Enhance Education and Choice

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Allow open enrollment in Medigap for all people with Medicare

Beneficiaries are entitled to select a Medicare Advantage plan every year during the annual enrollment period, but most are only guaranteed the right to enroll in a […]

Consolidate and standardize Medicare Advantage and Part D plans

Selecting an MA or Part D plan is a daunting task for most people with Medicare. There are simply too many plan choices and too many variables to […]

Provide a federal notice for everyone approaching Medicare eligibility

No federal agency provides notification about Medicare eligibility to individuals not yet collecting Social Security benefits—meaning those not automatically enrolled in Medicare are not informed about enrollment rules […]

Put beneficiary needs at the center of delivery system and payment reforms

Recent legislation is fundamentally changing the way that Original Medicare pays doctors and other health care providers to deliver care. Over time, the federal government will increasingly pay […]

May 27th, 2015|Categories: 50 Medicare Wishes, Enhance Education and Choice|

Align all enrollment periods for Original Medicare, Medicare Advantage, and Part D

The fall open enrollment period for Medicare Advantage (MA) and Part D plans runs from October to December of each year, followed by an MA disenrollment period from […]

Require Part D plans to give the reason for a medication denial at the pharmacy counter

Knowing why a prescription drug is refused at the pharmacy counter is critical to helping beneficiaries determine their next steps—whether it is working with their physician to secure […]

End passive enrollment for Medicare-Medicaid managed care plans

Ongoing demonstration programs to test new models of care for dually eligible Medicare and Medicaid beneficiaries are allowing private health plans to passively enroll beneficiaries. This means low-income, […]

May 15th, 2015|Categories: 50 Medicare Wishes, Enhance Education and Choice|

Create a publicly-administered Part D benefit

The Medicare prescription drug program is operated solely by private health plans. Adding a public drug benefit to the Part D program would diminish confusion among beneficiaries who […]

Prohibit Medicare Advantage plans from dropping doctors mid-year without cause

Beneficiaries enrolled in MA plans should be able to count on stability in their plan networks and the knowledge that their doctors will be there when they need […]

Incorporate Medicare Advantage (MA) provider network information in the Plan Finder tool

Information about which health care providers are in network and out of network is vital for helping beneficiaries make smart decisions about their coverage. Yet this critical information […]