Wednesday, August 1, 2018

Update on Medicare Cost Plans for 2019


June 22, 2018 | Insurance
Due to a change in federal law, many Minnesota seniors with a specific type of Medicare plan, known as a “Cost Plan,” may need to enroll in new Medicare coverage for 2019. 

WHAT YOU NEED TO KNOW

What is a Medicare Cost Plan?

A Cost Plan is a type of Medicare plan that has been popular with Minnesota seniors for many years. 

In Minnesota, Cost Plans are currently offered by just three insurers: 
  • Blue Cross and Blue Shield of Minnesota
  • HealthPartners 
  • Medica
Their Cost Plans have various brand names. A list can be found at the bottom of this page. 

How do I tell if I have a Cost Plan?

Most Minnesota seniors do NOT have Medicare Cost Plans.

Of the one million Minnesota seniors currently enrolled in Medicare, about 370,000 have Cost Plans. 

You can confirm whether you have a Medicare Cost Plan by calling the number on the back of your health plan member card.

What should Minnesota seniors with Medicare Cost Plans do now?

For now, seniors with Medicare Cost Plans do NOT need to take any action.

All current Medicare Cost Plan coverage remains in effect until December 31, 2018.

Later this summer and into the fall, seniors will receive information about how to obtain new Medicare coverage for 2019.

What is the Minnesota Department of Commerce doing to protect seniors with Medicare Cost Plans?

The Commerce Department is helping to ensure a smooth transition in Medicare coverage for Minnesota seniors.  We are coordinating with the Centers for Medicare & Medicaid Services (CMS), other state agencies, the Minnesota Board on Aging Senior LinkAge Line®, insurance companies and health plans, insurance brokers/agents and many partner organizations that serve and work with seniors.

LEARN MORE

How will Minnesota seniors with Medicare Cost Plans be affected for 2019?

Not all seniors with Cost Plans will be affected in the same way.

Seniors in some Minnesota counties will be able to remain with their current Cost Plans because of the limited availability of other Medicare options. 
  • This summer, the Centers for Medicare & Medicaid Services (CMS) is expected to provide the list of Minnesota counties where seniors can remain enrolled in their Cost Plans in 2019.
 Many seniors with Cost Plans may be automatically transitioned into a Medicare Advantage plan for 2019 with their same company, as long as CMS determines the new plan is similar in benefits to their current Cost Plan. 
  • Seniors will still be able to opt out and select a different Medicare Advantage plan or Medicare Supplement policy.
It is estimated that about 200,000 Minnesota seniors will need to take action this fall to replace their existing Medicare Cost Plan and enroll in a new Medicare Advantage plan or purchase a Medicare Supplement policy for coverage beginning January 1, 2019. 

What are some important dates?

Summer 2018
Minnesota seniors whose Cost Plans are ending will receive letters from their Cost Plan company or from Medicare informing them of the change and their options.

October 1, 2018
This is when seniors can begin to shop and compare plans for 2019. 

Detailed Medicare plan offerings for 2019 will be available on the www.Medicare.gov Plan Finder tool, including information on cost, coverage and other benefits. 

In addition, the Minnesota Board on Aging’s 2019 edition of Health Care Choices for Minnesotans on Medicare will be available at this time. The publication provides information on all Minnesota Medicare options for 2019. To get a free copy, call the Senior LinkAge Line® at 1-800-333-2433. 

October 15 – December 7, 2018
The Medicare Annual Enrollment Period is when all seniors can choose to enroll or switch to a  new Medicare plan for 2019, including a Medicare Advantage plan or Medicare Part D prescription drug plan.

November 2, 2018 – March 4, 2019
This is the period when seniors who lost their Cost Plan and returned to Original Medicare Part A and B can purchase a Medicare Supplement policy without any health screening (underwriting). 

December 8, 2018 – February 28, 2019
This is a Special Enrollment Period for seniors who lost their Cost Plans. They can enroll in a different Medicare Advantage Plan or Medicare Part D prescription drug plan for 2019 than the one they selected during the Annual Enrollment Period (October 15-December 7, 2018).

January 1, 2019 – March 31, 2019
This is a new Medicare Advantage enrollment period for all seniors enrolled in a Medicare Advantage plan. They can switch to a different Medicare Advantage plan or return to Original Medicare Part A and B. 

Where can I get more information?

Medicare
1-800-MEDICARE (1-800-633-4227)

Minnesota Senior LinkAge Line®
1-800-333-2433 statewide
The Senior LinkAge Line® is the federally designated State Health Insurance Assistance Program (SHIP) for Minnesota and provides free, objective, comprehensive help with Medicare.

Minnesota Commerce Department 
651-539-1600 or 1-800-657-3602 (Greater Minnesota)
The Commerce Department is the state regulator of insurance companies and insurance brokers/agents. The Department’s Consumer Services Center provides assistance to Minnesotans with concerns or problems regarding an insurance policy, insurance broker/agent or insurance company.

What are the brand names of Medicare Cost Plans in Minnesota?

Blue Cross and Blue Shield of Minnesota
  • Platinum Blue Choice
  • Platinum Blue Choice with Rx
  • Platinum Blue Complete
  • Platinum Blue Complete with Rx
  • Platinum Blue Core
  • Platinum Blue Core with Rx

HealthPartners
  • Freedom Active
  • Freedom Active with Rx
  • Freedom Balance 
  • Freedom Balance with Rx
  • Freedom Basic
  • Freedom Ultimate 
  • Freedom Ultimate with Rx
  • Freedom Ultimate with Enhanced Rx
  • Freedom Vital
  • Freedom Vital with Rx

Medica
  • Prime Solution Basic
  • Prime Solution Basic with Rx
  • Prime Solution Basic with Rx 2
  • Prime Solution Enhanced
  • Prime Solution Enhanced with Rx
  • Prime Solution Enhanced with Rx 2
  • Prime Solution Thrift
  • Prime Solution Thrift with Rx
  • Medica Prime Solution Value
  • Medica Prime Solution Value with Rx
  • Medica Prime Solution Value with Rx 2


No comments:

Post a Comment