Time to plan for future Medicare cover

One million, six hundred and fifty thousand New Jerseyites on Medicare - almost 18 percent of the state - have a big decision to make, because the Medicare open-enrollment period runs now through December 7.

People can go to Medicare.gov or call 1-800 Medicare.

Dr. Rhonda Randall - chief medical officer with UnitedHealthcare Employer and Individual - said a lot can change in a year, and recommends people do their homework, so there are no surprises come January.

"You want to consider - are your current benefit plans still meeting your health-care needs and your budget needs, and has anything changed with your plan?" said Randall. "For example, is your doctor still in the plan? Is the medication you take still covered by the plan?"

Experts say it's important to compare the plans' copays and deductibles and not just the monthly premiums.

Websites like JustPlainClear.com explain the jargon and explain the differences between Medicare and Medicare Advantage plans.

Advantage plans tend to offer more comprehensive specialty benefits for dental, vision and hearing.

Randall said people should also consider their behavioral-health needs.

"I also recommend people to check for mental-health coverage," said Randall. "Some plans are going to offer things like virtual mental health care, sometimes at no co-pay or $0 copay."

Starting in January, the Biden administration's new out-of-pocket maximum goes into effect - so everyone using the Medicare Part D prescription drug benefit will have their costs capped at $2,000 per year.

New Jersey News Service