JHF II Disciplined Value Emerging Markets Equity Fund - Class I · NASDAQ:JEVIX
JHF II Disciplined Value Emerging Markets Equity Fund - Class I — Manulife John Hancock Investments — Investor Presentation
70 slides from JHF II Disciplined Value Emerging Markets Equity Fund - Class I's investor presentation
Slide 1: Understanding Medicare: The ins and outs of Medicare coverage
Understanding Medicare: The ins and outs of Medicare coverage Presenter Name Date
Slide 2: Attribution
Attribution This presentation / whitepaper was developed by Boomer Benefits®, a leading national Medicare insurance agency. Manulife John Hancock Investments enlisted the expertise of Boomer Benefits co-founder, Danielle K. Roberts, to design and organize this content for the purpose of delivering i
Slide 3: Is this how understanding Medicare makes you feel?
Is this how “understanding Medicare” makes you feel? 3
Slide 4: Agenda
Agenda History of Medicare Medicare parts & when to enroll Medicare costs Medigap Medicare Advantage Working past 65 4
Slide 5: History of Medicare
History of Medicare
Slide 6: The big day
The big day Medicare begins July 30, 1965: LBJ signed Medicare into law Truman was the first recipient, he and his wife Bess received cards 1 and 2 19 million beneficiaries initially enrolled 6
Slide 7: Medicare starts with the parts
Medicare starts with the parts
Slide 8: Part A: hospital coverage
Part A: Coverage for: hospital • Inpatient hospital stay coverage • Skilled nursing (up to 100 days) • Inpatient meds • Blood transfusions • Hospice Think of this as room and board. 8
Slide 9: Part B: outpatient coverage
Part B: Coverage for: outpatient • Doctor visits coverage • Lab work • Preventive care • Outpatient surgeries • Physical therapy • Home health care • Durable medical equipment • Dialysis • Chemotherapy Part B covers 100% of some preventive care and 80% of all other outpatient care 9
Slide 10: Original Medicare
Original Medicare Under Original Medicare, you get your benefits directly from the federal government. Part A Part B 10
Slide 11: Part C: Medicare Advantage
Part C: Private insurance plans that pay Medicare instead of Medicare. Advantage Part Part Part Part A B Part Part D Part C: Medicare Advantage 11
Slide 12: Part D: voluntary drug program
Part D: Think of this as your pharmacy card. voluntary drug How it works: program 1. Pick your plan through a private insurance carrier in your area 2. Pick up your prescriptions from an in- network pharmacy 3. Shop your Part D plan each year during the fall open enrollment 12
Slide 13: Enrolling in original Medicare Parts A and B
Enrolling in original Medicare Parts A and B 1 You enroll for Parts A and B through Social Security or Railroad Retirement Board (RRB) 2 If already receiving Social Security benefits: your enrollment is automatic 13
Slide 14: Initial enrollment period (IEP)
Initial enrollment period (IEP) 7-month window Begins 3 months before and ends 3 months after your 65th birth month for a total of 7 months 65th Birthday EXAMPLE: If you turn 65 on May 20, your Medicare IEP would run from February 1 to August 31. 14
Slide 15: Medicare start date
Medicare start date Depends on when you enroll Medicare starts 1st of the month of your 65th birthday Enroll prior to birthday month: Unless you’re born on the 1st Enroll in or after your Medicare start date is delayed birthday month: birthday month: 15
Slide 16: Medicare cost sharing
Medicare cost sharing
Slide 17: Think about your current insurance
Think about your current insurance You pay a premium, often through paycheck deduction • This is the cost of the insurance • We call it a monthly premium You pay co-pays and/or co-insurance when you use medical services, and you likely have an annual deductible • This is the cost-sharing 17
Slide 18: Medicare's costs: Part A hospital
Medicare’s costs Out-of-pocket expenses Part A hospital • Part A costs nothing if you have worked and paid FICA taxes for at least 40 quarters (10 years.) • You’re considered “paid up” so Part A will cost $0. • You can qualify for this free Part A under your own work history or a spouse’s work histo
Slide 19: Medicare's costs: Part B and Part D
Medicare’s costs Out-of-pocket expenses Part B and Part D You pay monthly premiums. The Monthly Premiums Part B • Monthly premium is $202.90/month in 2026 for new enrollees • Deduction monthly from SS check, or billed quarterly if not taking SS yet IRMAA for high-earners • Individuals earning more t
Slide 20: IRMAA: Part B premiums
Monthly premiums for Part B new enrollees Based on your 2024 modified adjusted gross household income, your 2026 Part B premium will be (2-year lookback): Individual tax return Joint tax return Married & separate tax return You pay (in 2026) Less than or equal to $109,000 Less than or equal to $218,
Slide 21: Part D premiums
