Current:Home > reviewsGot a notice of change from your Medicare plan? Here are 3 things to pay attention to -Wealth Empowerment Zone
Got a notice of change from your Medicare plan? Here are 3 things to pay attention to
View
Date:2025-04-15 02:46:52
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! (226)
Related
- 'Malcolm in the Middle’ to return with new episodes featuring Frankie Muniz
- Viola Davis, America Ferrera, Adam Driver snubbed in 2024 Golden Globe nominations
- Man charged with terrorism over a fire at South African Parliament is declared unfit to stand trial
- Allies of imprisoned Kremlin foe Navalny sound the alarm, say they haven’t heard from him in 6 days
- Behind on your annual reading goal? Books under 200 pages to read before 2024 ends
- This Is Not A Drill! Abercrombie Is Having A Major Sale With Up to 50% Off Their Most Loved Pieces
- Patrick Mahomes was wrong for outburst, but Chiefs QB has legitimate beef with NFL officials
- Hunter Biden pushes for dismissal of gun case, saying law violates the Second Amendment
- Jorge Ramos reveals his final day with 'Noticiero Univision': 'It's been quite a ride'
- Red Wings' David Perron suspended six games for cross-checking Artem Zub in the head
Ranking
- Everything Simone Biles did at the Paris Olympics was amplified. She thrived in the spotlight
- 5-year-old Detroit boy dies, shoots himself with gun in front of siblings: Authorities
- Battle over creating new court centers on equality in Mississippi’s majority-Black capital city
- Europe agreed on world-leading AI rules. How do they work and will they affect people everywhere?
- Olympic men's basketball bracket: Results of the 5x5 tournament
- Man imprisoned as teen for flower shop killing is released after judge throws out his conviction
- Miami Dolphins WR Tyreek Hill suffers ankle injury, but returns vs. Tennessee Titans
- Special counsel Jack Smith asks Supreme Court to rule quickly on whether Trump can be prosecuted
Recommendation
Taylor Swift Cancels Austria Concerts After Confirmation of Planned Terrorist Attack
Taylor Swift and Travis Kelce’s Kiss Proves He’s King of Her Heart
Lawyers for New Hampshire casino owner fight fraud allegations at hearing
Adoptive parents sentenced in starving death of Washington teen
Blake Lively’s Inner Circle Shares Rare Insight on Her Life as a Mom to 4 Kids
Bronny James makes college basketball debut for USC after cardiac arrest
5 countries in East and southern Africa have anthrax outbreaks, WHO says, with 20 deaths reported
Georgia sheriff's investigator arrested on child porn charges