[Kara Mayeda was our October 2018 Speaker Series presenter on this subject.]
That exciting season is almost upon us …. Medicare Annual Enrollment! In an effort to save you from sitting through one of my seminars, I am fortunate enough to write an article for the Nisei Vets Newsletter. As always, my goal is to educate: “Know your Plan AND Know your Options”
From October 15th – December 7th all Medicare members have the opportunity to make changes to their Medicare Advantage and Prescription Drug Plans for the upcoming 2020 year. This is an important opportunity as 2020 will be a big year for Prescription Drugs and Medicare Supplement Insurance changes. Let’s start with Prescription Drug Coverage.
Prescription Drug Coverage:
Tier levels may change for your medications, your prescription may no longer be covered, and a substitute prescription will take its place.
If you are taking any medications that are Tier 3 or higher, you may be responsible for a pharmacy deductible – the maximum deductible for this will be increasing in 2020.
The Donut Hole (Coverage Gap) is scheduled to go away. The percentage you will pay in the coverage gap will decrease as the Donut Hole closes in 2020. This change may affect what you currently pay outside of the Donut Hole as well for your prescriptions.
Additionally, we will see some changes in the Medicare Supplement Insurance plan offerings for those in Original Medicare. Remember, these types of plans can be changed anytime throughout the year.
Medicare Supplement Insurance Plans (Medigap)
Plans C and F will no longer be available to those who are “newly eligible” for Medicare on or after January 1, 2020. Newly eligible is defined as follows:
• An individual who turns 65 on or after 1/1/2020.
• An individual who first becomes eligible for Medicare benefits due to age, disability, or ESRD on or after 1/1/2020.
Your current Medicare Advantage and Prescription Drug Plan carriers will be sending out their Annual Notice of Change booklets in September. This is your opportunity to review any changes that will be coming for 2020, including any changes with your drug coverages. If you have specific questions about any of these changes or are concerned how they may impact you, I am offering a no cost insurance review (one on one or group) for all of you and your friends and family – especially anyone you know who does not have an Agent. I have met with many people who do not understand their benefits or have misunderstandings about Medicare. As you know, I am happy to help. I will be certifying with most of the insurance carriers in Washington. If you know of anyone who needs assistance or has questions, please give them my contact information.
Thank you for reading and hopefully you learned a little something to help you out this Medicare Season.