Open enrollment for Medicare runs now through December 7^th, with changes taking effect on January 1^st, 2021. If no action is taken, 2020 coverage continues next year. However, now is the time to verify whether there’s a more cost-effective option to suit your circumstances. The annual fall enrollment period is for adding or changing coverage related to an Advantage Plan (Medicare Part C) and prescription drugs (Part D), meaning you can switch, add, or drop those parts.

About 62.7 million people are enrolled in Medicare; most are 65 or older. A third of beneficiaries are enrolled in Advantage Plans, and the remainder are enrolled in Part A (in-patient coverage) and Part B (outpatient care) plans. Part D, a standalone/supplemental plan, is also offered by private insurance companies.

By September 30^th, Advantage Plans or prescription drug plans should alert beneficiaries about whether their coverage is changing for the upcoming year. Specific options vary significantly from year-to-year despite being federally regulated. Check your notice to see whether any changes will be taking place. Prescription coverage, deductible costs, and in-network doctors are some examples of adjustments that could change.

If you wanted to drop your Advantage Plan instead of switching to another, you’d be left with original Medicare (Parts A and B) and would need to get a standalone Part D prescription drug plan if you wanted that coverage. Medigap (supplemental Medicare policies) help cover cost-sharing aspects of original Medicare, which is Part A and Part B outpatient coverage, including copays and insurance.

When initially enrolling for Plan B to purchase Medigap, beneficiaries receive a six-month window without having to answer health questions and be penalized for pre-existing conditions. One exception is that if the beneficiary had an Advantage Plan for less than a year or it is their initial enrollment. In that case, a unique enrollment window of 12 months is allotted for a Medigap policy.  

For further reading, check out the original article. For Medicare questions or concerns, contact the experts at Senior Health Medicare who are available to guide you through the process of open enrollment.

Senior Health Medicare is a superior resource for Medicare guidance, information, and ongoing client support. Selecting a Medicare plan is not a flippant decision. It requires annual revisiting and re-evaluating in order for the client to stay in the most cost-effective coverage. Senior Health Medicare is here to serve as your resource through all the years to come. Contact us today at 888-404-5049 or visit us on the web at www.seniorhealthmedicare.com.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.

Sharing the same prefix makes Medicare and Medicaid easily interchangeable, but in reality, they are entirely different. To add to the confusion, both are structured by the government to assist people with healthcare costs. Beyond sharing prefixes and the healthcare realm, the two programs have nothing else in common.

Medicare: an insurance program paid from trust funds which those covered have paid into.

• For seniors 65+ or those with a qualifying disability
• Federal government sets standard benefits and costs
• Private plans might provide additional (varying) coverage and costs
• Parts A and B provided by the government; Parts C and D provided by insurance companies

Medicaid: an insurance assistance program serving low-income people.

• For individuals, families, and children with limited income and resources
• State sets Medicaid programs based on federal guidelines
• Different programs exist for specific populations
• Both mandatory and optional benefits available

Both Medicare and Medicaid include premiums, deductibles, copays, and insurance costs. Specific Medicaid groups are exempt from out-of-pocket expenses, and there are four different Medicare savings programs available. Some people can have both Medicare and Medicaid; these people are called “dual eligible.”

To enroll for Medicare, enroll with either Social Security directly (Parts A and B) or a private insurance company (Parts C and D) to choose the coverage you need. To enroll for Medicaid in Michigan, visit their website.

Both Medicare and Medicaid are two very different healthcare programs. It is imperative to understand the differences. If you are dual-eligible, learn how they can work together for your benefit.

For more information about the differences between Medicare and Medicaid, visit the U.S. Department of Health and Human Services website. To enroll in Medicare Parts C and D, contact Senior Health Medicare today.

Senior Health Medicare is a superior resource for Medicare guidance, information, and ongoing client support. Selecting a plan is not a flippant decision. It requires annual revisiting and re-evaluating in order for the client to stay in the most cost-effective coverage. Senior Health Medicare is here to serve as your resource through all the years to come. Contact us today at 888-404-5049 or visit us on the web at www.seniorhealthmedicare.com.

Written by the digital marketing staff at Creative Programs & Systems: www.cpsmi.com.