Understanding Medicare Re-enrollment

While I love conversations centered around real estate, these days my clients are squarely focused on the election and the looming Medicare re-enrollment deadline. Both with a significant impact on senior’s lives.

I won’t touch politics but happily can provide some information about Medicare — information I read on SeniorPlanet.org. They interviewed a Medicare expert who answered some of the most common questions.

Re-enrollment Dates: Medicare re-enrollment is from Oct. 15 to Dec. 7. It’s time to decide if you’re sticking with your current plan or switching providers.

  • Medicare Choices:
    • Original Medicare: Includes Part A (hospital), Part B (outpatient), and optional Part D (prescription drugs). Many people also opt for a Medigap plan to cover gaps.
    • Medicare Advantage: A private plan covering Part A, Part B, and often Part D, with added perks like dental but limited to a network of providers.
  • Common Mistakes:
    • Many seniors are overwhelmed by the transition from employer health coverage to Medicare, struggling to navigate new options.
    • Choosing between Original Medicare and Medicare Advantage can be confusing, and many are tripped up by the learning curve.
  • Helpful Tools:
    • Brokers: Insurance brokers can guide you but may not show all available plans.
    • Online Plan Finder: Medicare’s online tools allow you to compare every plan in your area.
  • Enrollment Windows:
    • If you’re turning 65, you have a 7-month window to enroll, starting three months before your birthday. Don’t delay; waiting could leave you without coverage!
  • Late Enrollment Penalties:
    • Part B: 10% extra per year of delay, lasting as long as you have coverage.
    • Part D: 1% extra per month of delay, also lasting as long as you have coverage.

Make informed choices to avoid unnecessary penalties and ensure you get the best care for your needs!

>>Read the full interview on SeniorPlanet.org.

What is the Qualified Medicare Beneficiary program?

Seniors and their caregivers know very well how quickly Medicare expenses can add up. There is relief for some seniors who are living on a low or fixed income. The Qualified Medicare Beneficiary (QMB) is designed to help save money on visits to physicians, medical procedures, and hospital stays.

There is a lot of information to know about QMB but the National Council on Aging does a fantastic job of answering questions including:

  • What is QMB and what is QMB Plus?
  • Who qualifies?
  • What are the benefits?
  • What does it cover?
  • Where do you find information on income limits?

>>Click here to read more about QMB and discover whether it can help you or someone you care for.

Many will be feel relief from Medicare changes

Will the Inflation Reduction Act help you?

AARP is explaining how the Inflation Reduction Act will help seniors — especially those dependent on insulin. The Act is aimed at addressing inflation by reducing the deficit, investing in domestic energy production, and lowering drug prices.

(Article from AARP) For the first time in Medicare’s history, the amount of money that beneficiaries in drug plans will have to pay for their prescriptions each year will be capped, thanks to provisions of the Inflation Reduction Act of 2022. The new law makes other changes to the program’s Part D drug benefits, including putting a limit on out-of-pocket payments for insulin and making vital vaccines free. 

“There was previously no limit on how much a person on Part D could have to pay in a given year,” says Nancy LeaMond, AARP’s executive vice president and chief advocacy and engagement officer. “And 1.3 million enrollees spent more than $2,000 in 2020.”  

As with many of the other provisions in the new law, the changes to Part D out-of-pocket spending will roll out over the next several years. Here’s a look at how the new cost-sharing rules will work and when the savings will start. 

>>Read the rest — click here to go to AARP.com