09/14/2023
It is almost time for the Annual Election Period (AEP). Couple of changes for this year. One, the Scope of Appointment form (SOP) needs to be completed 48 hours prior to our meeting. If you are a client of mine, you have received a text or email requesting you to complete this form. It is only for my records, and as the name suggests, it indicates to me the topics you wish to discuss. I can only discuss the items you indicate, so please be complete in marking this form. It comes back to me and per Medicare rules, I am required to keep this form for 10 years. AEP allows me to discuss the upcoming changes and plans as of October 1, and enrollments begin October 15 until midnight on December 7.
Second, all sales telephone calls are to be recorded. Again, these are for my records only, or if I am audited by Medicare. And these recordings are also kept for 10 years.
Upcoming changes to be aware of. Because of the Inflation Reduction Act, as of 2025 no one will spend more than $2000 out of pocket during the year for their medications. Some medications were listed to allow for Medicare to negotiate their costs. Also insulin and some other medications were move to a new Tier 6, where they are not subject to the standard deductible, and the co-share cost does not increase when in the coverage gap.
In preparation for this change, the insurance companies are raising their prices for next year on their stand-alone Prescription drug plans (PDP) and I am seeing increases in some of the Advantage plans that include prescriptions (MAPD). For example, one plan that was $5.20 this year is $25/mo next year. Also very few plans will offer Tier 2 at $0 coshare, and many are also not offering Tier 1 at $0 either. So be prepared to pay more in premium and at the pharmacy.
If you are confused and don't have an ethical, informed agent with integrity working for you to save you the most money, please contact me. I will advise you which plans will save you the most money. You cannot just keep the same PDP plan as you have had in the past as the formulary, co-share, premium and pharmacy networks change every year. You need someone to help you navigate this!!
You can trust me to be honest and informational to help you find the best plan.
Kathy Black - The Assurance Group
580-606-2443