Retiring in America: What You Need to Know About Healthcare | Ask An Expert with Misty Kimbrough (We’re The Brits In America S1:E36)

For Brits moving to America, there’s a rude awakening when it comes to healthcare. The NHS, with its free and universal coverage, might not be perfect, but it spares you from the endless choices, staggering costs, and fine print that define the U.S. system.

Here, every doctor’s visit, every test, every prescription comes with a price – and for many, those prices are eye-watering.

Retiring in America? Brace yourself for Medicare, a system that promises to help, but can often fall short, leaving you exposed to catastrophic costs if you don’t know how to protect yourself.

This isn’t just a financial challenge; it’s a cultural one. Brits aren’t used to thinking about premiums, deductibles, or co-pays, let alone the maze of Medicare Part A, B, C, and D. The stakes couldn’t be higher: healthcare decisions in the U.S. directly impact your financial future, your physical wellbeing, and ultimately, your quality of life – it’s important stuff, so listen up!

This week for Ask an Expert, Richard Taylor confronts the stark reality of navigating healthcare as an expat and is joined by none other than Misty Kimbrough, CEO of Red Apple Insurance and an expert in Medicare and pre-Medicare planning, to untangle the intricacies of this system and tell us all what we need to know.

We’re the Brits in America is affiliated with Plan First Wealth LLC, an SEC-registered investment advisor. The views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of Plan First Wealth.

Information presented is for educational purposes only and does not intend to make an offer or solicitation for the sale or purchase of any specific securities, investments, or investment strategies. Investments involve risk and unless otherwise stated, are not guaranteed. Be sure to first consult with a qualified financial adviser and/or tax professional before implementing any strategy discussed herein. Plan First Wealth does not provide any tax and/or legal advice and strongly recommends that listeners seek their own advice in these areas.

About Richard

Richard Taylor is a British expat, dual citizen (UK & US). Originally from Bolton, he now lives in Greenwich, CT, where Plan First Wealth has its head office.

As the firm’s leader, Richard launched Taylor & Taylor, now Plan First Wealth, and continues to fuel the firm’s growth. Richard is a Chartered Financial Planner (UK – CII) in addition to holding the IMC (CFA UK) and Series 65 (US – FINRA).

Connect with Richard on LinkedIn

About Misty

Misty Kimbrough is the CEO of Red Apple Insurance and an expert in Medicare and pre-Medicare planning.

Red Apple Insurance offers a variety of possibilities for health, dental, and vision for individuals and employers, senior benefits such as Medicare Supplement, Medicare Advantage, RX and more, as well as long term care, life insurance, and disability.

Connect with Misty on LinkedIn

 

Transcript:

Richard Taylor:

[00:00:21 – 00:02:42]

Welcome to the We’re the Brits in America Podcast, a Plan First Wealth Podcast for Brits in America by Brits in America, dedicated to helping British expats thrive in America. I’m your host Richard Taylor and Plan First Wealth is the business I founded and run today and we work with successful British expatriates living across the US to make the most of their opportunity and avoid the expat landmines. However, while Plan First Wealth LLC is an SEC registered Investment Advisor, the views and opinions expressed in this program are those of the speakers and do not necessarily reflect the views or positions of Plan First Wealth. Information presented is for educational purposes only. Now, if you aren’t already receiving our weekly emails, please go to our website, planfirstwealth.com and sign up to WealthHub. It’s free and you’ll then be notified every time we drop a new episode and so much more. Alrighty, let’s get back to this week’s show. Welcome to our Ask An Expert show where I invite a fellow professional to come in and talk to me about the issues we think Brits in America need to be aware of if they are going to thrive here. My guest today is Misty Kimbrough. Misty is an insurance broker and she is the CEO of Red Apple Insurance. Red Apple provide a wide array of insurance from health to dental, vision, long term care, travel and what we are here to talk about today, Senior benefits that is Medicare planning, that is Medicare supplement, Medicare Advantage and prescription options. Misty is an expert in Medicare and early retirement insurance. When it comes to Medicare, she specializes in guiding people through Medicare basics and avoiding common planning mistakes. This is such a misunderstood and a vitally important topic. I’m sure it is to Americans also, but to us Brits who are just not used to having to think about these things. Navigating the US Health insurance system in general and Medicare in particular is bewildering and overwhelming. But it’s obviously of such vital importance to our health and wellbeing, physical and financial, that we need to better understand it to make good decisions about healthcare coverage in retirement. So that’s what we’re going to do today. We’re going to demystify Medicare and the seemingly dizzying array of options. So without further ado, let’s get into this. Hi, Misty. Welcome to We’re the Brits in America podcast.

Misty Kimbrough:

[00:02:42 – 00:02:46]

Hi. Thank you for having me today. I’m excited to be here.

Richard Taylor:

[00:02:46 – 00:03:29]

Of course. No, thank you. It’s such an important topic and as I alluded to, it’s one that just. I remember when I first got here and trying to navigate health insurance and then later advising clients and trying to navigate this stuff, it just, it blew my mind. I also find it’s one of these things I can’t hold on to. I’ve written blogs about Medicare, I’ve written about part A, Part B, I’ve done videos about them. And it’s one of these things I can’t hold on to information. I have to always go back and revisit it. And it is overwhelming, it is bewildering and I think people just don’t understand it and that’s got serious repercussions. So I’m really hoping we can get into it today and shine a light on the importance of people need to know and how they can navigate it. I’ll tell you what, Mr. Why don’t you tell us who you are? Straight from the horse’s mouth. Tell us. Yeah. How you ended up in this unfortunate position, sat here talking to me.

Misty Kimbrough:

[00:03:29 – 00:03:51]

Well, I’ve been in insurance since 2007. I specialize in Medicare and ACA products and I represent, I can’t even tell you how many companies, probably over 120 companies in all my spaces. So there are a lot of options. So it does make it really confusing out there for the consumer. And that’s why I’m here to help hopefully dispel the myth of everything going on these days. Because it changes every year.

Richard Taylor:

[00:03:51 – 00:03:52]

Yeah.

Misty Kimbrough:

[00:03:52 – 00:04:02]

That you know, the rules change every year and so do the pricing. There’s some big changes coming for 2025 which are going to be really nice. So I’m excited to talk about that too.

Richard Taylor:

[00:04:02 – 00:04:04]

Is that the prescription stuff?

Misty Kimbrough:

[00:04:04 – 00:04:04]

Yes.

Richard Taylor:

[00:04:04 – 00:04:11]

Okay, great. Well, we’ll, we’ll save that, we’ll save that nugget for later on then. So let’s start at the beginning then, Medicare. Tell us what we need to know about Medicare.

