Countdown To The End of Annual Enrollment Period (AEP)
You missed out!
A Quick Review of Annual Enrollment Period (AEP)
If you have been on Medicare for more than 1 year, you have gone through on Annual Enrollment Period (AEP). For those new to Medicare, it can seem like a "wild and crazy" time. There will be mailers, tv commercials, internet ads, Facebook ads, and even people dropping by your house unannounced (this is illegal). There are a number of misleading advertisements on TV with famous personalities promoting plans that are "too good to be true."
Don't Panic....we are here to help you through this each and every AEP. Below is all the information you will need to know about AEP.
Time Table for AEP
October 1st - October 14th: This is the "window shopping" period for your Part D or Medicare Advantage plan. Medicare releases the 2023 data to the public on the first of October. It allows you to see what plans are available for next year, but you cannot change plans yet.
October 15th - December 7th: This is officially the Annual Enrollment Period (AEP). This is when you can change your Part D plan. You can change as many times as you would like during AEP, however the last application in the system on December 7th will be your plan for 2023. After December 7th, AEP is over and you can no longer switch Part D plans without a special enrollment period. If you switched Part D plans during AEP, your new plan will start January 1st and your old Part D plan will be cancelled behind the scenes by Medicare.
January 1st, 2022: If you did make a change to your Medicare Part D coverage during AEP, the new Part D plan will start on January 1st. Your previous Medicare Part D plan will be cancelled automatically by Medicare. This happens behind the scenes when the new company notifies Medicare that you have enrolled with them.
A Quick Warning On the "Wild Wild West" of Medicare
How to Use Our Part D Comparison Tool
- Watch the Video Below
- Gather your current medicines
- Click the button below this video to get started! (Remember, you can only change Part D plans between October 15th and December 7th)
(Remember, you can only change Part D plans between October 15th and December 7th)
Below is a table of the changes Medicare has made to the limits and phases of the Medicare Part D plans for 2023.
Changes to Part D
Initial Coverage Level
Coverage Gap (Donut Hole)
*For many 2022 Part D plans, the deductible will only apply to Tier 3, Tier 4, and Tier 5.
Tier 1 and Tier 2 medicines typically do NOT count towards a deductible, so you only pay a small copay.
Inflation Reduction Act impact on Medicare
The Inflation Reduction Act was passed this year. It will have impact on Medicare moving forward. Some of those impacts will start soon, while others will be phased in over the next few years. For more detail about this law, please see this link to kff.org article. It is important to know this is what is in place to happen in the future, but when politics gets involved, anything can change.
Want More (way more) Detail on the Structure of Part D Plans
Each year, the National Council of Aging (NOCA) publishes a detailed breakdown of the Part D plan levels/phases. This goes into much greater detail and could be too much information, but for those who are interested, click this LINK. This chart shows how much the Medicare beneficiary, Medicare, and the Drug Manufacturer spend during each phase of the coverage.
Additional Ways to Save on Your Medicines
GoodRx or SingleCare
Use www.GoodRx.com or www.SingleCare.com to save on many of your generic prescriptions. These great tool to have your toolbox. Just because you have a prescription plan doesn’t mean you have to get all your medications through it. Some common medications that you can sometimes get cheaper with these discount programs than through drug plans:
- Albuterol HFA
There are many others that you can save with these types of programs. Bottom line is it never hurts to check and see.
IMPORTANT NOTE FOR GOODRX - It is FREE...just know they have recently partnered with a large call center to market you Medicare Advantage plans (story here). If you have used Goodrx in the past, expect to get calls from these call centers pushing their Medicare Advantage plans.
Patient Assistance Program
If you have high costs medications and are having trouble paying for them then you may want to see if you qualify for assistance through the Patient Assistance Program.
An additional site that I have found that puts detailed information together for you is www.needymeds.com
A client let us know this was available. If you have to take the brand name Synthroid and can’t use the generic version you may be able to get this cheaper through www.eaglepharmacy.com. This is an online retail wholesaler of Synthroid and they will mail you 90 day supply for $75.
I have noticed that for 2023 on all the lower priced Part D plans (Under $50/mo) Eliquis is now listed as a Tier 4 medication. This will GREATLY increase your costs on this medication as you typically pay coinsurance between 40-50% of retail price rather than a set copay amount like in the past. This means that Eliquis, once the deductible is met, will cost around $250+ per month for a 30 day supply.
My recommendation would be to look in to the Patient Assistance Program...you can get all the information you need at www.needymeds.com.
Another source for this, which I have NO affiliation with, is The Canadian Medstore. According to some clients they are getting Eliquis through them for around $70/mo. Contact them for pricing and information about their offerings. Attached is a brochure for them....CLICK HERE FOR BROCHURE or visit their site at www.canadianmedstore.com
Part D Senior Savings Model (Insulin Savings)
For those using insulin, this medicine has always been expensive on Medicare Part D. This program was released last year and some Part D plans participate in this program. You will notice that a $35/month copay will show up as the price in the first 3 phases of the Medicare Part D analysis using the comparison software.
FAQs (frequently asked questions) about the Part D Senior Savings Model - LINK
List of Insulins Covered by the Part D Senior Savings Model - LINK
Link to Medicare.gov Pharmaceutical Assistance Program - LINK
The Annual Notice of Change (ANOC) Letter
What is it? Your Part D carrier will send you a “Plan Annual Notice of Change” (ANOC) each year in September. The ANOC includes any changes in coverage, costs, or service areas that will be effective in January.
What to look for in the ANOC:
- What medications have been added or removed from the plan
- Are the drugs you currently take listed on the formulary?
- Have any of your medications been assigned to a different tier on the formulary? (this may affect your costs)
- Is the plan premium changing?
- What other costs are changing...deductibles, copays, coinsurance?
How important is the ANOC?
The ANOC is basically good information to review. However, during the AEP is the time to review your Part D options (the reason why you are on this page). If you follow the video on how to review your Part D plan we have outlined it will tell you whether or not the current plan you are on is the right one for next year or if you should make a change.