Medicare 411 – Medicare Open Enrollment Season is Here

Date: 
Monday, November 13, 2017 - 21:11
Author: 
The Hawaii Herald

Greg Dill
Courtesy: Medicare

When you shop for a new car, do you just buy the first one you see?

Likely not. You probably shop around, looking for the best deal you can get on a vehicle that fits both your driving needs and your pocketbook.

Well, it’s the time of the year when you should be thinking about shopping around for a Medicare health or drug plan.

Medicare’s open enrollment period began Oct. 15 and runs through Dec. 7, 2017.

If you have Original Medicare, meaning that you can choose any doctor or hospital that accepts Medicare, you don’t have to think about open enrollment.

But, if you have a Medicare Advantage (Part C) health plan or a Medicare (Part D) prescription drug plan, you may want to see whether there’s another plan on the market that would be a better match for you at a lower price.

If you’re enrolled in a plan and are happy with it, you need not do anything.

But Medicare health and drug plans, which are run by private insurers approved by Medicare, can change from year to year. A plan can raise its monthly premium or drop a medicine that you need.

It thus makes good sense to review your coverage each year. Make sure your plan is still a good fit for you in terms of cost, coverage and quality. If it isn’t, look for another plan.

During open enrollment, you can sign up for a Medicare Advantage health plan or a Part D prescription drug plan or switch from one plan to another. Your new coverage will take effect Jan. 1, 2018.

How do you shop for a new plan?

One way is through the “Medicare & You” handbook, which is mailed each fall to every Medicare household in the country. This booklet lists all of the Medicare health and drug plans available in your area, along with basic information such as premiums, deductibles and contacts.

There is also the Medicare Plan Finder, at www.Medicare.gov.

Look for a green button that says, “Find health & drug plans.” Click on it, plug in your zip code, and you’ll see all of the Medicare Advantage and Part D plans available in your area. You can compare them based on benefits, premiums, co-pays and estimated out-of-pocket costs. Contact information for the plans is listed.

If you don’t have access to a computer, call 1-800-MEDICARE (1-800-633-4227). Our customer service representatives can help you with questions about Medicare health and drug plans. The call is free.

Another terrific resource is the State Health Insurance and Counseling Program. SHIP is an independent, nonprofit organization that provides free, personalized counseling to people with Medicare. You can make an appointment to speak with a SHIP counselor in-person or over the phone.

SHIP counselors are well-trained volunteers who themselves are often enrolled in Medicare, so they know the issues. They can help you sort through different health and drug plans and find one that’s right for you. To contact your local SHIP office, go to www.shiptacenter.org.

If you are enrolled in a Medicare Advantage plan as of Jan. 1, 2018, but are not satisfied with it, you have a 45-day window to dis-enroll. Between Jan. 1 and Feb. 14, 2018, you can drop your plan and return to Original Medicare. You can also sign up for a Part D drug plan during that time.

Having trouble paying for your Part D plan? You may be eligible for the Extra Help program, which helps cover your premiums, deductibles and co-pays. Medicare beneficiaries typically save about $4,000 annually with Extra Help.

For more information on Extra Help, go to www.SSA.gov/prescriptionhelp.

Greg Dill is Medicare’s regional administrator for Hawai‘i, California, Nevada, Arizona and the Pacific Territories. You can always get answers to your Medicare questions by calling 1-800-MEDICARE (1-800-633-4227).

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