Losing your Medicare Advantage Plan? - Don’t Panic!

Class Summary

We know the news about changes in the Medicare Advantage market sounds unsettling. Take a deep breath, this is not the end of your coverage. In fact, it could be the start of better options for many people.

Key Takeaways

  • You have Guaranteed Issue Rights. You can enroll in either a Medicare Advantage Plan or move to a Medigap/Supplement plan without underwriting.

  • In certain settings, if you want a Medigap plan you will have to ask.

  • You need to know how you utilize your insurance. Do you go to the doctor a lot? Specialists? Do you go to rehab? Do you travel? Do you know how much you spend out of pocket annually? The more you know, with real facts/data, the easier it will be to choose the best plan for you in the year ahead.

  • Look at your utilization against the pros and cons of each broad plan type: 

    • Original Medicare – Lots of gaps in coverage. High out of pocket expenses

    • Medicare Advantage – Lower monthly premiums, higher out of pocket costs

    • Medigap – Higher monthly premiums with fewer out of pocket costs

  • Get help! But realize that depending on market conditions, insurance agent or broker may not get paid to help you re-enroll. Endear yourself to them by being prepared for your meeting. That preparation includes understanding how you use your insurance (bullet 3 above), name and clinic of your doctors and specialists, and a complete drug list. If possible, also know if you want a Medicare Advantage or Medigap plan.

Knowledge is absolutely peace of mind and confidence in this situation.

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