Join Dr. Mark Pochapin, host of Chief's Rounds, as he sits down with Dr. Meena Seshamani, Deputy Administrator and Director of the Center for Medicare, to discuss everything you need to know about Medicare Open Enrollment 2024
Dr. Seshamani is a physician, health economist, and head and neck surgeon. Before leading Medicare, she served as Vice President of Clinical Transformation at MedStar Health, where she pioneered healthcare delivery innovations. With an MD and PhD from the University of Pennsylvania and a passion for patient-centered care, she’s now driving transformative change in Medicare.
Listen as Dr. Seshamani explains the new $2,000 out-of-pocket cap for prescription drugs, payment plan options, and expanded vaccine coverage. Get the insights you need before the December 7th open enrollment deadline!
📖 Chapters:
0:00 Open Enrollment Deadline
Important Date: Open enrollment for Medicare ends on December 7th.
Action: Review your current Medicare plan and ensure it meets your needs. Use official resources like Medicare.gov, 1-800-MEDICARE, or SHIPHelp.org for guidance.
1:23 $2,000 Out-of-Pocket Cap for Prescription Drugs
Starting Date: January 1, 2025.
Why It Matters: The first annual cap on out-of-pocket drug costs, offering financial relief to millions.
2:45 New Payment Plan for Prescription Costs
Spread your prescription costs over the year to ease financial burdens, especially if costs are high early in the year.
3:33 No-Cost Vaccines
Vaccines Covered: Shingles, flu, COVID, RSV, and more are now free under Medicare.
4:15 Check Drug Coverage During Open Enrollment
Verify that your medications are covered by your plan’s formulary to avoid surprises.
5:08 Medicare Savings and Extra Help Programs
Medicare Savings Program: Helps with premiums and co-pays for low-income individuals.
Extra Help Program: Financial assistance for prescription drugs. Earn less than $23,000 (single) or $31,000 (married)? You could qualify!
6:17 Fraud Prevention
Key Reminder: Medicare will never call you to ask for your Medicare or Social Security number. Hang up if you receive such calls.
Use official resources to avoid scams.
7:05 Medicare Options
Traditional Medicare: See any doctor that accepts Medicare (98% of U.S. providers participate).
Medicare Advantage: Includes extra benefits like vision, dental, and hearing, but limits doctor choices to network providers.
Part D (Prescription Drug Plans): Separate plans with Traditional Medicare or bundled with Medicare Advantage.
8:20 Resources for Help
Medicare.gov: Compare plans and check drug coverage.
1-800-MEDICARE: 24/7 live assistance.
SHIP Counselors: Find local, in-person support at SHIPHelp.org.
📅 Act now—open enrollment ends December 7th! Don’t wait another year to make the best decision for your health and finances.
About Chiefs Rounds: Mark B. Pochapin, MD, discusses all things in health and wellness with today’s leaders. Tune in to hear the latest information on preventive strategies, questions about symptoms, and treatment options for a difficult diagnosis-- straight from the experts who are leading the way in science, medicine, and patient care. Dr. Pochapin is vice chair of clinical affairs, director of the Division of Gastroenterology, and professor of gastroenterology in the Department of Medicine at NYU Langone Medical Center.
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