Even if you’re happy with your current coverage, there may be other plans out there you’re not aware of that offer better coverage at a lower cost. You never know until you look.
If you have internet access and are comfortable using a computer, you can easily shop for and compare all Medicare drug plans in your area and enroll in a new plan online in just a few minutes.
Go to Medicare’s Plan Finder Tool at Medicare.gov/find-a-plan and choose the type of coverage you’re looking for, enter your ZIP code, financial assistance (if you receive any), select the drugs you take and their dosages, and choose the pharmacies you use.
The plan finder does the math to identify the plan in your area that covers your drugs at the lowest cost.
This tool also provides a five-star rating system that evaluates each plan based on past customer service records and suggests generics or older brand name drugs that can reduce costs.
When you’re comparing drug plans, look at the estimated drug costs plus premium costs that shows how much you can expect to pay over a year in total out-of-pocket costs.
Be sure the plan you’re considering covers all of the drugs you take with no restrictions.
Most drug plans today place the drugs they cover into price tiers. A drug placed in a higher tier may require you to get prior authorization or try another medication first.
Any changes to coverage you make will take effect Jan. 1. If you take no action during open enrollment, your current coverage continues next year.
If you need some help choosing a new plan, you can call Medicare at 800-633-4227 and they can help you over the phone, or contact your State Health Insurance Assistance Program, which provides free Medicare counseling.
They conduct seminars during the open enrollment period at various locations throughout each state. To find a local SHIP counselor, seeShiptaCenter.org or call 877-839-2675.
If you have lower income and are having a hard time paying medication costs, you may be eligible for Medicare’s “Extra Help” program.
This is a federal low-income subsidy that helps pay Part D premiums, deductibles and copayments.
To be eligible, your income must be under $19,320 or $26,130 for married couples living together, and your assets (not counting your home, personal possessions, vehicles, life insurance policies or burial expenses) must be below $14,790 or $29,520 for married couples. For more information or to apply, call Social Security at 800-772-1213 or visit SSA.gov/extrahelp.