You might recall last Spring that the President signed an Executive order on reducing the price of Insulin for Seniors. The Center for Medical Services (CMS) made the requirements voluntary causing most plans in this region Not To Adopted the “Senior Savings Model” as outlined on Page 84 of your Medicare and You 2021 booklet.
However, I found two Medicare Advantage carriers and one Medicare Advantage Part D carrier that are participating in the program in this area. If you are using Insulin you may want to change your Medicare Advantage plan to one of the two carriers. If you are on a Medicare Supplement (Medigap) you might want to change your Part D carrier.
When think of changing plans you need to consider several points. These are:
- The network of the plan you are considering. Not all plans by the same carrier have the same network. Check every doctor you see if they an In-Network doctor or facility.
- Check your plan drug formulary list. They may not carry the actual brand or generic you are taking including your insulin. Your doctor can recommend alternatives but do not change until your doctor OK’s the prescription changes.
- As for Insulin the model is only for Insulin not all diabetic injectables are insulin and will not be covered by the model. Check with your doctor if what you are using is Insulin.
- Lastly the cost and type of plan. One carrier is only offering the Senior Saving Model for their HMO’s while another carrier is offering for both HMO’s and PPO’s. You need to consider which one is best for your current health concern and lifestyle.
By changing plans, you could save Thousands of Dollars in 2021. Call me at (610) 420-6064 to discuss the possible change and savings.