Current:Home > ScamsGot a notice of change from your Medicare plan? Here are 3 things to pay attention to -Wealth Legacy Solutions
Got a notice of change from your Medicare plan? Here are 3 things to pay attention to
View
Date:2025-04-18 10:11:38
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! (8976)
Related
- What were Tom Selleck's juicy final 'Blue Bloods' words in Reagan family
- Stolen bases, batting average are up in first postseason with MLB's new rules
- What is Gaza’s Ministry of Health and how does it calculate the war’s death toll?
- Brittney Griner, 5-time Olympian Diana Taurasi head up US national women’s roster for November
- Israel lets Palestinians go back to northern Gaza for first time in over a year as cease
- Patrick Dempsey Speaks Out on Mass Shooting in His Hometown of Lewiston, Maine
- Gunman opens fire on city of Buffalo vehicle, killing one employee and wounding two others
- Exclusive: Mother of 6-year-old Muslim boy killed in alleged hate crime speaks out
- Taylor Swift makes surprise visit to Kansas City children’s hospital
- Mia Talerico’s Good Luck Charlie Reunion Proves Time Flies
Ranking
- A White House order claims to end 'censorship.' What does that mean?
- A baseless claim about Putin’s health came from an unreliable Telegram account
- US strikes Iran-linked sites in Syria in retaliation for attacks on US troops
- Vanessa Hudgens’ Dark Vixen Bachelorette Party Is the Start of Something New With Fiancé Cole Tucker
- 'As foretold in the prophecy': Elon Musk and internet react as Tesla stock hits $420 all
- Exclusive: Mother of 6-year-old Muslim boy killed in alleged hate crime speaks out
- Billy Ray Cyrus' wife Firerose credits his dog for introducing them on 'Hannah Montana' set
- DC pandas will be returning to China in mid-November, weeks earlier than expected
Recommendation
Juan Soto praise of Mets' future a tough sight for Yankees, but World Series goal remains
Sudan’s army and rival paramilitary force resume peace talks in Jeddah, Saudi Arabia says
Soil removal from Ohio train derailment site is nearly done, but cleanup isn’t over
As the Turkish Republic turns 100, here’s a look at its achievements and challenges ahead
A White House order claims to end 'censorship.' What does that mean?
Amid massive search for mass killing suspect, Maine residents remain behind locked doors
Working-age Americans are struggling to pay for health care, even those with insurance, report finds
Taylor Swift Has a Mastermind Meeting With Deadpool 3’s Shawn Levy and Ryan Reynolds