Welcome to the 10th annual enrollment period for
Medicare Part D.
For those of you younger than 74, Medicare Part D has been part of your Medicare decisions from your very first enrollment, for those over age 74 you can remember the introduction of this wonderful program back in 2005.
For 2015 we have 29 different plans to choose from, down slightly from the 33 plans we had in 2014. Many of the plans from 2014 have little changes for 2015.
Humana was the lowest priced plan in 2014 with a monthly premium of $12.60. This will be the case also in 2015 with a modest increase in premium to $15.70. It does have a $320.00 annual deductible which is waived for Tier 1 & 2 generics if purchased either from Walmart or mail order. This is the plan of choice for folks who take zero medications and just want to purchase a plan to avoid a potential penalty at a later date. I shall explain a little about the "late enrollment penalty" later in the article.
The other most popular plan based upon subscribers nationwide is the AARP Saver Plus plan offered by United Healthcare. This plan also has a modest increase in premium from $29.50 to $30.00 per month.
The lowest priced plan without a deductible is the Silverscript Choice plan with a monthly premium of $25.80. This is a lower premium than the Silverscript Choice plan for 2014, when the premium was $33.80. However, the plans are not the same. The differences are so great that they have even issued it a different Plan ID. The biggest difference is that the plan had a $zero co-pay for generics in 2014 and appears to have a $7.00 co-pay in 2015.
We have seen a different plan do this a couple of years ago and folks were ticked when they went to pick up their medications after January 1st. What had been a $zero co-pay the year before was now a $7.00 co-pay for that year. By the time they found out, it was too late and they were stuck with the plan for that year.
Another plan that appears to be very competitive is the Cigna Secure Extra with a monthly premium of $28.10 along with a $zero deductible. This same plan was a whopping $65.20 in 2014 and I have been unable to fathom why they have reduced their premiums so greatly for 2015. Our office has had no firsthand experience with Cigna.
This year we have seen a few people who for whatever reason, have never been enrolled in a Part D plan and also a person or two who are contemplating dropping out of the Part D system. When Congress passed the Part D program they implemented a penalty for those folks who were eligible but chose to not participate.
The penalty is set at 1%. But 1% of what I hear you asking? The 1% penalty is 1% of the average nationwide monthly premium for a Part D plan for every month you have been out of compliance. For those who were eligible when the program started, the penalty will be close to 108% of the 2015 nationwide average premium of $33.13, or over $35 per month in addition to the monthly premium of the plan you choose.
This penalty is a penalty that will remain with you until you decide to drop out of the program or you pass away. Not something to take lightly. For this reason we generally advise folks to enroll in a low priced plan once medicare eligible to avoid lifetime penalties at a later date.
That's all from the desk of John this month, stay healthy, get your flu shot and enjoy the blue hole, it is a wonderful place to live .