Part D premiums What to expect Each insurance company sets its own premiums, which range from as low as $0/month to well over Average is $34.50/month $100/month People with higher incomes pay Medicare tracks your enrollment more on a sliding scale 21
Slide 22: IRMAA: Part D premiums
Monthly premiums for Part D new enrollees Based on your 2024 modified adjusted gross household income, your 2026 Part D premium will be (2-year lookback): Married & Separate Tax Individual Tax Return Joint Tax Return You Pay (in 2026) Return Less than or equal to $109,000 Less than or equal to $218,
Slide 23: Part A Cost-sharing
Part A Cost-sharing Part A deductible: $1,736 $434 Daily copay on Day 61 $868 Daily copay on Day 91 ALL COSTS after Day 150 First 3 pints of blood $217/day coinsurance for days 21– 100 in skilled nursing 23
Slide 24: Part B Cost-sharing
Part B Cost-sharing Part B deductible: $283 Medicare pays 80%, you pay the other 20% coinsurance No cap – you pay 20% forever 24
Slide 25: Covering the gaps
Covering the gaps
Slide 26: Private market plan options
Private Market Plan options 1 Medicare Supplement (Medigap) Higher premiums, less cost-sharing 2 Medicare Advantage Plan Lower premiums, higher cost-sharing 26
Slide 27: Medicare supplements (Medigap): The facts
Medicare supplements (Medigap) The facts Medigap plans let you see any No referrals necessary with over participating provider 1M providers Use your Medigap plan nationwide Medigap pays AFTER Medicare to help cover your deductibles, GREAT for travel copays and coinsurance Each plan has an exact set
Slide 28: Medicare Supplement Plans (Medigap)
Medicare Supplement Plans (Medigap) *Plans in Wisconsin, Minnesota and Massachusetts are different. 28
Slide 29: Medigap monthly premiums
Medigap monthly premiums What to expect Medigap companies set their own rates. Insurance agents/brokers can’t change them. Monthly rates vary based on age, zip code, gender, tobacco use, and eligibility for household discounts. Rates are lowest in IA, IN, OK, MS, NM Rates are highest in FL, CT, WA,
Slide 30: Putting it together
Putting it together Adding up the costs for a monthly estimation Medicare with Medigap + Part D Part A: $0 Part B: $202.90 (for new enrollees not subject to (IRMAA) Part D: $34.50 (average) Plan G: $120+* Total approximately: $345/month+ *Medigap: monthly premium varies by zip code, gender, age, tob
Slide 31: Qualifying for Medigap
Qualifying for Medigap Your eligibility for enrolling in a plan varies Open enrollment– Guaranteed issue Medical one-time window period underwriting Within 6 months of Within 63 days of Part B losing creditable Otherwise, you effective date coverage must answer health questions to qualify. 2-to-5-ye
Slide 32: States with exceptions
States with Some states have implemented rules that are more lenient. Here are a few examples: exceptions Year-Round Open Enrollment • New York, Connecticut, Massachusetts, Vermont (limited carriers) • Maine and Washington Birthday Rule states • California, Oregon, Nevada, Illinois, Idaho, Maryland,
Slide 33: Medicare misstep #1
Medicare misstep #1 Confusing the Medigap OEP with the Fall AEP Medigap Open Enrollment Period (OEP) • Part B effective date + 6 months • The ONE time when you can enroll in Medigap with no health questions in most states • Occurs only once for most beneficiaries and then is gone Annual Election Per
Slide 34: Analogy
Analogy You can’t go and buy better homeowner’s insurance after the house is on fire. The same applies to Medicare Supplement plans. 34
Slide 35: Medigap summary
Medigap summary Recapping what you need to know Ask your providers: “Do you accept Original Medicare?” Pays after Medicare pays its share Plans are standardized Guaranteed renewable Benefits do NOT change annually Add a standalone Part D drug plan if you want drug coverage 35
Slide 36: Stand-alone Part D
Stand-alone Part D People with You must be You must also live Medigap can add enrolled in either in the plan service on a stand-alone Part A and/or Part B area and enroll Part D drug plan. to be eligible. during a valid You can only enroll election period. in one Part D plan at a time. 36
Slide 37: Part D has three stages in 2026
Part D has three stages in 2026 Medicare sets the limits for each of these stages every year. 1 Part D deductible 2 Initial coverage period 3 Catastrophic coverage 37
Slide 38: Medication costs
Medication costs What you pay for medications will depend on which stage of the drug plan you are in, and which tier a medication falls in: Deductible: All costs up to $615 Initial coverage: Co-pay or coinsurance based on drug tier until you and your plan pay a total of $2,100 Catastrophic coverage:
Slide 39: Inflation Reduction Act of 2022
Inflation Reduction Act of 2022 Positive changes to Medicare Part D 2023: • Part D vaccines are now covered at 100% • Insulin copays are limited to $35 even during the deductible period 2024: • No more 5% coinsurance after you reach the catastrophic coverage phase • Premium increase cap will be impo
Slide 40: Medicare Advantage: How do they work?
