FOR BREAKING NEWS VISIT WWW.QNS.COM  JULY 16, 2020 • HEALTH • THE QUEENS COURIER 37 
  health 
 Emotionally preparing your children for back-toschool  
 Elder Law Minute TM 
 Shop Around Before Choosing a Medigap Policy 
 BY RONALD A. FATOULLAH, ESQ.  
 AND DEBBY ROSENFELD, ESQ. 
 While  our  articles  oft en  focus  on  
 Medicaid  and  estate  planning,  clients  
 oft en pose questions regarding the various  
 machinations of the Medicare program. 
  People oft en confuse Medicare and  
 Medicaid and refer to the two programs  
 interchangeably. To begin with, Medicaid  
 is both a federal and state program that  
 provides health coverage for low income  
 people.  Medicaid is a payer of last resort  
 and is oft en utilized for the coverage  
 of a person’s long term care needs. Th e  
 Medicaid applicant must be below a certain  
 asset and income level in order to  
 qualify. Medicare is a federal program  
 that provides health coverage for people  
 who are 65 and older and certain younger  
 people with disabilities. A person’s assets  
 and income have absolutely no bearing  
 on Medicare eligibility.   
 Once an individual turns 65 years of  
 age and is no longer working, Medicare  
 oft en becomes the   primary health care  
 insurance provider for this person. While  
 Medicare Part A and B will cover a good  
 portion of a person’s doctor visits and in-  
 patient care in a hospital, it does not pay  
 for everything in full. Typically, people  
 who have straight Medicare are advised  
 ELDER LAW 
 to purchase supplemental insurance in  
 order to address any gap in coverage.  
 Th  ese policies are referred to as Medigap  
 policies and, according to a new study,  
 the costs can be vastly diff erent depending  
 on the company selling the policy.  
 Th e  fi ndings of this study highlight the  
 importance of shopping around before  
 one purchases a policy.  
 When a person fi rst becomes eligible  
 for Medicare, he/she may purchase  
 a Medigap policy from a private insurer  
 to  supplement  Medicare’s  coverage  
 and essentially avoid some or virtually all  
 of Medicare’s coverage gaps. Currently,  
 a  consumer  can  choose  one  of  eight  
 Medigap plans that are identifi ed by letters  
 A, B, D, G, K, L, M, and N. (If an  
 individual  was  eligible  for  Medicare  
 before January 1, 2020, but not enrolled,  
 he/she may also be able to purchase Plans  
 C and F, but those plans are no longer  
 available to people who are newly eligible  
 for Medicare.)  Each plan package off ers a  
 diff erent menu of benefi ts, allowing purchasers  
 to choose the combination that is  
 right for them.  
 While federal law requires that insurers  
 must off er the same benefi ts for each  
 lettered plan (i.e., each plan G off ered by  
 one insurer must cover the same benefi  
 ts as plan G off ered by another insurer), 
  insurers set their own prices for each  
 plan. Th  is means that the price of each  
 plan varies considerably depending on  
 the insurance company. Th e  American  
 Association  for  Medicare  Supplement  
 Insurance compared costs of plans in  
 the top ten metropolitan areas and found  
 huge cost diff erences. Using the most  
 popular plan--Plan G--for comparison,  
 the association found that in Dallas, the  
 lowest price for a 65-year-old woman to  
 purchase a plan was $99 a month while  
 the highest price was $381 a month. Th is  
 presents a yearly diff erence of more than  
 $3,000 for the exact same plan.  
 Th  e Association also found that no one  
 insuranc e company consistently off ered  
 either the lowest or the highest price for  
 coverage.  Th  is means that a consumer  
 cannot rely on just one company to  
 always have the better price for a policy.  
 Based on the foregoing, when looking  
 for a Medigap policy, it’s important to get  
 quotes from several insurance companies. 
  In addition, people using a broker to  
 help with the process should check with  
 two or more brokers because one broker  
 might not represent every insurer. It can  
 be an arduous task to shop around, but  
 the price savings can be worth it.  
