Medicare Enrollment Comes Earlier This Year : Shots - Health News The annual "open enrollment" period for joining or changing prescription drug or private health plans is already under way. But the new dates are only one of several changes Medicare enrollees need to be aware of this year.

Medicare Enrollment Comes Earlier This Year

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This is MORNING EDITION, from NPR News. I'm Renee Montagne.


And I'm Ari Shapiro.

Today in Your Health, a bit of good news. Some of the most expensive brand-name drugs are about to get cheaper. But first, seniors are making decisions about their Medicare plans a little earlier this year. NPR's Julie Rovner tells us what's new this year in prescription drug and other private coverage.

JULIE ROVNER, BYLINE: Open season is the one time each year when seniors and other Medicare patients can change their health or drug plans without penalty. And if it seems a little earlier this year than usual, well, it is.

NANCY METCALF: It started on October 15th and it's going to stop on December 7th.

ROVNER: Nancy Metcalf is a senior editor with Consumer Reports. Open enrollment used to run from mid-November to the end of the year.

METCALF: It's going to be too late if you wait till Christmas.

ROVNER: So if you're a senior or, like me, an adult child in charge of a parent's annual Medicare open enrollment exercise, the changed calendar means it's time to get your act in gear.

I need your Medicare card.

SANDY ROVNER: Yes, I will get it for you.

ROVNER: Back when Medicare's prescription drug program was just being launched, I chronicled the story of one particular senior's quest to sign up for a plan.

S. ROVNER: I'm Sandy Rovner, and I'm Julie Rovner's mom.

ROVNER: Mom was actually pretty healthy back in 2005.

S. ROVNER: Although I don't pay that much for drugs now, I don't have that many drugs that are expensive or new, who knows what will happen tomorrow?

ROVNER: Well, it's six years later, and Mom is - how old are you, Mom?

S. ROVNER: I'm 83.

ROVNER: And she's still in pretty good health. But she takes a lot more prescription drugs. And until last year, we changed her prescription drug plan every year to get a better price. So when we sat down at her computer one evening last week and signed on to Medicare's website, it felt like a pretty familiar drill.


ROVNER: Effective date for part A, September '93.

Once we're signed in, the website takes us straight to Mom's list of medications, which it saved from last year. That's a nice thing. The bad news is that updating the list every year can still be a bit of a chore.

The pravastatin, are you still taking 40 mg?

S. ROVNER: No, 80.

ROVNER: OK, so we need to change the dose.

Eventually, the website takes us to a list of drug plans in Mom's area - 31 plans, in our case.

As it turns out, there's only one plan that's cheaper than Mom's current plan, and it's only slightly less expensive. Nationwide, prices for Medicare drug plans have remained relatively stable for next year.

And, a bit unexpectedly, prices have also remained stable for the private HMOs and PPOs known as Medicare Advantage plans. Premiums were expected to rise, because the federal government is cutting back some of its payments to those health plans. But so far, Nancy Metcalf of Consumer Report says consumers aren't seeing much impact.

METCALF: In fact, Medicare Advantage premiums are going down slightly for 2012, and there is still a robust choice of plans for the vast, vast majority of Americans.

ROVNER: Metcalf says if you want to join or change your Medicare Advantage plan this open season, there is something you should look for: a new star rating for quality. In particular, look for plans with four or five stars.

METCALF: The reason that matters is that those plans are getting more money from Medicare. They're basically getting bonuses for being good.

ROVNER: And more money means more benefits, things like vision or hearing coverage. There's also more benefits thanks to last year's health law. Next year, everyone in Medicare is eligible for a free wellness visit with their doctor and free preventive screenings for things like cancer and hypertension. And for those with prescription drug plans, that gap in coverage known as the donut hole will continue to get smaller.

Julie Rovner, NPR News.

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