A 6-Point Checklist to Rate Your New Medicare Advantage PlanPosted by Medicare Made Clear
Your new Medicare plan benefits go into effect on January 1. Even if you have the same plan as before, you’ll probably notice some differences since plans may change coverage and costs from year to year.
How will your plan measure up? Here’s a quick checklist to rate your Medicare Advantage plan and make sure you’re getting the services you want.
▢ 1. Support for Your Health and Wellness
Medicare isn’t just for when you’re sick. You are also covered for many preventive services – flu shots, cancer screenings and an annual Wellness Visit, just to name a few. Some Medicare Advantage plans offer more benefits, like dental and vision coverage, fitness programs and even rides to medical appointments. Do you have the benefits you want?
▢ 2. Easy Access to Providers and Services
You should be able to see your preferred doctors and get the care you need without a lot of hassle. Medicare Advantage plans generally have large local provider networks that include the doctors and main health care systems in their service areas. Can you go where you want to go for your health care?
▢ 3. Affordable Coverage for the Medications You Take
Most Medicare Advantage plans include prescription drug coverage and have a list of covered drugs known as a formulary. It’s easy to miss whether your medications are on the list and then get a denial when you go in for a refill. Or you may have bigger copays than expected. Watch for any surprises at the pharmacy.
▢ 4. Clear Explanation of Coverage and Benefits
Materials you receive from your plan have important information about your benefits, your rights, plan contact information and more. You may also get information on the plan web site or by calling the customer service number on the back of your plan member ID card. Do you understand your plan benefits?
▢ 5. Help Getting the Care You Need
It’s not always easy to know where to go for different medical needs or even when you should seek care. Do you make an appointment or go to urgent care? Can you treat a problem with a home remedy or an over-the-counter medication, or do you need medical help? Some Medicare Advantage plans provide a nurse line or care navigator to help you get the care you need and get the most out of your benefits. Does yours?
▢ 6. Answers to Your Questions
Your Medicare plan’s job is to serve your health care needs. This includes helping you find answers to questions about coverage, costs, claims, bills and anything else related to your care. Customer service representatives, care coordinators, nurse line representatives and others provide help when you need it. Do you know who to call?
The Bottom Line
You start every New Year with a new Medicare plan, whether you change your plan or not. Plans put new benefits and costs into effect each January 1. Medicare Advantage Open Enrollment offers a chance to make a change if you find your new plan falls short of your needs.
For more information, explore MedicareMadeClear.com or contact the Medicare helpline 24 hours a day, seven days a week at 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.Tags: medicare, medicare advantage, medicare advantage open enrollment, medicare advantage plans