How to compare annual Medicare drug plan changes with the Q1Medicare Medicare Part D PDP-Compare tool
Our Q1Medicare®
PDP-Compare
and
MA-Compare
tools allow you to compare annual Medicare changes in
all
stand-alone Medicare Part D prescription drug plans (PDPs) or Medicare
Advantage plans (
MAs or MAPDs) across the country - showing changes in
monthly premiums and plan design changes, as well as changes in
co-payments or co-insurance rates for different drug tiers along with
the most recent Medicare quality star ratings.
Reminder: Medicare Part D plans can (and usually do) change every year and you should be aware that your current Medicare Part D plan may have the same name next year, but the plan can have changed many coverage features.
Usually any yearly changes to your existing Medicare Pare D drug plan
coverage are explained in your Annual Notice of Change (
ANOC) letter
that you should receive from your current Medicare Part D or Medicare
Advantage plan sometime in early-October.
Unfortunately, the
Annual Notice of Change letter can be pretty difficult for some people
to read (or just easy to ignore) and that is why we launched our
PDP-Compare tool so we can stress the importance of knowing your annual
plan changes.
How can your Medicare change in a year?
- Your Medicare Part D or Medicare Advantage plan may not be offered next year.
- You may be automatically moved or "crosswalked" to another Medicare plan.
- Your Medicare plan's name may change.
- Your monthly premiums may increase.
- Your plan's Initial Deductible may change.
- Your plan will probably change the Initial Coverage Limit (when you go into the Donut Hole).
- Your plan may offer supplemental Donut Hole or Coverage Gap Coverage.
- Your Medicare drug plan's Formulary or Drug List will probably change.
- Your drug cost sharing amounts (what you pay for co-payments or co-insurance) may change.
- Usage Management restrictions may be added to your drugs (whether your drug requires prior authorization or step-therapy or quantify limits)
- ... and more
Our Q1Medicare PDP-Compare tool provides a side-by-side comparison of basic plan costs and design changes between all individual Medicare Part D plans as we move from one year to the next.
As an example, below shows how a Medicare Part D plan in Ohio will change the plan name, increase monthly premiums, increase the deductible, and change drug cost-sharing for the next plan year. So, people enrolled in the 2020 Ohio EnvisionRxPlus plan who take no action during the annual Open Enrollment Period (October 15 through December 7) will find themselves enrolled in the 2021 Elixer RxSecure plan on January 1st.
As another example, the following graphic shows another example of a Medicare Part D plan with annual changes in premiums, deductible, formulary cost sharing that affects
millions of people. On the positive side, the new 2020 plan will have a larger formulary as compared to the previous year's 2019 drug list.
You can click on the plan names for the plan's coverage details and you can click on the "formulary" text to browse the plan's formulary or drug list using our
Formulary Browser.
All Medicare Part D prescription drug plans in all states (and US territories) are represented with the PDP-Compare tool and here is an example link to how all stand-alone Medicare Part D plans will change from one year to the next within the state of New Jersey:
PDPCompare.com/NJ.
PDP-Compare/FL for stand-alone Part D drug plans and MA-Compare.com/15238 for Medicare Advantage plans.
Like our PDP-Compare tool, you can find similar information for annual changes to Medicare Advantage plans using the
Q1Medicare MA-Compare or Medicare Advantage plan annual comparison tool.
As an example, using Zip Code 90001 (Los Angeles, California), you can see that there were
195 different 2020/2021 Medicare Advantage plans changes year-to-year. That is, Medicare Advantage plans in this county are changing healthcare and drug coverage, changing plan names, leaving the Service Area, or entering the Service Area.
Like Medicare Part D plans, each year, Medicare Advantage plans can be changing:
- Plan availability - Your Medicare Advantage plan may not be offered next year.
- New Medicare Advantage plan options may be available to you next year.
- Plan mergers and consolidations - You may be automatically moved or "crosswalked" to another Medicare plan.
- Your Medicare plan's name may change.
- Your monthly premiums may increase.
- Your plan's maximum out-of-pocket limit or MOOP may change.
- Your Medicare drug plan's Formulary or Drug Lists may change.
- Your drug cost sharing amounts (what you pay for co-payments or co-insurance) may change.
- ... and more
As another example, this screen shows the entry of a new 2021 Medicare Advantage plan being introduced in a Pennsylvania county (the 2021 Lasso Healthcare Growth (
MSA)). On the same screen, you can see how a Medicare Advantage plan is changing the Medicare Part A and Part B maximum out-of-pocket spending limit or
MOOP (in this example, from $6,700 to $7,550).
Again, as with our PDP-Compare tool, we make every effort to show changes in all Medicare Advantage plans (with and without drug coverage, Special Needs Plans, and MSAs) in all states and US territories.
MA-Compare.com/15238 - please note that we even show "
sanctioned" Medicare plans.