Misty Kimbrough:

[00:04:11 – 00:04:53]

So your Medicare Part A and part B for anyone. Original Medicare. So it’s for those over age 65 or with a disability or end stage renal disease. Part A you can get, if you work, 40 or more quarters in your lifetime and there’ll be no cost to that. Otherwise you will pay a cost for part A. Part B has a cost to it and that changes every year. For instance, this year it’s $174.70. And we have some options to go with. So if you have just original Medicare, you need to supplement that with something. You’re allowed to apply for Medicare part A and B three months prior to your 65, the month of, and then up to three months after. So you don’t get a penalty. Right.

Richard Taylor:

[00:04:53 – 00:04:58]

So you can actually get part A even if you don’t have 40 quarters, you just have to pay for it.

Misty Kimbrough:

[00:04:58 – 00:04:59]

Yes.

Richard Taylor:

[00:04:59 – 00:05:03]

And is it astronomically expensive or is it reasonable?

Misty Kimbrough:

[00:05:03 – 00:05:06]

Right now it’s starting out at $278 per month.

Richard Taylor:

[00:05:06 – 00:05:09]

I didn’t know that. I just thought if you don’t have 40 quarters, forget about it.

Misty Kimbrough:

[00:05:09 – 00:05:09]

Yes.

Richard Taylor:

[00:05:09 – 00:05:12]

Right. So, okay, so tell us, what are part A and part B?

Misty Kimbrough:

[00:05:12 – 00:05:38]

So part A is hospitalization and part B is doctor visits, laboratory services, excess fees, blood work, and then you have part C, which encompasses part A and part B from a private insurance carrier. And then you have part D or a Medicare supplement, which we’ll get into more later on. But part A, basically, I think the easiest thing to remember is it’s hospitalization and part B is doctor visits.

Richard Taylor:

[00:05:38 – 00:05:50]

So part A is if I’m in a bad accident, part A is what happened to me recently. I ruptured my Achilles and I went to the. I had to go to the hospital. So that’s. That would be part A. Right. And then I had surgery and it was scheduled afterwards and I’ve had follow up visits. Would that be part B or would.

Misty Kimbrough:

[00:05:50 – 00:05:53]

That be follow up visits would be part B. Oh, okay.

Richard Taylor:

[00:05:53 – 00:06:00]

Right. So If I’ve got 40 quarters, no fee for part A, but there’s out of pocket and deductibles and all that fun stuff.

Misty Kimbrough:

[00:06:00 – 00:06:27]

Yes. So part A has a deductible that changes every year. That’s about fourteen hundred dollars, but that goes every sixty days. So like if you were hospitalized for ten days and then you go back into the hospital in 61 days, you’re going to pay that part A deductible again. And then you also pay 20% coinsurance. So the one myth about what people don’t understand about Medicare is that there is no out of pocket limit if you only have original Medicare.

Richard Taylor:

[00:06:27 – 00:06:36]

Wait, so I’ve got original Medicare, I have a heart issue, I go into hospital, I have $100,000 worth of surgery. Whatever it is, I’m on the hook for 20% of that.

Misty Kimbrough:

[00:06:36 – 00:06:37]

Yes.

Richard Taylor:

[00:06:37 – 00:06:46]

Without a cap. Yikes. Okay. Ow. Right. What about part B, then there’s a monthly fee. What about out of pocket and yeah.

Misty Kimbrough:

[00:06:46 – 00:06:56]

So on part B, the standard premium changes every year. So for this year it’s $174.70. Then you could get an income related adjustment per month.

Richard Taylor:

[00:06:56 – 00:06:57]

Yep.

Misty Kimbrough:

[00:06:57 – 00:07:24]

Which is really, you know, inexpensive for what the cost of 165 insurance is. So on your part B, you can get an income related adjustment depending on your income. And it’s a tier and it starts out if you make more than $103,000 per year, that’s for this year per individual or. Yeah. 206 for family, husband and wife filing jointly. So you could get all the way up to 5, $600 per month range.

Richard Taylor:

[00:07:24 – 00:07:27]

For part B, 5, 600amonth range.

Misty Kimbrough:

[00:07:27 – 00:07:27]

Yeah.

Richard Taylor:

[00:07:28 – 00:07:33]

Wow. And am I right in thinking it’s on they look at the income level from two years ago.

Misty Kimbrough:

[00:07:33 – 00:07:33]

Yes, that’s correct.

Richard Taylor:

[00:07:33 – 00:07:46]

So if you’re an early retiree, if you’re 65. Right. Or 66, and your income level from two years ago can be substantial. So can you appeal to them and say, look, that was my income from two years ago, but I don’t have that now. I’m just retired.

Misty Kimbrough:

[00:07:46 – 00:07:48]

Sure, of course.

Richard Taylor:

[00:07:48 – 00:07:51]

But what about if you are still working? Because people go on Medicare when they’re still working, right?

Misty Kimbrough:

[00:07:52 – 00:08:15]

Sometimes. It depends. I mean, you’re entitled to part A and if you’ve been working. So there’s a few things you’ve got to think about. That’s why it’s really important to have an agent to talk to. So for instance, let’s say that you’re still working and you’re set up on a health savings account plan with your company and you go ahead and apply for part A, well, then you’re not eligible to contribute to your HSA any longer.

Richard Taylor:

[00:08:15 – 00:08:16]

Okay.

Misty Kimbrough:

[00:08:16 – 00:08:35]

So that’s one of those things that most people don’t know. So something you have to be really careful about. But normally most people will take part A a lot of times. And then depending on the size of the company, if they have 20 or more employees, then the insurance plan for the company would be primary. The group coverage, Medicare, would be secondary.

Richard Taylor:

[00:08:35 – 00:08:46]

Okay, got it. Right. Okay, so just back to part B. The monthly contribution can be substantial. Hopefully you can get it down though. What about out of pocket and co pays? Is that a big deal for part B?

Misty Kimbrough:

[00:08:46 – 00:09:02]

Yes, because if you have part B, you’re going to have your part B deductible, which changes every year. It’s very low. I think it’s 164this year. It changes every year. Well, one year it didn’t two years ago. And then you’re going to pay 20%.

Richard Taylor:

[00:09:02 – 00:09:17]

CO insurance on top of that again, 20% coinsurance. And so obviously part A, going into hospital, having surgery, you know, having these big, big issues that can ratchet up quickly. Part B, does that have the opportunity to like balloon into massive payments?

Misty Kimbrough:

[00:09:17 – 00:09:33]

Sure. Part B also covers your prescription drugs that are administered in the hospital or administered. So let’s say you had cancer and you decided to go on chemo. You would pay 20% of those costs and there’d be no out of pocket limit and that would fall under part B. Crikey.

