Planning Ahead: How Having an Estate Plan can avoid a Headache

Contributed by: Matt Trujillo, CFP®

Can you believe 2017 is half over already?! That New Year’s resolution that you had to get your estate planning documents drafted is already getting a little stale. For those procrastinators amongst you, I thought I would write about what happens if you pass without a will or trust in place.

First let’s define what the legal term is for people that pass away without a valid will or trust in place. The term used is “Intestacy.”

What is intestacy?

You are said to have died intestate if you pass without a valid will. Intestacy laws govern the property distribution of someone who dies intestate. Each of the 50 states has adopted intestate succession laws that spell out how this distribution is to occur, and although each state's laws vary, there are some common general principles. The laws are designed to transfer legal ownership of property the recently deceased owned or controlled to the people the state considers their heirs. These laws also control how these individuals are to receive this property and when the property is distributed.

Example:

Frank is a Michigan resident and is married with two minor children. He keeps meaning to write his will but hasn't gotten around to it yet. One day, Frank gets hit by a truck while crossing the street and dies instantly. Because he has no will, the intestate succession laws of Michigan govern how his property is distributed. Under Michigan law, 50 percent of Frank's property passes to his wife, and 50 percent passes to Frank's two minor children (25 percent each). Had Frank had a will, he could have left everything to his wife.

Technical Note:

Real property is distributed under the intestacy laws of the state in which it is located. Personal property is distributed under the intestacy laws of the state in which you are domiciled at the time of your death.

Why should you avoid intestacy?

• Cost

  • Intestacy can be more costly than drafting and probating a will. In most states, an administrator must furnish a bond, where you can often waive this requirement in your will. Also, an administrator's powers are limited, and he or she must get permission from the court to do many things. The cost of these proceedings is paid by your estate.

• You can't decide who gets your property

  • State intestacy laws will determine who receives your property. These laws divide up your property among your heirs, and if you have no heirs, the state itself will claim your property.

  • Unlike beneficiaries under your will who can be anyone to whom you wish to leave property, heirs are defined as your legal spouse and specific relatives in your family. If the state can find no heirs, it could claim the property for itself (the property escheats to (goes to) the state). The laws of your state determine the order in which heirs will receive your property, the percentage that each will receive, and in what form they will receive it, whether in cash, property, lump sum, annuity, or other form.

• Special needs are not met

  • State intestacy laws are inflexible. They do not consider special needs of your heirs. For example, minor children will receive their share with no strings attached, whether they are competent to manage it or not.

• Heirs may be short-changed

  • The predetermined distribution pattern set out by state law can end up giving a larger portion of your estate to an heir than you intended for he or she to have. It may also leave one of your heirs with too little.

• You can't decide who administers your estate

  • If you die intestate, the probate court will name an administrator to manage your estate. You will have no say in who settles your estate.

• You have no say in who becomes a guardian for your minor children

  • A court will appoint personal and property guardians for your minor children, since you didn't specify otherwise. You will also expose the assets you leave your child to the management skills of someone you may not approve of.

• Relations take priority over friends and others

  • State intestacy laws will distribute your property to family members in a preset pattern. These laws do not take your relationship with your family into account when dividing up your estate. As a result, that brother that you haven't spoken to in 20 years may end up with a portion of your assets that you'd rather he not have.

• Tax planning options are eliminated

  • Without a will or some other means of disposing of your property, you can't plan to minimize or provide payment of income or estate taxes.

• Family fights can occur

  • Who gets Grandma's jewelry? Or what about that stamp collection that you began 30 years ago? Distribution by intestacy law provides no answers to specific questions like these. If these questions cannot be resolved peaceably, lawsuits may result or the property in question may end up being sold and the proceeds distributed to the squabbling family.

How is property distributed under intestacy?

