How your Medicare coverage can profit from special enrollment periods

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  • Doug Haaland is the President of Humana Tennessee Medicare

Buyer’s remorse may not matter much while you aren’t joyful with a latest toothpaste or dinner recipe, but in the case of medical care, the flawed decision could impact your health and your wallet.  

Medicare-eligible individuals who’ve realized their current plan doesn’t meet their health needs may not need to wait until the Annual Election Period — which begins Oct. 15 — to make a change.   

Understanding the choices you’ve gotten in the course of the Special Enrollment Periods for plans with certain quality rankings or after specific life events could mean useful changes to your care options prior to you think that. For the Medicare eligible individuals in Tennessee who have to predict their healthcare needs, this is particularly essential to know.    

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Special Enrollment Periods are an option under certain circumstances outside the usual enrollment timeframe:  

  • 5-star Medicare Advantage plans: A 5-star rating is the best possible rating from the Centers for Medicare & Medicaid Services (CMS) and is set by input from member-satisfaction surveys, health plans and health care providers. You possibly can switch to those plans one time per yr in the event that they can be found in your area.    
  • Recent residence: In the event you recently moved to a latest address that isn’t in your current plan’s service area, there could also be latest plan options in your latest location. Also, in case you relocated from a long-term care facility, you could be eligible to alter your plan mid-year. 
  • Lost current coverage: In the event you aren’t any longer eligible for Medicaid, you left coverage out of your employer, or your prescription drug coverage is not any longer considered “credible,” you could be eligible to modify to a latest plan.  

It’s possible the plan you chose last yr will not be ideal on your current health needs or provide supplemental plan advantages, similar to transportation services to and from doctors’ appointments.

Doug Haaland

If that’s the case, knowing your options could make it easier to determine if it is feasible to alter to a unique Medicare Advantage plan mid-year to raised meet your needs.  Making an informed selection on a health plan is critical since health needs can change quickly and unexpectedly.   

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Learn more about Special Enrollment Periods and CMS Star Rankings at www.medicare.gov. You may as well ask a licensed sales agent which 5-star plans can be found in Tennessee. 

Humana is a Medicare Advantage HMO, HMO SNP, PPO, SNP and PFFS organization and a stand-alone PDP prescription drug plan with a Medicare contract. Humana can be a Coordinated Care plan with a Medicare contract and a contract with the Tennessee Medicaid program.

Enrollment in any Humana plan depends upon contract renewal. Every yr, Medicare evaluates plans based on a 5-star rating system.    

Doug Haaland is the President of Humana Tennessee Medicare 

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