Personal Finance

Your Money Now/Medicare Open Enrollment

Evaluating Medicare plans

 

Medicare beneficiaries need to evaluate their coverage closely because plans and individual needs can change.

 

Consultant Rose Rush, who is with  the Alliance for Aging, will also be participating herself in Medicare Open Enrollment this year.
Consultant Rose Rush, who is with the Alliance for Aging, will also be participating herself in Medicare Open Enrollment this year.
Al Diaz / Miami Herald Staff

Medicare deadlines

•  Oct. 15 to Dec 7: During open enrollment, individuals can move from Original Medicare (known as Parts A and B) to a Medicare Advantage Plan (Part C) or vice versa. They also can elect to change their prescription drug coverage (Part D).

•  Jan. 1 to Feb. 14, 2012: You can disenroll from a Medicare Advantage Plan and go to Original Medicare and a stand-alone Prescription Drug Plan (Part D).

•  No 5-star enrollment for Florida: Medicare rates Medicare Advantage Plans from one to five, with five being the highest. Florida currently has no 5-star plans, said Andrea Gary, state Dept. of Elder Affairs, which means residents cannot take advantage of a special enrollment option for the highest rated plans. Nationally, you can switch to a 5-star Medicare Advantage Plan for 2013 from Dec. 8, 2012 through Nov. 30, 2013.

Questions?

•  Medicare: www.medicare.gov/find-a-plan or call 1-800-MEDICARE (1-800-633-4227), for help in multiple languages.

•  Social Security: www.socialsecurity.gov or call 1-800-772-1213 to find out Medicare eligibility, how to enroll, apply for Extra Help with Medicare prescription drug costs and ask questions about premiums

•  SHINE (Serving Health Insurance Needs of Elders): www.floridashine.org, where you can email questions or ask someone to call you, or 1-800-96ELDER (1-800-963-5337)


Special to The Miami Herald

If you need financial help

Many South Florida residents qualify for Extra Help, the income-eligible program that helps pay prescription drug costs, including premiums, deductibles and co-pays, Sarmiento said. You can use this assistance if you have Original Medicare or a Medicare Advantage Plan. A SHINE volunteer can help determine if you qualify for this assistance, or you can check the Social Security Administration’s website at www.ssa.gov or call 800-772-1213.

How you want to enroll

Gary recommends using the Medicare Finder tool at Medicare.gov, or calling 1-800-Medicare to enroll in your chosen plan, rather than going through the provider.

Sometimes coding errors can happen with an individual provider that will land you in the wrong plan, she said. “It’s just for your security, to make sure you get what you wanted,” Gary said. There are no incentives offered in enrolling directly with the provider, she said.

After Oct. 15, plans can still change, so make sure your research is up to date when you go to enroll, Gary said. “If you did your research three weeks ago, make sure you have the most up-to-date information,” Gary said.

Check FloridaShine.org’s community events link for on-site enrollment dates, where counselors go with laptops and printers. Just show up with your list of drugs and your insurance cards, and you can get counseling on the spot, and walk out with a comparison of plans, Lemaire said.

“There are a lot of choices here in South Florida,” Sarmiento said. “This is an opportunity to see what else is out there.”

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