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Home 2025 December
GTL Hospital Indemnity Plans

1 GTL Hospital Indemnity Plans

By Ed Crowe | General Articles | 0 comment | 17 December, 2025 | 0

GTL Hospital Indemnity Plans: A Smart Supplemental Solution for Agents

GTL hospital indemnity plans offer agents a practical way to help clients manage rising out-of-pocket healthcare costs while expanding their own product portfolio. Designed to pay cash benefits directly to the policyholder, these plans work alongside major medical coverage. This means; Medicare Advantage, or Medicare Supplement plans.

What Is a Hospital Indemnity Plan

A hospital indemnity plan provides a fixed cash benefit for covered events such as hospital admissions, daily confinement, ICU stays, and certain outpatient services. GTL’s hospital indemnity plans are known for simple plan designs, guaranteed renewable coverage, and predictable benefits. Because clients recieve payments directly, they can use funds for co-pays, deductibles or everyday expenses.

Why Agents Should Offer GTL Hospital Indemnity Plans

For agents, hospital indemnity plans are easy to explain and easy to position. As Medicare Advantage plans continue to shift cost-sharing to beneficiaries, clients are increasingly exposed to unexpected hospital expenses. Hospital indemnity coverage helps fill these gaps without replacing existing insurance.

Key agent-friendly advantages include:

  • Straightforward underwriting with limited health questions
  • Affordable premiums that appeal to budget-conscious clients
  • Flexible use of benefits, increasing perceived value
  • Year-round sales opportunities, not limited to AEP or OEP

If you are ready to join our team; click here for online contracting

These features make GTL plans ideal for cross-selling to Medicare beneficiaries, individuals with high-deductible health plans, and clients concerned about hospitalization costs.

Ideal Clients for Hospital Indemnity Coverage

GTL hospital indemnity plans are especially effective for Medicare Advantage enrollees facing daily hospital copays, retirees on fixed incomes, and working individuals seeking extra financial protection. Agents can position the plan as a financial safety net rather than traditional insurance, which resonates strongly with today’s consumers.

Watch a YouTube video – Why agents should include ancillary products with MA sales

Final Thoughts

Adding GTL hospital indemnity plans to your product lineup allows you to address a real client need while generating consistent commissions. With simple benefits, broad appeal, and strong supplemental value, these plans can strengthen client relationships and help agents stand out in a competitive market.

Stay up-to-date on the latest webinars an agent events.

What Medicare Part D covers

1 What Medicare Part D Covers

By Ed Crowe | General Articles | 0 comment | 11 December, 2025 | 0

What Medicare Part D Covers: A Clear Guide for Medicare Beneficiaries

Medicare Part D is essential for millions of beneficiaries who rely on prescription medications to manage chronic conditions and maintain their health. Understanding what Medicare Part D covers can help you choose the right plan, avoid unexpected costs, and make the most of your Medicare benefits. This guide breaks down the key features of Part D coverage so you know exactly what to expect.

What Is Medicare Part D

Medicare Part D is prescription drug coverage offered by private insurance companies approved by Medicare. Beneficiaries can enroll in a stand-alone Prescription Drug Plan (PDP) with Original Medicare or choose a Medicare Advantage plan (MA-PD) that includes drug benefits. Every plan must follow Medicare’s minimum coverage rules, but formularies and pricing vary.

What Medicare Part D Covers

Prescription Drugs in Essential Categories

All Medicare Part D plans must cover drugs across major therapeutic classes, including medications for:

  • Diabetes
  • High blood pressure
  • High cholesterol
  • COPD and asthma
  • Depression and anxiety
  • Osteoporosis

This ensures beneficiaries have access to commonly used medications for chronic conditions.

Watch a quick YouTube video on the prescription payment plan

Protected Class Medications

Medicare Part D also requires plans to cover “protected class” drugs, which include:

  • Antidepressants
  • Antipsychotics
  • Anticonvulsants
  • Antiretrovirals
  • Immunosuppressants
  • Certain cancer medications

These protections ensure that people with serious or complex health needs can access the full range of necessary treatments.

