Current:Home > MarketsGot a notice of change from your Medicare plan? Here are 3 things to pay attention to -Clarity Finance Guides
Got a notice of change from your Medicare plan? Here are 3 things to pay attention to
View
Date:2025-04-25 10:26:23
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! (6)
Related
- Warm inflation data keep S&P 500, Dow, Nasdaq under wraps before Fed meeting next week
- Well-known Asheville music tradition returns in a sign of hopefulness after Helene
- Assassination attempts and new threats have reshaped how Donald Trump campaigns
- Nick Saban teases Marshawn Lynch about Seahawks pass on 1-yard line in Super Bowl 49
- The FTC says 'gamified' online job scams by WhatsApp and text on the rise. What to know.
- A Texas execution is renewing calls for clemency. It’s rarely granted
- These Fun Facts About Travis Kelce Are All Game Winners
- Mexican immigrant families plagued by grief, questions after plant workers swept away by Helene
- Who are the most valuable sports franchises? Forbes releases new list of top 50 teams
- Hilary Swank Gets Candid About Breastfeeding Struggles After Welcoming Twins
Ranking
- The White House is cracking down on overdraft fees
- SEC, Big Ten lead seven Top 25 college football Week 6 games to watch
- What's in the new 'top-secret' Krabby Patty sauce? Wendy's keeping recipe 'closely guarded'
- NASCAR 2024 playoffs at Talladega: Start time, TV, live stream, lineup for YellaWood 500
- Senate begins final push to expand Social Security benefits for millions of people
- NFL Week 5 bold predictions: Which players, teams will surprise the most?
- ‘Magical’ flotilla of hot air balloons take flight at international fiesta amid warm temperatures
- A coal miner killed on the job in West Virginia is the 10th in US this year, surpassing 2023 total
Recommendation
The Daily Money: Spending more on holiday travel?
Vanderbilt takes down No. 1 Alabama 40-35 in historic college football victory
'19 Kids and Counting' star Jason Duggar and girlfriend Maddie tie the knot
Halloweentown’s Kimberly J. Brown Reveals Where Marnie Is Today
Federal hiring is about to get the Trump treatment
NFL says it's not involved in deciding when Tua Tagovailoa returns from concussion
Eminem's Daughter Hailie Jade Shares Clever Way She Hid Her Pregnancy at Her Wedding
Kirk Cousins stats today: Falcons QB joins exclusive 500-yard passing game list