choice has long-term implications for your health.
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          The Hidden Risks in Your Glass
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           A comprehensive study by the
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2749350" target="_blank"&gt;&#xD;
      
          International Agency for Research on Cancer (IARC)
         &#xD;
    &lt;/a&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           analyzed data from over 451,000 individuals across 10 European countries over a 16-year period. The findings revealed that consuming two or more 250 ml glasses of soft drinks daily—whether sugar-sweetened or artificially sweetened—was associated with a higher risk of all-cause mortality compared to those who drank less than one glass per month .
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Delving deeper:
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;ul&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Artificially Sweetened Beverages
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           : Individuals consuming two or more glasses daily had a 26% higher risk of death compared to those who consumed less than one glass per month. Specifically, there was a 52% increased risk of death from circulatory diseases .
           &#xD;
        &lt;br/&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           Sugar-Sweetened Beverages
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           : Those consuming one or more glasses daily faced a 59% higher risk of death from digestive diseases .
           &#xD;
        &lt;br/&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
    &lt;li&gt;&#xD;
      &lt;strong&gt;&#xD;
        
           All Soft Drinks
          &#xD;
      &lt;/strong&gt;&#xD;
      &lt;span&gt;&#xD;
        
           : A notable association was found between soft drink consumption and increased mortality from Parkinson's disease .
           &#xD;
        &lt;br/&gt;&#xD;
        &lt;br/&gt;&#xD;
      &lt;/span&gt;&#xD;
    &lt;/li&gt;&#xD;
  &lt;/ul&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Alternatives That Aren’t Any Healthier
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           Think fruit juice or energy drinks are a safer bet? A
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
    &lt;a href="https://jamanetwork.com/journals/jamainternalmedicine/fullarticle/2749350" target="_blank"&gt;&#xD;
      
          study
         &#xD;
    &lt;/a&gt;&#xD;
    &lt;span&gt;&#xD;
      &lt;span&gt;&#xD;
        
           involving 13,440 U.S. adults aged 45 and older found that each additional 12-ounce serving of sugary beverages, including 100% fruit juice, was linked to an 11% higher risk of all-cause mortality. Specifically, each additional 12-ounce serving of fruit juice was associated with a 24% increased risk. Watch the sugar content of iced coffee beverages and alcoholic cocktails as well.
          &#xD;
      &lt;/span&gt;&#xD;
    &lt;/span&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;br/&gt;&#xD;
  &lt;/p&gt;&#xD;
  &lt;h3&gt;&#xD;
    &lt;span&gt;&#xD;
      
          Lifestyle Factors Matter, Too
         &#xD;
    &lt;/span&gt;&#xD;
  &lt;/h3&gt;&#xD;
  &lt;p&gt;&#xD;
    &lt;span&gt;&#xD;
      
