Sunday, May 18, 2025

CMS’ Revamped Medicare Drug Plan Finder Site Can Steer Users to Higher Costs 

“Medicare’s revamped prescription plan finder can steer unwitting seniors to coverage that costs much more than they need to pay, according to people who help with sign-ups as well as program experts.”

“Serving some 60 million Medicare recipients, the plan finder is the most commonly used tool on Medicare.gov and just got its first major update in a decade. The Trump administration has hailed the new version and Medicare Administrator Seema Verma says it will empower beneficiaries to take advantage of their coverage options.”

“But as open enrollment goes into the home stretch Thanksgiving week, critics say the new tool can create confusion by obscuring out-of-pocket costs that seniors should factor into their decisions…”

“The Medicare plan finder’s issue stems from a significant change the agency made for 2020.”

“The plan with the lowest premium now gets automatically placed on top, with the monthly premium displayed in large font.”

“Medicare’s previous plan finder automatically sorted plans by total cost, not just premiums.”

“But premiums are only one piece of information.”

“When out-of-pocket expenses such as copays are factored in, the plan with the lowest total annual cost is often not the first one shown by the plan finder.”

“It takes extra work for a Medicare enrollee to discover that…” Read the full article here.

Source: Medicare Drug Plan Finder Can Steer Seniors to Higher Costs – Associated Press, November 21, 2019. The New York Times.

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Jackie Gilbert
Jackie Gilbert
Jackie Gilbert is a Content Analyst for FedHealthIT and Author of 'Anything but COVID-19' on the Daily Take Newsletter for G2Xchange Health and FedCiv.

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