Current:Home > ContactGot a notice of change from your Medicare plan? Here are 3 things to pay attention to -TrueNorth Capital Hub
Got a notice of change from your Medicare plan? Here are 3 things to pay attention to
View
Date:2025-04-19 14:50:15
Millions of older Americans get health benefits through Medicare. But coverage under Medicare isn't a one-size-fits-all sort of deal.
As an enrollee in original Medicare, you have the option to choose your own drug coverage. Or, you could sign up for a Medicare Advantage plan for added benefits on top of what original Medicare entails.
You're also not stuck with the Medicare plan you choose for life. Each year during the fall, Medicare participants are able to make changes to their coverage during open enrollment, which runs from Oct. 15 through Dec. 7.
During open enrollment, you can switch Part D plans, move from one Medicare Advantage plan to another or drop Advantage altogether and move over to original Medicare. But to make an informed decision, you need to know what's staying the same with your current Medicare plan and what's changing.
That's why it's so important to review your plan's notice of change carefully. Generally, these notices go out by Sept. 30 so that Medicare enrollees have an opportunity to get updates on their plans in time for open enrollment. If you're new to getting one of these letters, here are some key points to look out for.
1. How your medications are categorized
If you're a Medicare Part D participant, you may be aware that these plans use formularies to group medications into different tiers. These tiers determine your out-of-pocket costs.
One thing you'll want to pay attention to on your notice of change is whether your current prescriptions are moving into a different tier. If one of your medications is bumped into a higher tier, you may be looking at higher costs in 2025. However, it's possible that one of your medications is moving to a lower tier, resulting in less expensive copays for you.
2. How your Medicare Advantage plan benefits are changing
Medicare Advantage plans commonly offer supplemental benefits beyond the scope of what original Medicare covers. It's important to see which of those benefits your plan is keeping in the new year versus taking away.
It may also be that your Medicare Advantage plan is adding benefits for 2025. That's important information to have. But before you get too excited, realize that just because a given Advantage plan offers a certain benefit doesn't mean that it's accessible for all enrollees. If you see new benefits added, inquire to make sure they're options you can take advantage of. You may need a certain diagnosis to use some of your plan's benefits.
3. How your Medicare Advantage plan network is changing
One limitation of Medicare Advantage is that you're generally restricted to a specific network of providers. With original Medicare, you may have more doctors you can see.
Pay attention to changes in your provider network. If your main reason for sticking with your Medicare Advantage plan is to retain access to a certain doctor who will be out of network in 2025, that may be a good reason to switch your coverage.
Whether you're happy with your current Medicare plan or not, it's important to read your notice of change carefully. Doing so could set you up for a successful open enrollment this fall.
The Motley Fool has a disclosure policy.
The Motley Fool is a USA TODAY content partner offering financial news, analysis and commentary designed to help people take control of their financial lives. Its content is produced independently of USA TODAY.
The $22,924 Social Security bonus most retirees completely overlook
Offer from the Motley Fool: If you're like most Americans, you're a few years (or more) behind on your retirement savings. But a handful of little-known "Social Security secrets" could help ensure a boost in your retirement income. For example: one easy trick could pay you as much as $22,924 more... each year! Once you learn how to maximize your Social Security benefits, we think you could retire confidently with the peace of mind we're all after. Simply click here to discover how to learn more about these strategies.
View the "Social Security secrets" »
veryGood! (37592)
Related
- Cincinnati Bengals quarterback Joe Burrow owns a $3 million Batmobile Tumbler
- Thanksgiving recipes to help you save money on food costs and still impress your guests
- Ward leads Washington State to 56-14 romp over Colorado; Sanders exits with injury
- Officials stock up on overdose antidote naloxone after fentanyl-laced letters disrupt vote counting
- Juan Soto praise of Mets' future a tough sight for Yankees, but World Series goal remains
- A law that launched 2,500 sex abuse suits is expiring. It’s left a trail of claims vs. celebs, jails
- Staggering rise in global measles outbreaks in 2022, CDC and WHO report
- Arkansas man used losing $20 scratch-off ticket to win $500,000 in play-it-again game
- Whoopi Goldberg is delightfully vile as Miss Hannigan in ‘Annie’ stage return
- Sam Altman leaving OpenAI, with its board saying it no longer has confidence in his leadership
Ranking
- Small twin
- Sugar prices are rising worldwide after bad weather tied to El Nino damaged crops in Asia
- Australia wins toss and will bowl against India in the Cricket World Cup final
- Man fatally shot while hunting in western New York state
- Trump wants to turn the clock on daylight saving time
- First group of wounded Palestinian children from Israel-Hamas war arrives in United Arab Emirates
- House Republicans to release most of Jan. 6 footage
- Brazil surprise songs: See the tunes Taylor Swift played in Rio de Janeiro
Recommendation
Biden administration makes final diplomatic push for stability across a turbulent Mideast
Inside the Surreal Final Months of Princess Diana's Life
Amazon Has Thousands of Black Friday 2023 Deals, These Are the 50 You Can’t Miss
Bruins forward Milan Lucic taking leave of absence after reported arrest for domestic incident
Juan Soto to be introduced by Mets at Citi Field after striking record $765 million, 15
SpaceX is attempting to launch its giant Starship rocket — again. Here's what to know
Gaza communications blackout ends, giving rise to hope for the resumption of critical aid deliveries
White House rejects congressional requests tied to GOP-led House impeachment inquiry against Biden, as special counsel charges appear unlikely