Go onto Medicare.gov first and choose a plan you want to review. Then go onto the companies website and look at the summary of benefits to see how their tiers are structured and how it compares to your drugs. Look at their pharmacies and formularies. Medicare.gov is just a starting point or tool but I personally don’t trust it.Ha, unless I'm having senior moments and am only sounding like I know what I'm talking about. I mean, as a non-professional it's difficult to actually find clear explanations of the details. I've seen the bar charts showing how the share of the players (beneficiary, plan, manufacturer, Medicare) has changed comparing 2023, 2024, and 2025. Like in articles at kffhealthnews. But these come without detailed explanations. I've tried my best to figure out how it works. I'll know the premiums when I get the ANOC (unless someone posts prices here first!), but the whole picture won't be really complete till we see how the formularies and utilization rules change. I'll be on the Plan Finder October 1.
BTW do people find that the analysis they do at q1medicare.com, where they list the number of drugs on each formulary, and how many are in each tier, is correct? Or the number of enrollees in the states and nationwide?
I think in the future we may see less pharmacies participating in Medicare drug plans. For what I’m reading, pharmacies are complaining about losing more money than what they are being reimbursed for on some Medicare drug plans.
Wish you luck… if you feel confident, get your license and I’ll throw some people your way to help. Unfortunately, more and more seniors will be needing to figure this out on their own. The risk outweigh the ibenefit for some brokers. It’s a bigger complaint amongst seniors and explaining it for 55.00 a year and answering question’s throughout the year from the senior makes me shy away. I can’t speak for the rest of the brokers on here. If 1-800 Medicare doesn’t shut down from disputes over labor costs, I’m sending people there to get help.