MEDICARE BRIEF

MEDICARE, EXPLAINED PLAINLY

SECTION

Plans

Choosing between Original Medicare, Medicare Advantage, and Medigap, and how to compare them.

PLANS

Can I change Medigap plans?

In most cases federal law gives you no right to switch. The exceptions are your 6 month open enrollment period and a guaranteed issue right. A new policy carries a 30 day free look, and switching…

7 MIN READ

PLANS

HMO vs PPO Medicare Advantage

An HMO generally requires its network and a referral. A PPO requires neither and prices outside care higher. Both usually charge a premium on top of Part B. And Medicare.gov names three more plan…

8 MIN READ

PLANS

How to cancel a Medicare Advantage plan

Cancelling is an act with a deadline that belongs to the plan, not to you. It can also happen without you: a plan can disenroll you, and a plan can leave Medicare. The thing most likely to go wrong…

8 MIN READ

PLANS

How to change Medicare Part D plans

You join the new plan during an enrollment window rather than cancelling the old one first. The reason to look every year is that the plan can change underneath you: drug lists move, tiers move, and…

8 MIN READ

PLANS

Is my doctor in this Medicare plan network?

Medicare.gov's instruction is to ask your doctors and pharmacies directly, before you join. Medicare's own tool tells you who takes Medicare, not who is inside one plan's network. And if your doctor…

7 MIN READ

PLANS

Medicare Advantage open enrollment in January

January 1 to March 31, and only if you are already in a Medicare Advantage plan. You can switch to another one, or drop it and return to Original Medicare with a separate drug plan. You cannot use…

7 MIN READ

PLANS

Medicare open enrollment dates

October 15 to December 7. That is the window for joining, dropping or switching a Medicare Advantage plan or a Medicare drug plan. The plan must have your request by December 7, and the change…

7 MIN READ

PLANS

Medicare star ratings explained

Medicare rates plans from 1 to 5 stars using member satisfaction surveys, the plans, and health care providers. 5 is excellent. Under 3 stars for 3 years is low performing. And the rating is updated…

7 MIN READ

PLANS

Medigap open enrollment period

A 6 month window that starts the first month you have Part B and you are 65 or older. Inside it, no company can turn you down or charge you more for your health. It happens once and never repeats…

7 MIN READ

PLANS

Medigap Plan G vs Plan N

Plan G and Plan N cover the same benefits except in two places. Plan G covers Part B excess charges and Plan N does not. Plan N charges copayments for some office visits and some emergency room…

8 MIN READ

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