2016 Fraud Prevention Fact

Missouri SMP: Empowering Seniors to prevent Healthcare Fraud

Medicare Advantage Disenrollment Period is here
Open enrollment for Medicare is finished for regular Medicare recipients, but if you have a private Medicare Advantage Plan, you still have an opportunity to switch out of it.
A Medicare Advantage plan is a private insurance plan that contracts with Medicare to provide you with all your Part A and Part B benefits. Medicare Advantage Plans include Health Maintenance Organizations and Preferred Provider Organizations. If you’re enrolled in a Medicare Advantage Plan, most Medicare services are covered through the plan and aren’t paid for under Original Medicare. Most Medicare Advantage Plans offer prescription drug coverage. Most Medicare Advantage plans have low monthly premiums or no monthly premiums; some may provide more benefits than are covered under original Medicare; and you can generally enroll regardless of health history. However, Medicare Advantage plans are annual contracts subject to change. Plans may change benefits, increase premiums, and increase copayments annually. Your doctors or hospitals may not be network providers or may not agree to accept the plan's payment terms.
During the disenrollment period, you can make changes only if you have a Medicare private health plan – the Medicare Advantage Plan. Also, you can only change to Original Medicare and a Part D plan – not to another Medicare Advantage Plan.
The Medicare Advantage Disenrollment Period is January 1 through February 14. You can add or drop drug coverage when you are switching to Original Medicare. If you drop an Advantage Plan that includes prescriptions, you need to enroll in a Part D Prescription Drug Plan so that your pharmaceuticals are covered.
If you need help with these services, contact Care Connection at 1-800-748-7826. If you suspect you are the victim of Medicare fraud or abuse, call the Missouri SMP – the Senior Medicare Patrol – at (888)515-6565.
SMPs are funded through the U.S. Department of Health and Human Services, Administration for Community Living, Administration on Aging.

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