TONI SAYS: Know your Medicare Annual Enrollment options

Published 2:04 pm Friday, October 13, 2023

Toni King

Dear Toni: I turned 65 in February and did not enroll in a Medicare Prescription Drug plan. I’ve been told that I must wait until October for Medicare’s Annual Enrollment time. I need help now because I have been diagnosed with Parkinson’s disease and my brand name prescription is expensive. I thought I could enroll at any time of the year. What can I do?

–James, Memphis, Tenn.

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Hello James: Medicare’s Annual Enrollment Period (AEP) is the time when one can enroll in either a stand-alone Part D Medicare Prescription Drug plan or a Part C Medicare Advantage plan (with or without a Prescription Drug plan). This enrollment opportunity lasts for approximately seven weeks.

Medicare’s AEP does not involve changing or enrolling in a Medicare Supplement. The AEP is only for enrolling in or changing a Medicare Part C Medicare Advantage Plan or Medicare Part D Prescription Drug Plan.

This year’s AEP begins Sunday, October 15, and it will end at midnight on Thursday, December 7 (Pearl Harbor Day). Any plan in which you enroll will have January 1 effective date.

James, since you missed enrolling in a Medicare Part D plan when you turned 65, this is the time for you to enroll. It is also the time for you to compare costs and change to a Medicare Advantage (Part C) plan if it is more cost effective given your Parkinson’s diagnosis.

Readers, the changes that one on Medicare can make during this AEP (Annual Enrollment Period) include:

— Enroll in a Medicare Prescription Drug (Part D) Plan.

— Change from one Medicare Prescription Drug (Part D) Plan to a new Part D Medicare Prescription Drug Plan.

— Enroll in a Medicare Advantage (Part C) Plan with Prescription Drugs

— Change from one Medicare Advantage (Part C) Plan with or without Prescription Drug plan to a new Medicare Advantage (Part C) Plan.

— Return to Original Medicare and purchase a Medicare Supplement and enroll in a stand-alone Medicare Prescription Drug (Part D) Plan.

— Return to Original Medicare only and enroll in a stand-alone Medicare Prescription Drug (Part D) Plan.

— Return to Original Medicare with no Part D plan.

  • Please note there is a penalty for not enrolling in a Medicare Prescription Drug (Part D) plan when first eligible.

For those who already have either a Medicare Advantage (Part C) plan with or without prescription drugs or a stand-alone Medicare Prescription Drug (Part D) plan, Medicare’s AEP is when you should make sure your drug plan or Advantage plan still meets your needs, especially if you had any changes to your health this year and now require expensive brand-name prescriptions.

Some Medicare Advantage Prescription Drug (MAPD) and Part D plans have changed premiums for 2024. Please verify that your prescription drugs are covered on your 2024 MAPD or Medicare Prescription Drug plan formulary. If your prescriptions are not covered for 2024, you will have to pay 100% of that prescription cost out of your own pocket.

Visit www.medicare.gov to view 2024 Medicare Part D and Medicare Advantage plans with enrollment starting October 15 with a January 1 effective date. The website has a tool for helping you narrow your search for new Medicare Advantage and Prescription Drug plans.