The pattern of distribution varies immensely from state to state. You must check with your state to find out what its intestate's will looks like. Generally, the rules are as follows:

• If you leave a spouse, but no children, the spouse takes the entire estate

• If you leave a spouse and children, each takes a share

• If you leave children and no spouse, the children take the entire estate in equal shares

• If you leave no spouse or children, the entire estate goes to your parents

• If you leave no spouse, children, or parents, the entire estate goes to your siblings (or your siblings' descendants)

• If you leave none of the above, the entire estate goes to your grandparents and their descendants (your aunts, uncles, and cousins)

• If you leave no heirs, the next takers are your deceased spouse's heirs

• If there are no heirs on either side, the next to take are your next of kin, those who are most nearly related to you by blood

• If there are no next of kin, your estate escheats to the state

Matthew Trujillo, CFP®, is a Certified Financial Planner™ at Center for Financial Planning, Inc.® Matt currently assists Center planners and clients, and is a contributor to Money Centered.

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This information has been obtained from sources considered to be reliable, but we do not guarantee that it is accurate or complete. While we are familiar with the legal and tax provisions of the issues presented herein, as Financial Advisors of RJFS, we are not qualified to render advice on legal or tax matters. These matters should be discussed with the appropriate professional.

Full Service Network: Coordinating with Multiple Advisors

Contributed by: Josh Bitel

Here at The Center, we believe financial planning requires working as a team. Given the opportunity to work with you, we want you to have a quality relationship with not only you, but also other professionals you’ve hired to work with you to assure that you have the most efficient financial plan tailored specifically for you. This is why we believe that the best long-term relationships typically occur when each team member is working to serve you and your family.

In coordinating with other professionals, The Center can be more efficient and help your plan be as accurate as possible. One example that we run into frequently is the constant open communication with CPAs near tax deadlines; this allows us to make critical decisions and take advantage of opportunities before that mid-April cutoff date sneaks up! This type of communication also helps us to get a better view of your total financial picture. We currently have nine CERTIFIED FINANCIAL PLANNER™ certificate holders here at The Center, each with a wide variety of knowledge in many topics to allow us to leverage other advisors with specific expertise, such as attorneys or insurance agents.  This helps us uncover opportunities to better plan for your future. The availability of these additional resources is another way for us to make sure nothing slips through the cracks!

Another example where this coordination comes in handy is titling of assets. We can leverage estate planning attorneys to make sure assets are in the right hands even when a client may not be around to call the shots! This is especially important when adding beneficiaries to accounts and funding trusts.

Providing referrals to other professionals for clients is an often overlooked part of financial planning that The Center takes pride in offering to clients. Often times when attorneys, CPAs, or other professionals are needed for client cases, and they may not have worked with a professional in the past, this provides us with an opportunity to refer our clients to a professional we already have experience in working with.  In coordination with this, we are able to network with other professionals who have a hand in assisting clients with all aspects of their financial lives.

Coordinating with and leveraging other professionals is one of the many ways we make sure your plan is as personal and detailed as possible, which is what we strive for at The Center.

Josh Bitel is a Client Service Associate at Center for Financial Planning, Inc.®

Gerri Harmer Nominated for Outstanding Branch Professional Award

Contributed by: Lauren Adams, CFA®, MBA

The Center is thrilled to announce that Gerri Harmer was a nominee for the 2017 Raymond James Financial Services Outstanding Branch Professional Award! This award is designed to recognize support professionals who have been affiliated with Raymond James for at least one year who contribute to the success of their advisors and teams.

We are blessed to have a whole team of exceptional professionals at The Center, and Gerri’s leadership by example is a major contributor to our Service First mentality. In the words of Partner Tim Wyman, “Service is in her DNA – it is who she is.”

Chances are, if you’ve ever visited our offices or called in to The Center, you’ve had a chance to experience Gerri’s friendliness and helpfulness firsthand. Gerri’s personal mantra is to “Make people’s lives better.” She sets a goal for herself and the firm to make our clients feel like family on the phone and when they walk in the door. Gerri’s genuine love of people is evident to everyone that has the privilege to be around her.

