Posts Tagged ‘Medicare Supplement’

Leonard’s Parking Lot Accident

Saturday, June 27th, 2009

Leonard was in a natural foods grocery store’s parking lot when a 94-year-old woman mistook his brand new Saab for a stop sign. It was a good thing his injuries were taken care of by a policy he bought from California Health Insurance agent Matt Lockard.

Health Insurance Helps in Car Crash

Health Insurance Helps in Car Crash

Leonard Durban was proud of his brand new Saab. It was chartreuse with a gold trim. It had no flaw or blemish. While shopping one fine sunny day, he’d purchased his groceries two bags full and was preparing to exit the parking lot of Nice Foods where natural foods were sold.

His Saab was stopped. But another car, a 1965 Studebaker which was the color of phlegm had approached from within the parking lot as Leonard looked on with horror. The driver, one Agnes L. Penta, an irascible 94-year-old, was practiced in cutting corners as she approached stop signs. She’d been driving this way for what seemed like an eternity at least for any traffic she unfortunately encountered. As far as she was concerned, Leonard’s brand new Saab had no right to be where it was. Even its right to exist was questionable in her murky mind.

“I always stop at the stop sign when I shop at Nice Foods,” she toldthe police officer called to the scene, “I can’t help it if he was in my way. He hit my car. I had the right of way.”

Leonard had tensed his muscles when he saw the phlegm-colored Studebaker approach, and impact triggered a generalized pain almost immediately. But within minutes as Leonard’s sad Saab story was ending, he recalled California health insurance agent Matt Lockard and he managed a weak smile.

“You stupid ninny. Why are you smiling like a jackass?” Agnes screamed at Leonard while flashing what could only be described as her characteristic reptilian grin. At that precise instant, all Leonard could produce in response was an agonizing grimace accomplished while smiling because he now knew it annoyed the vicious woman.

When the phlegm-colored Studebaker and its despicable driver had begun to recede into Leonard’s memory, and after he’d been treated to alleviate the neck and back spasms caused by the accident, a more pleasant interlude occurred. Leonard found himself inside the office of California Health Insurance agent Matt Lockard.

“You’re completely covered,” Matt said, “and your auto insurance covered the damage to your Saab. It’s fixed good as new. But that elderly driver …”

“I don’t blame her,” asserted Leonard, “Life’s too short.”

“Not for the woman who hit you,” replied Matt. “She’d take any moment she gets, and yours too.”


California Health Insurance Agents Offer Medigap Coverage

Thursday, May 7th, 2009

Evelyn Saguaro had a gall bladder issue that needed surgery, but her Medicare coverage wouldn’t pay for the procedure. But once she realized that she already had visited a California Health Insurance Agent to deal with what she called “her delicate matter,” she felt enormously relieved.

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saguaro1Sixty-seven-year-old Evelyn Saguaro had the same problem her late mother had once been afflicted with. Besides her real gall bladder, she’d been born with a vestigial secondary one in which three cactus-like gallstones, each about the size of a quarter, had formed. Late in life, the vestigial gall bladder’s gallstones were starting to act up. Sharp pains would erupt beneath her breastbone immediately after she ate even a tiny serving of anything, and the acute pain made her sick to her stomach. When her doctor ordered tests to identify where the symptoms were originating from, he told Evelyn that her Medicare Plan only covered her original gall bladder, and since the stones had formed in the vestigial one, any procedure to remove them in “her unique case” would not be reimbursed. Her primary care physician kidded with her. “I suggest you refrain from eating,” he said. “Are you serious?” she asked. “No, a better idea might be to seek out a California Health Insurance agent.”

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That’s when she realized that she had done just that, two years previously. Was her Medigaps supplemental still in force? She headed on a beeline to the Visalia office where she’d purchased the Medigap coverage. Was the office still there? It was. The same agent, Glenda, was at her familiar desk. During their previous conversation which she’d somehow forgotten, Glenda had shared with her that she too had a “vestigial gall bladder,” with its associated symptomology not yet evident. Glenda had even belonged to an online organization, a regular support group called VGB Sufferers International.”

“Glenda, I’m so glad to see you,” Evelyn began. “Is my Medigaps policy still in effect?”

“Why wouldn’t it be, dear? Let me check.”

Evelyn waited expectantly. Suddenly her gallstone pain returned with a vengeance. “Is it? She asked, almost gasping.

“Of course it is, my dear Mrs. Saguaro.” A month later, Evelyn’s surgery was successful and her cacti-shaped stones were displayed on her mantle, and on the VGB Sufferers website as a digital photo – for all to see.

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The Ins and Outs of Medigap Coverage

Friday, December 5th, 2008

Filling in the Medicare gaps can be tricky business for seniors, but it can be done with a little help from your California Health Insurance Agent.

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Esther Sirica, 68, was planning to have a surgery performed on her left foot’s hammertoe. She had joined a swim club for seniors and wanted to show off her feet. “I’d always wanted to be a foot model when I was younger,” she explained, “in my day; a well-turned ankle was just the beginning.”

But she wasn’t independently wealthy, and there were gaps in her Medicare coverage that she didn’t understand. “When I asked my primary care physician about the surgery, he said that I wouldn’t be covered. “It’s elective surgery on a pre-existing condition,” he asserted. But Esther wasn’t convinced. “Men used to find my feet lovely,” she told her physician, “except for THAT one.” She was pointing to her hammertoe, not the photo of President-elect Obama on the nearest wall.

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Esther quietly demurred amid the usual pleasantries, and begged her leave. A moment later she was off to find a second opinion. Her second opinion, an elderly physician who at least comprehended the surgery’s potential significance to the woman if not its urgency, did recommend the surgery, and perfunctorily checked out Esther’s Medicare coverage. “The surgery will cost $1,750,” he informed her.

“That’s not so much,” she said, assuming it was entirely covered except for her co-pays.

 “But Medicare will approve only about half of that, $825.00,” he added.

“Oh,” she said, with sadness suddenly re-encroaching upon her entire being, including the deformed toe.

Fortunately, Esther’s next visit was to her California health insurance agent, a valuable source for information on Medicare Supplement coverage for the past year or two. The nice young agent there had mentioned something called Medicare Supplement Insurance policies as a way to plug the disturbing Medigaps.

A month later, Esther was in the pool with the seniors, literally a new woman. A gentleman swimmer named Tony was looking at her foot when he noticed it. “Didn’t you used to have a hammertoe?” he remarked.

Esther Sirica flashed a big smile, her dentures clicking.

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