The Annual Enrollment Period ("AEP" or "open enrollment") for Medicare Part D and Medicare Advantage plans for 2022 runs from October 15 through December 7, 2021. Every year, you should review your plan options to see if your current plan still meets your needs - see more here what to look for in the CMS Planfinder.
2022 CMS Guide to Consumer Mailings - Notices sent about plan closings, reassignments, Extra Help
2022 Part D and Medicare Advantage plans announced here by CMS.
Stand Alone Part D Prescription Drug Plans (PDP) - (PDF) (Excel) 19 Plans (down from 28 in 2021) in New York State for people in Original Medicare. Chart shows the 2021 premium for comparison, and the 2022 premium for those with Full Extra Help. FOUR (down from 7 in 2021) of the 19 plans are "benchmark" plans that have a ZERO premium for people with Extra Help subsidy.
FOUR BENCHMARK STAND-ALONE PDP PLANS with a FREE PREMIUM for people with FULL "EXTRA HELP" (Low Income Subsidy) - chart shows changes from 2021
Benchmark Premium is $42.43 in 2022.
People enrolled in Extra Help, either because they were approved for Medicaid or a Medicare Savings Program or because they applied to the SSA for Extra Help, are assigned to a benchmark plan if they don't pick one themselves and enroll.
Of the 3 plans that are no longer benchmark in 2022, members of two plans with Extra Help are being reassigned. The 3rd plan, Elixir RxSecure, will no longer be "benchmark" because its premium is increasing. Members of that plan with Extra Help will receive notices from CMS explaining their options. See the chart for more about options for these members.See the chart for options for these members.
Medicare Advantage (MA) Plans (MA-PD) offered in NYS - Also see changes from 2021 in your county on q1Medicare.com (source for some info added to this chart)
NYS Special Needs Plans. (SNP) - (Excel) showing which plans are affiliated with a Medicaid Advantage Plus plan (also known as FIDE for Fully Integrated Dual Eligible)
All of the above lists have a column for "$35 Insulin - Senior Savings Model." This is a program that began in 2021, in which both PDP and MA-PDP plans agree to cap copays for insulin at $35, includiing during the deductible period and donut hole. This also shows up in Planfinder. THis cost savings DOES NOT AFFECT anyone with Extra Help since their costs are capped at the Extra Help copays.
- For people on EPIC and not Extra Help, this insulin program can save some money, especially while they are in their plan's deductible or the EPIC deductible. Once they meet those deductibles, EPIC will pay all of the $35 except for a $7 copay.
The lists posted here are extracted from nationwide charts on the CMS website at http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/. Sanctioned plans are also available at that link. Some extra information was added to the above charts by NYLAG, including some comparisons from 2021 plans, sourced from 2021 chart and q1Medicare.com