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Navigating the Medicare Plan Finder April 2015. What Is the Health Insurance Marketplace?  Created by the Affordable Care Act  Where qualified individuals.

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Presentation on theme: "Navigating the Medicare Plan Finder April 2015. What Is the Health Insurance Marketplace?  Created by the Affordable Care Act  Where qualified individuals."— Presentation transcript:

1 Navigating the Medicare Plan Finder April 2015

2 What Is the Health Insurance Marketplace?  Created by the Affordable Care Act  Where qualified individuals and families can directly compare private health insurance options Known as qualified health plans (QHPs) Can directly compare on the basis of price, benefits, quality, and other factors  Also known as Exchanges  Small Business Health Options Program (SHOP) Marketplace for small employers Provides coverage for their employees April 2015Navigating the Medicare Plan Finder2

3 What is the Medicare Plan Finder?  Internet tool on Medicare.gov that let’s youMedicare.gov View and compare your health and drug coverage options in your area Identify which plans cover your prescriptions at most affordable cost where you shop Enroll in a Part D or Medicare Advantage Plan April 2015Navigating the Medicare Plan Finder3

4 Getting Started: What You Will Need  Your Zip Code  Medicare card  List of prescriptions Strength and quantity Use of generics  Pharmacy you use  Other helpful information  Other health insurance cards  Subsidy eligibility  Medicaid, Low Income Subsidy April 2015Navigating the Medicare Plan Finder4

5 Medicare.gov Homepage April 2015Navigating the Medicare Plan Finder5

6 Plan Finder Homepage April 2015Navigating the Medicare Plan Finder6

7 Plan Finder Search Options April 2015Navigating the Medicare Plan Finder7

8 Step 1 of 4: General Search Only LIS Notice states what percentage the beneficiary is expected to pay for their premium. April 2015Navigating the Medicare Plan Finder8

9 General Search Only- Select Your Current Plan Select Your current plan from a list of plans in your area. April 2015Navigating the Medicare Plan Finder9

10 Step 2: Enter Your Drugs April 2015Navigating the Medicare Plan Finder10

11 Entering Drugs April 2015Navigating the Medicare Plan Finder11

12 Pop-up box to indicate dosage, quantity, frequency and where you buy IMPORTANT TO ENTER AS PRESCRIBED April 2015Navigating the Medicare Plan Finder12

13 Lower Cost Generic option April 2015Navigating the Medicare Plan Finder13

14 My Drug List April 2015Navigating the Medicare Plan Finder14

15 Print Drug List click when ready for next STEP April 2015Navigating the Medicare Plan Finder15

16 Step 3: Select a Pharmacy April 2015Navigating the Medicare Plan Finder16

17 Select Up to Two Pharmacies and View on Map April 2015Navigating the Medicare Plan Finder17

18 Step 4: Refine Your Plan Results April 2015Navigating the Medicare Plan Finder18

19 Plan Results Page April 2015Navigating the Medicare Plan Finder19

20 Star Ratings (Look at Customer Satisfaction, Complaints, Experiences, Pricing) April 2015Navigating the Medicare Plan Finder20

21 Plan Results Page – Key Information April 2015Navigating the Medicare Plan Finder21

22 Default Sort for Medicare Advantage Plans with Drug Coverage April 2015Navigating the Medicare Plan Finder22

23 Compare up to 3 Plans April 2015Navigating the Medicare Plan Finder23

24 Prescription Drug Plan Details Page Prescription Drug Plan Details Page defaults to the Drug Cost & Coverage Tab April 2015Navigating the Medicare Plan Finder24

25 Bar Chart to Show When Changes in Coverage Levels Occur April 2015Navigating the Medicare Plan Finder25

26 View Details of Costs April 2015Navigating the Medicare Plan Finder26

27 Plan Details – Drug Coverage NEW to Drug Costs Coverage TAB April 2015Navigating the Medicare Plan Finder27

28 Drug Coverage Information April 2015Navigating the Medicare Plan Finder28

29 View Drug Benefit Summary April 2015Navigating the Medicare Plan Finder29

30 “View Drug Benefit Summary” button to see if plan has Preferred Pharmacy prices April 2015Navigating the Medicare Plan Finder30

31 View Pharmacy Network NEW April 2015Navigating the Medicare Plan Finder31

32 Medicare Health Plan with Drug Coverage View Links to –Plan website –Important Notes –Provider & physician network April 2015Navigating the Medicare Plan Finder32

33 Health Plan Benefits Tab- Costs and Other Important Information April 2015Navigating the Medicare Plan Finder33

34 Health Plan Benefits April 2015Navigating the Medicare Plan Finder34

35 Customizable Print Report April 2015Navigating the Medicare Plan Finder35

36 Compare Side-by-Side April 2015Navigating the Medicare Plan Finder36

37 Comparing Fixed Costs April 2015Navigating the Medicare Plan Finder37

38 Comparing Your Out-of-Pocket Costs April 2015Navigating the Medicare Plan Finder38

39 Compare and Print View Drug Cost Summary April 201539

40 Print Comparison Report April 2015Navigating the Medicare Plan Finder40

41 Compare Plans Drug Updates April 2015Navigating the Medicare Plan Finder41

42 Online Enrollment Center April 2015Navigating the Medicare Plan Finder42

43 April 201543Navigating the Medicare Plan Finder

44 Click here on watermark Enter your SHIP office phone number below April 2015 Navigating the Medicare Plan Finder44

45 April 2015 Navigating the Medicare Plan Finder45

46 CMS National Training Program To view all available NTP training materials, or to subscribe to our email list, visit CMS.gov/Outreach-and-Education/Training/ CMSNationalTrainingProgram/index.html For questions about training products email training@cms.hhs.gov training@cms.hhs.gov


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