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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. Most CarePlus Medicare Advantage plans are MAPD plans and include both medical and prescription drug coverage.
  • Premiums – Medicare beneficiaries pay a monthly premium for Medicare Part B (and, sometimes, Part A), unless someone else pays it on their behalf. Most CarePlus members do not pay a separate monthly plan premium for their CarePlus plan as our plans often have a $0 monthly premium. Some plans do have a monthly premium, but 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, Medicare beneficiaries 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 that they did not have what Medicare defines as creditable prescription drug coverage. CarePlus is required to bill these members for the late enrollment penalty.
  • Effective Dates – Coverage typically becomes effective on the first day of the month after you apply. However, if you enroll in a plan during the Annual Enrollment Period (AEP) between October 15 and December 7, your coverage will become effective January 1 of the following year.

Please note that if you purchase a stand-alone prescription drug plan (PDP) while enrolled in a Medicare Advantage plan that has prescription drug coverage, you will be automatically disenrolled from your Medicare Advantage Prescription Drug plan.