80°F
weather icon Clear

When is the new version of Medicare’s handbook due out?

Dear Toni: I’m enrolled in Medicare but have not received my “Medicare & You” handbook.

I need to make some changes, and I’m concerned about what I should do during the fall Medicare season. I need to know which options are right for me. I have some health problems, and I’m concerned that I might make the wrong change to my Medicare and Part D plan. — Sylvester, Richmond, Texas

Dear Sylvester: The 2026 “Medicare & You” handbook will be mailed to over 65 million Medicare beneficiaries this month to arrive ahead of the open enrollment period (Oct. 15-Dec. 7).

Take your time researching options, especially if you have health issues. Here are three key steps to take during Medicare’s open enrollment period:

Decide whether you want original Medicare (Parts A and B) or a Medicare Advantage (Part C) plan

Ask your doctor’s office which plan it recommends. Most doctors accept original Medicare, but not all accept Medicare Advantage plans, which are HMOs or PPOs. If you have a doctor in a Medicare Advantage plan’s provider directory, make sure you call to verify that the physician’s office will still accept that plan in the upcoming calendar year.

The main difference between these two types of coverage: Original Medicare is administered by Medicare, and the supplemental plan you select pays deductibles and coinsurance. Medicare Advantage plans are administered by private insurance companies that are approved by Medicare.

Decide whether you need to enroll in or change your Medicare Part D prescription drug plan

If you want Medicare prescription drug coverage to go with original Medicare, then you must enroll in a stand-alone Part D plan, and there may be a monthly premium.

If you choose a Medicare Advantage plan, make sure that the plan has Part D prescription drug coverage; otherwise you will incur a penalty for not enrolling in a Medicare drug plan.

Whichever plan you choose, verify that all prescriptions, both brand name and generic, are covered by the Part D formulary.

Remember, you have from Oct. 15 to Dec. 7 to change Part D plans or enroll in a new one

If you miss the Dec. 7 deadline, you will have to wait until next year’s Medicare open enrollment window.

The open enrollment period is only for enrolling in or changing Medicare Advantage Part D or stand-alone Medicare Part D plans. One can change Medicare supplements, long-term care or dental plans any time of year.

Toni King is an author and columnist on Medicare and health insurance issues. If you have a Medicare question, email info@tonisays.com or call 832-519-8664.

MOST READ
Don't miss the big stories. Like us on Facebook.
THE LATEST
Tips to reduce screen time, start a new hobby

Adopting a new hobby can be an effective way to get a break from screens. Enjoyable pastimes can reduce stress and improve well-being, research suggests.

7 tips to help fight a health insurance denial

Prior authorization denials of medical procedures, tests or prescriptions can be appealed, but many people find the process overwhelming.

Which flu vaccine is best for children?

As a parent, the best thing you can do to protect your children and others from the flu is to get them vaccinated.

 
5 foods you should never eat before a workout

Not all pre-workout food is created equal. Choose wrong, and you can end up struggling to finish your exercise routine.

Do weighted vests really help you get in shape faster?

Weighted vests are increasingly showing up in fitness classes, touted as a way to keep bones healthy, improve performance and boost weight loss.

Waves of contentment: Swimming buoys mental well-being

Since my adolescent son recently started swimming competitively, I have been closely following the sport more than ever before.

MORE STORIES