Partner Melissa Joy comments about Gerri, “She embodies our firm’s culture of strong work ethic, compassionate and effective leadership, and commitment to financial planning.”

Gerri is also the leading force behind The Center’s Health and Wellness initiative since 2007. This committee regularly sponsors awareness events—such as lunch and learns on the importance of sleep or brings in meditation facilitators—and has allowed us to be recognized at various local and national levels (such as the Governor’s Fitness Award and the American Heart Association’s Fit-Friendly Award).The Health and Wellness committee has become a major contributor to what we believe is a very strong culture here at The Center. Through Gerri’s leadership, our team has grown and become much more connected through a variety of methods.

Many of you comment about what a joy Gerri is and how lucky we are to have her – we couldn’t agree more. Furthermore, she recognizes service excellence in other staff members and is a pro at publicly celebrating others’ successes to help motivate the team to continue to WOW our clients and share effective service techniques amongst ourselves. Gerri sets an incredibly high bar for the rest of our team to aim for in terms of Service First attitude and team dedication.

Please join us in congratulating Gerri on her nomination!

Lauren Adams, CFA®, MBA is Director of Client Services at Center for Financial Planning, Inc.®

Maximizing your 401k Contributions: Nuances to Save you Money

Contributed by: Nick Defenthaler, CFP®

When we’re first starting our careers, we’re always told to at contribute at least the minimum needed to get the full company match in our 401k plans (typically between 4% and 8%, depending on how your plan is structured).  “Never throw away free money!” is a phrase we use quite often with children of clients who are starting their first job out of college. What about, however, those who are well established in their careers, and are fully maximizing 401k contributions ($18,000 for 2017, $24,000 if you’re over the age of 50)? They shouldn’t have to worry about not receiving their full employer match, right? Well, surprisingly, depending on how your 401k plan is structured at work, the answer could actually be yes!  

Let me provide an example to explain what I’m referring to:

Let’s say Heather (age 54) earns a salary of $400,000 and elects to contribute 10% of her salary to her 401k.  Because Heather has elected to contribute a percentage of her salary to her 401k instead of a set dollar figure, she will actually max out her contributions ($24,000) before the end of August each year.  Let’s also assume that Heather receives a 5% employer match on her 401k – this translates into $20,000/yr. ($400,000 x 5%). If Heather does not have what’s known as a “true up” feature within her plan, her employer would stop making matching contributions on her behalf in August – the point at which she maxed out for the year and contributions stopped. In this hypothetical example, not having the “true up” feature would cost Heather nearly $7,500 in matching dollars for the year!

So how can you ensure that you’re receiving the matching dollars you’re fully entitled to within your 401k? 

The first thing I would recommend is reaching out to your benefits director or 401k plan provider and asking them if your plan offers the “true up” feature.  If it does, you’re in the clear – regardless of when you max out for the year with your contributions, you’ll be receiving the full company match you’re entitled to. 

If your plan does not offer the “true up” feature, and you plan on maximizing your 401k contributions for the year, I’d strongly suggest electing to defer a dollar amount instead of a percentage of your salary. For example, if you’re over 50, and you plan on contributing $24,000 to your 401k this year and you’re paid bi-weekly, it might make sense to elect to defer $923.07 every pay period ($923.07 x 26 pay periods = $24,000). By doing so, you’ll ensure you maximize your benefit by the end of December and not end up like Heather, who maxes out before August and potentially loses out on significant employer matching dollars.  

Subtle nuances such as the “true up” 401k feature exist all around us in financial planning and they can potentially have a large impact on the long-term success of your overall financial game plan. If you have questions on how to best utilize your employer’s 401k or retirement savings vehicle, please don’t hesitate to reach out to us for guidance.

Nick Defenthaler, CFP® is a CERTIFIED FINANCIAL PLANNER™ at Center for Financial Planning, Inc.® Nick works closely with Center clients and is also the Director of The Center’s Financial Planning Department. He is also a frequent contributor to the firm’s blogs and educational webinars.

