Tag: Mutual of Omaha

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In the Shadows

My shadow on neighborhood walk.

And I feel like I’m still in the shadows of the U.S. Government and U.S. Big Business! It was very easy to cancel my MediGap Medicare supplemental insurance with Mutual of Omaha. I applaud them for their courtesy, understanding, and simplicity in dropping an unnecessary and unusable insurance plan. 

But the much less expensive or helpful Medicare Rx Plan with Cigna HealthSpring who was not helpful when I was in the states and now that I live in another country and cannot use their plan, they have been less than helpful in what they call “Disenrollment.” Three overseas phone calls since March, promises of sending me a Disenrollment Form, and still I am being charged monthly for a Rx insurance I cannot use. Grrrrrr! After today’s call I wrote a letter I will fax tomorrow that is suppose to do the same thing as the form. (?) Plus they promised again to send me the form to my U.S. address as backup plan 2, and plan 3 (that makes me shudder) is I am going to call the U.S. Medicare office tomorrow. Cigna-HealthSpring will also let the government request disenrollment. I dread another overseas call which costs enough I will need to add more time to my cell phone sim card. And I’m always surprised when a government office actually provides some help. But maybe! The embassy here has, especially with Social Security and voter registration.

Why am I canceling U.S. medical insurance? (Not Medicare) (1) None of it works while living here (not even Medicare),  (2) It is very expensive, and (3) I have private medical insurance here I will continue until my residency is fully processed and I can be on the government medical insurance plan here when I will really save money. The private plan here is less expensive than stateside insurance and similar coverage. Plus medical costs here are so much less expensive that I could come out ahead paying for it with no insurance if nothing big happened! But then, potential catastrophes are why we have insurance in the first place. 🙂  And I’m keeping U.S. Medicare for that reason, just in case I travel to the states and something happens there, I will at least have basic Medicare coverage. And it is more involved to cancel or drop it and I think the hundred something I pay a month for it is worth it for now. Maybe not later. We’ll see.
I also have a sweet deal with my primary care doctor here so that I can come in anytime I need care or just have a question. i.e. I’m going to go by this week or soon and ask for her opinion of the many dentists in town and schedule my first cleaning and checkup. Cheap! Medical tourism is big here, especially for dental work! The cost is a small fraction of the U.S. costs. 
Today my new maid cleaned the house while I went to Alajuela to pick up three internet orders. I prefer to be out of the house when she is cleaning.  I did two little posts on my new Spanish Learning Blog today.  Pura Vida!

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Major accomplishments this week for Pura Vida!

A branch of the Savegre River, Costa Rica, 9/2014
Photo by Charlie Doggett – Click photo to View

Pura Vida!
Here’s a summary of things I’m working on now for the move and at least one sorta funny story in it. This could especially be helpful to those of you considering a move as you see what I actually did on some of the steps I outlined earlier. Pura Vida explained at end of this post.

FIRST, THE CORRECT APARTMENT LINK
The email version of last night’s post had the wrong link for the apartment I’ve settled on, let’s try again because it is a good website with lots of photos I can’t copy:  Hacienda La Jacaranda and I just tested it and it worked, but just in case, here is the address:  http://www.atenasapartment.com/ And yes, I have a two bedroom, so a guest room for you!  Knowing I can get off the plane and go to my new home is the first big relief! Pura Vida!