Richard Taylor:

[00:09:33 – 00:09:44]

All right, so 20% without limit on Part A, 20% without limit on part B. Where does prescription stuff come into? Because that’s separate again. Right. If you’re on a cocktail of drugs, that’s underneath the part A nor part B. Right.

Misty Kimbrough:

[00:09:44 – 00:10:18]

So you need a separate prescription drug plan. That premium, I’m not even going to throw out a premium because it changes every year. But it can be as low as in Texas, for instance, as low as 50 cents per month. But you do have possibly a deductible. Coinsurance is co pays, depending on what tier the drugs are. And there is what we call an out of pocket limit for that, which is catastrophic coverage, which is all changing next year. So I don’t want to go into real big detail about it, but next year it is changing quite a bit. So the maximum out of pocket that you’re going to pay for drugs next year in 2025 will be $2,000.

Richard Taylor:

[00:10:19 – 00:10:28]

Ah, okay. Yeah. Lots of good news. It’s coming. Does the prescription plan cover any and all drugs? Or if you need a certain drug and it’s not covered, are you just in trouble? Basically, no.

Misty Kimbrough:

[00:10:28 – 00:10:36]

So every drug company creates their own formularies. Right. But they have to have at least one drug from every therapeutic.

Richard Taylor:

[00:10:37 – 00:10:38]

Okay, yeah.

Misty Kimbrough:

[00:10:38 – 00:11:10]

So something’s covered some way somehow. So basically what you do is you really shop around for your part D plans every single year. But let’s say that you did, like in May, you got on a drug that you weren’t on in January. You can ask for a formulary exception and they have to grant that formulary exception if the doctor provides all the documentation. So basically your doctor would send in a form that’s online and then they’ll usually accept it if it’s something that the doctor says no, they have to have this brand. Nothing else works for them.

Richard Taylor:

[00:11:10 – 00:11:24]

So it’s not a case of like the nightmare scenario of I’m on a life saving drug. Right. And that is covered by Medicare this year. Next year for some reason it’s no longer covered and I can’t get at it. I’ll still be able to get at it or an equivalent.

Misty Kimbrough:

[00:11:25 – 00:11:27]

Yes, yeah, yeah, there’ll be something. Yes.

Richard Taylor:

[00:11:27 – 00:11:29]

Okay, good. All right, that’s some good news.

Misty Kimbrough:

[00:11:29 – 00:11:32]

Yes. And then like I said, like. Or you can ask for a formula exception.

Richard Taylor:

[00:11:32 – 00:11:34]

Okay, good. Right.

Misty Kimbrough:

[00:11:34 – 00:11:49]

And they have to refill it. So like let’s say you change drugs or you were on group coverage and then beginning when you start part D, you pick a plan that it’s not covered under for some reason they have to refill it at least one time within 90 days until you get it figured out.

Richard Taylor:

[00:11:49 – 00:12:37]

Got it. So I think there’s a misconception, maybe amongst us Brits, but again, because we grew up where our health needs were mostly provided for, there’s a lot of problems with the nhs, but we knew it was there and there were going to be no costs for us, essentially free at the point of service. And I think there’s a misunderstanding of Medicare that when we get here it’s going to be the equivalent of the NHS and it’s not. And then I think there’s the feeling that, okay, so there might be some monthly premiums or co pays, but like my private insurance will be, there’ll be a reasonable out of pocket. But to hear you say it’s 20% without limit in what is likely to be the most medically financially draining years of your life potentially. Don’t people spend more in healthcare costs in their final year of life than the rest of their life combined?

Misty Kimbrough:

[00:12:37 – 00:12:38]

Oh, absolutely.

Richard Taylor:

[00:12:38 – 00:12:41]

So you can be on Medicare but it can still financially ruin you if this goes wrong?

Misty Kimbrough:

[00:12:42 – 00:13:04]

Well, no, I mean there are things that you can do to prevent that. Right. So one of the options is keep original Medicare and pick up a Medicare supplement with a prescription drug plan that would limit your out of pocket costs. And then there’s also the option to go with a Medicare Advantage plan, so you do have that option. Or stay on your group plan so that you have that coinsurance coverage.

Richard Taylor:

[00:13:04 – 00:13:17]

We’re going to talk about this in a second. Obviously this is essentially what we’re here to talk about. But do you find people come to you and they haven’t got any coverage, they are just on Medicare original and they’re not aware of this like massive risk, they’re not being made aware of it?

Misty Kimbrough:

[00:13:17 – 00:13:23]

No. I mean, I think that you get really bombarded about a year before you turn 65.

Richard Taylor:

[00:13:23 – 00:13:23]

Right.

Misty Kimbrough:

[00:13:23 – 00:14:07]

That if you’re not aware of it, then I’m really in shock. There has been some times where maybe someone came off group coverage and they didn’t realize that they needed to get it within a certain amount of time to avoid a penalty. And then every once in a while I’ll have somebody that just has original Medicare and I’m like, you’ve lost your mind. You have to do something right? Like that. That’s not good. So there’s a lot of different little nuances about deadlines and things like that that you really have to pay attention to. I mean, sometimes I have to go back and review them myself just because there’s so many different things. So it’s really important to have somebody that’ll be on your side while you’re navigating this. I mean, I have clients call all the time and they’re just like, I don’t know how you do this. Like, you know, this is complicated.

Richard Taylor:

[00:14:07 – 00:14:18]

So that’s why it is complicated. Yeah, it is complicated. Right. Let’s talk about the options, the solution. How do we make sure we’re not on the hook for 20% without limit?

Misty Kimbrough:

[00:14:18 – 00:15:53]

Well, your first option would be to choose a Medicare Advantage plan which basically encompasses part A and part B and in most cases part D. There’s some plans and then I won’t get into all the details about that because it’s extremely detailed, but there are some plans that possibly wouldn’t come with part D that you may be eligible for. But there’s certain situations where if you pick just a Medicare Advantage plan without that, you cannot add a separate prescription drug plan on. So more than likely, if you’re going to go with just a Medicare Advantage plan, it’s going to be because maybe you’re a vet and you have other coverage through something else, or maybe your company only offers part D because they have a standalone, you know, plan through their company or something like that. Your Advantage plans will encompass all your coverage in one. Right. And then it’s going to have an out of pocket limit for you. And those range, I’m not even going to say the ranges because it just depends on the company and what state you’re in. But there are maximum limits set every single year. I don’t know yet what is going to be for next year, what that maximum is going to be for next year. So you’re usually safe at the max around $8,000 for this year. But it can be really low. It can be as low as $2800 that you would be out of pocket. And so people ask, well, how do I get to that $2,800? So typically, and not always, there’s no deductible on these. There might be a prescription drug deductible, but you’re going to have co pays, say for your doctor visits. Hospitalization, usually on a Medicare Advantage plan, your hospitalization is capped at a certain amount of days that you’re covered. And so it limits that exposure.