Examples are hypothetical and are not representative of every employer's retirement plan. Not all employers offer matching 401(k) contributions. Please contact your employer's benefits department or retirement plan provider for terms on potential matching contributions.

Mobile Check Deposit Coming to an Investor Access App near You!

Contributed by: Clare Lilek

The Raymond James Investor Access mobile app continues to get more convenient for its users. As long as you have the most up-to-date version of the Apple or Android application, you can now use it to deposit checks into your Raymond James accounts. You can deposit a check into almost any retirement and brokerage account that is linked to your Investor Access—only SIMPLE IRAs, pledged, and minor accounts are not included in this feature. You simply choose the destination of the account, enter in the check amount, and then snap a picture of the front and back of the check and the check will be deposited to your account!

Deposit limits correspond to the monetary size of your Raymond James relationship. See this handy chart below to know your daily deposit limit:

Helpful Tips and Exceptions

• Checks you can NOT deposit include:

  • Fee payments

  • Foreign Checks

  • Rollover Checks

  • Account Starter Checks

  • Please send any of these above types of checks to us, and we can deposit them for you.

• IRA Contributions

  • You can deposit these checks using the mobile check deposit

  • During January up until tax day, you will be able to choose your contribution year (current or prior year)

  • The app will not let you contribute over the allowed amount

• 3rd party checks are available for deposit

If you have any questions on using this new feature, check out the FAQ page from Raymond James.

The mobile check deposit feature on the Investor Access App is for your convenience. If you don’t have Investor Access, you can enroll here. When in doubt, however, feel free to send your checks our way and we will deposit them in the correct account on the day we receive them. We are always happy to help you with our friendly and traditional in-person service – let us know how we can help you!

Clare Lilek is a Challenge Detroit Fellow / Client Service Associate at Center for Financial Planning, Inc.®

The Center Team attends Raymond James National Conference in Orlando!

Contributed by: Jeanette LoPiccolo, CRPC®

The Center Team recently attended the Raymond James National Conference for Professional Development in Orlando, Florida.

Melissa Joy, CFP®, on the far right of the panel.

Our Center’s own Melissa Joy spoke as a panelist for the session titled “Following the Career Path from Branch Professional to Financial Advisor.” Melissa and several of her co-panelists discussed their transitions from the client service role to financial planner. The panel’s discussion outlined available resources and educational opportunities for those who wish to chart their career path to the position of Financial Planner. The real life examples and life lessons that were shared were inspiring!

In addition to presentations centered on enhancing client service, the conference also provided us the opportunity to catch up on the latest industry standards as well as subjects of universal interest. Here are just a few of the sessions that we enjoyed:

• “Seeing How We Think”– We learned about individual communication styles based on our strengths in the right, left, top and bottom of our brains.

• “Cybersecurity: Threats and Solutions”– Ask us how Raymond James Investor Access dual authentication can help protect your online account.

• “The Science of Happiness:  Fred Luskin, Director, Stanford Forgiveness Projects” taught us to stop and check our perspective, then be sure to have fun!

After the first full day of educational sessions it was time for a little fun! Raymond James invited us to visit Universal Studios for a few hours Monday evening. Several of our Center Team Associates braved a roller coaster ride through the jungles of Jurassic Park. While at the Marvel Super Hero Island, Center Team Associates posed for photographs along side their favorite Comic book Heroes and Villains.

Each year almost the entire Center Team attends the Raymond James National Conference as a way for each individual to grow personally and professionally. This year was no exception. Our entire team had a blast meeting other Raymond James professionals as well as learning new tricks of the trade. We’re excited to see what next year has to offer!

Jeanette LoPiccolo, CRPC® is a Client Service Manager at Center for Financial Planning, Inc.®

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Raymond James is not affiliated with Fred Luskin or the Stanford Forgiveness Projects.

