Medicare Open Enrollment is Here: Time to Re-evaluate Medicare Advantage and Part D

For those of you who are already
enrolled in Medicare, your health insurance decisions are not all behind you.
Insurance
companies can make changes to Medicare plans that can affect your monthly
premiums, deductibles, drug costs, and providers such as doctors, hospitals, or
pharmacies. And insurance companies know how to maximize their bottom line.
They can also change their list of covered drugs. So, it is important to re-evaluate your current Medicare plan each year during open
enrollment to make sure it still meets your needs. It can save you hundreds of dollars next year and help you make sure the medicine you need is covered.
Research shows that only 13% of Medicare beneficiaries review their plan options during
Open Enrollment. This is not good because studies show that beneficiaries overpay an average of $368 every year
by not reviewing their drug coverage.
The Open Enrollment period is
between October 15th through December 7th each year. During this period, current
Medicare users can change their Medicare Part C (Medicare Advantage) and Part D
(Prescription Drugs) plans.
Sign up for my free monthly emails to learn more retirement tips and strategies
.
You can switch to, drop, or add a Medicare Advantage or Part D plan.
You cannot use open enrollment to enroll in Part A and/or Part B for the first time. First-time enrollment is called initial enrollment.
Just as a reminder, here are some Medicare basics.
Even this simple chart from the National Council on Aging is a little confusing. The left side, including Parts A and B, is original Medicare administered by the U.S. Government Social Security Administration.
The right side (called Part C) is Medicare Advantage and is administered by private insurance companies and must provide Parts A and B coverage, and can include drug coverage.
With original Medicare, you get a Medicare Card. With Medicare Advantage you get an insurance company ID card.
Here are some of the things to consider during Open Enrollment period.
- You can take advantage of Open Enrollment to switch your drug coverage to save money. You may need to add drug coverage for the first time. If nothing else, make sure that your plan will still cover the drugs you’ll need next year.
- If you have, or are signing up for, Medicare Parts A or B, you can join or drop a Part D prescription drug plan.
- You can switch from original Medicare
to a Medicare Advantage plan or vice versa. If you have Medicare Advantage, you can switch to a new Medicare Advantage plan. If you have a Part D
prescription drug plan, you can switch to a new Part D plan. (Switching from original Medicare to Medicare Advantage must be weighed very carefully since the bridge back to original Medicare with Medigap insurance could be closed due to pre-existing conditions.)
- You can also use open enrollment to upgrade the quality of your plan. The Centers for Medicare and Medicaid Services (CMS) developed a quality rating system to help consumers choose between the various Medicare Advantage and Part D plans. If your current plan is rated less than 3.5 or 4 stars, you may want to consider switching to a higher rated plan.
Here is an info-graphic that may help you.

Some people who use the plan-finder on Medicare.gov like to print out their plan options and get input from their pharmacy. Some pharmacists are willing to tell you about their experience with the plans you are considering.
But you also want to shop pharmacies and compare with mail-order providers. You can often get a better deal on certain drugs than with your local pharmacy.
Health care expenses are an important piece of the puzzle in retirement planning. I don't provide counseling on picking specific plans, but I do encourage people to do their due diligence in making these important health care decisions.

Travis Echols , CRPC®, CSA
Receive free Social Security Guide by email




Investment Advisory Services offered through JT Stratford, LLC. JT Stratford, LLC and Echols Financial Services, LLC are separate entities.








