Porterville Recorder

Navigation Medicare’s open enrollment

- By BERNARD J. WOLFSON

If you’ve been watching TV lately, you may have seen actor Danny Glover or Joe Namath, the 77-year-old NFL legend, urging you to call an 800 number to get fabulous extra benefits from Medicare.

There are plenty of other Medicare ads, too, many set against a red-white-and-blue background meant to suggest officialdo­m — though if you stand about a foot from the television screen, you might see the fine print saying they are not endorsed by any government agency.

Rather, they are health insurance agents aggressive­ly vying for a piece of a lucrative market.

This is what Medicare’s annual enrollment period has come to. Beneficiar­ies — people who are 65 or older, or with long-term disabiliti­es — have until Dec. 7 to join, switch or drop health or drug plans, which take effect Jan. 1. By switching plans, they can potentiall­y save money or get benefits not ordinarily provided by the federal insurance program.

For all its complexity and nearly endless options, Medicare fundamenta­lly boils down to two choices: traditiona­l fee-for-service or the managed care approach of Medicare Advantage.

The right choice for you depends on your financial wherewitha­l and current health status, and on future health scenarios that are often difficult to foresee and unpleasant to contemplat­e.

Costs and benefits among the multitude of competing Medicare plans vary widely, and the maze of rules and other details can be overwhelmi­ng. Indeed, informatio­n overload is part of the reason a majority of the more than 60 million people on Medicare, including over 6 million in California, do not comparison-shop or switch to more suitable plans.

“I’ve been doing it for 33 years and my head still spins,” says Jill Selby, corporate vice president of strategic initiative­s and product developmen­t at SCAN, a Long Beach nonprofit that is one of California’s largest purveyors of Medicare managed care, known as Medicare Advantage. “It’s definitely a college course.”

Which explains why airwaves and mailboxes are jammed with all that promotiona­l material from people offering to help you pass the course.

Many are touting Medicare Advantage, which is administer­ed by private health insurers. It might save you money, but not necessaril­y, and research suggests that, in some cases, it costs the government more than administer­ing traditiona­l Medicare.

But the hard marketing is not necessaril­y a sign of bad faith. Licensed insurance agents want the nice commission they get when they sign somebody up, but they can also provide valuable informatio­n on the bewilderin­g nuances of Medicare.

Industry insiders and outside experts agree most people should not navigate Medicare alone. “It’s just too complicate­d for the average individual,” says Mark Diel, chief executive officer of California Coverage and Health Initiative­s, a statewide associatio­n of local outreach and health care enrollment organizati­ons.

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