A New Season

A New Season

 (It’s been a few months since my last post, due to an unexpected health issue.  I am now back to regular blogging.)

Open season

The term describes the time of  year when a particular wildlife species is allowed to be hunted. Each state creates its own laws and codes governing the season dates and species Establishing these involves a complex process.

 

Open Enrollment season

October 15 to December 7 this year marks Medicare Open Enrollment.  A complex process which takes place in the midst of serious, significant advertising.

The hunted target: seniors. 

The aim of the advertisers: increasing membership in Medicare Advantage  plans.

 The strategy: focus on the many benefits of Medicare Advantage.. 

 What the advertisers don’t tell you can cost you.

Age Happens. Commonly bringing unexpected physical changes, often requiring costly medical attention. 

A Cautionary Tale

 One year ago, I changed from a traditional Medicare-plus-supplement plan. I opted for the advertised  short-term gains—”including $0 monthly premiums, free dental and vision plans,” plus a gym membership–over longer-term risks. For several months all was well.

But then! Because of an unforeseeable, unavoidable surgery,  my estimated financial responsibilities–up to the MA $6,750 limit on out-of-pocket expenses– could be more than twice what they would have been had I paid a year’s monthly premiums for traditional Medicare.

My Medicare DIS-Advantage experience.  Others’ experiences may be different.

Special Enrollment Period/SEP

This year during Medicare Open Enrollment I plan to take advantage of a little-publicized, one-time-only benefit.  Seniors who’ve been in an Advantage plan for less than a year can opt with no penalties to return to their previous, traditional Medicare plan under what’s called SEP – a Special Enrollment Period.  The caveat: the Medicare Advantage plan must have been in force for LESS THAN A YEAR. 

Look before leaping

Or put another way–Research before signing.  Any licensed Medicare broker at www.medicare.gov or 1-800-Medicare  can provide further information, explanations and  plan comparisons.

Patricia Schudy

Patricia Schudy is the author of the non-fiction book, "Oldest Daughters: What to know if you are one or have ever been bossed around by one," and is currently writing a suspense-romance novel. She is a former nationally syndicated, youth-advice columnist ("Talk to Us," Universal Press Syndicate/Andrews McMeel) and a free-lance feature writer for local and national publications, ncluding Better Homes and Gardens /Meredith Publications, the Kansas City STAR Magazine and the National Catholic Reporter. She is a member of Sisters in Crime (SINC), Rocky Mountain Fiction Writers, and Northern Colorado Writers. The oldest child in her family-of-origin’s five siblings, she is the mother of five adult children and the grandmother of eight. “Relationships are integral to who I am and what I choose to write about.”