The annual coordinated election period ("open enrollment") for Medicare Part D and Medicare Advantage plans for 2018 runs from October 15 through December 7, 2017. CMS has released the 2018 landscape of Part D and Medicare Advantage plans. Here are the lists of plans for New York State:
Standalone Part D (PDP) - 20 Plans, including 2 CIGNA plans that were previously sanctioned are now available for enrollment and may market to potential members. For those without Medicaid, Medicare Savings Program or "Extra Help," see below how premiums are changing in these plans.
Medicare Advantage Plans - Click here for NYC plans, for link to all NYS counties click here. These lists are extracted from the national lists on this CMS page. For those without Medicaid, Medicare Savings Program or "Extra Help," see below how premiums are changing in these plans.
EIGHT of the 20 stand-alone PDPs in NYS are free to people with FULL Extra Help in NYS in 2018 (no monthly premium). Benchmark plans are "Basic" Part D plans with premiums below the benchmark amount. "Enhanced" Part D plans cannot be "benchmark" plans even if their premium is below the benchmark amount.
All of the 8 plans have premiums below or within a sufficient margin of the benchmark amount
The 2018 benchmark amount in New York State is $38.98 (down from from $40.99 in 2017).
People with Extra Help, such as people newly approved for Medicaid or a Medicare Savings Program, will be assigned to one of these EIGHT Plans if they don't pick their own plan. They can pick a plan that is not one of the 8 benchmark plans, but they'll be charged the difference between the benchmark premium of $38.98 and the plan's full premium listed on the chart of stand-alone Prescription Drug Plans.
All plans that were benchmark in 2017 will still be benchmark in 2018:
Every year, you need to review your plan and see if it still meets your needs - whether it covers your drugs, whether costs have increased, and, if you are in a Medicare Advantage plan, whether it still covers your preferred doctors and other providers, at the same costs. See these tips from the Center for Medicare Advocacy to review your plan.
Helpful information about 2018 Medicare Part D -
People without Medicaid, MSP or Extra Help have choice of 20 PDP plans (last column of chart shows how much premium went up or went down since 2017)
Medicare Advantage plans also have changes from 2017. Looking at plans offered in Queens in NYC for example (look at second tab of NYC Medicare Advantage plan list to see changes):
Look to see if your plan’s premium and other costs are increasing, and if it still covers your drugs. There may be a better plan for you.
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.
Reminder: EPIC - NYS Drug insurance subsidy for people age 65+ -- does not provide coverage during the Part D deductible phase. EPIC members without Extra Help will want to try to find Part D plans with no deductible, if possible. In 2018, EPIC can pay the premium up to $38.98/month for people in the EPIC FEE plan, and will credit EPIC deductible members $38.98/ month ($467.76/year) toward their annual EPIC deductible. For more on EPIC see this article and go to EPIC's website.
This article authored by William Meyer & Valerie Bogart at NYLAG.