Consumers

Baygroup is a broker of individual health insurance policies.  We have access to individual health insurance policies from many different carriers, which means we can shop for a policy that is the best value for you. 

You will want to consider several items before deciding on a health insurance policy, including:

Looking for health insurance?

For those of you under age 65:

2020 Open Enrollment begins - 11/1/2019 thru 12/15/2019, for a 1/1/2020 effective date.

There are special enrollment periods available during the year based on certain life changes and special circumstances ... i.e. marriage, birth, loss of health insurance (not including failure to pay premiums), newly ineligible for subsidies.  

Having health insurance gives you peace of mind.  Health insurance protects you from high out-of-pocket medical care costs.  An accident or illness can happen at any time.  Visits to the doctor or hospital and medical treatments can be expensive.  Don't be unprepared.

Having health insurance means knowing many of your health expenses will be covered.

Health Care Reform Key Mandates

• There are a few exceptions (such as temporary medical), if you purchased your plan prior to March 23, 2010, your plan is grandfathered and you don't need to buy a new ACA (Affordable Care Act) plan.  As long as you keep that plan paid up and unchanged, you can keep it as long as you like.
• The ACA guarantees that no one can be denied coverage or charged higher premium because of their health.
• There are core essential benefits that must be included
• Preventative services must be offered at no charge.

Plans are categorized in metal levels

Monthly premium rate is a separate cost and is not included in these calculations.

If you are a Maryland resident and you buy your own health insurance, you may be eligible for a subsidy (calculator) or view chart.  The subsidy is based on current year household income, so if your income changes during the year, you can log back into the exchange and update your information.  If you are eligible for either a premium or cost sharing subsidy, you must buy your health plan through the Maryland Health Exchange.  Please contact Baygroup for assistance with this.  We will provide you with our Consumer Assistance Worker number and help you navigate your the website to select coverage appropriate for you and your family.

If you are not eligible for a subsidy, you can buy the same plans for the same premium outside of the exchange.

Travel Insurance - Regardless of age, you may find travel health insurance provides a safety net and peace of mind.  You can explore some options here

If you are 65 or older

As you are turning age 65 soon or are past age 65 and your employer coverage is ending, health care coverage may need to be reviewed.  Medicare enrollment is not automatic, unless you are currently receiving Social Security Benefits due to age or are eligible for and receiving Social Security Disability Benefits.  Welcome to Medicare 2019 booklet

When Medicare enrollment is automatic:

• A packet of information and the Medicare card is sent 3 months before your 65th birthday or 3 months before the 24th month of receiving Social Security Disability Benefits (SSDI).
• You will be enrolled in both Medicare A and B if you take no further action.  It will start the first day of the month you turn 65 or the 25th month of being on SSDI.
• Signing up for Part A or signing up for Social Security triggers enrollment in Part A.  Please note, you may no longer contribute to a H.S.A.
• If you don’t have group health insurance, you may want to consider a Medicare Supplement and Medicare Part D. 

When Medicare enrollment is not automatic:

• If you are not receiving Social Security benefits, contact the Social Security Administration 3 months before you turn 65:
  
  • Go online if you are applying only for Medicare and select “Retirement/Medicare”

• Call SSA 1-800-772-1213 for the location near you and apply in person for Medicare and Social Security.

• Initial Medicare Enrollment Period to sign up Part A or Parts A and B:
  
  • 3 months before, the month of, and 3 months after 65th birthday

If you have Medicare Part A and want to sign up for Medicare Part B

• Complete CMA 40-B, Application for Enrollment in Medicare-Part B (Medical Insurance), take or mail it to your local Social Security office.  You cannot apply online.

What if I have employer coverage (employee or spouse) because either my spouse or I am still working?

• Can delay Medicare A and B.  Before electing this option, understand if employer will assume coordination of benefits with Medicare.  If Medicare is primary payer, the employee could have to pay the expenses that Medicare would have paid out of your own pocket.         

Do I need Part B (doctors and diagnostic services)?

• Not if you or your spouse is actively working for an employer and has employer/union health coverage (business has 20 or more employees). See previous bullet “What if I have employer coverage (employee or spouse) because either my spouse or I am still working?
• If you do not need Part B, there is a post card to return to Social Security Administration to decline it now.
• There is an 8 month special enrollment period (SEP) when you no longer have employment-related health plan (this does not mean retiree, COBRA, individual or family plan).  After that period, there is a penalty for late enrollment.
• If you missed the special enrollment, there is a general enrollment period each year from Jan 1 to March 31. Coverage then begins July 1. A penalty would apply in this case.

Do I need Part A (hospitalization)?

• If you or your spouse is actively working and has employer health coverage there is no reason not to take Part A
• If you have worked 40 quarters you have already paid for the benefit
• Part A will be primary and your group insurance will be the supplemental.

Medicare Part D (drug) Coverage

• Available to all people with Medicare A and/or Part B or both
• If you have employer provided drug coverage, that is credible coverage, you will not need a Part D plan.  Keep your documentation that you received from your insurance company.
• Initial enrollment period is 3 months before, during, and 3 months after the month of eligibility
• There is a penalty for late enrollment.
• Annual open enrollment is from October 15th to December 7th.  Each year you should review your prescriptions and determine which policy is the best for you.

Check out more information on Medicare, Medigap or Medicare Supplement and Medicare Part D here.

The principals at Baygroup Insurance are can help you find individual,  Medigap (Medicare Supplement) and Medicare Part D.  We are a health insurance brokerage, which means we can shop many carriers to find a policy that is the best value for you.  The insurance companies pay us, it does not cost you anything extra to have our guidance.

For more information about health insurance, visit our FAQ page.

WhatI IF your last paycheck was your last paycheck?

Are you protected if an illness or injury were to sideline you from earning an income for three months or more?

Let Baygroup Insurance help you find the life insurance coverage you need.

Baygroup Insurance is a life insurance brokerage. This is beneficial to you, the consumer, because we can help you select from many different policies to find what is best for you.

Stand-alone long term care insurance policies are also known as traditional long term care insurance.   As an independent broker of Long-Term Care insurance (LTCi), we offer many different LTCi products with top-rated insurance carriers.   We can help you design a policy with the combination of features and benefit levels you need while meeting your budget.  

What is Life insurance?

Life insurance is a contract between an insurance policyholder and an insurer, where the insurer promises to pay a designated beneficiary a sum of money (the "benefits") upon the death of the insured person. Some policies provide for an accelerated death benefit covering terminal illness, critical illness, or long-term care illness (chronic illness). The policyholder typically pays a premium, either regularly or as a lump sum. 
 
The advantage for the policy owner is "peace of mind", in knowing that the death of the insured person will not result in financial hardship for loved ones and lenders.  It is important to periodically review policies for premium rates and terms of contract to see that your current needs are met. 

The death benefit can be used to:

• Cover final expenses, such as funeral costs, taxes or debts
• Replace financial orother support that the insured person contributed
• Provide an inheritance or fund a foundation, endowment or charitable gift

 
Life-based contracts tend to fall into two major categories:
Protection policies – designed to provide a benefit in the event of specified event, typically a lump sum payment. A common form of this design is term insurance.
Investment policies – where the main objective is to facilitate the growth of capital by regular or single premiums. Common forms (in the US) are whole life, universal life and variable life policies.