Medicare Open Enrollment

If you have a Medicare Advantage (Part C) or Prescription Drug Plan (Part D), Open Enrollment runs October 15 through December 7 and is the time you can make changes to your plan.

Even if you’re happy with your current coverage, you might find something that’s a better fit for your budget or your health needs. If you miss an Open Enrollment deadline, you’ll most likely have to wait a full year before you can make changes to your plan.

Here are five important things every Medicare beneficiary can do to get in the Medicare Open Enrollment routine.

  1. Review your plan notice. Be sure to read any notices from your Medicare plan about changes for next year, especially your “Annual Notice of Change” letter. Look at your plan’s information to make sure your drugs are still covered and your doctors are still in network.
  2. Think about what matters most to you. Medicare health and drug plans change each year and so can your health needs. Do you need a new primary care doctor? Does your network include the specialist you want for an upcoming surgery? Is your new medication covered by your current plan? Does another plan offer the same value at a lower cost? Take stock of your health status and determine if you need to make a change.
  3. Find out if you qualify for help paying for your Medicare. Learn about programs in your state to help with the costs of Medicare premiums, your Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) deductibles, coinsurance and copayments and Medicare prescription drug coverage costs. You can do this by visiting Medicare.gov or contacting a KIPDA State Health Insurance Assistance Program (SHIP) counselor.
  4. Shop for plans that meet your needs and fit your budget. Starting in October, you can use Medicare’s Plan Finder tool at Medicare.gov/find-a-plan to see what other plans are offered in your area. If you are not comfortable using the Medicare tool yourself, contact a KIPDA SHIP counselor. A new plan may:
    • Cost less
    • Cover your drugs
    • Let you go to the providers you want, like your doctor or pharmacy
  5. Check your plan’s star rating before you enroll. The Medicare Plan Finder has been updated with the 2016 Star Ratings for Medicare health and prescription drug plans. Plans are given an overall quality rating on a 1 to 5 star scale, with 1 star representing poor performance and 5 stars representing excellent performance. Use the Star Ratings to compare the quality of health and drug plans being offered.

If you find that your current coverage still meets your needs, then you’re done. Remember, during Medicare Open Enrollment, you can decide to stay in Original Medicare or join a Medicare Advantage Plan. If you’re already in a Medicare Advantage Plan, you can switch back to Original Medicare.

FOR MORE INFORMATION OR FREE, PERSONALIZED, NON-BIASED MEDICARE COUNSELING, YOU CAN CALL KIPDA AT (502)266-5571 OR TOLL FREE AT (888)773-3363

Source: Kentuckiana Regional Planning & Development Agency (KIPDA)