Medicare Advantage How do they work? Private insurance plans that deliver your benefits through a local, smaller network of providers Often includes Part D coverage You must be enrolled in both Parts A and Part B to be eligible 40
Slide 41: Medicare Advantage
Medicare HMO plans often require PPO plans can referrals to see a Advantage specialist. Usually no be used outside network IF doctor out-of-network agrees to bill Private plans coverage except the plan emergencies that pay instead of Medicare Some plans include Part No health questions – D drug plan
Slide 42: Medicare Advantage: What the co-pays may look like
Medicare Advantage What the co-pays may look like Co-pays vary between plans, but they might look something like this: • Primary care doctor: $5 per visit • Specialist: $25 per visit 7 in 101 • • Hospital: $200/night for 5 nights Ambulance: $300 Medicare Advantage Prescription Drug • Chemo, oxygen,
Slide 43: Common question
Common question “Are Medicare Advantage plans bad?”
Slide 44: Medicare Advantage: The unexpected costs
Medicare Advantage The unexpected costs Durable medical equipment – Diagnostic imaging–MRI, oxygen, etc. CT scans Dialysis Cancer treatment–especially when overlapping New Year Infusion medications can be very expensive on Advantage plans You may pay up to 20% for these items on many plans. 44
Slide 45: Tips for Medicare Advantage
Tips for Medicare Advantage Four tips if you choose this route 1 Build a rainy-day fund for the unexpected costs 2 How and when you enroll matters 3 Consider large national carriers for access to “national networks” 4 Do not forget to re-evaluate your plan each fall 45
Slide 46: Medicare Advantage: Things beneficiaries don't realize
Medicare Advantage The things too many beneficiaries don’t realize Plans change every year Be very dedicated to and benefits can reviewing your Annual be added or taken away Notice of Change To later return to Medigap, you’ll usually have to answer health questions and pass underwriting. Coverage is
Slide 47: Medicare misstep #2
Medicare Not understanding the difference The two Medicare routes are not alike misstep #2 Medicare Advantage plans work very differently from Medigap plans. Research these carefully, learn the differences and be very sure before enrolling in any Part C plan. 47
Slide 48: Working past age 65
Working past age 65
Slide 49: Employer coverage: The size of your company matters
Employer coverage: The size of your company matters Large employer: • Group coverage is primary, Medicare is secondary when employer has 20 or more employees. • You can delay enrollment without penalty. Small employer: • Medicare is primary, group coverage is secondary when employer has less than 20
Slide 50: FEHB options
FEHB options People with Federal Employees Health Benefits (FEHB) have choices. Enroll in Part A and FEHB–you’ll pay copays for services as you go. 1 Late penalty if you enroll in Part B later on. 2 Enroll in Part A and B–you’ll have low or no copays for services. 3 Suspend FEHB and choose a Medicar
Slide 51: Medicare misstep #3
Medicare Enrolling too late Not enrolling at the right time misstep #3 Small Employer Coverage/Retiree Coverage/ COBRA/Tricare for Life Medicare is primary. Failure to enroll during IEP may result in unexpected medical expenses and/or a late enrollment penalty. ACA/Obamacare Plans Individual ACA pla
Slide 52: Quick review: The parts of Medicare
Quick review The parts of Medicare Part A Hospital Through Social Original coverage Security Medicare Outpatient Part B coverage Parts of Medicare Medicare Combined plan Part C Through private Advantage (A, B, D) insurance carriers Part D Drug coverage 52
Slide 53: Quick review: The routes
Quick review The routes No Supplement No cap on spending Higher premiums Medigap + Part D Little out-of-pocket costs Original Medicare A+B No doctor networks Lower premiums Medicare Advantage More cost-sharing Limited doctors 53
Slide 54: Quick review: Employer coverage
Quick review Employer coverage You can delay Medicare Company has more than 20 employees No penalty for delaying Working past 65 Must get Parts A + B + D Company has less than 20 employees Incur penalties if you don’t 54