          It's essential to note that high soft drink consumption often correlates with other unhealthy lifestyle choices. The IARC study observed that individuals who drank more soft drinks typically had higher body mass indexes and were more likely to smoke. Even after adjusting for factors like diet, physical activity, smoking, and education, the association between soft drink consumption and increased mortality risk remained significant .
         &#xD;
    &lt;/span&gt;&#xD;
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          Refreshing Alternatives for the Season
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          Looking to quench your thirst without compromising your health? Here are some delightful, healthier options:
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           Infused Water
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           : Add slices of citrus fruits, cucumbers, or berries to your water for a refreshing twist.
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           Herbal Iced Teas
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           : Brew teas like hibiscus or mint, chill them, and enjoy over ice.
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           Sparkling Water with a Splash
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           : Mix sparkling water with a splash of 100% fruit juice for a fizzy treat.
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           Homemade Lemonade
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           : Use fresh lemons, water, and a touch of natural sweetener like honey or stevia.
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           Coconut Water
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           : A natural source of electrolytes, perfect for rehydration.
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          Final Thoughts
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          Summer is a time for relaxation and enjoyment. By making informed beverage choices, you can savor the season while prioritizing your health. So, the next time you're reaching for a drink to beat the heat, consider these healthier alternatives. Your body will thank you!
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&lt;/div&gt;</content:encoded>
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      <pubDate>Tue, 01 Jul 2025 15:35:31 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/rethinking-your-soft-drink-habits</guid>
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    <item>
      <title>7 Healthy Travel Tips</title>
      <link>https://healthcoverage.nfp.com/7-healthy-travel-tips</link>
      <description />
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          Suggested tags:
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          wellness tips, travel insurance, health insurance, Medicare, travel health
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          Whether you’re planning a weekend getaway or a long-awaited international adventure, setting off on a trip is always exciting—but can also be unpredictable. That’s why preparing for the unexpected, especially when it comes to your health, is essential. Knowing what your medical coverage includes (and doesn’t) while traveling can help you stay healthy, avoid costly surprises, and soak up the unforgettable moments on your journey.
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          Let’s walk through some proactive steps you can take before packing your bags—from vaccinations and insurance to emergency planning and fraud protection.
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          1. Know What Your Health Plan Covers—And Where
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          Medical surprises aren’t on anyone’s itinerary—but it’s best to be prepared. Start by knowing how your insurance policy covers (or doesn’t) the region you’re traveling to.
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          Individual health policyholders,
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           review your insurer’s network coverage. Some plans only cover in-network or state-specific services, while others offer broader emergency coverage or travel-specific riders. Consult your insurance agent to get help reviewing your policy.
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          Medicare beneficiaries,
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           Original Medicare (Parts A &amp;amp; B) typically doesn’t cover medical care outside the U.S., except in limited circumstances. If you have a Medicare Advantage Plan, it may include emergency and urgent coverage abroad, but this varies by provider. Check your plan’s
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          Evidence of Coverage
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           or speak to your plan representative before traveling.
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          2. Consider Supplemental Insurance
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          If you're a frequent traveler or heading abroad, look into some options to help cover you. Some options include:
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           Travel Medical Insurance
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           : Plans offer emergency coverage during trips outside the U.S. and tend to be affordable.
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           Evacuation Insurance
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           : This covers transport to a qualified medical facility if the nearest care is inadequate. An evacuation clause is often, but not always, included in a travel insurance plan.
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           Medicare Supplement Insurance (Medigap)
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           : Some Medigap policies cover emergency care abroad, typically up to plan limits and with a deductible.
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           Critical Illness Insurance
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           : A lump-sum payout can provide financial flexibility in case you’re diagnosed with a covered condition like a heart attack or stroke during travel.
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          Be sure to read the fine print—some policies require you to be under a certain age, and preexisting conditions may not be covered. Your licensed insurance agent can help talk you through your options.
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          3. Keep Your Medical Info Handy
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          Consider using a secure health app or digital wallet to access all your health records quickly. But just in case your phone is inaccessible, bring physical copies of these important documents as well:
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           Your insurance or Medicare cards
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           Emergency contact numbers (include the country code +1 if you’re traveling abroad)
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           A medication list with dosages
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           Allergy and medical condition alerts
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          Pack all essential paperwork together in a waterproof sleeve in your luggage, and leave a second copy with someone back home. 
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          4. Schedule Preventive Care Before Departure
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          Most insurance plans cover preventive care services like wellness visits, vaccinations, and screenings. Before your trip, check these tasks off your list:
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           ﻿
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          Get vaccinated
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          : Make sure you’re up to date on your flu, COVID-19, and tetanus shots. If traveling internationally, check the CDC recommendations for the region you’re visiting, which may include Hepatitis A/B, typhoid, or yellow fever vaccinations.
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&lt;/div&gt;</content:encoded>
      <enclosure url="https://irp.cdn-website.com/ddac378d/dms3rep/multi/pexels-leah-newhouse-50725-3935702.jpg" length="353056" type="image/jpeg" />
      <pubDate>Tue, 01 Jul 2025 15:35:31 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/7-healthy-travel-tips</guid>
      <g-custom:tags type="string" />
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    <item>
      <title>Scammers Are Targeting Grandparents—Here’s How to Stay One Step Ahead</title>
      <link>https://healthcoverage.nfp.com/grandparent-scams</link>
      <description />
      <content:encoded>&lt;div data-rss-type="text"&gt;&#xD;
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          Write about something you know. If you don’t know much about a specific topic that will interest your readers, invite an expert to write about it.
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          Speak to your audience
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          You know your audience better than anyone else, so keep them in mind as you write your blog posts. Write about things they care about. If you have a company Facebook page, look here to find topics to write about
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          Take a few moments to plan your post
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          Once you have a great idea for a post, write the first draft. Some people like to start with the title and then work on the paragraphs. Other people like to start with subtitles and go from there. Choose the method that works for you.
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          Don’t forget to add images
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          Be sure to include a few high-quality images in your blog. Images break up the text and make it more readable. They can also convey emotions or ideas that are hard to put into words.
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          Edit carefully before posting
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          Once you’re happy with the text, put it aside for a day or two, and then re-read it. You’ll probably find a few things you want to add, and a couple more that you want to remove. Have a friend or colleague look it over to make sure there are no mistakes. When your post is error-free, set it up in your blog and publish.
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&lt;/div&gt;</content:encoded>
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      <pubDate>Tue, 01 Jul 2025 15:35:31 GMT</pubDate>
      <guid>https://healthcoverage.nfp.com/grandparent-scams</guid>
      <g-custom:tags type="string" />
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