Current:Home > MyGot a notice of change from your Medicare plan? Here are 3 things to pay attention to -VisionFunds
Got a notice of change from your Medicare plan? Here are 3 things to pay attention to
View
Date:2025-04-18 09:29:52
Millions of older Americans get health benefits through Medicare. But coverage under Medicare isn't a one-size-fits-all sort of deal.
As an enrollee in original Medicare, you have the option to choose your own drug coverage. Or, you could sign up for a Medicare Advantage plan for added benefits on top of what original Medicare entails.
You're also not stuck with the Medicare plan you choose for life. Each year during the fall, Medicare participants are able to make changes to their coverage during open enrollment, which runs from Oct. 15 through Dec. 7.
During open enrollment, you can switch Part D plans, move from one Medicare Advantage plan to another or drop Advantage altogether and move over to original Medicare. But to make an informed decision, you need to know what's staying the same with your current Medicare plan and what's changing.
That's why it's so important to review your plan's notice of change carefully. Generally, these notices go out by Sept. 30 so that Medicare enrollees have an opportunity to get updates on their plans in time for open enrollment. If you're new to getting one of these letters, here are some key points to look out for.
1. How your medications are categorized
If you're a Medicare Part D participant, you may be aware that these plans use formularies to group medications into different tiers. These tiers determine your out-of-pocket costs.
One thing you'll want to pay attention to on your notice of change is whether your current prescriptions are moving into a different tier. If one of your medications is bumped into a higher tier, you may be looking at higher costs in 2025. However, it's possible that one of your medications is moving to a lower tier, resulting in less expensive copays for you.
2. How your Medicare Advantage plan benefits are changing
Medicare Advantage plans commonly offer supplemental benefits beyond the scope of what original Medicare covers. It's important to see which of those benefits your plan is keeping in the new year versus taking away.
It may also be that your Medicare Advantage plan is adding benefits for 2025. That's important information to have. But before you get too excited, realize that just because a given Advantage plan offers a certain benefit doesn't mean that it's accessible for all enrollees. If you see new benefits added, inquire to make sure they're options you can take advantage of. You may need a certain diagnosis to use some of your plan's benefits.
3. How your Medicare Advantage plan network is changing
One limitation of Medicare Advantage is that you're generally restricted to a specific network of providers. With original Medicare, you may have more doctors you can see.
Pay attention to changes in your provider network. If your main reason for sticking with your Medicare Advantage plan is to retain access to a certain doctor who will be out of network in 2025, that may be a good reason to switch your coverage.
Whether you're happy with your current Medicare plan or not, it's important to read your notice of change carefully. Doing so could set you up for a successful open enrollment this fall.
The Motley Fool has a disclosure policy.
The Motley Fool is a USA TODAY content partner offering financial news, analysis and commentary designed to help people take control of their financial lives. Its content is produced independently of USA TODAY.
The $22,924 Social Security bonus most retirees completely overlook
Offer from the Motley Fool: If you're like most Americans, you're a few years (or more) behind on your retirement savings. But a handful of little-known "Social Security secrets" could help ensure a boost in your retirement income. For example: one easy trick could pay you as much as $22,924 more... each year! Once you learn how to maximize your Social Security benefits, we think you could retire confidently with the peace of mind we're all after. Simply click here to discover how to learn more about these strategies.
View the "Social Security secrets" »
veryGood! (26331)
Related
- Dick Vitale announces he is cancer free: 'Santa Claus came early'
- Phillies get their swagger back, punching Diamondbacks in mouth with early sneak attack
- Search for suspect in fatal shooting of Maryland judge continues for a fourth day
- Search continues for Nashville police chief's estranged son after shooting of two officers
- Intellectuals vs. The Internet
- These six NBA coaches are on the hot seat, but maybe not for the reasons you think
- Chick-fil-A reportedly agrees to $4.4 million settlement over delivery price upcharges
- DeSantis PAC attack ad hits Nikki Haley on China, as 2024 presidential rivalry grows
- Tom Holland's New Venture Revealed
- Live with your parents? Here's how to create a harmonious household
Ranking
- Average rate on 30
- University of Michigan slithers toward history with massive acquisition of jarred snake specimens
- 40 years after Beirut’s deadly Marines bombing, US troops again deploying east of the Mediterranean
- JetBlue plane tilts back after landing at JFK Airport in New York but no injuries are reported
- FACT FOCUS: Inspector general’s Jan. 6 report misrepresented as proof of FBI setup
- DeSantis PAC attack ad hits Nikki Haley on China, as 2024 presidential rivalry grows
- Max Verstappen wins USGP for 50th career win; Prince Harry, Sha'Carri Richardson attend race
- Lupita Nyong'o Pens Message to Her “Heartbreak” Supporters After Selema Masekela Breakup
Recommendation
Moving abroad can be expensive: These 5 countries will 'pay' you to move there
Gov. Whitmer criticizes MSU for ‘scandal after scandal,’ leadership woes
Zombie Hunter's unique murder defense: His mother created a monster
EPA proposes banning cancer-causing chemical used in automotive care and other products
Tree trimmer dead after getting caught in wood chipper at Florida town hall
Seahawks WR DK Metcalf misses first career game with rib, hip injuries
Taylor Swift Wears Her Heart on Her Sleeve as She Cheers on Travis Kelce at Chiefs Game
The Book Report: Washington Post critic Ron Charles (October 22)