Medicare Blog

how do you change town for medicare drug coverage

by Birdie Altenwerth IV Published 3 years ago Updated 2 years ago
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If you move to a new city that is within your plan’s network, you can: Keep your current Medicare Advantage or Part D plan Enroll in or change to a different Medicare Advantage or Part D plan

Full Answer

How do I switch to a new Medicare drug plan?

You can switch to a new Medicare drug plan by joining another drug plan during one of these times. You don't need to cancel your old Medicare drug plan. Your old Medicare drug plan coverage will end when your new drug plan begins.

What changes can I make to my Medicare coverage?

During this period of time, you can make changes to your Medicare coverage. For example, you can: Change from one Medicare Advantage (with or without drug coverage) plan to another MA plan (with or without drug coverage) Drop your Medicare Advantage plan and revert to Original Medicare.

What happens to my old Medicare drug plan coverage?

Your old Medicare drug plan coverage will end when your new drug plan begins. If you want to join a plan or switch plans, do so as soon as possible so that you’ll have your membership card when your coverage begins, and you can get your prescriptions filled without delay.

How do I get Medicare prescription drug coverage?

You can get your Medicare benefits from Original Medicare or through Part C, also known as a Medicare Advantage plan. If you join Original Medicare, you can enroll in a standalone Prescription Drug Plan (PDP) during this time. Alternatively, you can choose to enroll in a Medicare Advantage plan that includes prescription drug coverage.

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Does Medicare Part D vary by state?

Original Medicare is the only coverage that does not vary by state. Medigap, Medicare Advantage and Part D prescription drug plans are all sold privately and vary by state. Larger states typically have more plan options available than less populated states. Medigap plans offer the same benefits across most states.

How do I change my Medicare plan if I move?

How to switchTo switch to a new Medicare Advantage Plan, simply join the plan you choose during one of the enrollment periods. You'll be disenrolled automatically from your old plan when your new plan's coverage begins.To switch to Original Medicare, contact your current plan, or call us at 1-800-MEDICARE.

Can you transfer Medicare prescriptions?

Yes. In general, when you switch to a different Medicare Part D prescription drug plan (PDP or MAPD), your existing prescriptions will move to your new Medicare drug plan --- with a few exceptions noted below.

Can you change Medicare Part D plans at any time?

You can sign up for a Medicare Part D plan or switch from one Part D plan to another during each year's open enrollment period. You also can sign up for a Medicare Advantage plan or switch to a different Medicare Advantage plan — with or without drug coverage — during that time.

Do I need to notify Medicare if I move?

If you're enrolled in Original Medicare, Part A and Part B, you don't need to make changes to your coverage if you're moving, either to a new address in your state or out of state. Original Medicare doesn't have provider networks; instead, you can use any hospital or doctor throughout the country that takes Medicare.

Can you have Medicare in two states?

You can have Medicare while living in two states, but you'll choose one location as your primary residence. There will be some Medicare plans that benefit you more than others when you have multiple homes. Some retired people choose to reside in two different locations.

Can Medicare B scripts be transferred?

You are not allowed to transfer prescriptions for diabetic supplies and bill Part B. It is stated directly on Medicare.gov. Knowingly, doing so is considered Medicare fraud. Most pharmacists are unaware of this.

When can you change Medicare drug plans?

In most cases, you can only make changes to your Medicare Part D prescription drug coverage during Fall Open Enrollment (October 15 through December 7). Your new coverage begins January 1 of the following year.

Does changing Social Security address change Medicare address?

Why do I contact Social Security to change my address with Medicare? Medicare works with SSA to maintain your records, so sometimes you have to contact SSA to update your information. If you have Medicare, even if you don't get Social Security benefits, you still contact SSA to update your address with Medicare.

What is the main problem with Medicare Part D?

The real problem with Medicare Part D plans is that they weren't set up with the intent of benefiting seniors. They were set up to benefit: –Pharmacies, by having copays for generic medications that are often far more than the actual cost of most of the medications.

Do I need Medicare Part D if I don't take any drugs?