Guidance for Caregivers

Contributed by: Sandra Adams, CFP®, CeFT™

Our experience with clients at The Center has shown us that caregivers come in all shapes, sizes, ages, and circumstances...no one is like another. What we do know, however, is that being a caregiver to someone needing assistance for a physical or mental incapacity of some kind is no “walk in the park,” as they say. According to AARP and the National Alliance for Caregiving, there are some 40 million Americans acting as unpaid caregivers in the United States – helping parents, grandparents, spouses, relatives and neighbors with basic needs – often while working, parenting, or both. Suffice it to say, caregivers themselves experience advances levels of physical, emotional, and often financial stress as a result of their caregiving responsibilities.

What can caregivers do to help those their caring for AND help themselves?

1. Understand the financial and legal situation of the person you are caring for. Understand what the financial resources are, what legal documents are in place (and where they are), and who the powers of attorney, Trustees, and important advisors are in the relationship. Knowing who is involved in helping make important decisions will be key going forward, and knowing where important documents are is invaluable (to help get this organized, find our Personal Record Keeping Document and Letter of Last Instruction document here).

2. Have conversations in advance about how the person wants to be cared for. Knowing (before it’s too late) what kind of care is desired, where that care should take place, and who should perform that care, as well as other end-of-life conversations, are important talks to have. These conversations, if had earlier rather than later, can help you avoid conflicts with the person your caring for and with others (particularly if you document the results!).

3. Ask for help! There is absolutely no shame in calling uncle if you feel like you need assistance for any number of reasons:

   • Maybe you feel like you need training for some kind of caregiving you are providing that you don’t feel prepared to give

   • Maybe you are just overwhelmed and need additional help – from another family member or friend, a community resource, or from a paid resource – there is help out there – ASK FOR IT!

   • Maybe you just need a break – there are respite services available to take your loved one for a few days to care for them to give you a few days off, even if you have no one else to take over the caregiving duties; this might be just what you need to rejuvenate you and to help get you back on your feet!

We understand that being a caregiver for someone you love can pause your personal goals and plans. Our job is to help you prevent the caregiving role from permanently halting your goals and plans due to overwhelming stress. Let me be a resource when it comes to planning for and managing your caregiving role – if there is anything I can do to help, contact me at Sandy.Adams@CenterFinPlan.com.

Sandra Adams, CFP® , CeFT™ is a Partner and Financial Planner at Center for Financial Planning, Inc.® Sandy specializes in Elder Care Financial Planning and is a frequent speaker on related topics. In addition to her frequent contributions to Money Centered, she is regularly quoted in national media publications such as The Wall Street Journal, Research Magazine and Journal of Financial Planning.

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The information has been obtained from sources considered to be reliable, but we do not guarantee that the foregoing material is accurate or complete. Any opinions are those of Sandy Adams, CFP®, and not necessarily those of Raymond James.

Funding the Future - A Rockin’ Good Time

Contributed by: Clare Lilek

On April 18th, The Center proudly sponsored the band Gooding, through the non-profit Funding for the Future, to play at Hazel Park High School. The event was a little over an hour and involved fun rock music, excited high schoolers, and important lessons in financial literacy.

Funding for the Future is a nonprofit that coordinates bringing the band Gooding to different high schools, student groups, and kid oriented organizations to not only provide a free concert, but also give a crucial and entertaining lesson in financial literacy. All too often, some of our children reach adulthood without ever hearing about the impact of weekly savings, the perils of credit cards and credit scores. “Put your money away and let it work for you,” was a common sentiment that was said throughout the event, encouraging students to save money each week in an account like a Roth IRA, in order to let that money grow over time—a practice we heartily support at The Center!

