Medicare Blog

i am new to medicare in october 2018. what do i need to know about a drug plan?

by Doyle Thompson Published 2 years ago Updated 1 year ago
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If you're new to Medicare, you may not even realize you need to buy a separate policy that covers prescription drugs. A possible exception: If you select a Medicare Advantage Plan that simplifies and combines Medicare's various parts and also covers prescription drugs.

Full Answer

How do I know when my Medicare drug plan coverage starts?

You should get a letter from your new Medicare drug plan telling you when your coverage begins. Don't give personal information to plans that call you unless you're already a member of the plan.

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.

When can I make changes to my Medicare coverage?

If you have or are eligible for Medicare, you should only use the Fall Open Enrollment Period (October 15 through December 7) to make changes to your Medicare coverage.

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.

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How do you find out what drugs are covered by Medicare?

Get information about specific drug plans and health plans with drug coverage in your area by visiting Medicare.gov/plan-compare or by calling 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

Does Medicare require prescription drug coverage?

Medicare drug coverage helps pay for prescription drugs you need. Even if you don't take prescription drugs now, you should consider getting Medicare drug coverage. Medicare drug coverage is optional and is offered to everyone with Medicare.

Can you have a Medicare Advantage Plan and a stand alone drug 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.

What are the negatives of a Medicare Advantage Plan?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

What drugs does Medicare Part D not cover?

Medicare does not cover:Drugs used to treat anorexia, weight loss, or weight gain. ... Fertility drugs.Drugs used for cosmetic purposes or hair growth. ... Drugs that are only for the relief of cold or cough symptoms.Drugs used to treat erectile dysfunction.More items...

Can you use GoodRx with Medicare?

GoodRx can't be used in combination with Medicare, but it can be used in place of Medicare. You may want to consider using GoodRx instead of Medicare when Medicare doesn't cover your medication, when you won't reach your annual deductible, or when you're in the coverage gap phase (“donut hole”) of your Medicare plan.

What are two options for Medicare consumers to get Part D prescription drug coverage assuming they meet all eligibility requirements )? Select 2?

There is no other way a Medicare consumer could get Part D prescription drug coverage. They could enroll in a Medicare Supplement Insurance Plan. They could enroll in a Medicare Advantage Plan or other Medicare health plan that includes prescription drug coverage.

What is the most popular Medicare Advantage plan?

AARP/UnitedHealthcare is the most popular Medicare Advantage provider with many enrollees valuing its combination of good ratings, affordable premiums and add-on benefits. For many people, AARP/UnitedHealthcare Medicare Advantage plans fall into the sweet spot for having good benefits at an affordable price.

What is the most popular Medicare Part D plan?

Best-rated Medicare Part D providersRankMedicare Part D providerMedicare star rating for Part D plans1Kaiser Permanente4.92UnitedHealthcare (AARP)3.93BlueCross BlueShield (Anthem)3.94Humana3.83 more rows•Mar 16, 2022

Why do I need Medicare Part C?

Medicare Part C provides more coverage for everyday healthcare including prescription drug coverage with some plans when combined with Part D. A Medicare Advantage prescription drug (MAPD) plan is when a Part C and Part D plan are combined. Medicare Part D only covers prescription drugs.

What is the difference between a Medicare Supplement plan and a Medicare Advantage plan?

Medicare Supplement plans. A Medicare Advantage plan (Medicare Part C) is structured to be an all-in-one option with low monthly premiums. Medicare Supplement plans offer additional coverage to Original Medicare with low to no out-of-pocket costs.

Can you switch back to Medicare from Medicare Advantage?

Yes, you can elect to switch to traditional Medicare from your Medicare Advantage plan during the Medicare Open Enrollment period, which runs from October 15 to December 7 each year. Your coverage under traditional Medicare will begin January 1 of the following year.

What is a Medicare Card

When you enroll in Medicare for the first time, you’ll receive a red, white, and blue Medicare card in the mail. If you are automatically enrolled in Medicare Part A, you will receive your plastic Medicare card about three months before your 65th birthday so that you will already have it when your plan becomes active.

