Oregon
Medicare Guide 2023: Here’s how to get help in Oregon during open enrollment
The Medicare open enrollment window opens at this time. The time to make selections for 2023 advantages runs from Oct. 15 to Dec. 7.
The alternatives will be daunting. And this 12 months guarantees to be particularly sophisticated given the passage of a brand new federal regulation.
However there may be assist out there. One useful resource is the Senior Well being Insurance coverage Advantages Help (SHIBA) program. The advisory program trains counselors to assist senior residents navigate the Medicare maze of selections.
Donna Delikat, interim SHIBA director for Oregon, says the Inflation Discount Act handed by Congress earlier this 12 months modified some vital issues. Specifically, she encourages anybody who makes use of insulin to hunt out assist this 12 months.
Delikat says counseling appointments e-book up rapidly so don’t delay.
Seniors may name insurance coverage hotlines staffed by volunteers skilled within the ins and outs of Medicare. They’ll additionally schedule on-line video-conference conferences with volunteers and insurance coverage brokers utilizing Zoom, Skype or FaceTime. Unbiased insurance coverage brokers sometimes promote multiple provider’s plans.
Q: When does The Oregonian/OregonLive publish its Medicare comparability grids?
A: They are going to seem in The Sunday Oregonian print editions Oct. 23 (out there on newsstands Saturday, Oct. 22) and on OregonLive. Verify oregonlive.com/enterprise to seek out tales labeled “Medicare Information 2023.” Click on right here if you don’t see the grids beneath.
Q: What do I want earlier than a session?
A: There are a couple of necessities it is best to collect earlier than searching for assist:
Medicare card
MyMedicare.gov login data, when you’ve got an account
Pharmacy identify and tackle
Record of all pharmaceuticals, energy and dosages
An inventory of medical points or issues you’d wish to cowl
Q: The place else can I discover assist?
A: There may be additionally a variety of data on-line. Go to Medicare.gov and its comparability instrument, medicare.gov/plan-compare. The federal authorities’s web site stays probably the most authoritative information round, however it has an vital disclaimer this 12 months for individuals who want insulin.
The instrument means that you can examine prices for a variety of well being companies throughout a number of drug and Medicare Benefit plans out there in your space. It additionally has scores on every plan’s efficiency and high quality. Most vital, it means that you can enter your pharmaceuticals to seek out out which plans cowl them and at what price. A educated counselor might help those that want to purchase insulin navigate the comparability, which isn’t up to date with adjustments for insulin prices, Delikat mentioned.
Medicare expanded its Medigap search engine on the instrument to incorporate price ranges relying on age, gender and smoking standing. Entry it through bit.ly/MedigapPlanSearch.
Verify Medicare Rights Middle’s Medicare Interactive web site (Medicareinteractive.org) that can assist you discover solutions about Medicare advantages.
Learn our previous protection (search.oregonlive.com/medicare) on choosing a Medicare plan.
Q: What if I wish to converse to somebody?
A: You will get assist by telephone.
Name Medicare itself at 800-MEDICARE (800-633-4227).
Name the nonprofit Medicare Rights Middle’s nationwide helpline at 800-333-4114, Monday by way of Friday.
Find a SHIBA workplace close to you by visiting www.shiphelp.org or calling 877-839-2675.
Q: Are there native assets?
A: Sure, counselors from the Senior Well being Insurance coverage Advantages Help (SHIBA) program can reply questions by telephone 8 a.m. to five p.m. Monday by way of Friday. Some are additionally scheduling digital conferences. Name 800-722-4134 to schedule a session or go to shiba.oregon.gov.
Verify the web site for on-line displays developing. For in-person, don’t delay. Appointments e-book rapidly.
In Multnomah County, name 503-988-3646 and press choice 3. Digital appointments can be found with counselors, with restricted in-person consultations.
In Clackamas County, name 503-655-8269 and press choice 4. Schedule counseling appointments Monday by way of Thursday. Additionally, verify the county web site at clackamas.us/socialservices/shiba.
Oregon Metropolis Pioneer Middle, appointments solely, 10 a.m. to three p.m. Nov. 2.
Estacada Public Library, appointments solely, 11 a.m. to three p.m. Nov. 9.
Canby Grownup Middle, appointments solely, 1 p.m. to 4 p.m. Nov. 14.
Molalla Grownup Neighborhood Middle, appointments solely, 1 p.m. to 4 p.m. Nov. 16.
In Washington County and for St. Helens, name 503-846-3094 for appointments. The next instances and day are solely through the open enrollment interval:
Hillsboro, fundamental SHIP workplace within the Incapacity, Ageing and Veterans Companies constructing, walk-in or appointments, 10 a.m. to three p.m. Monday by way of Thursday.
Hillsboro Senior Middle, walk-in solely, 12 p.m. to 2 p.m. each Wednesday.
Beaverton Elsie Stuhr Middle, appointments solely, 11 a.m. to 2 p.m. each Wednesday.
Sherwood Marjorie Stewart Senior Neighborhood Middle, appointments solely, 12 p.m. to three p.m. ever Wednesday.
Tualatin Juanita Pohl Middle, appointments solely, 12:30 p.m. to 2:30 p.m. each Friday.
St. Helens Senior Middle, appointments solely, 11 a.m. to 1 p.m. each different Tuesday, starting Oct. 25.
In Washington state, name the Statewide Well being Insurance coverage Advantages Advisors at 800-562-6900 or go to bit.ly/wa_shiba.
OTHER RESOURCES
Medical health insurance brokers are sometimes educated about selections and might help you select and buy a plan. It’s most likely greatest to cope with licensed impartial brokers. They cowl plans from a number of totally different insurance coverage firms, obtain coaching every year on the plans and are overseen by state and federal regulators. Customers don’t pay instantly for this assist. As an alternative, brokers earn gross sales commissions instantly from the plans.
You may seek for Medicare brokers at OregonHealthCare.gov’s web site: bit.ly/ORAgentSearch. Verify an agent’s license on-line at bit.ly/or_broker_licenses or name the Oregon Insurance coverage Commissioner’s Client Advocacy Unit at 1-888-877-4894.
Insurance coverage provider web sites and customer-service telephone strains will be good locations to confirm protection particulars,