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Karla Flores

Insurance RX

"I've Got You Covered From Diapers to Depends®!"

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I Need Heath Insurance… What Options Do I Have?

August 18, 2026 By Insurance RX

Today, many people are self employed, losing their employer benefits or finding their employer benefits too expensive along with higher deductibles and decreasing benefits.

If you are in this situation, it can be a challenging and daunting task to find and understand the right health insurance option that will fit your coverage needs and budget. Going on-line can get you in trouble as you believe that you are getting a certain type of coverage and then when you go to use your insurance, it is not what you signed up for.

I would also caution you, that there are insurance companies and agents that will lead you to believe you are getting a major medical plan when the only major medical plans remaining in the market are Affordable Care Act (Obama Care) plans or employer group plans.

Currently, there are three types of plans available for private (or non-employer paid) health insurance.

Affordable Care Act (Marketplace) which is well suited for those individuals who have a pre-existing condition of which they are currently being treated to ensure that they are not without treatment. These plans have an open enrollment period of November 1st – December 15th or you can enroll outside of these dates if you have a qualifying life event.

Short Term Plans. These plans work well for people in transition; i.e., between jobs that offer employer paid benefits or needing a few months of coverage before moving into Medicare. These plans are currently offered for 30 days to 36-months terms and are re-writeable after the plan term expires. These are structured similar to a major medical plan with a deductible, co-insurance and max out of pocket with annual benefit of $2 million.  Doctor office and some well care is included. These plans do not have a designated open enrollment and one can enroll any day of the year.

Hospital Indemnity Plans offer the best option for those looking for a permanent plan, in other words, one that is guaranteed renewable. These plans offer a set insurance benefit for medical services for hospitalization, surgery, doctor visits, well care and other medical services. Some plans have a zero deductible or you can choose a higher deductible. Your auto insurance is an indemnity plan; i.e., when in an accident, your deductible (should you have one) is deducted and then your benefit is applied to pay for the repair of your automobile…this process is per incident. As with the Short Term plan, enrollment is offered any day throughout the year.

Don’t get caught with the wrong health insurance…for information or questions, please feel to contact me. And, by the way, if you are unhappy with your current health insurance plan, you are able to cancel at any time and switch to another type of plan.

Filed Under: Affordable Care Act, COBRA, Health Insurance

“Cash is King”

August 4, 2026 By Insurance RX

“Cash is King” as the saying goes…especially on certain medical services. If you choose to have a high deductible to save on your monthly premium, it may make financial sense to pay cash for diagnostic testing, blood work and even outpatient surgery. There are websites that can help you find the lowest cash prices.

Read more here in the Consumer Reports article.

Filed Under: Health Insurance, Medical Costs

What is Hospital Observation and Are You Covered?

July 15, 2026 By Insurance RX

How Do I Know if I’ve Been Assigned Observation Status or Inpatient Status?

Hospital observation services are short-term outpatient services received when you are in the hospital for monitoring purposes and/or to determine whether you should be admitted as an inpatient. It is important to know that if you are receiving observation services (sometimes referred to as under observation status), you have not been formally admitted to the hospital as an inpatient, even if you are given a room or stay overnight.

This makes it difficult for you to tell if you’re an inpatient or an observation patient. You can’t assume that, just because you’re in a regular hospital room or in a hospital bed rather than on a gurney, you’re an inpatient. Your doctor or attending medical staff would be able to inform you.

Nor can you assume since you’ve been in the hospital for a few days you’re an inpatient. Although observation is intended for short periods of time, it doesn’t always work that way. For example, you go to the emergency room for stomach pain, after a diagnostic blood tests and or imaging/x-rays, there is no conclusive diagnosis and the doctor places you into observation for an overnight stay.

Most private insurance plans do not cover observation. That is why it is important for you to ask the doctor or medical staff if you are being placed in observation or admitted as an inpatient.

However, there is a supplemental plan that can help pay for hospital observation. Contact me for more information.

Filed Under: Health Insurance

Retirement

July 9, 2026 By Insurance RX

You don’t have to put off retirement due to health insurance costs. There are many affordable options for health insurance after corporate group insurance. Currently private health insurance plans consist of the Affordable Care Act Plans (most costly), Short Term Plans that offer coverage from 30 days to 12 months (soon to be 36 months) and Indemnity Permanent Plans with zero or low deductibles that provide unlimited hospitalization benefits. The advantage of private health insurance is that you can customize the plans to fit your needs and budget. Contact me with questions!

Filed Under: Affordable Care Act, Health Insurance, Medicare

Thank you for your Life-Saving Gifts!

June 14, 2026 By Insurance RX

Every unit of donated blood potentially saves a life. Around the world, blood and blood products help patients suffer less from lift-threatening conditions. This enables them to live longer with a higher quality of life. TV shows like the Korean War’s MASH to present day CODE BLACK demonstrate how quickly emergency situations consume units of blood. Yes, these programs are good entertainment. They also highlight the importance of readily available, safe blood products.

We thank blood donors around the world who make this possible. Their regular contributions are our only means of having an adequate blood supply. But even with their help, many countries continue to have shortages.

World Blood Donor Day globally celebrates donor contributions and raises the awareness of the need for more. The World Health Organization (WHO) designates June 14th as the day to honor Dr. Karl Landsteiner. He discovered the main blood groups in 1900 which now allows blood to be transfused with greater safety. We thank him… and every individual who donates… the chance of longer life with better health.

For more information, contact: World Health Organization,  202.974.3000,  www.who.int

 

 

 

 

 

Filed Under: Health Insurance

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News

  • I Need Heath Insurance… What Options Do I Have?
  • “Cash is King”
  • The Eyes Have It!
  • Surprise Medical Bills

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Are you unhappy with your health insurance premium? Are your employers paid health insurance premiums too expensive? Are you self-employed and looking for affordable health insurance? Are you in a job transition and don’t where to go for health insurance? Are you working in a corporate job just for the health insurance benefits? If you answered “yes” to any of these, I can help you.

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TPMO Disclaimer - "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 of your options."