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The 2022 Medicare annual Open Enrollment Period (AEP) begins today, October 15th and continues through December 7th

Category: Annual Medicare Plan Changes
Published on 2021-10-15 05:04:08


The 2022 Medicare Part D and Medicare Advantage plan annual Open Enrollment Period (AEP) begins today, October 15th, and continues through December 7th.

During the next seven weeks, you will have the opportunity to add, change, or drop your Medicare Advantage plan or Medicare Part D prescription drug plan.

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.

Important reminders:

  • Merged plans - some 2021 Medicare plans will be consolidated and 2021 plan members are being automatically moved or “crosswalked” into a different 2022 Medicare plan – with potentially different and more expensive plan coverage.

  • Discontinued plans - some 2021 Medicare plans will be discontinued or not offered in 2022.  And members of these 2021 plans will not have 2022 Medicare plan coverage – unless they enroll in a different 2022 plan.

An overview of 2022 Medicare Part D and Medicare Advantage plans

Unfortunately, there will be 23% fewer Medicare Part D plan options in 2022- and based on 2021 enrollment, up to 84% of current 2021 Part D plan members will see an increase in their 2022 plan premiums - unless they change to other, more-affordable 2022 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).


How to see changes in your current Medicare plan?


You can use the Q1Medicare 2021/2022 Medicare plan comparison tools PDP-Compare or MA-Compare to see:

  • Which 2021 Medicare plans will “crosswalk” plan members to other 2022 plans,
  • How Medicare plan benefits will changes from 2021 to 2022,
  • 2021 Medicare plans being discontinued in 2022, and
  • The new Medicare plans being introduced in 2022.
As an example: the 2021/2022 Texas Medicare Part D plan comparison (you can change the state or Zip Code).


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).

Questions?

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.








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Tips & Disclaimers
  • The Medicare Advantage and Medicare Part D prescription drug plan data on our site comes directly from Medicare and is subject to change.
  • Medicare has neither reviewed nor endorsed the information on our site.
  • We provide our Q1Medicare.com site for educational purposes and strive to present unbiased and accurate information. However, Q1Medicare is not intended as a substitute for your lawyer, doctor, healthcare provider, financial advisor, or pharmacist. For more information on your Medicare coverage, please be sure to seek legal, medical, pharmaceutical, or financial advice from a licensed professional or telephone Medicare at 1-800-633-4227.
  • We are an independent education, research, and technology company. We are not affiliated with any Medicare plan, plan carrier, healthcare provider, or insurance company. We are not compensated for Medicare plan enrollments. We do not sell leads or share your personal information.
  • Benefits, formulary, pharmacy network, provider network, premium and/or co-payments/co-insurance may change on January 1 of each year. Our PDP-Compare.com and MA-Compare.com provide highlights of annual plan benefit changes.
  • The benefit information provided is a brief summary, not a complete description of benefits. For more information contact the plan.
  • Limitations, copayments, and restrictions may apply.
  • We make every effort to show all available Medicare Part D or Medicare Advantage plans in your service area. However, since our data is provided by Medicare, it is possible that this may not be a complete listing of plans available in your service area. For a complete listing please contact 1-800-MEDICARE (TTY users should call 1-877-486-2048), 24 hours a day/7 days a week or consult www.medicare.gov.
  • 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.
  • You must be enrolled in both Medicare Part A and Part B to enroll in a Medicare Advantage plan. Members may enroll in a Medicare Advantage plan only during specific times of the year. Contact the Medicare plan for more information.
  • 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.
  • Medicare evaluates plans based on a 5-Star rating system. Star Ratings are calculated each year and may change from one year to the next.
  • A Medicare Advantage Private Fee-for-Service plan (PFFS) is not a Medicare supplement plan. Providers who do not contract with the plan are not required to see you except in an emergency.
  • Disclaimer for Institutional Special Needs Plan (SNP): This plan is available to anyone with Medicare who meets the Skilled Nursing Facility (SNF) level of care and resides in a nursing home.
  • Disclaimer for Dual Eligible (Medicare/Medicaid) Special Needs Plan (SNP): This plan is available to anyone who has both Medical Assistance from the State and Medicare. Premiums, co-pays, co-insurance, and deductibles may vary based on the level of Extra Help you receive. Please contact the plan for further details.
  • Disclaimer for Chronic Condition Special Needs Plan (SNP): This plan is available to anyone with Medicare who has been diagnosed with the plan specific Chronic Condition.
  • Medicare MSA Plans combine a high deductible Medicare Advantage Plan and a trust or custodial savings account (as defined and/or approved by the IRS). The plan deposits money from Medicare into the account. You can use this money to pay for your health care costs, but only Medicare-covered expenses count toward your deductible. The amount deposited is usually less than your deductible amount, so you generally have to pay out-of-pocket before your coverage begins.
  • 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.
  • Medicare beneficiaries may enroll through the CMS Medicare Online Enrollment Center located at www.medicare.gov.
  • Medicare beneficiaries can file a complaint with the Centers for Medicare & Medicaid Services by calling 1-800-MEDICARE 24 hours a day/7 days or using the medicare.gov site. Beneficiaries can appoint a representative by submitting CMS Form-1696.