Are you being automatically moved to a different Medicare Part D prescription drug plan or Medicare Advantage plan in 2021?
Over 1.5 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 2020 Medicare plan to a different 2021 Medicare plan.
Each year, Medicare plans have the option of not renewing
their Medicare contract. When this happens, the Medicare plan may be discontinued across the country
or in a specific service area (state or ZIP code).
Your 2020 Medicare plan may be discontinued (non-renewing) due to several different reasons:
- Plan Consolidation
When multiple Medicare plans from one company are brought together into one plan, or a
Medicare Part D plan from one company may be merged together with a
Medicare Part D plan from another company. Members will be automatically "crosswalked" to (or merged into) a new 2021 Medicare plan.
- Service Area Reduction (SAR)
Medicare plans have the option to discontinue their plan in specific service areas of the country. The Medicare plan's affected service area may be an entire state, specific counties, or ZIP codes. It is possible that plan members in some areas will remain in the Medicare plan and the plan will be discontinued in other areas.
In some cases, a discontinued plan will "crosswalk" plan members to a new Medicare plan, but, in other cases, the members of a discontinued 2020 plan will be without coverage if they do not select a new 2021 Medicare Part D or Medicare Advantage plan. Remember, there is a Service Area Reduction Special Enrollment Period (SAR SEP) starting on December 8th and continuing through the end of February allowing you the possibility of enrolling in a 2021 Medicare plan after the December 7th close of the annual Open Enrollment Period (AEP).
- Terminated Medicare Plans
Sometimes an insurance company will choose to terminate a specific Medicare plan or it is possible that the Centers for Medicare and Medicaid Services (CMS) will
terminate an insurance company's contract and the Medicare plan will no longer be offered.
In these situations, members
of the Medicare plan will be notified in their Annual Notice of Change
) letter about the plan termination or consolidation - and be given the option to
join another plan during the annual Open Enrollment Period.
How many 2020 plan members will be affected by non-renewing Medicare plans for 2021?
- Over 1.5 million people are being crosswalked to a new Medicare plan.
Approximately 1,322,700 members in non-renewing Medicare Advantage plans (MA and MAPDs) and an additional 187,000 members in non-renewing 2020 stand-alone Medicare prescription drug plans (PDPs) will be automatically "crosswalked" to new 2020 Medicare plans.
- Almost 1.3 million people are losing their coverage if they do not select a new Medicare plan.
In the case of members who will NOT be crosswalked, if they do not actively enroll in a new Medicare Advantage plan, they will be without 2021 coverage, unless they choose a new plan during AEP or use the SAR SEP.
There are approximately 1.11 million members are currently enrolled in 2020 Medicare Advantage plans that will be terminated in 2021 and another 162,600 members in non-renewing stand-alone Medicare prescription drug plans that will NOT be crosswalked. Read more in our article: https://Q1News.com/869.html.
We will first look at stand-alone Medicare Part D plans (PDPs) and further down in this article, we will discuss Medicare Advantage plans (MAs and MAPDs).
Examples of 2020 Part D plans being crosswalked into other plans in 2021.
- 187,200 members in the 35 PDPs (3 different plans) will be crosswalked to a new PDP
in 2021. Below is a chart highlighting some of the stand-alone Medicare
Prescription Drug plan "crosswalks" for 2021.
You can review 2021 Medicare prescription drug only plan changes using: PDP-Compare.com/2021.
|Crosswalked stand-alone Medicare Part D plans (PDPs)
(with the number of plan members impacted)
|Mutual of Omaha Rx Value (PDP) members crosswalked to Mutual of Omaha Rx Plus (PDP)
in all states
|Prescription Blue Preferred (PDP) members crosswalked to Prescription Blue Premium (PDP)
|Blue Cross MedicareRx Plus (PDP) members crosswalked to Blue Cross MedicareRx Value (PDP)
|Examples of some of the 2021 Medicare Advantage plan "crosswalks".
|Examples of Medicare Advantage plan Reassignments
|2020 Medicare Advantage Plan
||New 2021 Medicare Advantage Plan
|UnitedHealthcare The Villages Medicare Advantage 2 (HMO-POS)
||UnitedHealthcare The Villages Medicare Advantage (HMO)
||3 Counties in FL
|WellCare Essential (HMO-POS)
||WellCare Elite (HMO)
||4 Counties in FL
|BCN Advantage HMO-POS Basic (HMO-POS)
||BCN Advantage Prime Value (HMO-POS)
||23 Counties in MI
|Senior Care Plus: Value Rx Enhanced Plan (HMO)
||Senior Care Plus Essential plan (HMO)
||2 Counties in NV
|AARP Medicare Advantage Plan 4 (HMO)
||AARP Medicare Advantage Plan 3 (HMO)
||19 Counties in AL
|Fallon Senior Plan Saver Enhanced Rx (HMO-POS)
||Fallon Medicare Plus Green HMO (HMO) H9001-030-11
||53 Counties in IA
|WellCare Value (HMO-POS)
||WellCare Preferred (HMO)
||53 Counties in AR
In particular, note the plans in the chart above whose members will be losing their POS feature.
Need a faster way to see if your Medicare Part D or Medicare Advantage plan is changing in 2021?
tools allow you to compare annual 2020/2021 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
also show the Medicare Part D plans or Medicare Advantage plans that will be merged
, or added
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 2020 Medicare Part D and Medicare Advantage plan options.