No. Medicare Part D Drug Plans are not required coverage. Whether you take drugs or not, you do not need Medicare Part D.

Do you need Medicare Part D if you have a Medicare Advantage plan?

Plans can now cover more of these benefits. You can join a separate Medicare drug plan (Part D) to get drug coverage. Drug coverage (Part D) is included in most plans. In most types of Medicare Advantage Plans, you don't need to join a separate Medicare drug plan.

Your other coverage

Do you have, or are you eligible for, other types of health or prescription drug coverage (like from a former or current employer or union)? If so, read the materials from your insurer or plan, or call them to find out how the coverage works with, or is affected by, Medicare.

Cost

How much are your premiums, deductibles, and other costs? How much do you pay for services like hospital stays or doctor visits? What’s the yearly limit on what you pay out-of-pocket? Your costs vary and may be different if you don’t follow the coverage rules.

Doctor and hospital choice

Do your doctors and other health care providers accept the coverage? Are the doctors you want to see accepting new patients? Do you have to choose your hospital and health care providers from a network? Do you need to get referrals?

Prescription drugs

Do you need to join a Medicare drug plan? Do you already have creditable prescription drug coverag e? Will you pay a penalty if you join a drug plan later? What will your prescription drugs cost under each plan? Are your drugs covered under the plan’s formulary? Are there any coverage rules that apply to your prescriptions?

Quality of care

Are you satisfied with your medical care? The quality of care and services given by plans and other health care providers can vary. Get help comparing plans and providers

Convenience

Where are the doctors’ offices? What are their hours? Which pharmacies can you use? Can you get your prescriptions by mail? Do the doctors use electronic health records prescribe electronically?

When to switch to original Medicare?

Switch to Original Medicare during the first year on the Medicare Advantage plan (trial period). Switch to Original Medicare during the annual Medicare Advantage open enrollment period (January 1 to March 31).

How to leave Medicare Advantage?

To protect Medicare beneficiaries, lawmakers provided escape hatches for Medicare Advantage enrollees who decide – for whatever reason – that they’d rather be covered under Original Medicare . There are essentially four different avenues available to enrollees who want to leave their Medicare Advantage plan: 1 Make changes during general open enrollment (October 15 to December 7, with changes effective January 1). 2 Switch to Original Medicare during the first year on the Medicare Advantage plan (trial period). 3 Switch to Original Medicare during the annual Medicare Advantage open enrollment period (January 1 to March 31). Note that Medicare Advantage enrollees also have the option to switch to a different Medicare Advantage plan during this time. 4 Switch to Original Medicare (or a different Medicare Advantage plan, depending on the situation) if a special enrollment period becomes available.

How long is the disenrollment period for Medicare?

The disenrollment period, created by the Affordable Care Act, was only a month and a half long. It allowed Medicare Advantage enrollees to switch to Original Medicare and a Part D plan, but did not allow them to switch to a different Medicare Advantage plan.

What percentage of Medicare beneficiaries are in Medicare Advantage?

Medicare Advantage (Medicare Part C) has become increasingly popular over the last decade. Thirty-four percent of all Medicare beneficiaries were in Medicare Advantage plans as of 2019, up from just 13 percent in 2005. And by late 2019, nearly 38 percent of Medicare beneficiaries had private coverage, nearly all of whom had Medicare Advantage ( Medicare Cost plans are another form of private Medicare coverage, but very few people are enrolled in those plans). But that doesn’t mean everyone is happy with Medicare Advantage, or that it’s the right option for all Medicare beneficiaries who enroll in it.

How many stars does Medicare have?

Medicare utilizes a star rating system for Medicare Advantage and Part D Prescription Drug Plans. Each Medicare contract is assigned a rating of one to five stars, with the best contracts receiving five stars.

When is the open enrollment window for Medicare Part B?

This window runs from January 1 to March 31, with coverage effective July 1.

When is Medicare Part B enrollment?

January 1 to March 31 – General enrollment for Medicare Part B, for people who didn’t sign up when they were first eligible (this is also the general enrollment period for people who have to pay premiums for Medicare Part A and didn’t sign up when first eligible).

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