New Medicare Cards 2018

In 2017, CMS (Centers for Medicare and Medicaid Services) decided to launch a new version of the red, white, and blue Medicare card. The big change is that instead of having your Social Security number plastered on your card, you’ll be assigned a Medicare number.

Avoiding Medicare Card Scams

Scammers might try to get your Medicare number from you. Remember that Medicare will never call and ask you to verify your number – they already have that information. If someone calls you and asks for your Medicare number, and you weren’t expecting them to call, do not give it to them.

When does Medicare change plans?

Medicare health and drug plans can make changes each year—things like cost, coverage, and what providers and pharmacies are in their networks. October 15 to December 7 is when all people with Medicare can change their Medicare health plans and prescription drug coverage for the following year to better meet their needs.

What is an ANOC in Medicare?

People in a Medicare health or prescription drug plan should always review the materials their plans send them, like the “Evidence of Coverage” (EOC) and “Annual Notice of Change” (ANOC). If their plans are changing, they should make sure their plans will still meet their needs for the following year.

How to enroll in a new Medicare plan?

4. The best way to enroll in a new plan is to call 1-800-MEDICARE. Enrolling in a new plan directly through Medicare is the best way to protect yourself if there are problems with enrollment.

When does Medicare fall open enrollment start?

1. Fall Open Enrollment occurs each year from October 15 through December 7. Any change you make during Fall Open Enrollment will take effect January 1. In most cases, Fall Open Enrollment is the only time you can pick a new Medicare Advantage or Part D plan. If you have Medicare Advantage, you can also switch to Original Medicare.

What is fall open enrollment?

Fall Open Enrollment is the time of year when you can change your Medicare coverage. You can: Switch between Original Medicare with or without a Part D plan and Medicare Advantage. Listed below are six things to keep in mind while you are choosing your Medicare coverage. 1.

What is an ANOC in Medicare?

If you have a Medicare Advantage Plan or a Part D plan, you should receive an Annual Notice of Change (ANOC) and/or Evidence of Coverage (EOC) from your plan. Review these notices for any changes in the plan’s costs, benefits, and/or rules for the upcoming year.

Can you change your Medicare Advantage plan during the OEP?

5. If you are dissatisfied with a Medicare Advantage Plan you choose during Fall Open Enrollment, you can change your plan during the Medicare Advantage Open Enrollment Period (MA OEP).

When Can You Get a Medicare Supplement?

For starters, you need to understand when you can first get a Medicare Supplement. In sum, if you’re eligible for Medicare, you’re eligible for a Medicare Supplement.

What Should You Do With Your Medicare Supplement Each Year?

The Medicare Annual Open Enrollment Period starts October 15th and ends on December 7th of each year. During this enrollment period, you’re likely getting swamped with advertisements, mailers, and phone calls from people trying to get you to switch or buy a new Medicare plan.

Guaranteed Renewable

Here’s the good news: your Medicare Supplement plan is guaranteed renewable for life. That means that no matter what happens to your health, you are always allowed to keep your Medicare Supplement. The only exception is if you stop making the monthly payments for any reason.

Handling Rate Increases

Your Medicare Supplement company will notify you of any potential rate changes 30-45 days in advance. Every year, your supplement price will increase, which is expected.

What About Medicare Advantage Plans?

Like we mentioned earlier in this article, Medicare Advantage (MA) plans are treated very differently from Medicare Supplements. You absolutely want to review your Medicare Advantage plan each and every year during the open enrollment period, which starts October 15 and ends December 7.

What About Medicare Part D Drug Plans?

You also want to take a look at your Medicare Part D drug plan every year. The premiums can change, covered drugs can change, and pricing can change, so be sure to ask one of our agents to help you if you need assistance.

Estimate Your Monthly Medicare-Related Insurance Premiums

Are you feeling in the dark about your potential Medicare costs? Find out exactly how much Medicare will cost you per month with the interactive Medicare Cost Worksheet.

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