Medicare Plan Review
We recommend reviewing your Medicare Advantage Prescription Drug Plan (MAPD) or standalone Prescription Drug Plan (PDP) every year during the Medicare Annual Open Enrollment Period (AEP) from October 15 through December 7.
Why Reviewing Your Medicare Plan Each Year is Important
Medicare Advantage Plans (MAPD)
Medicare Advantage plans can change each year, including:
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Monthly premiums
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Copays and coinsurance
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Maximum out-of-pocket costs
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Provider networks
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Covered benefits
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Prescription drug coverage
Prescription Drug Plans
Both MAPD plans and standalone Part D Prescription Drug Plans (PDPs) can change annually, including:
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Formularies (list of covered drugs)
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Drug tiers
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Pharmacy networks
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Prior authorization requirements
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Deductibles and out-of-pocket costs
Insurance carriers are required to send members an Annual Notice of Change (ANOC) by September 30 each year outlining plan changes for the upcoming year.
Your prescription needs may also change over time. Some members receive formulary exceptions for medications not normally covered by their plan. If your prescription has been denied, you may be able to request a formulary exception. Learn more on our Prescription Drug Plan page.
Call us at 818-999-3595 to review your prescriptions and compare Medicare plan options based on both your monthly premium and estimated out-of-pocket drug costs.
Medicare Supplement Plan Review
Medicare Supplement (Medigap) plans should also be reviewed every few years to determine whether you can save money with a quality carrier.
In most states, you may apply to change Medicare Supplement plans at any time if you can qualify through medical underwriting and health questions.
California Medicare Birthday Rule
If you live in California or certain other states that offer a Birthday Rule Special Enrollment Period, you may be able to change Medicare Supplement plans without medical underwriting.
In California, you can generally apply:
- Starting 30 days before your birthday
- Up to 60 days after your birthday
The new plan must typically be the same standardized plan or one with fewer benefits. Rules vary by state.
Carriers We Represent
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Anthem Blue Cross (Elevance)
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Aetna
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Alignment Health Plan
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Beam
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Blue Shield of CA
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Cigna
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Delta Dental
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Health Net
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HealthSpring
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Humana
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Kaiser
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Imperial Health Plan of California
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LA Care
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Medico/Wellabe
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Molina
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SCAN
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Sutter Health
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UCLA Health Medicare Advantage
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United Concordia
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UnitedHealthcare / AARP
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VSP
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WellCare / Centene
We'll Help Review Your Medicare Coverage
Call 818-999-3595 to review your Medicare coverage and see whether you may qualify for lower premiums or better overall value.