The band Gooding is passionate about financial literacy and sharing that message with music. Their songs aren’t about stocks and bonds, however; they play exciting and down to earth rock music which endears them to the kids, allowing their message after the songs are over to sink in with more credibility. The band is inspired to bring financial literacy to students all over the country because of their own lack of education when it came to handling money as they grew up. We see examples of celebrities and pro-athletes that go broke shortly after making it big. The band explained that mindset comes from growing up and thinking one check, one lottery ticket, one record deal is going to change it all; but he encourages the kids to realize that change is within them and doesn’t come from the outside.

Gooding also talked about the perils of opening up too many credit cards, of not knowing your credit score and what affects it. He stresses, though, that money isn’t bad, it’s our lack of knowledge around money that can mess us up financially. That’s why he encourages good financial behavior, like putting $50 a week in a Roth IRA once you start working. You start young and have that money grow for you exponentially over time. He showed the students real examples and charts in order to encourage the students to take the idea of retirement savings seriously. He also talked about creating SMART goals; having Specific, Measurable, Attainable, Realistic, and Time oriented goals in order to plan and budget successfully. It was a lesson mixed with long term planning and tangible strategies the students could implement right away.

After thirty minutes of fun rock music and a thirty minute crash course in basic financial literacy, the students left smiling and so did we! It’s a part of The Center’s mission to spread financial literacy to the community around us, and sponsoring Funding for the Future and the band Gooding was just one way in which we do so. We look forward to many future partnerships in order to spread the word!

Clare Lilek is a Challenge Detroit Fellow / Client Service Associate at Center for Financial Planning, Inc.®

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Any opinions are those of Clare Lilek and not necessarily those of Raymond James.

What are Investment Policy Statements?

Contributed by: Angela Palacios, CFP®

Each investor is unique. You have your own attitudes, expectations, objectives, and guidelines for your investments. These factors are important to communicate to, not only your team of investment managers, but also to your family if needed (not to mention to remind yourself during turbulent times). An investment Policy Statement (IPS) that is revisited regularly can keep everyone on the same page.

We carefully craft a tailored Investment Policy Statement with you and review and update it each year or when something changes. We first define an asset allocation target (ratio of stocks and bonds) for your portfolio that is appropriate to help you achieve your goals while balancing your tolerance for risk. Also important is the amount of cash you need to hold within each account, carefully evaluating potential withdrawal needs coming in the next year. Lastly, we add your goals and unique preferences we should take into account while managing your investments. 

Unique preferences could include holding a position in a taxable account because selling would cause you to incur a large capital gain. Or, it could mean incorporating socially responsible (ESG) investment strategies into the portfolio. It could also mean excluding any investment strategies you prefer not to have included in your portfolio, like real estate, for example.

Laying out your goals and objectives is a great way to focus on and determine future success. Success in financial planning and investing goes far beyond beating a benchmark. Goals like making sure you can travel during the first 10 years of retirement or obtaining sufficient health coverage during the early years of retirement are things that cannot be measured by a stock index. These goals become personal benchmarks that you can track achievement of over the years.

It is not expected that the IPS will change frequently. In particular, short-term changes in the financial markets should not require adjustments to the IPS. Major life events, however, can prompt an update. For example, marriage or divorce, retirement or deciding to extend your working years, entering a nursing home or receiving an inheritance are examples of reasons that could prompt you to update your IPS.

Investors who fail to plan may then plan to fail! Developing an IPS is an important step to take in order to help you make rational decisions about your investments no matter what the markets may tempt you to do! If you have questions about or wish to update your Investment Policy Statement, please contact your planner!

Angela Palacios, CFP® is the Director of Investments at Center for Financial Planning, Inc.® Angela specializes in Investment and Macro economic research. She is a frequent contributor The Center blog.

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The information has been obtained from sources considered to be reliable, but we do not guarantee that the foregoing material is accurate or complete. Any opinions are those of Angela Palacios, CFP®, and not necessarily those of Raymond James. There is no guarantee that these statements, opinions or forecasts provided herein will prove to be correct. Investing involves risk and you may incur a profit or loss regardless of strategy selected. Every investor's situation is unique and you should consider your investment goals, risk tolerance and time horizon before making any investment. Prior to making an investment decision, please consult with your financial advisor about your individual situation.

