Porterville Recorder

Medicare enrollment: Time running out

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The deadline for Medicare open enrollment is rapidly approachin­g on Dec. 7 and millions of Americans are reviewing their options, a process that can be confusing and cumbersome.

The period occurs every year from Oct. 15 to Dec. 7. During this time, people with Medicare can change their prescripti­on drug plan or Medicare Advantage plan for any reason.

This is a crucial opportunit­y for older citizens to re-evaluate their benefits to ensure they are the best possible. Options are available, and the savvy senior will look at them all and determine the most appropriat­e service and most reasonable price.

There are organizati­ons out there that can help people out. Here are some tips offered by Humana:

1. Review your current Medicare health plan. Analyze how much you’ve spent on health care during the past year, including hospital expenses, prescripti­ons and doctor bills. This will help you estimate your 2018 health care expenses and determine if your current Medicare plan still meets your medical and financial needs.

2. Know your options. Choices include:

Original Medicare, which provides basic coverage for medical expenses without coverage for most prescripti­ons, and includes cost-sharing in the form of deductible­s and coinsuranc­e. This is Medicare Parts A and B.

Medicare Advantage, which includes all of the coverage offered under Original Medicare through a private insurer, and may include added benefits, such as dental, hearing and vision coverage, a nurse advice line and fitness program, as well as prescripti­on drug coverage. This is Medicare Part C.

Medicare Prescripti­on Drug Plans, which offer coverage for prescripti­on medication­s, and can be added to Original Medicare, a Medicare Supplement (Medigap) plan or some Medicare Advantage Plans that do not include prescripti­on drug coverage. This is Medicare Part D.

Medicare Supplement Plans, which pay some costs not paid by Original Medicare, like deductible­s and coinsuranc­e. Enrollment in a Medicare Supplement plan is not limited to the Medicare Annual Enrollment Period and these plans do not have a set provider network.

3. Comparison Shop. Once you choose the type of Medicare plan that best fits your needs, research the costs, benefits and network of doctors and hospitals associated with each plan. Check to see if your hospital and doctors are included.

4. Consider the “extras” included. Some Medicare Advantage plans include extra benefits, such as a fitness program and exercise classes specifical­ly designed for people with Medicare. Others include dental, vision and hearing benefits. Determine how important these added benefits are to your lifestyle and wellness needs.

5. Get help. Shopping for a Medicare plan can be daunting, but there are resources available to assist you. You can call 1-800-MEDICARE (1-800633-4227) (or TTY: 1-877-486-2048) 24 hours a day, seven days a week for 2018 Medicare plan informatio­n. Websites like www.medicare.gov can also help you research plans available in your area before the Dec. 7 Medicare Advantage and Prescripti­on Drug Plan annual enrollment deadline.

It’s also important to note that the plan you select by Dec. 7 will be your Medicare plan for all of 2018, with few exceptions, so it’s smart to carefully research your options prior to the deadline.

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