Our Clients Save Thousands Each Year During Medicare’s Open Enrollment Period.

Here’s How to Do It.

Written by Melinda A. Caughill, CSA, Co-Founder, 65 Incorporated

Each year, Medicare Advantage or Part D drug plans can make significant changes for coming year, including monthly premiums, the medications they cover (or do not cover), how much you’ll pay for each drug, pharmacy networks, doctor networks, out-of-pocket costs, deductibles and more. As a result, it’s critical that seniors review their plan options during Medicare's Open Enrollment period between October 15 and December 7 of each year.

Unfortunately, according to a consumer study on Medicare, less than 10% of seniors actually review their Medicare coverage annually. This could be costing you — even thousands or tens of thousands — of dollars. In fact, in 2021, clients of 65 Incorporated getting plan review services saved an average of almost $2,100 each! And, one lucky client saved more than $32,000!

Considering, though, that most people find it painful to review their Medicare coverage, what's the best way to get this information without incurring unnecessary frustration or annoyance?

Triage Your Open Enrollment Needs With 3 Simple Questions

The need to review Medicare coverage is much greater for some people than others. Those who answer yes to any of the following three questions would benefit greatly by reviewing their coverage during Open Enrollment.

 

1. Has it been more than 2 years since you last reviewed your Medicare Part D or Advantage plan? The longer it's been since you've reviewed your coverage, the greater the urgency to review your coverage now. The average savings is about $350 per year since the coverage was last reviewed. (Example: 5 years without review equals an estimated potential savings of $1,750.)

2. Has your health changed since you last reviewed Medicare plans? A change in health usually means that you are seeing new doctors or specialists and/or taking new medications. When people initially pick Medicare plans, they do so based upon their current needs. When those needs change, it's critical to review your coverage. (Example: The senior now has Type 2 Diabetes and takes insulin regularly. The insulin taken is not covered by the current plan costing about $1,500 per month, but it could be covered if the senior switched plans.)

3. Do you take any brand name medications or do you take 5 or more medications in general? The more medications that you take, the more likely you are to save money by changing plans for the coming year. But, if you take any brand-named medications (even just one), it's still critical to review your coverage. A single brand-name medication can be thousands or tens of thousands of dollars less on different plans.

 

4 Ways to Get Assistance with Medicare Plan Reviews

Choose the option that works best for you:

 

1. Sign up for HeyMOE — The reminder and review service

HeyMOE™ is reminder and review tool that ensures you always know the best Medicare Part D drug plan for your needs.

   » NO remembering dates
   » NO confusing comparisons
   » NO INSURANCE SALES*

*HeyMOE is a fiduciary service, meaning we work for you! We make no money from the sale of Medicare insurance policies. When you choose HeyMOE, we compare every Part D plan and every pharmacy available. Just sit back and relax knowing you’re getting the best Medicare Part D coverage at the lowest price.

2. Compare plans using the Plan Finder tool at Medicare.gov.

Can you actually compare plans yourself? The simple answer is YES! Using the Medicare.gov Plan Finder tool and the step-by-step comparison guides available through i65 membership, including worksheets and instructional videos, you can help your clients make the decisions that are best for their unique needs. For those who are interested in this option, know that you may charge a fee for service, if you so choose.

3. Talk to local insurance agents, pharmacies or government resources.

You may access Medicare services through your local State Health Insurance Assistance Program (SHIP). This program provides free Medicare counseling provided by volunteers. Please note that the quality of this service and their availability vary greatly by location and the volunteer you work with.
If you choose to use an insurance agent or pharmacy resource, be sure to understand the profit motives of these sources. Insurance agents are paid a commission when they sell Medicare plans. Thus, many agents will only compare plans that they sell, ultimately limiting your plan options. If you choose to use a pharmacy service, beware that they will only compare drug prices using their specific pharmacy. Many times, simply changing pharmacies could save you hundreds or even thousands of dollars. Ideally, if you prefer this option, get reviews from two or more pharmacies.

4. Learn some basic information about the Medicare Open Enrollment period.

You can find some basic information about Open Enrollment through Medicare.gov. However, if you prefer something more user-friendly, our parent company, 65 Incorporated, offers many free, helpful resources through the library section of their website. Our favorites include the "Open Enrollment Q&A whitepaper and an infographic about the importance of reviewing your coverage during Medicare's Open Enrollment period.

 

Whichever option you choose, pat yourself on the back. You're doing something that most people enrolled in Medicare never do.

If you discover savings and want to share the good news, let us know! We love to share in the joy of saving money on Medicare.