Richard Taylor:

[00:15:53 – 00:16:04]

What happens if you go over the number of days and you’re not on Medicare Advantage? If you’re just on regular Medicare, you have a catastrophic accident or you’re in a coma or something, you go over the number of days that you’re covered. Are you on the hook for everything else?

Misty Kimbrough:

[00:16:04 – 00:16:40]

With Medicare, you do have a lifetime maximum of hospitalization over your lifetime. But like, if you only have original Medicare, you’re going to. Yeah, you’re pretty much going to be on the hook for it. But the good part about it is you can always opt into a Medicare Advantage plan, right. Every year. So if you have original Medicare during your AEP or annual enrollment period, you can sign up for that. So like if you miss the cutoff or something like that and you only have original Medicare, you still won’t face the penalty, but you can change to something that does give you that out of pocket limit, and that’s the same. The other option would be to go with a Medicare supplement.

Richard Taylor:

[00:16:40 – 00:16:43]

Medicare supplement, which is Medigap. When I hear people talk about Medigap.

Misty Kimbrough:

[00:16:43 – 00:16:44]

That’S a Medicare supplement.

Richard Taylor:

[00:16:45 – 00:16:51]

Is this the one that like fits in around? So you keep Medicare but you add in a Medicare supplement policy.

Misty Kimbrough:

[00:16:51 – 00:16:52]

Right, right, right.

Richard Taylor:

[00:16:52 – 00:16:53]

Okay.

Misty Kimbrough:

[00:16:53 – 00:17:31]

And there’s standardized plans. So basically, if you turn 65 after 2020, for instance, your part B deductible will not be covered. Okay. But then you can pick plans that would cover everything else. Right. So the only out of pocket you would be is that part B deductible, which is very low coinsurance, is your part A deductible would be covered and then you would pick up a part D plan on top of that. Okay. So for instance, right now the most comprehensive plan you can get if you turned age 65 or turning age 65 after 2020 is plan G. And that’s the most comprehensive plan there is.

Richard Taylor:

[00:17:31 – 00:17:35]

Okay. Whereas Medicare Advantage is like a whole separate policy.

Misty Kimbrough:

[00:17:35 – 00:17:39]

Yes. So you cannot have a Medicare supplement and a Medicare Advantage plan.

Richard Taylor:

[00:17:39 – 00:17:39]

Okay.

Misty Kimbrough:

[00:17:39 – 00:17:40]

You cannot have both.

Richard Taylor:

[00:17:40 – 00:17:45]

So you either have regular Medicare and you Overlay it with a Medicare supplement policy.

Misty Kimbrough:

[00:17:45 – 00:17:48]

Right. So original Medicare with a Medicare supplement. Yes.

Richard Taylor:

[00:17:49 – 00:17:52]

Right. Or you have a Medicare Advantage policy.

Misty Kimbrough:

[00:17:52 – 00:17:53]

Right.

Richard Taylor:

[00:17:53 – 00:17:58]

And you don’t really deal with Medicare in that case, is that right? You deal with your policy like I would do my regular health insurance provider.

Misty Kimbrough:

[00:17:59 – 00:18:19]

Sure. So if you have a Medicare Advantage plan, then you’ll have a card just like you do with your under 65 plan, say from a certain company. It doesn’t mean that you don’t have to pay your part B premium. Right. Because you still have to pay that. And technically you still have part A and part B because you can’t have part A and part B and still get a Medicare Advantage plan. Right.

Richard Taylor:

[00:18:19 – 00:18:19]

Okay.

Misty Kimbrough:

[00:18:20 – 00:18:21]

So you’d have to have one or the other.

Richard Taylor:

[00:18:21 – 00:18:31]

Okay. Which in your practice, which is more common, does it depend on the person you’re dealing with? Some people, it’s clearly Medicare supplement. Is it? Some people clearly Medicare Advantage. What fits? Who?

Misty Kimbrough:

[00:18:31 – 00:20:24]

I wouldn’t say that I could really comment on that because it really depends on the individual and on their individual circumstances. I will say that a Medicare supplement originally was made for people that had illnesses. Right. Because they’d have a very low out of pocket. And now Medicare Advantage plans, they have a lot of times dental, vision, hearing. And with that, which you don’t get with original Medicare. So some people like that benefit. But then you do have some restrictions. Let’s say that you have original Medicare and you have a Medicare supplement. As long as your doctor takes original Medicare, then they’ll take any Medicare supplement. And then that network is original Medicare. So there’s no like place that you can go look up magically. If a doctor’s a network, you physically have to call them and say, do you take original Medicare? You know, there’s a network that you’re normally used to, just like with under 65, if you had health insurance. But I call myself a network snob because, well, being from Texas, in my hometown, it’s very specific about networks like my clients like a specific network. So I really check those out. So I think that’s one of the things that with the Medicare Advantage plan, I mean, I think since I’ve been doing this, I think. And this only happened once about 10 years ago, and then in the last two years, five doctors that I’ve ever had that did not take original Medicare, and literally four of those just popped up last year or in the last two years, you know, that my client said, oh my God, my doctor didn’t take original Medicare. So that’s Been kind of shocking where on a Medicare Advantage plan you have to check the network. I check the network of providers. It can change throughout the year. They don’t have to accept the whole year. And then you’re, you might be restricted to where you can go and who you can see. So that’s one of the things that I think is really defining between the Medicare supplement, original Medicare, and a Medicare Advantage plan.

Richard Taylor:

[00:20:24 – 00:20:25]

I get it.

Misty Kimbrough:

[00:20:25 – 00:20:30]

You know, a Medicare supplement has a higher premium and a Medicare Advantage plan has a zero to low premium.

Richard Taylor:

[00:20:30 – 00:20:31]

Really? Why?

Misty Kimbrough:

[00:20:31 – 00:20:51]

Well, I mean, one is because you’re sharing some of your cost. Right. So on a Medicare Advantage plan you’ve got not a deductible maybe, but you have an out of pocket maximum that you have to pay every year. Where a lot of Medicare supplements, they’re basically paying for everything except your part B premium if you pick plan G. Right. It also depends on how they’re subsidized by the government. Right, right.

Richard Taylor:

[00:20:51 – 00:21:06]

I get the whole network thing. I was treated by Yale New Haven here. And you get used to it and you get used to the people and you get used to the facilities. And retaining access to that, especially as you get older, is important. So I thought it was the other way around. Medicare supplement is more expensive than Medicare Advantage in general.