Vaccines Not Covered by Part B

Part D covers many important vaccines, including the shingles (Shingrix) vaccine, RSV vaccines, and most travel immunizations. Under current Medicare rules, beneficiaries typically pay $0 out of pocket for recommended vaccines.

Insulin and Diabetic Supplies

Thanks to recent updates, Medicare Part D limits monthly insulin costs to $35 for covered insulin products. Many plans also cover diabetic supplies such as test strips, lancets, and pen needles.

Specialty and High-Cost Medications

Part D covers a wide range of specialty drugs used for conditions like multiple sclerosis, rheumatoid arthritis, and autoimmune disorders. These medications may fall into higher cost tiers but are included in most formularies.

Agents; are you ready to join the Crowe team – click here for online contract

What Medicare Part D Does Not Cover

Medicare Part D does not cover over-the-counter drugs, vitamins and supplements, cosmetic medications, fertility treatments, or drugs for weight loss.

Medicare Part D provides comprehensive, affordable access to prescription medications. By reviewing your plan’s formulary, comparing costs, and choosing a plan that matches your medication needs, you can maximize your coverage and save money throughout the year.

Stay up-to-date on agent events and information

Using Annuities for Retirement Income

1 Using Annuities for Retirement Income

By Ed Crowe | General Articles | 0 comment | 8 December, 2025 | 0

Using Annuities for Retirement Income: A Simple, Reliable Strategy

For many Americans nearing retirement, one fear rises above all others: outliving their savings. With people living longer and traditional pensions becoming rare, retirees need income sources they can count on. That’s why using annuities for retirmenet income is gaining attention as a dependable way to create steady retirement income.

An annuity is a contract with an insurance company. You contribute a lump sum or make periodic payments, and in return, the insurer provides growth, protection, or guaranteed income. While annuities come in several forms, their main purpose is simple; turning savings into predictable income.

Types of Annuities

Fixed Annuities

Fixed annuities offer a guaranteed interest rate for a set term. They work like a secure, tax-deferred CD alternative and can later be converted into income.
Best for: Retirees who want stable, predictable returns.

Fixed Indexed Annuities

These annuities earn interest tied to a market index, such as the S&P 500, but protect your principal from market losses. Many include optional riders that provide guaranteed lifetime income.
Best for: People who want growth potential without risking their savings.

Immediate or Lifetime Income Annuities

These convert your investment into guaranteed monthly income that can last for life. They function like a personal pension.
Best for: Anyone who wants dependable, never-ending income.

Variable Annuities

Variable annuities invest in market-based subaccounts. They offer more growth potential but also market risk. Some add income riders for future stability.
Best for: Investors comfortable with market swings.

Agents watch an Annuity Rate Watch Demonstartion – Pinnacle’s Annuity quoting tool

Why Use Annuities for Retirement Income

Guaranteed Lifetime Income

Few financial products can provide income you cannot outlive. Annuities help create a reliable foundation for retirement.

Protection from Market Declines

For retirees, early losses can severely reduce long-term income. Many annuities protect your principal, which helps preserve your savings during downturns.

Tax-Deferred Growth

Earnings inside an annuity grow tax-deferred, making it easier for your funds to compound over time.

Complements Other Income Sources

Annuities can fill income gaps by working alongside Social Security, pensions, or withdrawals from retirement accounts.

Are Annuities Right for Everyone

Annuities may not be ideal for people who need high liquidity or want full access to their funds. They are best suited as part of a diversified retirement plan; not a replacement for all other investments.

In today’s retirement landscape, steady income matters more than ever. Annuities help retirees create predictable, long-lasting income while reducing risk. Whether you want stability, lifetime payments, or protection from market volatility, annuities can be an effective tool for building long-term financial security. A licensed agent can provide important guidance to create a long term strategy to secure your future income.