MY “TRAVELING” BIRTH CERTIFICATE (Arkansas Bureaucracy)
My one certified copy is old and I need to keep it, so I ordered a new copy that will be sent to Costa Rica. I finally got a real person to talk with and told her I needed my birth certificate with an Apostille (An international seal of certification) on it. “Oh, I’m sorry sir, we don’t do that in this office, but I will transfer you to the person who does.” Riiiiinnnng. “Secretary of State Office.” I again explained what I wanted. “Oh yes sir, just send your Birth Certificate to us and we will place an Apostille on it.” I then explained that I needed a new one and asked if the two offices could work together to place the seal before mailing it to me. “Oh no sir, I’m sorry, you will have to personally mail it to us with a cover letter and $10.” So I ordered the birth certificate online (fairly easy) and got it Express UPS in 2 days! Then I added my letter and check for $10 which is better than the $40 for the certificate! It has now been sent back to Little Rock in another Express UPS envelope ($20). When it is returned my birth certificate will have made three trips between Little Rock and Nashville before I send it to San Jose. I remember complaining how bureaucratic the Gambian government was (and have been warned to expect with Costa Rica), but I think we are just as bad in the states! Pura Vida! 
SOCIAL SECURITY, TALKING COMPUTERS (and one real person) 
Yesterday I spent more than an hour trying to get a certified, signed letter proving I make at least $1,000 or more per month. The SS Website is confusing and after talking computers, the recording for live customer service says “an hour or more wait, so press 1 for a call back.” They never called back. I did find a “statement of SS Income form online and printed it, but it’s not a letter and I’m afraid not official looking enough to satisfy the Costa Rica government. 
So this morning I talked with a real person quickly at our local Madison SS Office and after one minute of data collecting, he very business-like said “I’ll get that out to you today sir.” No discussion, excuses or wasted time, just done! Hey! I like that! So the second document needed for my residency application is on its way. (I hope!) Police report on me is next job to tackle. Pura Vida!
BIG JOB OF SELLING STUFF, DOWNSIZING
I started with some videos on eBay and plan to add some books and other items there as I go along. McKendree Village is starting a “Village Treasures” Shop on October 11, in one of the unused cottages up front, which is just what I need since we are not allowed to have yard sales. It will more often be used for older people who move to nursing home or die and need to dispose of furniture and household goods. I’m already boxing up household goods for them and will pick some art or some of my many framed photos. I’ll have Jane & Scott come over and assess my stuff soon. This is in many ways the biggest job, because I want to limit what I put in storage and maybe later ship to Costa Rica. But life is not stuff! Pura Vida!
NEW REVELATIONS ON INTERIM MEDICAL INSURANCE
I plan to go on the more affordable government health plan called CAJA after I gain residency, which will take 6 months to a year. The most affordable interim option presented to us in the seminar (though not real cheap) was a PRICOSE private INS Health Insurance. I’ll do it for a year until I can get the CAJA. I wrote the PRICOSE representative who talked at our seminar, telling him I wanted to enroll before January 1 to be covered as I arrive. “Sorry,” he says. I will have to be in country and apply in person with a local attorney’s affidavit, a full physical by one of their doctors including a $130 EKG. The whole process will take about 5 weeks after I arrive. Brick wall I thought! Okay, so now I have to arrange for about two months of overseas or travel coverage until I can get their coverage. I’ll call “One Exchange” today.

“One Exchange” is the proxy for health coverage plans for LifeWay Retirees. They mainly help you pick out a policy that they sell you for their percentage. I talked to two people, the last of whom kept putting me on hold while she talked to her supervisor. They are all ignorant of what to do and even though I told them what my research indicated was possible through a Medigap Plan for 60 days, they knew nothing about it and said they would have to research it and get back with me. A big waste of 45 minutes!

Then I call my Medigap Insurer, Mutual of Omaha, and told them what my research showed and asked if my Medigap was one with the overseas coverage. They were the opposite of One Exchange. Misha was knowledgeable, polite and helpful. In just a few minutes she confirmed my research and told me that my Mutual of Omaha Medigap will cover me overseas at 80% for the first 60 days for all medical expenses that Medicare would cover in the states with a $250 deductible and $50,000 maximum. That will give me 60 days to get the Costa Rica policy I was told would take 5 weeks (35 days). I will not cancel my Mutual of Omaha Medigap Insurance until AFTER I have the local policy in hand as recommended by Mutual of Omaha and common sense, in case something doesn’t work out. (If INS took longer than 5 weeks and I have an emergency, I can fly home and be covered as I am now.) I am so relieved about something that was beginning to be a concern. There is now a plan in place to keep me with medical insurance at all times during the transition. I believe I will make it through this move just fine! Due diligence, planning and proper timing pays off!

Pura Vida! (A Costa Rica slogan, literally meaning “Pure Life” but used to express the joy of life, happiness, greetings, etc. The above efforts are part of my cost to soon gain Pura Vida!)