25/07/2024
. PLEASE READ...Anyone over 65, working for a company over 20ee, and receiving Health Benefits.....
Newsweek headlined Monday, "New Medicare rule could force seniors to switch health insurance plans." From the story: "Many seniors who continue to work past 65 are still on their employer's health plan instead of the government-run Medicare. However a new update to Medicare coverage under the Inflation Reduction Act means seniors could face additional hurdles when it comes to drug coverage. Currently, seniors are able to avoid late penalties for Medicare Part D as long as their company's plan pays on average just as much as the traditional Medicare prescription drug plan."
"Starting January 1, though, employer plans may no longer be accepted as a way out of the late penalties because they will no longer pay as much as the new and improved Part D coverage. January 1 is when out-of-pocket maximums will be set at $2,000, and some of the previously accepted creditable employer plans will no longer meet the qualifying threshold. 'The primary concern is that most employer group plans have combined health and prescription max out-of-pocket benefits with are generally higher than $2,000,' Chris Fong, a Medicare specialist and the CEO of Smile Insurance Group, told Newsweek. 'Thus, it would make the employer plan with max out of pockets higher than $2,000 unqualified as creditable overage and subject the Medicare eligible employee to the late enrollment penalty.'"
What it means: Essentially, all the private company-offered plans that do not cap policyholders' out-of-pocket costs at $2,000 or less would no longer be eligible for seniors. That means seniors who stay on those plans could fact the late enrollment penalty. The late enrollment penalty goes into effect every month you are enrolled in Medicare, if after the initial enrollment period, you had 63 or more days without Medicare drug coverage or an employer-provided creditable drug plan. The penalty is calculated by multiplying 1 percent of the national base beneficiary premium, which was $34.70 for 2024, times the number of how many months you went without Part D or otherwise creditable coverage. The monthly penalty is then permanently put on your monthly Part D premium."
"What Seniors Need To Do: While the new Inflation Reduction Act stipulates that insurers must notify their Medicare eligible customers if their prescription drug coverage is considered creditable or not, seniors should act now to avoid any confusion around the late penalty. Experts recommend calling ahead of time to make sure your Part D insurance replacement remains creditable."