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Research Outline
Prepared for Micah | Delivered August 2, 2019
Medicare Pain Points
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Goals
To understand some of the biggest pain points for people that are signing up for medicare plans.
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Early Findings
Medicare
is considered complicated for many of the estimated 10,000 people who sign up every day.
The Medicare Rights Center
reports that confusion about enrollment is the second most common reason people call them for help (coverage denials is No. 1).
In a
recent survey
of adults 50 and older by the Nationwide Retirement Institute, 72% of respondents said they wished they better understood Medicare coverage.
Just like with most employer health plans,
Medicare has a fall open enrollment period
, which runs from October 15 to December 7. But when someone is signing up for the first time, this isn’t when you do it. If someone is already collecting Social Security when they turn 65, they will likely be automatically enrolled in Medicare. If they aren’t, they need to make it happen.
Medicare is a government program, so Medicare’s steep costs may blindside a person. In fact, in the
Nationwide Retirement Institute survey
more than half of respondents weren’t aware that Original Medicare isn’t free.
"If you don’t sign up for Medicare when first eligible and don’t have qualifying coverage elsewhere, you’ll pay
life-long penalties
for enrolling late", says Danielle Roberts, co-founder of insurance firm Boomer Benefits in Fort Worth, Texas.
There are
complex rules
that govern the transition to Medicare that many people don't know about or find difficult to navigate and currently "there isn’t much of an early warning system to alert people close to retirement age of the pitfalls."
Philip Moeller
— author of a popular Medicare book, “Get What’s Yours for Medicare: Maximize Your Coverage, Minimize Your Costs,” and a blogger on Medicare for the “PBS NewsHour” website — knows well about the program’s fine print that has ensnared
m
a
n
y
i
n
what he dubs the “no one told me” syndrome.
This source from
PBS Newshour
details many personal stories about difficulties and problems encountered by real people.
Nearly
six in 10 seniors
said they would consider switching their current Medicare Advantage plan in the near future. Low out-of-pocket costs, prescription drug coverage and in-network access to providers were cited as primary factors that could influence a plan change.
Today's seniors are increasingly tech savvy, expect more from Medicare plans and in 2019 are more likely to switch their Medicare Advantage plans, finds a new survey from
Welltok.
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