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2021 Medicare Reminders

January 7, 2021

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Medicare Advantage Enrollees Can Still Make a Change, Possible Special Enrollment Periods, Medicare Cost-Sharing Rates for 2021

1. Medicare Advantage Open Enrollment Period (MA-OEP)

People who began 2021 enrolled in a private Medicare Advantage (MA) plan have an additional opportunity to switch MA plans or dis-enroll from an MA plan and return to traditional Medicare with a Part D plan during the first 3 months of the calendar year. This enrollment opportunity, called the Medicare Advantage Open Enrollment Period (MA-OEP), is not available to individuals who are in traditional Medicare and enrolled in a stand-alone Part D plan. 

2. Special Enrollment Period (SEP)

In addition, there are certain rights to use a Special Enrollment Period (SEP) to change or get out of a plan in certain circumstances. There are a number of SEPs, including when someone receives inaccurate or misleading information from the Medicare Plan Finder, customer service representatives at 1-800-MEDICARE, or an MA or Part D plan (or its agents).  For a full list of available SEPs, see, e.g., for MA SEPs: Medicare Managed Care Manual, Chapter 2 (2021 update available here) and Title 42, Code of Federal Regulations §422.62(b); for Part D SEPs see Medicare Prescription Drug Manual, Chapter 3 (2021 update available here) and Title 42, Code of Federal Regulations §423.38.

3. Medicare Cost-Sharing for 2021

Part A Monthly Premium (For those not automatically enrolled)

  • 0-29 qualifying quarters of employment: $471
  • 30-39 quarters: $259

Inpatient Hospital

  • Deductible, Per Spell of Illness: $1,484
  • Co-pay, Days 1 – 60: $0
  • Co-pay, Days 61 – 90: $371/day
  • Co-pay, Lifetime Reserve Days: $742/day

Skilled Nursing Facility

  • Co-pay, Days 1 – 20: $0
  • Co-pay, Days 21 – 100: $185.50

Standard Monthly Part B Premium

  • $148.50

Part B Deductible

  • $203

For the Parts B & D Income-Related Premium Amounts, see https://medicareadvocacy.org/medicare-cost-sharing-announced-for-2021/

Filed Under: Article Tagged With: alert, Weekly Alert

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