Medicare’s open enrollment period is undergoing some adjustments this year, and Illinois’ Medicare beneficiaries need to be aware of how it will impact their ability to change their coverage.
Open enrollment, which began on October 15th, ends early this year, on December 7th. In the past, eligible individuals had until December 31st to make decisions regarding their coverage. Below are five helpful tips:
- Evaluate your health needs. If you have a chronic condition such as diabetes or receive assistance from Medicaid, there are health plans called “special needs plans” that cater to your specific needs.
- Compare additional services. Free transportation to medical appointments, nurse hotlines, pharmacist counseling and house call visits can help save you money and keep you out of the hospital.
- Involve a trusted family member or friend. Involve your daughter, son or other family member to help with your decision.
- Check into plan “rules.” Some plans may require you to see specific doctors and/or obtain advance approvals prior to seeking care.
- Research your options. While a zero-dollar premium option may sound appealing, make sure to estimate the out-of-pocket costs associated with benefits and services you normally use.
It’s also important to know that beneficiaries reaching the coverage gap in 2012 will receive a 50-percent discount on approved brand-name formulary drugs and a 14-percent discount on generic drugs.
Once open enrollment ends, you may still be able to make changes to your Medicare coverage. Eligible beneficiaries with diabetes or heart failure are allowed a one-time special election period to enroll in a special needs plan for their condition. Also, eligible Medicare beneficiaries receiving full Medicaid assistance may switch their coverage at any time of the year. iBi
Lauren Montrastelle is Illinois’ community outreach manager for Care Improvement Plus, which provides specialized Medicare coverage for underserved and chronically ill beneficiaries.
