Protect Your Health,
Secure Your Future
Personalized health insurance guidance for individuals, families, seniors, and small businesses — ACA Marketplace, Medicare, Long-Term Care, and Travel Insurance.
Who are you looking for coverage for? Select your situation to see the plans that apply o you.
Individual or Family
Under 65 · Not on Medicare · Looking for personal or family health coverage
- ACA / Marketplace Plans — subsidies, tax credits, essential benefits
- Long-Term Care Insurance — protect savings from future care costs
- Travel Insurance — medical coverage abroad, trip protection
SEE PLAN DETAILS ↓
Senior or Retiree (65+)
Turning 65 or already on Medicare · Enrollment windows are strict — missing them causes permanent penalties
- Original Medicare — Parts A & B enrollment guidance
- Medicare Advantage (Part C) — bundles A+B+D, may include dental/vision
- Medicare Supplement (Medigap) — covers out-ofpocket gaps
- Part D Prescription Drug — stand-alone drug coverage
- Long-Term Care Insurance — Medicare does NOT cover nursing home or assisted living
SEE ENROLLMENT TIMELINE ↓
Small Business Owner
2–50 full-time employees · Want to offer health benefits to attract and retain talent
- Small Group Health Insurance — Bronze, Silver, Gold, Platinum tiers
- Employer contribution strategy — typically 50%–100% of employee premium
- ACA compliance support — reporting, filing, ongoing requirements
- Optional dental & vision — add-on plans for your team
SEE PLAN DETAILS ↓
It's Not Just Coverage — It's the Right Coverage for Your Situation
Susan Portnoi, CPA/PFS
Sr. Wealth Advisor
Plan Details & Enrollment Guides
Select a plan type to see key details, benefits, and what to expect during enrollment. Each section includes the information you need to make a confident decision.
Healthcare Marketplace — ACA / Obamacare
Also known as Obamacare, the Affordable Care Act, or Healthcare.gov — ACA plans provide comprehensive, government-supported coverage. Open enrollment runs Nov 1 – Jan 15 annually. Special Enrollment Periods apply for qualifying life events.
KEY BENEFITS
- Cannot be denied for pre-existing conditions Essential Health Benefits: doctor visits, ER, hospitalization, prescriptions, maternity, mental health, preventive care
- Financial subsidies & tax credits for low-to-moderate income households
- Preventive screenings and checkups covered at no extra cost
IMPORTANT NOTES
- Open enrollment: Nov 1 – Jan 15 each year Special Enrollment Period (SEP) for job loss, marriage, new baby, or move
- Plan rules, copays, deductibles, and subsidy amounts vary by state
- Higher-income individuals may have limited or no subsidies available
Medicare — Enrollment Timeline & Plan Options
Comprehensive coverage for individuals 65+ or those with qualifying conditions. Enrollment timing is critical — missing your window results in permanent late penalties added to your monthly premium for life.
Enrollment Periods — When You Can Apply
| PERIOD | DATES | WHAT YOU CAN DO |
|---|---|---|
| Initial Enrollment (IEP) | 3 months before to 3 months after 65th birthday — 7-month window | First-time enrollment in Medicare Parts A & B. Apply early for best coverage start date. |
| Annual Enrollment (AEP) | Oct 15 – Feb 7 (effective Jan 1) | Switch plans, review coverage, or update Part D. Check Annual Notice of Change (ANOC). |
| Open Enrollment (OEP) | Jan 1 – Mar 31 | Make one change if already in Advantage plan or return to Original Medicare. |
| Special Enrollment (SEP) | Triggered by qualifying life event | Applies for job loss, moving, Medicaid changes, or other eligibility events. |
Processing time: 2–4 weeks when applying early. May take up to 60 days if additional verification is required.
After Parts A & B Are Approved — Choose Your Next Step
OPTION 1 - Medicare Advantage (Part C)
- Bundles Parts A + B + D in one plan
- May include dental, vision, and hearing
- Offered by private insurers
- Enrollment: 24–72 hrs after verification
OPTION 2 - Medicare Supplement (Medigap)
- Covers remaining out-of-pocket costs not paid by Original Medicare
- Guaranteed approval only in first 6 months of Part B — don't miss this window
OPTION 3 - Stand-Alone Part D
- Prescription drug coverage only
- Can be added alongside Original Medicare or Medigap
- Coverage starts 1st of next month
Long-Term Care Insurance (LTCI)
One of the most overlooked parts of retirement planning. LTCI covers nursing homes, assisted living, and in-home care. Medicare does NOT cover long-term care — only short-term rehab. Average nursing home cost: $100,000+ per year.
KEY POLICY FEATURES
- Benefit Amount: Daily or monthly payout limit
- Benefit Period: How long it pays — 3 years, 5 years, or lifetime
- Elimination Period: Waiting period before benefits begin (30–90 days)
- Inflation Protection: Increases benefit value over time — critical for long-term policies
POLICY TYPES
- Traditional LTCI: Lower initial cost. "Use it or lose it" — no payout if care is never needed.
- Hybrid (Life + LTC): Combines life insurance with LTC benefits. If LTC is never used, beneficiaries receive a death benefit — nothing is lost.
- Best purchased in your 50s or early 60s when premiums are significantly lower.
Small Group Health Insurance
COST STRUCTURE
- Employer pays: typically 50%–100% of employee premium
- Employee pays: remaining premium + deductibles & copays
- Costs vary by employee ages, location, plan tier, and headcount
- Houston-area pricing available — we pull local carrier quotes
PLAN TIERS & PROCESS
- Plan levels: Bronze, Silver, Gold, Platinum
- Employer selects plan(s) and sets contribution amount
- Employees enroll individually within employer's chosen plan
- Optional dental and vision add-ons available
- We handle ACA compliance, reporting, and annual renewals
Travel Insurance
WHAT'S COVERED
- Medical emergencies & hospital stays abroad
- Emergency evacuation — can cost $20,000–$100,000+ without coverage
- Trip cancellation / interruption — reimburses non-refundable expenses
- Travel delay — meals, hotels, transport after 6–12 hr delays
- Baggage loss, theft, or delay — covers essentials while waiting
WHAT'S NOT COVERED
- Pre-existing conditions (unless waiver purchased early)
- High-risk activities (unless added as rider)
- Travel against U.S. government advisories
- Normal pregnancy (complications may be covered)
- Claims without supporting documentation
Most important for: international trips · cruises or guided tours · traveling with elderly family members · expensive or nonrefundable bookings.
* Coverage options, subsidy amounts, and plan availability vary by state and individual eligibility. All information for illustrative purposes only.