Albuquerque Journal

Make informed Medicare decision

Period for changing your coverage ends Dec. 7

- BY AARON BURTON NEW MEXICO MEDICARE SALES DIRECTOR, HUMANA

The deadline is fast approachin­g! The Medicare annual election period, during which people with Medicare can enroll in a Medicare Advantage or Prescripti­on Drug Plan, ends Dec. 7.

It’s important to take this time to evaluate your health care choices. Even if you’re already enrolled in a plan, your insurance company’s drug formularie­s, provider networks and copays may change in 2019. Plus, your health care needs, such as the doctors you visit or the medication­s you take, could be different than they were last year.

Here are four simple steps to help you decide which kind of Medicare coverage is best for you:

Review your current Medicare health plan. Look at what you’ve spent on health care in the past year, including hospital expenses and prescripti­ons. Evaluating what you spent in 2018 will help you decide whether your current health plan meets your needs, both financiall­y and medically.

Know your options for Medicare coverage:

Original Medicare — Medicare Parts A and B: Provides basic coverage for medical services and supplies in hospitals, doctors’ offices and other health care settings. Original Medicare does not include coverage for most prescripti­ons and includes cost-sharing in the form of deductible­s and coinsuranc­e.

Medicare Advantage — Medicare Part C: Includes all the coverage offered under original Medicare, and typically also includes prescripti­on drug coverage. Medicare Advantage plans may include additional benefits as well, such as dental, hearing and vision coverage, a nurse advice line or a fitness program. Medicare Advantage plans are offered through private insurers, such as Humana, and are steadily gaining in popularity. The number of Americans choosing this option is expected to climb to 36 percent in 2019, up from 33 percent in 2017, according to the Centers for Medicare and Medicaid Services.

Medicare Prescripti­on Drug Plans — Medicare Part D: Offers coverage for prescripti­on medication­s. Such a plan can be added to original Medicare, a Medicare Supplement/Medigap plan, some Medicare Advantage plans that do not include prescripti­on drug coverage, some Medicare Cost Plans and some Medicare Medical Savings Account (MSA) plans.

Medicare Supplement/ Medigap Plans — Pays most costs not included under original Medicare, such as deductible­s and coinsuranc­e. These plans do not have a set provider network, and enrollment is not limited to the Medicare annual election period but they are often subject to underwriti­ng. These plans are also sold by private insurance companies such as Humana. Medicare supplement plans on the market today do not include prescripti­on drug coverage.

Comparison shop. Research a plan’s outof-pocket costs and its network of doctors and hospitals. Check to see if your prescripti­ons are on your plan’s formulary/list of covered drugs, as these can change each year. Compare plan benefits such as dental, vision and hearing benefits, fitness program, virtual doctors and behavioral health coverage.

Ask an expert. You are not alone! There are resources if you have questions:

If you prefer to learn more in person, you can attend a seminar in your area or meet with a licensed sales agent. To find out about Humana seminars or speak to a Humana licensed sales agent call 877-877-0714 (TTY: 711) 8 a.m. to 8 p.m. local time, seven days a week.

If you prefer to do your research online, you can visit websites such as Medicare.gov and humana.com/medicare to view and compare plans in your area.

You can also call 800-MEDICARE/800-633-4227 (TTY: 877-486-2048) 24 hours a day, seven days a week to speak to someone by phone about 2019 Medicare plan informatio­n.

This is the time to make the best choice for you in the new year! Again, the annual election period ends Dec. 7, so be sure to make your decision for Medicare coverage that starts Jan. 1.

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