2021 Part D Outlook – New Model Part D Plan Will Offer $35 Insulin

On March 11, 2020 CMS announced a Part D Senior Savings Model that allows Medicare Part D prescription drug plans to offer beneficiaries plan choices that provide a broad range of insulins at no more than a $35 copay. CMS will provide information on which plans are participating in the Model as part of Medicare Open Enrollment.

Source: https://www.cms.gov/newsroom/fact-sheets/part-d-senior-savings-model


2021 MA Outlook – ESRD Will No Longer Exclude an Individual from Medicare Advantage Enrollment

Insurers are preparing financially for new eligibility for Medicare beneficiaries with ESRD to choose a Medicare Advantage Plan. Currently, a Medicare beneficiary with ESRD can only sign up for Medicare Advantage Plan if they were already in a Medicare Advantage Plan when they got diagnosed with kidney disease. But starting in 2021, due to a provision of the 21st Century Cures Act, a Medicare beneficiary with ESRD can enroll in a Medicare Advantage Plan even if they were not in one before.

Source: https://www.cms.gov/newsroom/fact-sheets/2021-medicare-advantage-and-part-d-advance-notice-part-ii-fact-sheet-0


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