 From a health insurance perspective,  
 having Medicare and a good Medigap  
 policy provides for comprehensive coverage  
 with respect to hospitalizations and  
 doctor’s visit.  It is still vitally important  
 to ensure that one is prepared for  
 any long term care emergency. An experienced  
 elder law attorney can provide  
 guidance with respect to navigating this  
 area.  
 Ronald A. Fatoullah, Esq. is the founder  
 of Ronald Fatoullah & Associates, a law  
 fi rm that concentrates in elder law, estate  
 planning, Medicaid planning, guardianships, 
  estate administration, trusts, wills,  
 and real estate. Debby Rosenfeld,  Esq.  
 is a senior staff  attorney at the fi rm.  
 Th  e  law  fi rm can be reached at 718- 
 261-1700,  516-466-4422,  or  toll  free  at  
 1-877-ELDER-LAW or  1-877-ESTATES.  
 Mr.  Fatoullah  is  also  a  partner  advisor  
 with  Advice  Period,  a  wealth  management  
 fi rm that provides a continuum of  
 fi nancial and investment advice for individuals  
 and  businesses,  and  he  can  be  
 reached at 424-256-7273.   
 RONALD FATOULLAH 
 ESQ, CELA* 
 season 
 Between  sheltering-in-place,  online  
 learning  and  time  away  from  friends,  
 many children will need a little extra support  
 as they head back to school this fall.  
 Consider these tips from the experts at  
 KinderCare to help you emotionally prepare  
 your children to return to school  
 with confi dence, optimism and excitement. 
 Address your feelings  
 (and theirs) 
 Children oft en take cues about how  
 to react from their parents. Th ink  about  
 what it takes for you to feel calm and prepared  
 (or even excited) for the start of a  
 new school year. Th  at could mean talking  
 with your child’s teacher or school about  
 the  safety  precautions  they’re  taking  so  
 you can feel more at ease, taking a few  
 minutes to establish a morning routine  
 or stepping away from news that makes  
 you anxious. Focus instead on the positive  
 aspects of school, like the opportunity  
 your child will have to learn, make  
 friends, interact with others and grow into  
 his or her own person. 
 “Children need a sense of belonging,  
 and school provides an important connection  
 point for them,” said Dr.  
 Elanna  Yalow,  chief  academic  
 offi  cer for KinderCare Learning  
 Centers. “Nothing builds a sense  
 of community like personal contact  
 with friends and teachers.  
 Th  at connection is essential in  
 supporting a child’s growth and  
 development.”  
 Set expectations  
 about what to expect  
 before the fi rst day 
 Some children may feel ready  
 to go and eager to explore, while others  
 can be more reserved or even fearful  
 of new places, faces and routines. When  
 your child knows what to expect, it can  
 go a long way in soothing any worries he  
 or she may have about leaving home and  
 going to school.  
 It’s also important to respect your child’s  
 growing independence and empower him  
 or her to help others. As you explain safety  
 precautions like covering the mouth  
 when sneezing or coughing, or proper  
 hand washing, emphasize how your child’s  
 actions can help keep family, friends and  
 teachers safe.  
 “Children may already be apprehensive  
 about returning to school,  
 let alone trying to cope with new safety  
 practices,” said Dr. Joelle Simpson, a  
 pediatric emergency medicine physician  
 and medical director for emergency  
 preparedness  at  Children’s  
 National Hospital. “Explaining these  
 precautions ahead of time can help  
 your children see them as part of the  
 school day routine instead of something  
 to fear. For parents, remember  
 that while children can get  
 sick from this virus, it occurs  
 less frequently than in adults  
 and at lower rates than the fl u.” 
 Celebrate the start of  
 a new school year 
 Try to plan a special activity or some  
 extra family time the week before school  
 starts and encourage your child to participate  
 in the planning. 
 “Remember,  children  
 didn’t  have  
 time  for  a  clean  
 break  and  celebration  
 at  the  
 end of the last  
 school  year,  
 and  this  
 can  help  
 
				
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