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Medicare News

Senior Citizens Can Now Change Their Medicare Plans for 2011 – Health and Drug

Open Enrollment period began Nov. 15, Ends Dec. 31 for current and newly eligible beneficiaries

Medicare opens window for seniors to change health or drug plansNov. 16, 2010 – The Medicare shopping season is open – the month-and-a-half every year that starts on November 15 and runs to the end of the year - when those on Medicare can change plans. Most activity in recent years, during this period known as “Open Enrollment,” has focused on changing Part D drug plans, since many of these seem to make significant changes in what they offer and the price senior citizens have to pay. Then, too, the Medicare Advantage Plans, which offer both health and drug coverage in one package, have attracted many from the original Medicare.

 

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During this Open Enrollment period, current or newly eligible Medicare beneficiaries, including people with original Medicare, can review current health and prescription drug coverage; compare health and drug plan options available in their area, and choose coverage that best meets their needs.

For many, new plans are necessary to better meet changes in their needs.

For example, a senior citizen that has not been taking prescribed medicine most likely was in a drug plan with a lower monthly fee and higher co-pays for drugs. With a growing need for prescribed drugs looming in 2011, this same senior may opt for a plan with a higher monthly fee be lower co-pays.

The Centers for Medicare & Medicaid Services (CMS) issued a news release encouraging all Medicare beneficiaries to take advantage of the annual Open Enrollment period “to make sure they have the best coverage available to meet their health care needs in 2011.”

“There’s never been a better time for Medicare beneficiaries to check out their Medicare coverage,” says CMS Administrator Donald Berwick, M.D.

“The new health care law provides additional benefits to people with Medicare, including lower prescription drug costs through a 50 percent discount on brand name drugs in the coverage gap, also referred to as the “donut hole,” wellness checkups, and no copayments for preventive care – a benefit that most Medicare Advantage plans also offer.

“By shopping for next year’s coverage now, people with Medicare may find even greater savings or better coverage than they are getting this year.” 

CMS also is promoting that seniors have better options in plans available for 2011.

 “With better plan choices available for 2011, Medicare beneficiaries can think of Open Enrollment as their yearly coverage ‘check-up,’” Berwick said.

“If they’ve had any changes in their health, Open Enrollment is the time to double-check coverage options and make good choices that meet individual needs.”

Resources for Seniors and Their Caregivers

People with Medicare, their families and other trusted representatives can review and compare current plan coverage with new plan offerings, using many proven resources, including:

   ● Visiting www.medicare.gov, where they can get a personalized comparison of costs and coverage of the plans available in their area. The popular Medicare Plan Finder and Medicare Options Compare tools have been enhanced for an efficient review of plan choices.  Multilingual Open Enrollment information and counseling is available.

   ● Calling 1-800-MEDICARE (1-800-633-4227) for around-the-clock assistance to find out more about coverage options. TTY users should call 1-877-486-2048.

   ● Reviewing the 2011 Medicare & You handbook. It is also accessible at www.medicare gov and has been mailed to the homes of people with Medicare benefits.

   ● Getting one-on-one counseling assistance from the local State Health Insurance Assistance Program (SHIP). Local SHIP contact information can be found:

       At http://www.medicare.gov/contacts/organization-search-criteria.aspx, or

       On the back of the 2011 Medicare & You handbook or;

       By calling Medicare at 1-800-MEDICARE (1-800-633-4227; TTY, 1-877-486-2048)

       A listing of national stand-alone prescription drug plans and state specific fact sheets can be found at:   http://www.cms.hhs.gov/center/openenrollment.asp

Resources for those needing financial help

Medicare beneficiaries who cannot meet the costs of prescription drugs may be eligible for additional resources. Based on eligibility for “extra help,” some people Medicare will pay no more than $2.50 for each generic drug and no more than $6.30 for each name brand drug.  The program, called Medicare's Limited Income Newly Eligible Transition (NET) Program, can also help pay for premiums and other out-of-pocket costs. 

There is no cost to apply for this extra help. Medicare beneficiaries, family members, trusted counselors or caregivers can apply online at www.socialsecurity.gov/prescriptionhelp or call Social Security at 1-800-772-1213 (TTY users should call 1-800-325-0778) to find out more.

Protecting Against Fraud and Identity Theft

The new health care law also provides better tools to help fight waste, fraud and abuse to help protect Medicare. CMS offers tips to help beneficiaries protect themselves against fraud and identity theft during the Open Enrollment period. Medicare recommends that people treat their Medicare number as they do their social security number and credit card information. 

   ● Beneficiaries should not give personal information to anyone arriving to their home uninvited or making unsolicited phone calls selling Medicare-related products or services. Beneficiaries who believe they are a victim of fraud or identity theft should contact 1-800-MEDICARE (1-800-633-4227; TTY, 1-877-486-2048).  More information is available at www.stopmedicarefraud.gov

More information is available at www.healthcare.gov, a new web portal from the U.S. Department of Health and Human Services.

The Medicare Open Enrollment Period opened on November 15 and runs through December 31, 2010. 

 

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