Beginning Tuesday, Oct. 15, Medicare enrollees have 54 days — until Dec. 7 — to review their medical and prescription drug coverage and make sure the plans they subscribe to best meet their needs.
The decisions you make during this open-enrollment period will take effect in January 2020. After reviewing your options, if you decide to stay with your current coverage you don't have to do anything. But remember: With a few exceptions, this is your one chance during the year to make changes.
"Taking the time to figure out which plans are likely to cost more or less can literally save thousands of dollars,” says Tricia Neuman, senior vice president of health policy and director of Medicare policy at the nonpartisan Kaiser Family Foundation. “People are skeptical that changing plans could make a difference so they're inclined to keep the same plans for year to year.” But Neuman urges enrollees to make time to check.
If you want to get going right out of the gate this year, you may want to wait to make final decisions. While the Centers for Medicare and Medicaid Services (CMS) has announced that the premiums for Medicare Advantage (MA) and Part D prescription drug plans are expected to decrease for 2020, the agency has not yet released the premiums and deductible amounts for Part A, which covers hospital stays, and Part B, which pays for doctor visits and other outpatient services.
The average MA monthly premium is expected to be $23 in 2020 and the average Part D drug premium is estimated to be $30. But these are only averages. MA and Part D premiums vary widely, depending on what plan you pick and where you live.
Experts caution that figuring out what makes the best sense financially for your needs is more complicated than just looking at premium costs.
"People tend to focus on premiums when they compare plans, but premiums are not a good proxy for the ultimate out-of-pocket costs consumers will pay,” says Neuman. When reviewing plans, she advises enrollees to be sure to double-check that the medicines they take are covered — either by the standalone Part D plan they're considering or an MA plan.
The type of coverage doctors and other health care providers accept also can change from year to year. If you are in Original Medicare, make sure that your doctor is still a participating Medicare provider. If not, you may be liable for higher out-of-pocket costs. If you belong to an MA plan, make sure your providers are still in the plan's network because if you see out-of-network physicians you'll usually have to pay more.