When Sir Arthur Conan Doyle’s Sherlock Holmes applied himself to a difficult case, he famously utilized his powers of deduction. Holmes assembled and examined the facts before him and employed a ...View Article
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MEDICARE MANAGED CARE: WHAT YOU NEED TO KNOW
Each year, Medicare plans change what they cost and what they will cover. Many seniors will face decisions regarding Medicare's prescription drug benefit. Medicare's annual Coordinated Election Period, in which beneficiaries may change prescription drug plans, change Medicare Advantage plans, return to original Medicare, or enroll in a Medicare Advantage plan for the first time, runs from November 15 through December 31 each year. Enrollment changes take effect January 1.
These new managed care plans have been given wide latitude regarding the benefits that can be offered, as long as benefits currently available under Medicare Parts A & B are included. Financial incentives in the form of lower premiums, expanded benefits such as Pharmaceutical coverage, and lower deductibles and co-pays will be powerful inducements for many seniors struggling to make ends meet. In order for you to make a sound business decision regarding participation in any of these managed care plans, however, some hard questions must be asked.
MEDICARE PATIENTS NEED TO KNOW:
It is very important that you educate yourself about these new Medicare managed care options. Once you select a plan, you are committed to the plan for one year. You are only able to change plans (or return to Medicare Part A & B) during Medicare's yearly enrollment periods.