Slide 55: Next steps: Medicare information resources
Next steps Medicare information resources The Centers for Medicare and Medicaid Interested in presenting this Medicare Phone: 1-800-MEDICARE information to your clients? Website: https://www.medicare.gov/ Contact your John Hancock Business Consultant for details Social Security Administration Phone:
Slide 56: Next steps: 10 Costly Medicare Mistakes
Next steps 10 Costly Medicare Mistakes You Can’t Afford to Make Over 60,000 Copies Sold In this book, Danielle guides new beneficiaries through the key decisions they'll need to make at the beginning of their journey while also helping them expertly avoid the most common and costly mistakes that new
Slide 57: WN Manulife: | Aineck
& A WN Manulife: | Aineck
Slide 58: Manulife fbr Hancock
Manulife fbr Hancock a Investments |
Slide 59: Appendix
Appendix
Slide 60: Common Medicare questions
Common Medicare questions Q: Will Medicare cover my procedure? A: The answer to this question isn’t always as cut and dry of an answer as you’d like. Aspects like the procedure’s medical necessity, the doctor’s participation, and the way the bill is coded are variables that affect the answer to this
Slide 61: Common Medicare questions
Common Medicare questions Q: I am a federal retiree and have kept my FEHB health care plan. Do I need Medicare? A: FEHB is not creditable coverage for Part A and Part B. So, failing to enroll in Medicare during your IEP would result in a late penalty later if you did choose to enroll down the road.
Slide 62: Common Medicare questions
Common Medicare questions Q: Does Medicare cover the shingles vaccine? A: Medicare Part D covers the shingles vaccine in full – it covers all recommended vaccines by the CDC advisory committee on Immunization Practices. 62
Slide 63: Additional resources
Additional resources Investments
Slide 64: Transitioning to Medicare from large employer coverage
Transitioning to Medicare from large employer coverage After age 65 Complete Form CMS-40B 1 Application for enrollment into Part B Complete Form CMS-L564 2 Request for employment information Your employer must complete this form attesting to your creditable employer coverage from the date you turned
Slide 65: Creditable Coverage Letter
Creditable Watch your mail for the CCL: Coverage Letter Don’t miss it Your employer coverage insurance company will mail you a letter of creditable coverage–usually about two weeks after your last day of coverage. Keep a copy of this letter as your Medicare Part D insurance company will ask for proo
Slide 66: People contributing into HSA accounts
People contributing into • The IRS does not allow contributions into a Health HSA accounts Savings Account (HSA) when you have any part of Medicare active. • Don’t enroll in Medicare if you plan to contribute. • Discontinue contributions in an HSA six months before you retire/enroll into Medicare. •
Slide 67: Medicare Advantage with Part D
Medicare Advantage with Remember, you can only be enrolled in one Part D Part D plan at a time. This includes a Part D plan that is rolled into a Medicare Advantage plan. Enrolling in a stand-alone Part D drug plan would automatically unenroll you from a Medicare Advantage plan that included Part D.
Slide 68: Medicare and COBRA, TFL, or VA Benefits
Medicare and COBRA, TFL, or VA Benefits COBRA is not the same as active group coverage • Medicare is primary and COBRA coverage is secondary. • For this reason, you should enroll in Medicare to begin on the day after your active employer coverage ends. • If you decide to delay, be aware that you mus
Slide 69: Disclosure
Disclosure This material does not constitute tax, legal, or accounting advice, and neither John Hancock nor any of its agents, employees, or registered representatives are in the business of offering such advice. It was not intended or written for use, and cannot be used, by any taxpayer for the pur
Slide 70: Manulife fbr Hancock
Manulife fbr Hancock a Investments |
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