The 2018 Medicare Part D and Medicare
Advantage plan annual Open Enrollment Period (or Annual Coordinated Election 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
cancel
your Medicare Advantage plan (
MA or MAPD) or
Medicare Part D prescription drug plan (
PDP).
(Medicare beneficiaries affected by Hurricane Harvey, Irma, or Maria,
may be entitled to an extended 2018 annual Open Enrollment Period (AEP) that
will continue through December 31st. You can
click here to read more about this Special Enrollment Period.)
If you are satisfied with your current 2017 Medicare Part D plan or Medicare Advantage plan coverage – and you understand how your Medicare
plan is
changing in 2018 - you
do not need to do anything
and you will be automatically re-enrolled into your Medicare
plan along with any changes your plan may have made for 2018.
How can your Medicare plan change in 2018?
Here are a few examples of how Medicare Part D or Medicare Advantage
plan coverage can change year-to-year:
- Your Medicare plan may not be offered in 2018.
- Your Medicare plan’s name may change.
- You may be automatically reassigned to another Medicare Part D plan.
- Your monthly Medicare Part D plan premium can change.
- Your plan’s Initial Deductible (the amount you pay before coverage) may change.
- Your Medicare plan’s prescription drug cost-sharing design (co-payment) may change.
- Your Medicare prescription drug plan may be using preferred pharmacies
- Your Medicare Advantage plan’s healthcare provider network may change.
- The medications covered on your plan’s formulary or drug list can change.
- Your Donut Hole or Coverage Gap benefits can change.
- Your 2017 Medicare Part D plan may no longer qualify for the LIS $0 premium.
- Your Medicare Advantage plan’s Medicare Part A and B maximum out-of-pocket (MOOP) limit can change.
To reemphasize a note of caution …
As just mentioned, if your
current 2017 Medicare plan is being discontinued or not offered in
2018 - you may not have 2018 Medicare plan coverage – unless
you enroll in a new plan. On the other hand, some 2017 Medicare plans will be
consolidated and 2017 plan members are being automatically “
crosswalked” or merged into a different 2018 Medicare plan – with potentially different plan
coverage. Be sure to review your plan’s Annual Notice of Change (
ANOC) letter to learn more about your 2018 Medicare plan coverage.
Compare 2018 Medicare plans by drug coverage and costs.
We have three different tools available to check coverage of
your prescription drugs:
- We offer our 2018 Formulary
Browser that allows you to browse through all 2017 Medicare
prescription drug plan formularies or drug lists. You can click on the
cost-sharing values of any medication to see the costs difference between using
a preferred network pharmacy or a standard (non-preferred) network pharmacy.
(Please note, as in the past, we currently are not showing any 2018 formulary
information for sanctioned
Medicare Part D plans. We will update our Formulary Browser when CMS releases
this formulary information.)
- We also have our 2018 Drug Finder
online (Q1Rx.com)
allowing you to quickly see how all Medicare Part D or Medicare Advantage plans
in your area are covering a particular prescription drug. Our Drug Finder
details include average negotiated retail drug prices (when available) and usage management
restrictions (such as Quantity Limits or Prior Authorization
requirements).
- Our 2018 Long-Term Care (LTC) Drug
Finder (Q1Rx.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 (SNPs). You can
click
here to see an example for Pennsylvania.
Review all 2018 Medicare Part D prescription drug plans in your
area.
If you wish to see an overview of all stand-alone 2017 Medicare
Part D prescription drug plans (PDPs) offered in your state, then you can use
our
PDP-Finder. We
provide a unique collection of prescription drug plan details including
information on: drug tier co-payments, initial deductibles, monthly premiums,
Part D plan IDs, Donut Hole or Gap coverage, formulary size, and Medicare plan
quality star ratings. 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 our PDP-Finder showing all 2018 Arizona Medicare Part D plans with a $0 initial deductible.
Review all 2018 Medicare Advantage plans in your area.
Medicare Advantage plans combine your Medicare hospitalization
coverage (Medicare Part A), out-patient coverage (Medicare Part B) - and may
provide your Medicare prescription drug coverage (Medicare Part D), dental,
vision, and fitness center coverage. In some areas, Medicare Advantage plans
with prescription drug coverage are offered with a $0 monthly premium and a $0
initial deductible.
You can use our 2018
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.
Click on the “
Benefits &
Contact Info” button for more information about a specific
Medicare Advantage plan.
You can
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.
See how your 2017 Medicare Part D plan or Medicare Advantage plan
is changing in 2018.
Changes to your existing 2017 Medicare Advantage plan or
Medicare Part D prescription drug plan
coverage were explained in your Annual Notice of Change (ANOC) letter that you
should have received from your current Medicare plan. However, if you would
like a quick overview of how any current Medicare plan is changing in
2018, please use our 2017/2018 Medicare Part D plan comparison tool,
PDP-Compare or use our 2017/2018
Medicare Advantage plan comparison tool,
MA-Compare.
You will also see the Medicare Part D plans or Medicare Advantage plans merged,
discontinued, or introduced in 2018.
If you are unsure where to begin, you can
click here for an
example of a 2017/2018 New Mexico Medicare Part D plan comparison.
Review Medicare Part D plans qualifying for the Low-Income
Subsidy $0 Premium.
Our
PDP-Finder
also offers information for Medicare beneficiaries
qualifying for financial Extra-Help and may be particularly helpful to
advocates and nursing homes. If you are just seeking 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. Click the link for an
example of all 2018 Part
D plans in California qualifying for the LIS $0 premium.
In both our Medicare Part D and Medicare Advantage Plan Finders, you can also 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 ready to enroll in a new 2018 Medicare plan . .
.
If you have already reviewed your 2018 Medicare plan options and
are ready to enroll in a new Medicare plan, you can call 1-800-MEDICARE
(1-800-633-4227) (TTY 1-877-486-2048) 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.
Changing Medicare plans in 2018?
If you decide to change Medicare plans, you
do not need to
disenroll from your existing 2017 plan when joining your new
2018 Medicare plan -- your newly chosen 2018 plan will automatically contact
your 2017 plan and handle the enrollment change.
Reminder: There is a Special Enrollment Period for people
affected by Hurricane Harvey, Irma, and Maria
If you are a Medicare beneficiary affected by Hurricane Harvey, Irma, or Maria,
you are entitled to an extended 2018 annual Open Enrollment Period (AEP) that
will continue through December 31st - allowing you more time to choose a 2018
Medicare Part D or Medicare Advantage plan. You can click on the following
link to read more:
https://Q1News.com/650.html
Finally, remember there is no need to rush into a decision.
You have plenty of time to choose a 2018 Medicare Part D or
Medicare Advantage plan. Again, if you need assistance, please contact a local
advocate or call a Medicare representative at 1-800-Medicare (1-800-633-4227) (TTY 1-877-486-2048) for assistance.