When is the Last Time You Reviewed Your Medicare Plan?

Filed under: Health Insurance

Jonathan Nolan
JPN Insurance Services

It’s a common misconception that once you’re enrolled in a Medicare plan, everything stays the same year after year. In reality, Medicare plans, including Medicare Advantage plans, can and do change annually. From alterations in services offered to adjustments in drug formularies and premiums, it’s essential for beneficiaries to understand that their coverage may evolve over time.

Services Offered Can Fluctuate

Medicare Advantage plans, in particular, are known for their flexibility in coverage options and benefits. Each year, insurers have the opportunity to modify their plans to better meet the needs of their members and adapt to changes in the healthcare landscape. This means that the services offered under a Medicare Advantage plan, such as dental, vision, or fitness benefits, may vary from one year to the next.

Drug Formularies Can Change

Similarly, drug formularies, which outline the medications covered by a Medicare Advantage plan, can change annually. Insurers may add or remove drugs from their formularies, alter coverage tiers, or adjust cost-sharing requirements. These changes can have a significant impact on beneficiaries, particularly those who rely on specific medications to manage their health conditions.

Review the Costs Associated with Your Plan

Furthermore, premiums, deductibles, and out-of-pocket costs associated with Medicare Advantage plans can fluctuate from year to year. Insurers may increase or decrease premiums based on factors such as healthcare costs, utilization patterns, and regulatory changes. As a result, beneficiaries may need to reassess their budget and evaluate whether their current plan remains affordable.

Your Needs Might Change

It’s crucial for Medicare beneficiaries to recognize that their healthcare needs or preferences may change over time as well. What was once the best fit for their needs may no longer be the most suitable option. That’s why it’s important to review your Medicare plan annually to ensure that it continues to meet your healthcare needs and financial situation.

From modifications in services offered to adjustments in drug formularies and premiums, beneficiaries must stay informed about potential changes to their coverage. By reviewing your Medicare plan annually, you can ensure that it remains the best fit for your evolving healthcare needs. Call JPN Insurance at (951) 443-9925 to discuss your needs, as well as any concerns about your Medicare Advantage plan, and we can help you determine whether to stick with it or switch to another plan that better suits you.