Misty Kimbrough:

[00:21:06 – 00:21:30]

Yeah. And a Medicare supplement is going to change depending on what plan you pick or what company you choose, because they’re either they may change because of your age depending on how that company rates them. So every year you could have a premium increase or if it’s community rated, the whole community would get a rate increase. It wouldn’t matter about your age. So those are a few other factors to consider when you’re picking a company to be your Medicare supplement.

Richard Taylor:

[00:21:30 – 00:21:31]

Do people try and do this on their own?

Misty Kimbrough:

[00:21:31 – 00:21:32]

They do.

Richard Taylor:

[00:21:33 – 00:21:34]

Wow.

Misty Kimbrough:

[00:21:34 – 00:21:44]

I mean, I have to say that the Medicare.gov website is very resourceful. I do. I have to say that. I mean, it’s a lot of information. Right. But I have to say it’s very good.

Richard Taylor:

[00:21:44 – 00:21:50]

And do you find people, do people shop and change every year or do people tend to find something that works for them and stick to it?

Misty Kimbrough:

[00:21:50 – 00:23:35]

Well, I mean, I think so. On a Medicare Advantage plan, a lot of people change every year. One, they get a lot of stuff in the mail. Right. Companies may change what territory they’re operating in. Their out of pocket maximum may go up too high or they decide they want a PPO instead of an hmo, another company could come into their service area. And then also like even with A Medicare Advantage plan. I always say your prescription drug plan is more than likely attached to your Medicare Advantage plan. So those formularies could change every year. So you really need to shop that as well and make sure that your medications are covered for the following year. If not, you need to plan for a formulary exception or you need to plan for something to make sure that you’re covered when that change does take place. So with a Medicare Advantage plan, you can do that? No, there’s no medical underwriting. You can just change whenever you want to a Medicare supplement. You can change any time of the year. There is a certain open enrollment period or an annual enrollment period, basically during your first year aging into Medicare. Then you can get a Medicare supplement without underwriting for the first six months. Right. After that, you’ll have to go through underwriting unless you have a qualifying event that your company decided they weren’t going to operate in Alabama anymore. Then you could switch companies without underwriting. So there’s certain rules that you could switch, and it also depends on the insurance department in that state as well. So those are little things that you kind of have to basically, like if you’re sick, okay. And your premiums went up to $500 because you have a Medicare supplement, and then you find out you have cancer. Let’s say you can’t switch to another Medicare supplement, right? Because you won’t qualify if you’re outside of that time period.

Richard Taylor:

[00:23:35 – 00:23:42]

Wait, so there is medical underwriting for Medicare supplement. So will they deny you? Can they make it prohibitively expensive? Can they exclude preexisting conditions?

Misty Kimbrough:

[00:23:42 – 00:23:47]

No. As long as you had prior coverage, no preexisting condition exclusions? No.

Richard Taylor:

[00:23:47 – 00:23:48]

But can they make it prohibitively expensive?

Misty Kimbrough:

[00:23:49 – 00:24:14]

No. I mean, you’re not rated on your health condition. So let’s say you turn 65, you’re going to get a Medicare supplements guaranteed issue. I mean, it’s your open enrollment period, so you’ve got it. There’s other times, like I said, you have the guaranteed issue periods. So let’s say you’re coming off your 70 and you decide to retire. You sign up for Medicare Part B, then. Then you can sign up for a Medicare supplement without underwriting. So there’s certain times when you can.

Richard Taylor:

[00:24:14 – 00:24:15]

But if I miss that window.

Misty Kimbrough:

[00:24:15 – 00:24:17]

No, you’d have to go through underwriting.

Richard Taylor:

[00:24:17 – 00:24:31]

Right. Wow. Okay. And then what the repercussions are going through underwriting, potentially, I miss that window for whatever reason later on, I want to get a Medicare supplement plan. I go through medical underwriting. They’re not going to exclude me for pre existing conditions, but could I just get astronomical premiums?

Misty Kimbrough:

[00:24:31 – 00:24:38]

So there are some that offer standard rates and then like premier rates due to certain health conditions, but otherwise typically you would just be declined.

Richard Taylor:

[00:24:38 – 00:24:59]

Really? And then what are my options then? Medicare Advantage. Yes, and there’s no underwriting with that, but it’s less attractive. Obviously it’s horses for courses and there’s pros and cons to each, but in general, what I’m picking from this is given the choice, if I have the financial resources and I make sure I don’t miss deadlines and stuff, I’m leaning towards Medicare supplement. It sounds like.

Misty Kimbrough:

[00:24:59 – 00:25:54]

I would say probably so. But the Medicare Advantage plan just keeps getting richer and richer. Really, you know what I mean? Like as far as the perks, because now they’re giving, like, you know, you get. I mean, one of the biggest things I think that people ask about is most Medicare supplements offer fitness for free. Right. Which is a big perk for a Medicare Advantage plan because they get to go work out and there’s no charge. Right. Then there’s some other things, like I said, they might have dental, vision, hearing also inside of that. Now they’re even giving money every year to go play golf, you know, that you can get reimbursed for or buy yoga mats. So there’s those plans out there that, you know, may pay, I don’t want to throw a number out there, but, you know, may pay up to, let’s say $600 for you to go play golf. You know, just trying to keep you healthy and fit. Right.

Richard Taylor:

[00:25:54 – 00:25:57]

Wow. I wasn’t expecting that.

Misty Kimbrough:

[00:25:57 – 00:26:15]

Yes. So that’s kind of like when you start weighing that out, a lot of people say, well, I’m going to have that out of pocket, maximum. I mean, I don’t plan on getting sick. Right. And they want to take that because they have a low premium. Right. A really low premium or no premium. So, yeah, it can make a big difference.

Richard Taylor:

[00:26:15 – 00:26:18]

Do people really say that I don’t plan on getting sick?

Misty Kimbrough:

[00:26:19 – 00:26:19]

Hell yeah.

Richard Taylor:

[00:26:19 – 00:26:20]

Dangerous game to play.

Misty Kimbrough:

[00:26:20 – 00:26:41]

Oh, yes. Yeah. And I always tell a story about one of my friends that ended up with like 15 blood clots, you know, healthy, worked out all the time and ended up almost two years sick. And I mean, he had insurance, but they’re like never expected this to happen. Right. You know what I mean? I mean, you just tore your Achilles. Right. So I’m sure you weren’t expecting that to happen.

Richard Taylor:

[00:26:41 – 00:27:00]

I absolutely wasn’t expecting to happen. Although, like I said before, I should have known. I did the other one a decade ago. So I have the dubious honor of having two ruptured Achilles. So yes, better be prepared, folks. I had no intention of this happening to me. Should we talk about the prescription side of things then? You alluded to before, there’s some changes coming.

