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October 15, 2019
By: Seema Verma, Administrator,
Centers for Medicare & Medicaid Services
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Medicare Open Enrollment: More Choices, More Benefits, Easier to
Shop
I am excited to share the
steps we have taken to make this Medicare Open Enrollment season a great one.
The Trump Administration believes people with Medicare should have more
choices whether they are interested in Original Medicare (Part A and Part B),
Medicare Advantage (Part C), prescription drug coverage (Part D), or Medicare
Supplemental Insurance (Medigap). Under the leadership of President
Trump – who has worked tirelessly to protect the Medicare program – we’ve
increased plan choices, improved benefits, and lowered costs. As part
of the Administration’s eMedicare initiative, we’ve also made it easier to
shop and compare Medicare plans by introducing the new and improved Medicare
Plan Finder. And, we launched our annual Guard Your Card campaign to
inform consumers about ways to keep their personal information safe.
Read on for more specifics on these improvements.
Medicare
Coverage Choices
There are two main ways to
get Medicare coverage—Original Medicare (Part A or B) or a Medicare Advantage
Plan (Part C). Part A covers inpatient hospital stays, care in a
skilled nursing facility, hospice care, and some home health care. Part
B covers certain doctors' services, outpatient care,medical supplies, and
preventive services. Medicare Advantage is a bundled alternative to
Original Medicare offered by private plans. Some people choose to get
additional coverage, like Medicare prescription drug coverage (Part D), or
Medicare Supplement Insurance (Medigap) for people participating in Original
Medicare. Read on for more specifics on the improved tool to enroll in
Medicare Advantage and Part D plans, and compare the supplemental benefits
offered in Medigap plans.
Medicare
Open Enrollment
During Open Enrollment,
people with Medicare have until December 7 to review their health and drug
plan options, and make the best decision based on financial and medical
needs. Re-enrollment and plan changes will take effect on January 1,
2020. Medicare health and drug plan costs and covered benefits can
change from year to year. That’s why it’s important for people with
Medicare to review their health care plan during Open Enrollment to ensure
they have the right coverage for their financial and medical needs. I
encourage people with Medicare to review and update their coverage choices
before the closing date. Otherwise, they may have to wait another year
to make changes.
Medicare
Advantage and Part D Premiums
The Trump Administration
believes people with Medicare should have more plan choices, and benefits
tailored to consumer needs when comparing between various Medicare
plans. We recently announced that 2020 Medicare Advantage premiums are
expected to decline an average of 23 percent from 2018, while plan choices,
benefits, and enrollment continue to increase. The continued premium
decreases bring us to the lowest level in the last thirteen years.
The decline in prices has
also extended to Part D. The projected average monthly basic Part D
premium has declined 13.5 percent since 2017 to a total of $30 in 2020 – the
lowest it’s been since 2013. Part D and Medicare Advantage price
decreases have saved Medicare enrollees about $2.65 billion in costs since
2017.
Medicare
Plan Finder
We’ve also made it easier
to compare pricing between Original Medicare, Medicare prescription drug
plans, Medicare Advantage plans, and Medigap policies by implementing the
first update in a decade to the Medicare Plan Finder. The new and
improved Plan Finder makes it easier for consumers to compare plans and find
one that’s the best choice to meet their needs. Here are the most
important ways we’ve modernized and improved it:
Easier to
View Popular Supplemental Benefits
In April, we announced
that Medicare Advantage plans would be able to offer a broad range of
supplemental benefits that are not necessarily strictly health-related but
are likely to help our enrollees stay healthy. Examples include
tailored benefits for those that are chronically ill, pest control for those
who have asthma, and healthy foods for those with heart disease. Plan
Finder makes it easy to view popular supplemental benefits.
Easier to
Shop for Drug Plans with Personalized History
We’ve personalized the Plan
Finder to generate someone’s individual drug history. Prescription
information is now auto-populated from personal claims history with accurate
brand, dosage, and frequency information. There is a feature to edit,
add, and remove drugs. We’ve also built in pop-ups to notify users when
there might be lower cost generics available. It’s never been easier
for someone with Medicare to build an accurate personal drug list and find
Medicare Part D prescription drug coverage that best meets their needs.
Easier to
Use on Mobile Devices
Last year, the number of
users accessing Medicare Plan Finder on a mobile device increased by 40
percent. As more people prefer to shop by smartphones or tablets, we’ve
made the mobile experience even better. We’ve redesigned it to include
simple prompts, clean design, and user-friendly fonts and colors.
Medicare
Advantage and Part D Star Ratings
As part of our efforts to
increase transparency, we recently released the 2020 Star Ratings for
Medicare Advantage and Part D plans. Star Ratings will help seniors
with Medicare, their families and caregivers compare the quality of health
and drug plans being offered. This information is essential to make
informed healthcare decisions. Most people with Medicare will have
access to Medicare Advantage and Part D plans with four or more stars in
2020, with approximately 81 percent of Medicare Advantage enrollees with
prescription drug coverage will be in plans with four and five stars in 2020,
an increase from 69 percent in 2017
Medicare
Guard Your Card
Finally, after shopping
for health and drug plans, I urge everyone to take proper safety measures to
guard against identity theft and fraud.
Medicare
Card and Number
We don’t contact people
with Medicare unless we’ve been given permission. Consumers should be
diligent and never share their Medicare number with anyone who contacts them
by telephone, email or in person, unless they’ve provided an assister or
caregiver permission in advance.
Medicare
Summary Notice
The Medicare Summary
Notice (MSN) contains important medical history information. People
with Medicare should review their MSN to make sure charges reflect items and
services that they have received.
Empowering
Patients
The Trump Administration
is working to put patients at the center of our health care system. We
want to make sure consumers have the resources they need to make the best
decisions. Our efforts during the 2020 Open Enrollment season empower
people with Medicare – not the government – with choice and control, price
and quality transparency, and secure access to their health information.
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Get CMS news at cms.gov/newsroom, sign up for CMS news via email and follow CMS on Twitter CMS
Administrator @SeemaCMS, @CMSgov, and @CMSgovPress.
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Thursday, October 17, 2019
Medicare Open Enrollment: More Choices, More Benefits, Easier to Shop
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