Agents; are you ready to join our team – click here for online contract

Click here to stay up-to-date on agent events and information

Proposed Medicare Advantage Changes 2027

1 Proposed Medicare Advantage Changes 2027

By Ed Crowe | General Articles | 0 comment | 5 December, 2025 | 0

Proposed Medicare Advantage Changes 2027

The Centers for Medicare & Medicaid Services (CMS) recently released a proposed rule for the 2027 contract year that could reshape Medicare Advantage (MA) and Part D prescription drug coverage. The agency aims to “strengthen quality, improve access, and modernize benefits” while reducing administrative burdens on plans.

Here’s what beneficiaries, providers, and policymakers need to know.

Star Ratings Overhaul

CMS proposes removing 12 Star Rating measures that are largely administrative or show little variation between plans. The focus will shift to meaningful metrics, including clinical outcomes, preventive care, and patient experience.

  • New focus on outcomes: Plans will be evaluated more on health results than paperwork.
  • Mental health measure: CMS plans to introduce a “Depression Screening and Follow-Up” measure for future cycles.
  • Health equity bonuses paused: The previously planned “Excellent Health Outcomes for All” bonus is postponed, though CMS invites feedback on equity initiatives.

Impact: Beneficiaries may find it easier to identify high-quality plans, while insurers may redirect resources toward improving actual care.

Enrollment Flexibility

The proposed rule adds a new Special Enrollment Period (SEP) for beneficiaries whose providers leave a plan’s network. This allows mid-year plan changes without waiting for the regular enrollment window. CMS also codifies other existing SEP policies, making the system more consistent.

Impact: This change ensures continuity of care for people with chronic conditions or preferred providers.

Watch a video on the discontinued Medicare advantage plan special enrollment period

Part D and Drug Coverage Updates

The rule formalizes Part D reforms started under prior legislation, including:

  • Eliminating the coverage gap (donut hole) phase.
  • Maintaining reduced out-of-pocket thresholds.
  • Removing cost-sharing in the catastrophic phase.
  • Adjusting how True Out-of-Pocket (TrOOP) costs are calculated.

Impact: Beneficiaries gain more predictable and affordable prescription drug coverage.

Agents, are you ready to join the team at Crowe; click here

Reducing Administrative Burden

CMS proposes measures to reduce paperwork and regulatory complexity, such as:

  • Exempting certain account-based plans from creditable coverage disclosures.
  • Lifting requirements for mid-year notices about unused supplemental benefits.
  • Removing some health-equity reporting mandates for plans.

Impact: Plans may operate more efficiently, but some transparency and oversight could be reduced.

Why It Matters

  1. Patient-focused quality: More emphasis on outcomes and experience could improve care.
  2. Drug cost protection: Part D reforms continue to protect beneficiaries from high out-of-pocket expenses.
  3. Flexible enrollment: The new SEP enhances access to care when providers leave networks.
  4. Efficiency vs. oversight: Streamlined administration may improve plan operations but reduce some accountability.
  5. Future reform: CMS is constantly making changes to improve MA plans, and stakeholders have the chance to provide input.

CMS’s 2027 proposed rule could bring meaningful improvements for beneficiaries while easing administrative burdens for insurers. The Star Ratings overhaul, enrollment flexibility, and Part D updates are poised to enhance care and reduce costs. However, reduced oversight and postponed equity initiatives highlight areas to watch as the public-comment process unfolds.

Agents, stay up-to-date on the our latest webinars an agent events.

Wellabe Hospital Indemnity Plan Sales

1 Wellabe Hospital Indemnity Plan Sales

By Ed Crowe | General Articles | 0 comment | 2 December, 2025 | 0

Wellabe Hospital Indemnity Plan Sales – An Opportunity for Medicare Agents

As Medicare Advantage benefits continue shifting and out-of-pocket costs trend upward, 2026 is shaping up to be a year where supplemental protection becomes more important than ever. That’s why Wellabe Hospital Indemnity plan sales are emerging as a strong add-on product. This is helpful for agents looking to boost client value, deepen relationships, and increase commissions all while solving real coverage gap issues for Medicare beneficiaries.

