Current:Home > MarketsGot a notice of change from your Medicare plan? Here are 3 things to pay attention to -Summit Capital Strategies
Got a notice of change from your Medicare plan? Here are 3 things to pay attention to
View
Date:2025-04-11 19:00:40
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! (8)
Related
- Woman dies after Singapore family of 3 gets into accident in Taiwan
- Staying safe in smoky air is particularly important for some people. Here's how
- Gun deaths hit their highest level ever in 2021, with 1 person dead every 11 minutes
- Years before Titanic sub went missing, OceanGate was warned about catastrophic safety issues
- Louvre will undergo expansion and restoration project, Macron says
- With Wild and Dangerous Weather All Around, Republicans Stay Silent on Climate Change
- New Study Projects Severe Water Shortages in the Colorado River Basin
- Every Time Lord Scott Disick Proved He Was Royalty
- Trump wants to turn the clock on daylight saving time
- Department of Energy Program Aims to Bump Solar Costs Even Lower
Ranking
- The FBI should have done more to collect intelligence before the Capitol riot, watchdog finds
- The drug fueling another wave of overdose deaths
- By Getting Microgrids to ‘Talk,’ Energy Prize Winners Tackle the Future of Power
- How Pruitt’s New ‘Secret Science’ Policy Could Further Undermine Air Pollution Rules
- 'Vanderpump Rules' star DJ James Kennedy arrested on domestic violence charges
- How Late Actor Ray Stevenson Is Being Honored in His Final Film Role
- Emma Stone’s New Curtain Bangs Have Earned Her an Easy A
- Big City Mayors Around the World Want Green Stimulus Spending in the Aftermath of Covid-19
Recommendation
2025 'Doomsday Clock': This is how close we are to self
Wildfire smoke is blanketing much of the U.S. Here's how to protect yourself
Patrick Mahomes Calls Brother Jackson's Arrest a Personal Thing
Gun deaths hit their highest level ever in 2021, with 1 person dead every 11 minutes
'As foretold in the prophecy': Elon Musk and internet react as Tesla stock hits $420 all
Boston Progressives Expand the Green New Deal to Include Justice Concerns and Pandemic Recovery
Linda Evangelista Says She Hasn't Come to Terms With Supermodel Tatjana Patitz's Death
Senate 2020: With Record Heat, Climate is a Big Deal in Arizona, but It May Not Sway Voters