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Navigating the Medicare Plan FinderNavigating the Medicare Plan Finder
April 2015
What Is the Health Insurance Marketplace?What Is the Health Insurance Marketplace?
Created by the Affordable Care Act Where qualified individuals and families can
directly compare private health insurance options• Known as qualified health plans (QHPs) • Can directly compare on the basis of price, benefits,
quality, and other factors Also known as Exchanges Small Business Health Options Program (SHOP)
• Marketplace for small employers• Provides coverage for their employees
April 2015 Navigating the Medicare Plan Finder 2
What is the Medicare Plan Finder?What is the Medicare Plan Finder?
Internet tool on Medicare.gov that let’s you • View and compare your health and drug coverage
options in your area• Identify which plans cover your prescriptions at most
affordable cost where you shop• Enroll in a Part D or Medicare Advantage Plan
April 2015 Navigating the Medicare Plan Finder 3
Getting Started: What You Will NeedGetting Started: What You Will Need
Your Zip Code Medicare card List of prescriptions
• Strength and quantity• Use of generics
Pharmacy you use Other helpful information Other health insurance cards Subsidy eligibility Medicaid, Low Income Subsidy April 2015 Navigating the Medicare Plan Finder 4
Medicare.gov HomepageMedicare.gov Homepage
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Plan Finder HomepagePlan Finder Homepage
April 2015 Navigating the Medicare Plan Finder 6
Plan Finder Search OptionsPlan Finder Search Options
April 2015 Navigating the Medicare Plan Finder 7
Step 1 of 4: General Search OnlyStep 1 of 4: General Search Only
LIS Notice states what percentage the beneficiary is
expected to pay for their premium.
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General Search Only-Select Your Current Plan
General Search Only-Select Your Current Plan
Select Your current plan from a list of plans in your
area.
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Step 2: Enter Your DrugsStep 2: Enter Your Drugs
April 2015 Navigating the Medicare Plan Finder 10
Entering DrugsEntering Drugs
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Pop-up box to indicate dosage, quantity, frequency and where you buy
Pop-up box to indicate dosage, quantity, frequency and where you buy
IMPORTANT TO ENTER AS PRESCRIBED
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Lower Cost Generic optionLower Cost Generic option
April 2015 Navigating the Medicare Plan Finder 13
My Drug ListMy Drug List
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Print Drug ListPrint Drug List
click when ready for next STEP
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Step 3: Select a PharmacyStep 3: Select a Pharmacy
April 2015 Navigating the Medicare Plan Finder 16
Select Up to Two Pharmacies and View on MapSelect Up to Two Pharmacies and View on Map
April 2015 Navigating the Medicare Plan Finder 17
Step 4: Refine Your Plan ResultsStep 4: Refine Your Plan Results
April 2015 Navigating the Medicare Plan Finder 18
Plan Results PagePlan Results Page
April 2015 Navigating the Medicare Plan Finder 19
Star Ratings(Look at Customer Satisfaction, Complaints, Experiences, Pricing)
Star Ratings(Look at Customer Satisfaction, Complaints, Experiences, Pricing)
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Plan Results Page – Key InformationPlan Results Page – Key Information
April 2015 Navigating the Medicare Plan Finder 21
Default Sort for Medicare Advantage Plans with Drug Coverage
Default Sort for Medicare Advantage Plans with Drug Coverage
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Compare up to 3 PlansCompare up to 3 Plans
April 2015 Navigating the Medicare Plan Finder 23
Prescription Drug Plan Details PagePrescription Drug Plan Details Page
Prescription Drug Plan
Details Page defaults to the Drug
Cost & Coverage Tab
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Bar Chart to Show When Changes in Coverage Levels Occur
Bar Chart to Show When Changes in Coverage Levels Occur
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View Details of CostsView Details of Costs
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Plan Details – Drug CoveragePlan Details – Drug Coverage
NEW to Drug Costs
Coverage TAB
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Drug Coverage InformationDrug Coverage Information
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View Drug Benefit SummaryView Drug Benefit Summary
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“View Drug Benefit Summary” button to see if plan has Preferred Pharmacy prices
“View Drug Benefit Summary” button to see if plan has Preferred Pharmacy prices
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View Pharmacy NetworkView Pharmacy Network
NEW
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Medicare Health Plan with Drug Coverage View
Medicare Health Plan with Drug Coverage View
Links to–Plan website–Important Notes–Provider & physician network
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Health Plan Benefits Tab- Costs and Other Important Information
Health Plan Benefits Tab- Costs and Other Important Information
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Health Plan BenefitsHealth Plan Benefits
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Customizable Print ReportCustomizable Print Report
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Compare Side-by-SideCompare Side-by-Side
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Comparing Fixed CostsComparing Fixed Costs
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Comparing Your Out-of-Pocket CostsComparing Your Out-of-Pocket Costs
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Compare and Print View Drug Cost Summary
Compare and Print View Drug Cost Summary
April 2015 39
Print Comparison ReportPrint Comparison Report
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Compare Plans Drug UpdatesCompare Plans Drug Updates
April 2015 Navigating the Medicare Plan Finder 41
Online Enrollment CenterOnline Enrollment Center
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April 2015 43Navigating the Medicare Plan Finder
Start EnrollmentStart Enrollment
Before Entering Individual Information Before Entering Individual Information Click here on watermark
Enter your SHIP office phone number below
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Confirmation NoticeConfirmation Notice
April 2015 Navigating the Medicare Plan Finder 45
CMS National Training ProgramCMS National Training Program
To view all available NTP training materials, or to subscribe to our email list, visit
CMS.gov/Outreach-and-Education/Training/ CMSNationalTrainingProgram/index.html
For questions about training products email [email protected]