Below is an original, agent-focused breakdown of why Wellabe HI plans deserve a top spot in your sales strategy.

Why Hospital Indemnity Plans Matter in 2026

Even with Medicare Advantage coverage, your clients face unpredictable and sometimes steep costs when they’re admitted to a hospital. MA plans commonly include:

  • Daily inpatient copays
  • Emergency room copays
  • Observation stay costs
  • Ambulance fees
  • Rising maximum out-of-pocket (MOOP) limits

Hospital Indemnity plans fill these financial gaps by providing cash benefits paid directly to the member, which can be used for anything; copays, transportation, lodging for family members, or simply covering monthly bills.

With many MA carriers adjusting benefits and tightening budgets for 2026, more clients are feeling the strain of increased cost-sharing. This shift creates a prime selling opportunity for Wellabe’s Hospital Indemnity Plan.

Why Agents Love Wellabe’s HI Product

Wellabe (formerly Great Western Insurance Company) has structured their HI plan to be flexible, easy to present, and competitive nationwide.

Simplified Issue for Most Ages

Clients can often qualify without medical exams or lengthy underwriting. Fast approvals mean a smoother sales process for both you and the client.

Highly Customizable Benefits

You can tailor benefits based on a client’s specific MA plan design. Options include:

  • Daily hospital confinement benefits
  • Ambulance coverage
  • Observation stay riders
  • Skilled nursing facility benefits
  • ER coverage
  • Lump-sum outpatient surgery benefits

This allows you to build a package that aligns perfectly with their needs.

Join the team at Crowe – click here for agent contract.

Affordable Monthly Premiums

Wellabe’s pricing remains competitive, especially for clients in their late 60s and early 70s. HI plans are one of the easiest cross-sell items because premiums are low and the value is easy to demonstrate.

Ideal Cross-Sell with Medicare Advantage

Whenever you review a client’s MA plan and see hospital copays or multi-day confinement fees, you have a natural opening to present Wellabe HI as a cost-protection solution.

Learn how to cross sell – watch our quick YouTube video

Sales Positioning That Works

Here are proven strategies you can use during AEP, OEP, or everyday sales conversations:

Create Security

Highlight the unpredictable nature of hospital expenses with MA plans. Clients appreciate having fixed, guaranteed cash benefits.

Protect Your Retirement Income

Explain how a short hospital stay could wipe out a month, or more, of income. A low-cost HI plan helps stabilize finances.

Match Benefits to Plan Gaps

Show them the exact hospital copay amounts in their MA plan and how a Wellabe HI benefit can cover it dollar-for-dollar.

Bundle Approach for Agents

Many agents use wording similar to the following:
“If you choose an MA plan, you might wan to consider pairing it with a Hospital Indemnity plan so your hospital costs are fully covered.”

This increases client satisfaction and reduces future complaints or surprise bills.

Why Selling Wellabe HI Plans Builds Long-Term Business

  • Strong customer service and claims reputation
  • Additional commission without added complexity
  • Deepens your advisory role with every client and allows them to use one resources for their coverage needs

Clients who feel fully protected are less likely to shop around, helping you retain business year after year.

Agents stay up-to-date on events and information

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We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800 MEDICARE to get information on all options.

Not affiliated with the U. S. government or federal Medicare program. This website is designed to provide general information on Insurance products, including Annuities. It is not, however, intended to provide specific legal or tax advice and cannot be used to avoid tax penalties or to promote, market, or recommend any tax plan or arrangement.

Please Note: Crowe & Associates, its affiliated companies, and their representatives and employees do not give legal or tax advice. Encourage your clients to consult their tax advisor or attorney.

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