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Posted: Wednesday, 23 April 2008 2:14PM

Not Happy With Your Medicare plan? Consider Making A Switch



Did you know that if you're currently enrolled in a Medicare plan, you have two opportunities during the year to switch plans?

 

The first is during the annual enrollment period November 15 through December 31.  You are allowed to make a change once during this period.

Still not happy?  You can also switch plans once during the open enrollment period, from January 1 through March 31.  Changes are effective on the first day of the month following the date the plan receives your request.  The only exception to this enrollment period is you cannot add or change a plan with prescription drug coverage unless you already have Medicare prescription drug coverage.

Generally, no other changes can be made during the year except for exceptional circumstances, such as a move or if you have Medicaid coverage.  

Some things you should consider before switching:

• Cost: What will you pay for out-of-pocket expenses such as premiums, coinsurance, copayments and deductibles?

• Benefits: Are you looking for benefits in addition to regular health coverage, such as eye care and dental benefits?  Look at costs and needs.

• Doctor and hospital choice: Does your prospective new plan include coverage for your current doctors and hospital of choice?

Health Alliance Plan, a Medicare Advantage provider, suggests asking these additional questions:

• Are you looking for benefits that reward you for staying healthy?  Does the plan you’re considering offer learning and fitness opportunities?

• Is the plan experienced in Medicare?  Does the plan have a local office?  Are service representatives able to answer questions promptly?

• If you travel out of state or out of the country, will the plan cover you?

Additional resources are available on the Medicare Web site.


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