Staying with your current 2021 plan into 2022?
If you are satisfied with your current 2021 Medicare Part D plan or Medicare Advantage plan coverage – and you understand how your Medicare plan is changing in 2022 – you do not need to do anything – and you will be automatically re-enrolled into your Medicare plan along with any changes your plan is making for 2022. Be sure to review your plan’s Annual Notice of Change (ANOC) letter to learn more about your 2022 Medicare plan coverage.
An overview of 2022 Medicare Part D and Medicare Advantage plans
The 2022 Medicare Advantage plan information recently released by the Centers for
Medicare and Medicaid Services (CMS) shows that Medicare beneficiaries can
expect more Medicare Advantage plans in many areas across the country with
continued low monthly premiums. However,
more Medicare Advantage plans are increasing Medicare Part A and Part B maximum
out-of-pocket spending limits (MOOP).
Reviewing all 2022 Medicare Part D prescription drug plans in your area.
If you wish to see an overview of all stand-alone 2022 Medicare Part D prescription drug plans (PDPs) offered in your state, then you can use our 2022 PDP-Finder. We provide a unique collection of prescription drug plan details including: drug tier co-payments, initial deductibles, monthly premiums, Part D plan IDs, additional Donut Hole or Gap coverage, formulary size, and Medicare plan quality star ratings.
You can click on the plan name or “Benefits & Contact Info” for more information about the specific Medicare PDP. To start, you can click here for an example of PDP-Finder showing all 2022 California Medicare Part D plans with a $0 initial deductible.
Reviewing all 2022 Medicare Advantage plans in your area.
Medicare Advantage plans combine your Medicare Part A in-patient coverage (hospitalization), Medicare Part B out-patient coverage (doctor visits) - and may provide your Medicare Part D prescription drug coverage. A Medicare Advantage plan may also provide additional healthcare benefits such as: limited dental, vision, hearing aid, and fitness center coverage. In some areas, Medicare Advantage plans will also offer non-health benefits such as limited transportation and meal service.
Medicare Advantage plans with prescription drug coverage are offered in many areas with a $0 monthly premium and a $0 initial drug deductible – and a low out-of-pocket spending limit (MOOP) – plus some $0 premium 2022 Medicare Advantage plans also include a Medicare Part B premium "Giveback" feature, returning a portion of your Part B premium each month.
You can use the 2022 MA-Finder for searching and comparing all Medicare Advantage plans across the country by plan features. Since Medicare Advantage plans are offered on a county-by-county basis, begin by entering your ZIP code and search. You can click on the plan name or the “Benefits & Contact Info” button for more information about a specific Medicare Advantage plan. Click here for an example of $0 premium Medicare Advantage plans that include prescription drug coverage (MAPDs) in New York, NY – just change the ZIP code to see the plans in your area.
Reviewing Medicare Part D plans qualifying for the Low-Income Subsidy $0 Premium.
PDP-Finder and MA-Finder also offer information for Medicare beneficiaries qualifying for financial Extra-Help (Low-Income Subsidy) and may be particularly helpful to advocates and nursing homes. In both Finder tools, you can choose the “LIS Subsidy Amount” and the monthly Medicare plan premiums will be adjusted based on your selected level of Extra Help.
If you are just seeking stand-alone Medicare Part D plans that have monthly premiums completely covered by your state’s Low-Income Subsidy, you can narrow your plan search by choosing “Yes, show only plans that qualify for the $0 Premium” option on PDP-Finder. Click here for an example of all 2022 Part D plans in California qualifying for the LIS $0 premium.
Reviewing 2022 Medicare plans by drug coverage and costs.
We have three different tools available to check coverage of your prescription drugs:
(1) The 2022 Formulary Browser allows you to browse through all 2022 Medicare prescription drug plan formularies or drug lists. You can click on the cost-sharing values of any medication to see the cost difference between using a preferred network pharmacy or a standard network pharmacy.
(2) The 2022 Drug Finder (Q1Rx.com) provides a quick way to see how all Medicare Part D or Medicare Advantage plans in your area are covering a particular prescription drug. Drug Finder details include drug tier, cost-sharing, average negotiated retail drug prices, and usage management restrictions (such as Quantity Limits or Prior Authorization requirements).
(3) The 2022 Long-Term Care (LTC) Drug Finder (Q1Medicare.com/LTC) is also online and provides a simple way to compare drug usage management restrictions for the top LTC medications found on Low-Income Subsidy (LIS) $0 premium Medicare Part D plans along with Institutional Medicare Advantage Special Needs Plans (I-SNPs). You can click here to see an example for Pennsylvania.
If you are ready to enroll in a new 2022 Medicare plan . . .
If you have already reviewed your 2022 Medicare plan options and are ready to enroll in a new Medicare plan, you can call 1-800-MEDICARE (1-800-633-4227) and enroll directly through a Medicare representative. The Medicare representative can process your enrollment into any Medicare Part D or Medicare Advantage plan directly over the telephone and the process only takes a few minutes. Be sure to record and keep your enrollment confirmation code in a safe place.
If you decide to change Medicare plans, you do not need to disenroll from your current 2021 plan when joining your new 2022 Medicare plan - your newly chosen 2022 plan will automatically contact your 2021 plan and handle the enrollment change.
Finally, remember there is no need to rush into a decision.
You have plenty of time to choose a 2022 Medicare Part D or Medicare Advantage plan. If you need assistance, please contact a local insurance agent, advocate, SHIP volunteer, or call a Medicare representative at 1-800-Medicare (1-800-633-4227).
If you have any general questions about Medicare Part D plans or Medicare Advantage plans, please let us know. You can click here for our online Help Desk to submit a question or send us an email at Team@Q1Group.com.