Misty Kimbrough:

[00:27:00 – 00:28:03]

Sure. So on the prescription drug plan, which standalone prescription drug plan, we’ll talk about now. So your part d plan for 2025 is actually going to be capped at $2,000, which is amazing because prescriptions are the biggest expense for seniors. Right. So it’s going to really help, like. Yeah, I mean I have some clients that out of pocket catastrophic at 8,000. You know, that’s a lot of money every year, you know, so cutting that. And then also they’re bringing in for 2025 a payment plan. So basically what that means is you can pay for your prescriptions throughout the year. So right now, so what happens sometimes is they have like for this year they might have a 545 prescription drug deductible and they take really expensive drugs. So the first month they’re hit with $545. Right. That’s a lot for somebody that lives on a limited income. So now you’re going to be able to space that out throughout the year instead of getting hit all at one time. So that’s going to be a nice benefit.

Richard Taylor:

[00:28:03 – 00:28:07]

Good. Oh, great. These are really positive benefits.

Misty Kimbrough:

[00:28:07 – 00:28:47]

Yeah, yeah. I mean, yeah, I think so. And there’s other things. You know, you can get also an income related adjustment for part D that’s going to stay about the same. So you could pay up to, for instance, what is it this year? I think 81 additional dollars per month for the income related adjustment. So that would be on top of your part D premium. So that’s something that you have to consider. So if you start adding it up and you’ve got a part B income related adjustment, you got your base premium, you got your part D, then you’ve got, you know, it can add up. I mean, some people are like, well, should I, you know, leave my group plan? You know, because now I’m already up to 7 or $800. But the good part about it is depending on what you have, you’re probably going to be out of pocket a lot lower with Medicare.

Richard Taylor:

[00:28:47 – 00:28:54]

Okay, good, good. There’s a lot going on, isn’t there? Yes, there is a lot going on.

Misty Kimbrough:

[00:28:54 – 00:28:54]

Yeah.

Richard Taylor:

[00:28:54 – 00:29:02]

I’m still reading for 20%. No. The idea of someone out there without some additional coverage is terrifying.

Misty Kimbrough:

[00:29:03 – 00:29:20]

It hasn’t happened a lot in my career, but it has happened. It has. And then if you don’t sign up, there’s certain rules, like when you can actually get. It might not start till July the following year. So if you don’t have part B, or someone might forget to sign up for part B and then they just have part A.

Richard Taylor:

[00:29:20 – 00:29:23]

And what happens in the interim? If you go to the doctor, you’re on the hook for it.

Misty Kimbrough:

[00:29:23 – 00:29:34]

Oh, yeah. I don’t just like having no coverage. So they don’t want to pay that premium. But then I’m like, well, you’re going to pay a late penalty too, right? If you sign up late for part B.

Richard Taylor:

[00:29:34 – 00:29:37]

You’ve mentioned that a few times, Misty. What kind of penalties are we talking?

Misty Kimbrough:

[00:29:37 – 00:29:41]

Basically, for part B, it’s a 10% penalty, and that never goes away.

Richard Taylor:

[00:29:41 – 00:29:43]

10% penalty of the annual premium?

Misty Kimbrough:

[00:29:43 – 00:30:39]

Yes. For every year. Every year that you don’t. And then it’s prorated. And then like for prescription drug deductible, it’s 1% of whatever the standard rate is. So, like, for this year, the average premium for prescription drug is $34.90. So they would be responsible for that portion of that for however many months. 1% of that cost, and it’ll change. So next year, let’s say the average cost for a prescription drug plan is $50, and they’re going to pay 1% of that for every month that they weren’t enrolled in a part D plan. And a lot of people are like, well, I don’t take any prescriptions. And I’m like, I know, but like, you might be able to get a plan for 50 cents a month or $10 a month. You start stacking that part D penalty on there and it stays for the rest of your life. You’re going to wish you had, you know, because a lot of people now, I feel like they have other options on how to get drug coverage or, you know, they’re not doing medications anymore. They’re doing supplements and alternative medicine.

Richard Taylor:

[00:30:39 – 00:30:51]

So before we move on, anything else to say on Medicare, Medicare planning, Medicare supplements, other than seek help, don’t do this yourself. Yeah, that’s coming from me.

Misty Kimbrough:

[00:30:51 – 00:32:11]

Well, I think it’s really important to remember that you need to enroll in part A and part B three months prior to your birthday month, up to three months after, or you will face that penalty. Right. So that’s your initial enrollment period. And then we also have aep, which is the time that you need to shop. Right. So you need to shop Your prescription drug plans. So for instance, like for me, like I send an email to my clients as soon as I can start marketing Medicare, which is October 1st, and I just say, hey, we have to review your medications. And they’re used to it. Like, I know that a lot of agents don’t do that because it’s very time consuming, but it’s getting better so that we can see if they need to change prescription drug plans for the year. And I’ll also, you know, want to review their Medicare supplement. And most people, I say, for your Medicare supplement, like, you can stay where you’re at. Right? We can deal with that any time of the year. It doesn’t have to be during annual enrollment period. And then we also have an open enrollment period now which starts January 1st to March 31st. And that’s when you can play around with your Medicare Advantage plan if you missed it during the aep. So very specific wording, aep, oep. But you won’t see anything on OEP because agents can’t market it. So it’s like you really have to call me and say, I don’t like this plan, I tried it, or I can’t find my doctors during that time period.

Richard Taylor:

[00:32:12 – 00:32:13]

Okay, Right.

Misty Kimbrough:

[00:32:13 – 00:32:14]

Yeah, right.

Richard Taylor:

[00:32:14 – 00:32:36]

Missy, that was fantastic. Thank you. Just before we wrap up here though, what happens a lot, again, this is for Brits coming from America because we don’t think about this. A lot of times our clients will want to retire early, before 65, and they haven’t really thought about the impact of not having access to Medicare and no longer being on group medical insurance. So can we just touch on that? So early retirement, pre Medicare, what are people’s options?

Misty Kimbrough:

[00:32:36 – 00:33:52]

So people’s options are the ACA or most people call it Obamacare. That’s going to be the only way technically you can get it without pre existing conditions excluded. Or let’s say that one of your clients has a consulting company and they have one employee, or maybe their husband and wife decide to make a company and are working together, then they could get, you know, group insurance. There’s a lot of misconception out there, which is very frustrating for me because we do have short term insurance, which Biden’s administration just changed. And this is going to go back and forth. So depending on what happens with the election this year, short term insurance may be available for longer or may not. So this has gone back through both administrations, back and forth, back and forth, back and forth. The short term insurance is going to have, you know, medical underwriting, maybe preexisting conditions are excluded. Maybe they’re included. It depends the plan. Right. And. Or just an automatic decline, depending on what you have. So you have to be pretty healthy to qualify. And it’s more of a limited plan. I mean, some now offer some preventative care services, but they don’t offer all the essential health benefits like an ACA plan does. One of the things that I really try to tell people is I have quite a few clients that want to stay on short term because it has a better network.

