Medicare Advantage Plans

Before You Enroll

You’ve Decided to Enroll in a Medicare Advantage Plan? Now What?

Before you choose a plan, consider the following:

  • Prescription Drug Benefits – Many Medicare Advantage plans include prescription drug coverage through a Medicare Advantage Prescription Drug (MAPD) plan. CarePlus Medicare Advantage plans include medical and prescription drug coverage, all in one plan.
  • Premiums – With a CarePlus Medicare Advantage plan, most members do not pay a separate monthly plan premium. The selected plan either has a $0 monthly premium or, for members who qualify for Medicare’s "Extra Help," the program pays for all or part of the plan premium.
  • Late Enrollment Penalty – In some situations, CarePlus members are required to pay a late enrollment penalty because they did not join a Medicare drug plan when they first became eligible, or because they had a continuous period of 63 days or more when they didn’t have what Medicare defines as creditable prescription drug coverage. CarePlus is required to bill these members for the late enrollment penalty.
  • Effective Dates – In most cases, your coverage becomes effective on the first day of the next month after you apply. However, if you enroll in a plan during the Annual Election Period (AEP) between October 15 and December 7, using the AEP election, your coverage will become effective January 1 of the following year.

You should know that if you purchase a stand-alone prescription drug plan (PDP) while enrolled in a Medicare Advantage plan that has prescription drug coverage, you’ll be disenrolled automatically from your Medicare Advantage Prescription Drug plan.