Medicare Open Enrollment is Now

TargetHIV

Medicare is the federal health coverage program for people who are 65 or older and certain younger people with disabilities. Medicare is now the single largest source of federal funding for HIV/AIDS care in the U.S. and approximately one quarter of people with HIV who are in care get their health coverage through Medicare.

For people eligible for or enrolled into the Medicare program, Open Enrollment is the opportunity to switch, add, or drop a plan. Open Enrollment for Medicare runs from October 15th – December 7th and changes made during this period will go into effect on January 1st, 2022.

What can a consumer do during Open Enrollment?

  • Change from Original Medicare to a Medicare Advantage Plan.
  • Change from a Medicare Advantage Plan back to Original Medicare.
  • Switch from one Medicare Advantage Plan to another Medicare Advantage Plan.
  • Switch from a Medicare Advantage Plan that doesn't offer drug coverage to a Medicare Advantage Plan that offers drug coverage.
  • Switch from a Medicare Advantage Plan that offers drug coverage to a Medicare Advantage Plan that doesn't offer drug coverage.
  • Join a Medicare drug plan.
  • Switch from one Medicare drug plan to another Medicare drug plan.
  • Drop Medicare drug coverage completely.

HRSA and the ACE TA Center have prepared a collection of tools to guide RWHAP staff and clients on understanding Medicare, making enrollment decisions, and using coverage in coordination with the RWHAP. Below are resources from the ACE TA Center Medicare Coverage collection.

  • The Basics of Medicare for RWHAP Clients, which provides an overview of Medicare eligibility for RWHAP clients and other people with HIV.
  • How Medicare Enrollment Works provides a breakdown of enrollment periods, what to do, and how to make changes in plan coverage.
  • Medicare Prescription Drug Coverage for RWHAP Clients explains how clients get Medicare prescription drug coverage, coverage for HIV medications, and how the RWHAP, including its AIDS Drug Assistance Program (ADAP), can help clients pay for Medicare prescription drug coverage.
  • The ABCDs of Medicare Coverage is a consumer-focused tip sheet that helps clients understand the different parts of Medicare (Parts A, B, C, and D) and the difference between Original Medicare and Medicare Advantage plans as they consider enrolling in Medicare.

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