Medicare’s Annual Open Enrollment Period

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Presentation transcript:

Medicare’s Annual Open Enrollment Period WHY You Should Review Your Medicare Coverage Each Year [INSERT YOUR AGENCY NAME/LOGO HERE] [INSERT DATE OF PRESENTATION]

October 15th – December 7th Annual Open Enrollment Period October 15th – December 7th Medicare Advantage Plans and Medicare Part D plans can change their plan details each year. Open enrollment is your opportunity to check your plan and make sure you will have appropriate coverage in the new year.

Medicare Every year insurance companies can change their formularies, premiums, deductibles and copays? ALL Medicare Part D plans should be reviewed every year!

Four Reasons to Check Your Prescription Drug Plan: Medicare Four Reasons to Check Your Prescription Drug Plan: Your plan may cost more next year due to changes in deductibles, premiums and co-pays. Your plan may no longer cover all your medications because insurance companies change their formularies. Your plan may have put restrictions on some of your medications such as preauthorization, quantity limits and step therapy. You may be taking different medications now.

Time to review your Medicare Prescription Drug Plan! So it’s… Time to review your Medicare Prescription Drug Plan!

Annual Notice of Change What is it? If you have a Medicare plan, your plan will send you an "Annual Notice of Change" (ANOC) each fall. The ANOC includes any changes in coverage, costs, or service area that will be effective in January. When should I get it? September Who sends it? Your plan What should I do if I get this notice? Review any changes to decide whether the plan will continue to meet your needs in the next year. Compare it to your other options. If you don't get this important document, contact your plan.

How Do I Choose a Plan? How to Choose a Plan? Compare plans on the PlanFinder at: www.medicare.gov Call Medicare at: 1-800-633-4227 Call Medigap Hotline (WI SHIP): 1-800-242-1060 For local assistance: <YOUR CONTACT INFO>

The Medicare Plan Finder Click “Find Health and Drug Plans.” Personalize your search to find plans that meet your needs. Compare plans based on star ratings, formularies, benefits, costs, and more. Visit www.Medicare.gov and click on “Find health and drug plans”. (Provide attendees with a handout with PlanFinder Instructions.)

The Medicare Plan Finder The plan finder walks you through multiple steps to achieve your personalized results. Results are based on the information you enter: Zip code – plans vary by county Your medications Pharmacy preference Eligibility for assistance – “Extra Help” Retail/Mail order preference

Your Results Your Results Results will be sorted by lowest annual cost

Plan Details Plan Details

Additional Considerations Are your medical providers/pharmacy in-network with this plan? For Medicare Advantage plans, what services are you most likely to use? What are the co-pays for those services?

Ways to Enroll Ways to Enroll Online via the Medicare website or the plan’s website Or call Medicare (1-800-633-4227) or the plan directly. Some plans will have an agent you can meet with.

What if someone needs help with Medicare Costs?

For more information or assistance contact: Medicare Related Programs For Medicare Beneficiaries with Limited Income and Assets Medicare Related Programs For Medicare Beneficiaries with limited income and assets Medicare Savings Plans If eligible, your Medicare Part B premium will be paid for you Some also have co-pays and deductibles paid as well based on income & assets Extra Help (Low Income Subsidy) Assistance with Medicare prescription drug coverage Reduces Part D premiums, deductibles and co-pays based on income & assets For more information or assistance contact: <YOUR CONTACT INFO HERE>

WI Prescription Drug Assistance Program SeniorCare WI Prescription Drug Assistance Program Age 65 and over $30 Annual application fee NO Asset limit “Creditable” coverage Level of assistance depends on income May use alone or in addition to Part D Approved now through 2018

Don’t Wait !!! Don’t wait! If you would like assistance with a plan comparison, please contact: <YOUR AGENCY CONTACT HERE> Or, complete the Prescription Drug Form (have available as handout) and return to: <YOUR AGENCY INFO HERE>