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Person in light-colored pants sitting in teal walker on a paved path in a park with a white bench in the background.
By Tonya Pilichowksi November 3, 2025
Veterans, confused about VA benefits vs. Medicare? Learn how these two programs work together to expand your healthcare options and why you should enroll in both for maximum coverage and peace of mind.
Smiling senior couple leaning against packed furniture, outdoors. Woman's hand on man's face.
By Tonya Pilichowksi October 31, 2025
Are you a "snowbird" or double-state dweller? Learn how to avoid costly issues with permanent residency, dual-state probate, health insurance, and homeowner's coverage.
Three Black women, a young woman, a middle-aged woman and an older woman, smiling on a sofa.
By Tonya Pilichowksi October 25, 2025
Nearly 70% of people over 65 will need long-term care. Learn why planning early—using traditional or hybrid insurance—is crucial to protect your savings and family.
Elderly couple riding a bicycle, smiling outdoors, woman embracing man.
By Tonya Pilichowksi October 20, 2025
Snowbird? Learn how Original Medicare, Medigap, and Medicare Advantage plans cover you when you split time between two states. Get tips for Part D and network coverage.
Woman's hand gently holds an older man's wrist; he squeezes a yellow stress ball, seated indoors.
By Tonya Pilichowksi October 15, 2025
Learn the difference between long-term care and assisted living. Find out which costs Medicare does and doesn't cover, and why planning ahead for custodial care is essential.
Autumn foliage blankets a hillside under a brilliant sunset.
By Tonya Pilichowksi September 26, 2025
September is Life Insurance Awareness Month. Learn why life insurance is essential for protecting your family's financial future. Discover how affordable a policy can be and find the right coverage for your needs.
Overlapping beige envelopes, with shadows indicating depth.
By Tonya Pilichowksi September 16, 2025
Get your Medicare Advantage Annual Notice of Change (ANOC) and learn what to look for. Use this guide to understand your plan's changes and make informed choices for next year's coverage.
Envelope with
By Tonya Pilichowksi September 12, 2025
Medicare Advantage plan denied your care? Don't give up. Learn the steps to appeal a prior authorization denial and get the treatment you need.
By Tonya Pilichowksi August 25, 2025
Based on real events. Name changed for privacy. When Maya, a 42-year-old teacher and single mom, began feeling unusually fatigued in late November, she assumed it was j ust end-of-semester stress catching up with her. But when she discovered a small lump and followed up with her doctor, she was diagnosed with early-stage breast cancer — just weeks before the holidays. The emotional toll was immediate. But what Maya didn’t expect was the financial hit that would follow — one that even her health insurance couldn’t protect her from. A Harsh Reality for the Insured Maya had health insurance through her employer. Like many plans, it came with a $5,000 deductible—a cost she was responsible for before her insurance would begin covering most of her care. Because her diagnosis and initial treatments fell in December, she quickly met that deductible with just a handful of appointments: diagnostic imaging, biopsies, and outpatient surgery. Then came January. As the calendar reset, so did her insurance deductible. And so did her bills. Maya now faced a second $5,000 deductible just as she began chemotherapy. In total, her out-of-pocket costs soared to $10,000 in just a few short weeks—an overwhelming amount for someone living on a teacher’s salary with a child to care for. Despite having coverage, Maya was left financially stretched, relying on credit cards and family assistance just to stay afloat. The timing of her diagnosis — spanning the end and beginning of two plan years — created a perfect storm of expenses. How This Could Happen to Anyone Maya’s experience isn’t rare. Many health plans include high deductibles and out-of-pocket maximums that reset annually . A serious diagnosis or accident that spans the end of one year and the start of the next can trigger two years of deductibles and out-of-pocket costs in rapid succession. Even those with “good” health insurance may not realize: A plan’s deductible resets every calendar year (or plan year). Major illnesses involve repeated care across many months: testing, treatment, follow-ups. Out-of-pocket maximums do not roll over, meaning you could hit them back-to-back. In Maya’s case, her total out-of-pocket expenses for care she couldn’t delay were more than 10% of her annual income. And while she fought cancer with resilience and grace, she also fought bills—and the stress that came with them. What Could Have Helped This is where critical illness insurance or cancer insurance could have made a major difference in Maya’s journey. These policies are designed to pay a lump-sum cash benefit directly to the insured after a covered diagnosis—like cancer, heart attack, or stroke. That benefit can be used for anything: medical bills, travel, lost wages, childcare, or even groceries. If Maya had a critical illness policy that paid, say, $15,000 upon diagnosis, here’s how it could have helped: Covered both of her deductibles and out-of-pocket costs. Freed her from relying on high-interest credit cards. Allowed her to take more time off without worrying about income loss. Given her the breathing room to focus on treatment and recovery—not finances. Some cancer-specific insurance plans also provide ongoing benefits for chemotherapy, radiation, or hospital stays—depending on the policy. These can help cover gaps and reduce long-term debt. Lessons from Maya’s Story No one plans to get sick. But Maya’s experience is a powerful reminder that even with solid health insurance, you may still face significant financial exposure—especially if your illness straddles the year-end. Supplemental insurance isn’t about replacing your health plan. It’s about adding a layer of protection when you need it most. And because policies are often affordable—especially when purchased at a younger age—they can offer peace of mind without a hefty monthly price tag. The Takeaway Maya is now in recovery and doing well. But the financial stress she endured left a lasting impression. She shares her story so that others might prepare differently. If you’re concerned about how you’d handle the cost of a serious diagnosis, consider whether critical illness or cancer insurance could be a valuable part of your financial safety net. Have questions? I am here to walk you through it with no pressure — just honest answers and guidance.
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