A Closer Look at Medicare Part D (Prescription Drug Coverage)

Contributed by: James Smiertka

Today, we will take a more in-depth look at an important aspect of Medicare coverage: Part D, which covers prescription medications. Each Medicare Prescription Drug Plan has a unique list of covered drugs which is called a formulary.

Here are some important notes regarding Medicare Part D coverage:

• Drugs may be placed into different cost “tiers” within the specific formulary

• More common, generic, drugs will often be in a lower tier that will cost you less

• You can choose your Part D plan based on your current list of medications to help you obtain the most appropriate plan for you

• Commercially available vaccines that are medically necessary to prevent illness must be covered by a Medicare drug plan (if not already covered under Medicare Part B)

• Formularies are unlikely to cover every existing drug and will often have drugs placed outside of tiers that require special approval to be covered

• You should receive an “Evidence of Coverage” (EOC) each September from your plan which explains what your Medicare drug plan covers, how much you pay, etc.

  • You should review this notice each year to determine if your current plan will continue to meet your needs for the next calendar year or if you may need to consider another plan

  • If you do not receive this important document, contact your plan

    • Your plan’s contact information should be available via “Personalized Search” on the Medicare website.

    • You can also search by your plan name.

Common Coverage Rules:

• Prior Authorization: Your prescriber may be required to show that the drug is medically necessary for the plan to authorize coverage

• Quantity Limits: Different medications may have limits on quantity fillable at one time (ex: 10 days, 14 days, 30 days, 60 days, etc.)

• Step Therapy: You must attempt treatment with one or more similar, lower cost drugs before the plan will cover the prescribed drug

If you or your prescriber believe one these coverage rules should be waived, you can contact your plan for an exception. Your plan’s contact information should be available via “Personalized Search” on the Medicare website.

• You can ask your prescriber or other health care provider if your plan has special coverage rules and if there are alternatives to an uncovered drug

  • It is not uncommon to be required to attempt treatment with other similar drugs (often less expensive, lower tier) on your formulary first

• You can obtain a written explanation from your plan which should include the following:

  • Whether a specific drug is covered

  • Whether you have met any requirements to be covered

  • How much you will be required to pay

  • If an exception to a plan rule may be made if requested

• You can request an exception if:

  • You or your prescriber believes you need a specific drug that is absent from your plan’s formulary

  • You or your prescriber believes a coverage rule should be waived

  • You believe you should pay less for a more expensive, higher tier drug since your prescriber believes you cannot take any of the less expensive, lower tier options for your condition

• If you disagree with your plan’s denial of coverage there are five additional levels in the appeals process

Additional Considerations:

• Your Medicare Part D plan is allowed to make changes to its formulary during the year

  • These changes must be made within existing Medicare guidelines

  • If a change is made to your formulary:

    • You must be provided written notice at least 60 days prior to the effective date of the formulary change

    • OR your plan will be required to provide the current drug for 60 days under the previous plan rules

• Many Medicare Advantage Plans (Part C) cover prescription medication coverage, and you cannot have concurrent coverage of prescriptions through both a Medicare Advantage Plan and a Medicare prescription drug plan. You’ll be unenrolled from your Advantage Plan and returned to Original Medicare if you have an Advantage plan with prescription coverage in addition to a Part D Prescription Drug Plan.

• Even if a desired medication is covered, it is important to note that some plans may require fulfillment via mail order services in lieu of local retail pharmacy pickup

• This may be very inconvenient for some (ex: people that travel often) and may be avoidable when comparing plans

If you have any questions, please contact your financial advisor at The Center. We are more than happy to help you or refer you to one of our expert resources.

James Smiertka is a Client Service Associate at Center for Financial Planning, Inc.®

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Sources: www.medicare.gov
The information has been obtained from sources considered to be reliable, but we do not guarantee that the foregoing material is accurate or complete.