Medicare Fall Open Enrollment continues through December 7 — so you still have time to make certain changes to your coverage, including switching prescription drug plans or between traditional (sometimes called Original) Medicare and Medicare Advantage (MA).
As friends and families around the country gather for the Thanksgiving holiday, it’s the perfect time to talk turkey with loved ones and review your Medicare coverage options for 2020. Here are some tips to get you started:
Step 1: Review your current Medicare health and drug coverage
If you have traditional Medicare, take a look at the Medicare & You handbook and visit Medicare.gov to learn what your Medicare costs and benefits will be for 2020.
If you have MA or a Part D prescription drug plan (PDP), you should receive an Annual Notice of Change (ANOC) from your plan. Review this document for any changes in the plan’s costs, benefits, and/or rules for 2020. Since MA and Part D plans can make these changes every year, it’s particularly important to examine your coverage.
Step 2: Consider your options
Whether you are happy with your current coverage or not, we recommend reviewing all of your options each year. For some people with Medicare, an MA plan may be their best option, however based on your particular needs, traditional Medicare, with or without a standalone PDP or a Medigap policy may be the right choice.
If you want to evaluate your MA and/or Part D coverage choices, you can use Medicare Plan Finder to search and compare plans online, and you can also call 1-800-MEDICARE for a list of plans in your area. Be sure to contact the plan directly to confirm anything you learn online, since there have been widespread problems with the new, updated Medicare Plan Finder this year.
If you are in an MA plan, disenrolling to traditional Medicare and a standalone PDP is also an option. And depending on where you live, you may also be able to buy a Medigap policy. Before making the switch, call your State Health Insurance Assistance Program (SHIP) and ask if you have the right to purchase a Medigap during Fall Open Enrollment, what options you have, and what consumer protections your state provides.
Make sure you are getting the most out of your Medicare — know your options! Select a plan that best meets your needs and makes the most financial sense for you.
Step 3: Make changes during Fall Open Enrollment
If you find a plan that better meets your needs, the best way to enroll during Fall Open Enrollment is to call 1-800-MEDICARE. Your new coverage will take effect on January 1. Make sure you document the conversation, including the date, the representative you spoke to, and any outcomes or next steps. You may need this information later if there are problems with your enrollment.
RESOURCES
Help is Available! Call or visit the website of your State Health Insurance Assistance Program (SHIP). Your local SHIP can help you understand your Medicare coverage options and navigate any changes.
You can also call the Medicare Rights Center’s National Consumer Helpline at 800-333-4114. Counselors are available Monday through Friday to answer your Medicare questions.
The Center for Medicare Advocacy, along with the National Committee to Preserve Social Security and Medicare, relaunched the Fully Informed Project to provide objective materials about all Medicare options.
The Medicare Rights Center has several resources to help people with Medicare (1) navigate Fall Open Enrollment, including a free guide for consumers and six things to know about this important enrollment period; and (2) make coverage decisions, such as questions to ask before joining an MA plan and when comparing Part D plans, and fliers outlining the differences between Original Medicare and MA and Original Medicare and a Medigap vs. MA.
These and other resources are available on Medicare Interactive, Medicare Rights’ free and independent online reference tool designed to help older adults and people with disabilities navigate the complex world of health insurance.
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