Richard Taylor:

[00:33:52 – 00:33:56]

Wait, when you say short term, are we talking months? So could it be years?

Misty Kimbrough:

[00:33:56 – 00:35:20]

So right now, as of today, if you’re to write a policy before August 31, you can actually get a tried term plan that can last up to three years. This is also going to be state specific. Okay. But as the federal government’s rules, up to three years, the administration just changed that and it cannot go up to more than three months after September 1st. So if you go into short term. And so what does that mean for your clients? Pretty scary, actually. So let’s say that you decide you like the premium is better, it has a better network, and you want to go on a short term plan. And let’s say you do that in March. Okay. And you can only keep it for three months. Short term is not considered qualifying life event for you to get on an ACA plan. So let’s say in the middle of this, you tear your Achilles. Okay. And on April 30, let’s say, and you’re still going through therapy, your plan is only going to last for three months. If you took that out March 1, it’s going to end in three months. You’re still going through physical therapy for maybe a year. Let’s say you’re not going to be able to get another short term plan. Why? Because you have a preexisting condition. Right. And you’re also going through therapy at the moment. And the other thing is that it’s in the middle of the year, it’s not open enrollment for under 65. So therefore you can’t go onto an ACA plan either. So you’re just about insurance.

Richard Taylor:

[00:35:21 – 00:35:22]

Scary.

Misty Kimbrough:

[00:35:22 – 00:35:23]

Yeah, yeah.

Richard Taylor:

[00:35:23 – 00:35:25]

You do not want to be in that position.

Misty Kimbrough:

[00:35:25 – 00:35:42]

No, I mean, and I do. I have a lot of clients on short term coverage. But I mean, it’s like I’m trying to re my policies right now because if not, they’re going to change every three months and go through medical underwriting. When I say medical underwriting, there’s questions. They’re going to pull Your prescription drug history, things like that, and then you could be declined.

Richard Taylor:

[00:35:42 – 00:35:46]

So if you don’t want to go on short term, it’s basically cobra, if that’s an option.

Misty Kimbrough:

[00:35:46 – 00:35:46]

What?

Richard Taylor:

[00:35:46 – 00:35:48]

Cobra lasts for what, 18 months?

Misty Kimbrough:

[00:35:48 – 00:35:51]

Yeah. So sometimes it will last for 36 months.

Richard Taylor:

[00:35:52 – 00:35:54]

Who decides that? Is that the company that decides that?

Misty Kimbrough:

[00:35:54 – 00:36:07]

Oh, it’s a law. It’s a law. So let’s say that you’re retiring and you’re turning 65. Then your spouse would be able to stay on it for 36 months because you aged into Medicare.

Richard Taylor:

[00:36:08 – 00:36:18]

Right. But if your spouse is, your spouse is five years younger than you say, though he or she might get three years, but then there’s still a two year window before they qualify for Medicare. So you still have an issue for them. Right?

Misty Kimbrough:

[00:36:18 – 00:36:55]

Right. Then we’ll go on to an ACA plan, a short term plan. And there’s also Christian ministries, you know, type plans that you can go on to. I like to tell people, like, it’s really important that you look at a policy because like for instance, I just keep referencing your little accident here. But you know, a lot of short term plans, when you start reading the fine print, let’s say they don’t cover tendon replacement. Right. Or repair. So you don’t know that because you didn’t read your policy and you have a short term plan and it’s not covered. It wasn’t a preexisting condition, but tendons aren’t covered. Right. So that’s a big thing.

Richard Taylor:

[00:36:55 – 00:36:56]

Yikes.

Misty Kimbrough:

[00:36:56 – 00:37:00]

Where an ACA plan, it covers all pre existing conditions. There’s no medical underwriting.

Richard Taylor:

[00:37:00 – 00:37:03]

So why do people do short term and not just aca?

Misty Kimbrough:

[00:37:03 – 00:37:11]

Typically, and not always. Not right now, not in the last couple of years probably. But the short term has been less expensive. Also the network. The network is huge.

Richard Taylor:

[00:37:11 – 00:37:14]

Yeah. Okay, you did mention that. Yeah, Network, right. Makes sense.

Misty Kimbrough:

[00:37:15 – 00:37:27]

Right? Because I mean, like for instance, some hospitals don’t take any ACA plans, let’s say your children in an ACA plan. Some of the children’s hospitals don’t take an ACA plan at all.

Richard Taylor:

[00:37:27 – 00:37:28]

Oh, really?

Misty Kimbrough:

[00:37:28 – 00:37:42]

Yes. So if your child has an accident or something and you want them to go to that specific children’s hospital, the only way you’re going to get that is being on a short term plan. So I have a lot of clients that choose that just because of that reason.

Richard Taylor:

[00:37:42 – 00:38:11]

Wow. Wow. If you’re, if you’re, if you’re in your early 60s, I. Look, I might be, this might be a completely unfair question and impossible to answer. But I’m asking anyway, right? You’re in your early 60s, you’re in reasonable health, you know, good health for 60 year old couple. What are you looking at on, Are we looking at tens of thousands of dollars a year for an ACA plan with massive deductibles? Are we looking at, is it prohibitively expensive? Is it, you know, is it going to ruin us? Is it an option or not?

Misty Kimbrough:

[00:38:11 – 00:38:36]

I mean, it’s getting to that point. It’s, it’s, it’s crazy really. I mean, I, I can’t say because, you know, state specifics and age and you know, demographics, everything plays a role. But I mean, you’re probably looking at age 60, a minimum of $600, probably more than that. 800 to $1,000 per month per couple or per person.

Richard Taylor:

[00:38:36 – 00:38:41]

Oh, that’s per person per person plus co pays and deductibles and all that. Good stuff.

Misty Kimbrough:

[00:38:41 – 00:38:57]

Yeah. And so the out of pocket maximum each year changes, Right. So this year, what is it, 70? Last year was 6700. This year it’s 7700 per person or double that usually for the family. So, you know, you’re talking about more.

Richard Taylor:

[00:38:57 – 00:39:04]

Than 7,700, $7,700,000 a month per person plus another eight grand out of pocket, potentially, if you.

Misty Kimbrough:

[00:39:04 – 00:39:09]

And it’s just going to keep going up. They think in the next five years our out of pocket maximums are going to be over 20,000.

