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Re-examine Medicare Coverage Every Year!

posted Nov 3, 2015, 7:00 AM by Kim Cobb   [ updated Nov 4, 2015, 11:15 AM by Kim Cobb ]
by GWAAR’s Legal Services Team

It’s that time of year again! From October 15 through December 7, Medicare beneficiaries can re-evaluate Medicare prescription drug and health plans. Plan features—including premiums, copays, drug formularies, provider networks, and other details —can and often do change each year. Some plans will no longer operate in Wisconsin in 2016. Plans are required to send out Annual Notice of Change letters to current enrollees to notify them of the plan changes for the upcoming year. These notices should be received by October 1.

Fewer than 10% of all seniors choose the Part D plan that was best for them. Name recognition alone is not a good way to choose a plan. Rather, plan choice should be based on a combination of factors — coverage of all medications, plan premiums, deductibles, preferred pharmacy, medication copays, and expected annual out-of-pocket costs.

Go to Medicare.gov between October 15 and December 7 to look at the plans available in 2016. At this website, you can enter your zip code, medications, and preferred pharmacy to find the best plan for you. You can also call the ADRC at 715-537-6225 to schedule an appointment to look over your options.

  • Medigap Part D and Prescription Drug Helpline (For people ages 60+): 1-855-677-2783.
  • Disability Drug Benefit Helpline (For people under age 60): 1-800-926-4862
  • Medigap Helpline (Medicare supplement and Medicare Advantage information for all ages): 1-800-242-1060