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  1. Medicare Advantage Open Enrollment Period

    Between January 1–March 31 each year, you can make the following changes during the Medicare Advantage Open Enrollment Period. If you are on a Medicare Advantage plan (with or without drug coverage) you can switch to another Medicare Advantage pla...
  2. How Do I Choose a Plan Type?

    When you're shopping for Medicare Advantage plans, it's important to find a plan type that meets your needs. Do you need personal care? Are your doctors covered in this plan's network? Knowing what comes with each type of Medicare Advantage plan is ...
  3. What do I pay for Medicare

    What is a monthly premium? What are out-of-pocket costs? What do I pay for Medicare Part A? What do I pay for Medicare Part B? What do I pay for Medicare Advantage? What do I pay for Medicare Part D? ...
  4. How do I find a doctor or provider?

  5. Do I need a preauthorization?

  6. What Is the Coverage Gap?

    Medicare prescription drug coverage has 3 different phases of coverage — initial coverage, the coverage gap, and catastrophic coverage. Initial Coverage During initial coverage, your prescription drug coverage works like normal health insurance. O...
  7. Is my drug covered?

  8. How can I change or cancel / disenroll from my plan?

    Changing Plan Types The Annual Enrollment Period (AEP) is the time each year, chosen by the Centers for Medicare and Medicaid Services (CMS), when you can enroll in a plan or switch to a new one. Unless you qualify for a Special Enrollment Per...
  9. How to file a grievance or appeal a coverage decision?

    Medicare Part C (Medicare Advantage) and Medicare Part D (Prescription Coverage) To file or check the status of a grievance or an appeal‚ contact us at: Grievances: (800) 965-4022, 8 a.m. to 8 p.m., Monday through Friday, TTY/TDD 711 Appeals:...
  10. National Coverage Determinations

    When the Centers for Medicare & Medicaid Services (CMS) makes changes to the services that are covered, they update them through National Coverage Determinations. Learn more about National Coverage Determinations on  their website . CMS has issued t...