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Over 4.4 million people currently enrolled in a 2021 Medicare Part D or Medicare Advantage plans will be automatically moved to a different 2022 Medicare plan

Category: Annual Medicare Plan Changes
Published: Oct, 06 2021 02:10:15

Are you being automatically moved to a different Medicare Part D prescription drug plan or Medicare Advantage plan in 2022?

Over 4.4 million people are enrolled in a non-renewing Medicare Advantage plan (MA and MAPD) or non-renewing stand-alone Medicare Prescription drug plan and will be automatically moved ("crosswalked") from their current 2021 Medicare plan to a different 2022 Medicare plan.

Your 2021 Medicare plan may be discontinued (non-renewing) due to several different reasons: plan consolidation, service area reduction, or plan termination.  When this happens, the Medicare plan may be discontinued across the country or in a specific service area (state or ZIP code). 

In these situations, members of the Medicare plan will be notified in their Annual Notice of Change (ANOC) letter about the plan termination or consolidation or merger - and be given the option to join another plan during the annual Open Enrollment Period (AEP).

How many 2021 plan members will be affected by non-renewing or merged 2022 Medicare plans?

  • Over 4.4 million people are being crosswalked to a new Medicare plan.

    More specifically, approximately 3,229,000 members in non-renewing 2021 stand-alone Medicare prescription drug plans (PDPs) and an additional 1,195,000 members in non-renewing Medicare Advantage plans (MA and MAPDs) will be automatically "crosswalked" to new 2021 Medicare plans.  (This is not considering the almost 190,000 people losing 2022 Medicare plan coverage without being crosswalked.)
Examples of 2021 Part D plans being crosswalked into other plans in 2022.

Crosswalked stand-alone Medicare Part D plans (PDPs)
(with the number of plan members impacted)
Plan Name States Members Affected
WellCare Medicare Rx Saver (PDP) members crosswalked to Wellcare Classic (PDP) in all states 589,917
WellCare Wellness Rx (PDP) members crosswalked to Wellcare Value Script (PDP) in all states 850,860
Express Scripts Medicare - Value (PDP) members crosswalked to Cigna Secure Rx (PDP) in all states 349,028

For more information, you can review 2022 Medicare prescription drug only plan changes using: PDP-Compare.com/2022.

Examples of some of the 2022 Medicare Advantage plan "crosswalks".

Examples of Medicare Advantage plan Reassignments
2021 Medicare Advantage Plan New 2022 Medicare Advantage Plan State(s) Members Affected
Aetna Medicare Prime (HMO-POS) Aetna Medicare Gold Advantage Prime (HMO) 5 Counties in MO 1,455
Anthem MediBlue Essential (HMO) Anthem MediBlue Preferred (HMO) 65 Counties in OH 69,124
WellCare Value (HMO-POS) Wellcare No Premium (HMO-POS) 35 Counties in TX and 53 Counties in MS 21,082
Health Net Sapphire Premier II (HMO) Wellcare Plus Sapphire II (HMO) 9 Counties in CA 6,861
WellCare Choice (HMO) Wellcare No Premium (HMO) 6 Counties in NY 5,580

In particular, note the HMO-POS plan in the chart above whose members will be losing their POS feature.

Bottom Line:  Many counties across the country will see significant changes in their Medicare Advantage plan landscape.  You can review 2022 Medicare Advantage plan changes using our MA-Compare tool found here: MA-Compare.com/2022.

Need a faster way to see if your Medicare Part D or Medicare Advantage plan is changing in 2022?

Our PDP-Compare and MA-Compare tools allow you to compare annual 2021/2022 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.

Both the PDP-Compare and MA-Compare also show the Medicare Part D plans or Medicare Advantage plans that will be merged, discontinued, or added in 2022.

Not sure where to begin with all this information?

Medicare beneficiaries can telephone Medicare at 1-800-633-4227, speak with a Medicare representative, and learn more about their 2022 Medicare Part D and Medicare Advantage plan options.

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    "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options."
  • When enrolling in a Medicare Advantage plan, you must continue to pay your Medicare Part B premium.
  • Medicare beneficiaries with higher incomes may be required to pay both a Medicare Part B and Medicare Part D Income Related Monthly Adjustment Amount (IRMAA). Read more on IRMAA.
  • Medicare Advantage plans that include prescription drug coverage (MAPDs) are considered Medicare Part D plans and members with higher incomes may be subject to the Medicare Part D Income Related Monthly Adjustment Amount (IRMAA), just as members in stand-alone Part D plans. In certain situations, you can appeal IRMAA.
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  • If you are enrolled in a Medicare plan with Part D prescription drug coverage, you may be eligible for financial Extra Help to assist with the payment of your prescription drug premiums and drug purchases. To see if you qualify for Extra Help, call: 1-800-MEDICARE (1-800-633-4227). TTY users should call 1-877-486-2048, 24 hours a day/ 7 days a week or consult www.medicare.gov; the Social Security Office at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY users should call, 1-800-325-0778; or your state Medicaid Office.
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  • Medicare MSA Plans do not cover prescription drugs. If you join a Medicare MSA Plan, you can also join any separate (stand-alone) Medicare Part D prescription drug plan
  • There are additional restrictions to join an MSA plan, and enrollment is generally for a full calendar year unless you meet certain exceptions. Those who disenroll during the calendar year will owe a portion of the account deposit back to the plan. Contact the plan provider for additional information.
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