Plan and Prescription Reviews
Your Annual Plan Review
Are you currently enrolled in Medicare?
Many beneficiaries don’t realize that costs, coverage and service areas for their particular plan can change each year.
Don’t assume that your plan will meet your needs every year without reviewing any upcoming potential changes to your plan, as well as any additional healthcare needs you might have.
Did You Know?
Every year, CMS makes adjustments and changes to existing Medicare plans, which can include:
✓ Changes in premiums, copayments and deductibles relating to Parts A, B, C, D and Medigap plans
✓ Changes in network providers
✓ Changes in services areas
✓ Changes in coverage gaps (donut holes)
✓ Changes in formularies and tiers for approved prescription drug lists
Annual Notice of Change (ANOC)
If you currently have a Medicare Advantage plan or a stand-alone Part D drug plan, be on the look out for your Annual Notice of Change (ANOC), which is a letter sent to you by your plan provider outlining any changes to your benefits for the upcoming year. You can expect to receive your ANOC in the mail no later than September 30 – 15 days prior to the beginning of AEP.
Make sure that you review it carefully for any changes in the costs and services covered with your plan.
It’s important to review your ANOC to determine if your formulary, deductible, out-of-pocket limits or copays for your Medicare Advantage or prescription drug plan will change in the upcoming year.
A tip: Check to be sure that all of your medications are still included in the formulary for your particular plan, or if they’ve changed tier. Not identifying these changes could have a significant financial impact for the upcoming year.
Annual Enrollment Period (AEP)
During this enrollment period, which runs annually from October 15th – December 7th, you can add, change or drop your Medicare coverage depending on your current enrollment. This will be the only time each year you can make changes to your Medicare benefits unless you qualify for a Special Election Period.
Please click below to see the allowable changes you can make.
✓ leave your Original Medicare plan and switch to Medicare Advantage.
✓ leave your Medicare Advantage plan and return to Original Medicare.
✓ leave a Medicare Advantage plan that you’re currently enrolled in and change to another Medicare Advantage plan.
✓ enroll in a Part D Prescription Drug plan.
✓ switch to a different Part D Prescription Drug plan if you’re currently enrolled in one.
✓ drop your Part D coverage completely, without being penalized, if you have creditable coverage through an employer or other source.
How An Annual Review is Beneficial to You
By reviewing your benefits annually, you ensure that you will be enrolled in the right plan for the upcoming year as it relates to your medical and financial needs.