How will Medicare Part C and Part D change in 2019?

How will Medicare Part C and Part D change in 2019?

Are you aware that Medicare will make some changes for 2019? The objectives of these Medicare changes include better service to beneficiaries and reducing the administrative burden on Medicare health and prescription policies. The Center for Medicare and Medicaid Services estimates that Medicare Advantage (Part C of Medicare) and Medicare Prescription Drugs (Medicare Part D) Medicare will save approximately $ 295 million per year. Most changes will take effect in 2019.

Changes in Medicare: How will Medicare Advantage change in 2019?

Here is a brief summary of Medicare changes for Part C in 2019. Centers for Medicare and Medicaid Services (CMS): Eliminate certain restrictions on the types of Medicare Advantage policies that insurance companies can offer. Under these restrictions, a company could not offer multiple policies within the same county if the policies seemed too similar.

Simplifies the process of reviewing marketing materials to beneficiaries.

Insurance companies no longer need to send certain accounting information along with their offers to offer Medicare Advantage policies Add a new limited “open enrollment period” for Medicare Advantage policies It no longer requires that certain suppliers comply with registration requirements Allows Medicare Advantage insurance companies to send certain documents electronically rather by mail. For example, you should receive a proof of insurance document each year of the policies. Now the policy can send it by email instead of sending it via off line means.

With Medicare Advantage, you can automatically and smoothly extend beneficiary insurance year after year Change the cost-sharing requirements for Medicare Advantage policies Allows Medicare Advantage policies to require different annual deductibles from beneficiaries who meet certain medical criteria Medicare Advantage is no longer required to complete all the requirements of the Quality Improvement Project (QIP). CMS noted that quality improvement (QI) requirements already include QIP activities.

Reduce paperwork requirements so policies do not have to report as much medical loss data as they used to. Note that this may still be in the proposal phase and is not an exhaustive rule. Get a 2019 advantage plan quote here

Changes in Medicare: How will Medicare Part D change in 2019?

Some of the previously mentioned Medicare changes also apply to Medicare prescription drug policies. Here is a brief summary of the other changes to the Medicare Part D requirements (prescription drugs).

The Centers for Medicare and Medicaid Services (CMS):

  • Allows Medicare Prescription Drug Policies to restrict access to opioids (and some other prescription drugs) for Medicare beneficiaries at the risk of dependency. The policies do not restrict access to painkillers, such as patients with opioids, such as cancer and hospice patients.
  • Reduce costs for beneficiaries by changing certain cost-sharing requirements for generic drugs.
  • Reduce waste by changing a long-term care setting requirement. This rule reduces the amount of prescription drugs that PDPs must deliver at the same time. For example, instead of providing a 90-day delivery at a time, it may only be necessary to implement a 30-day delivery simultaneously. Increase the flexibility of the formulation changes. For example, a PDP policy can, in some cases, replace a generic drug with a brand-name drug, so long as the policy adheres to certain rules.