Richard Taylor:

[00:39:09 – 00:39:18]

Yikes. Yikes. They don’t want people retiring early, do they? Keeping us in the workforce, keeping our noses to the grindstone.

Misty Kimbrough:

[00:39:18 – 00:39:23]

Well, the good news though, I mean, you could qualify for a subsidy to help pay for your premium.

Richard Taylor:

[00:39:23 – 00:39:24]

Tell me more.

Misty Kimbrough:

[00:39:24 – 00:41:15]

So there’s a certain threshold, it used to be. Exactly. If you were under 400% of the federal poverty level, you may qualify, but now it’s based on more percentage of your income, which is like right at 8.9% and that’ll probably change for next year, but you may qualify. But there’s a lot of stipulations in qualifying for subsidy as well, right? Like you have to file a joint tax return if you’re married, you have to allow the government to see your tax returns while you’re on there and you may have to pay back the subsidy. So if it’s kind of a thing where you don’t know how much money you’re going to make, right, because you’re in retirement, maybe the stock market hits and you get, you know, more dividends, then you can make more money and you might have to potentially pay that money back. So when choosing a plan, it’s really important to say, if I had to pay this money back, can I afford to? When you’re picking the plan. And then there’s other stipulations. So let’s say that you need to go on an ACA plan, or let’s say. Let me give a good example. If you are offered group insurance, you can’t qualify for a subsidy if it’s deemed affordable. This year the rules changed because it used to knock your whole family out, and it was based on just your income. I mean, your income and your premium amount. And then this year they actually made it because it didn’t make any sense. So you’re saying my company pays for all my premium. Right. So it’s deemed affordable, but for my family, it’s $2,000 a month, and I only make $20,000 a year. Right. So it’s not affordable for my family because it’s over 10% of my income. So then they could qualify. So. So that just changed this year. Hopefully it stays that way for next year that they’ll allow the family. So there’s all these little nuances. The most important thing I have to say about ACA plans is there is an open enrollment period. You can’t just get it any time of the year. And most people don’t know that. I had a client yesterday that found out she probably has lung cancer, and she’s like, I haven’t had insurance since April. It was such a headache, you know, blah, blah, blah. I was like, well, you’re out.

Richard Taylor:

[00:41:15 – 00:41:15]

What?

Misty Kimbrough:

[00:41:16 – 00:41:16]

Yeah.

Richard Taylor:

[00:41:17 – 00:41:31]

So how can you be. How can you. Oh, man, I don’t know. I just terrify me being without insurance for any amount of time. How do you let that happen? Not you. I mean, how do you, as a human, as people. Do we. Do we let ourselves fall through the cracks like that?

Misty Kimbrough:

[00:41:31 – 00:41:54]

Well, I mean, it’s very common. I mean. I mean, if you can’t afford it, you can’t afford it. You know what I mean? I mean, when you. When you start thinking two people may make $120,000 a year, but you’re looking at $2,000 a month in insurance. You know, you’re paying pretty much for the first $8,000 or, you know, $5,000. Then people are like, I can’t eat, you know, if they don’t qualify for a subsidy. So.

Richard Taylor:

[00:41:54 – 00:41:57]

Yeah. When is the open enrollment period for aca?

Misty Kimbrough:

[00:41:57 – 00:42:03]

Aca, Right now. I don’t think there’s going to be Any changes? It starts November 1st and then ends January 15th.

Richard Taylor:

[00:42:03 – 00:42:21]

Okay. It’s constantly changing, isn’t it as well? You think you got a hold of this thing and it’s like everything you caveat with, it’s. This is the rules now. It changed last year. Hope it won’t change next year. Like, these don’t seem to be set in stone for blocks of period. It’s like every year you’re dealing with some. It’s constantly moving. Surface playing Surface, Yes.

Misty Kimbrough:

[00:42:21 – 00:42:30]

I mean, because like I said, like, even just with short term, it’s been the same through this administration and right now it’s being changed at the very end. Right?

Richard Taylor:

[00:42:30 – 00:42:30]

Yeah.

Misty Kimbrough:

[00:42:30 – 00:42:50]

And this is huge because a lot of people have short term insurance, especially because if something was to happen in the middle of the year and they have it, they can’t get an ACA plan, so they would be without insurance because of that rule. And we’ll see how things change. I mean, I have to say, you know, Medicare is a little bit more stable. The only thing that changes is really the numbers. Right. Okay.

Richard Taylor:

[00:42:50 – 00:43:09]

Yeah, yeah, Good. All right, well, hopefully I’ll be able to hold on to this information better. And if I can’t, I’ll just come and re listen to this podcast. Misty, thanks for guiding us through these uncharted waters for us. There’s a lot and it’s important stuff. I mean, you can have a. Clearly you can have a serious impact on your health, but I alluded to at the start your financial health as well. So thank you.

Misty Kimbrough:

[00:43:09 – 00:43:12]

No, you’re welcome. My pleasure. Glad I could help.

Richard Taylor:

[00:43:12 – 00:43:12]

Thank you.

Misty Kimbrough:

[00:43:12 – 00:43:20]

Where can people find you at RedAppleInsurance.com or you can call me, visit my website, Facebook, Instagram.

Richard Taylor:

[00:43:20 – 00:43:21]

Great. You’re on LinkedIn, I think, right?

Misty Kimbrough:

[00:43:21 – 00:43:22]

Yes.

Richard Taylor:

[00:43:22 – 00:43:28]

I’ve looked you up on LinkedIn. You’re definitely on LinkedIn as well. So yes. Wonderful. All right, well, thank you so much for coming on. We’re the Brits in America.

Misty Kimbrough:

[00:43:28 – 00:43:29]

Thank you. Thank you for having me.

Richard Taylor:

[00:43:29 – 00:43:30]

Cheers.

Misty Kimbrough:

[00:43:30 – 00:43:31]

Bye. Bye.

Richard Taylor:

[00:43:33 – 00:44:37]

All right, folks, that’s another episode of we’re the Brits in America Under our belts. Thank you for listening. I appreciate it and I appreciate you. If you’re enjoying the show and would like to support the mission, which is to help Brits thrive in America. I’d ask you to subscribe to the podcast wherever you listen and also consider leaving a rating and a review. This stuff really does matter. Please help us get this information to the people who need it. That is your fellow Brits living in America. Just a quick reminder that this show is brought to you by Plan First Wealth. We are a US based US UK cross border financial planning and wealth management firm, and we help successful British expatriates living across the US to make the most their opportunity and ultimately to retire happier. So if you’re a British expat living in America and you’d like to know more about what we do for people like you, you can find us at our website planfirstwealth.com or you can look me up on LinkedIn. Do get in touch. We’d love to hear from you. As always, thank you to the podcast guys for their help producing this episode and the entire show. See you next.