• WELCOME CURRENT HEALTH INSURANCE CLIENTS!

    This is the Open Enrollment Section for our Current Clients (Medicare AND Under 65)!

    If you are NEW to health insurance and our agency, contact us directly for information.

    IMPORTANT DATES:

    MEDICARE ANNUAL ENROLLMENT

     

    OCTOBER 1 – Medicare plan information available to the public (you may get your new plan information earlier in the mail in late Sept)

     

    OCTOBER 15 – DECEMBER 7 – You may switch your Medicare Advantage or Prescription Drug Plan for a 01/01/20 effective date. No health checks required. Note: Medicare Supplements have different rules on health checks.

     

    UNDER 65 INDIVIDUAL AND FAMILY PLAN OPEN ENROLLMENT

     

    NOVEMBER 1 – DECEMBER 15 - You should receive your renewal information near the end of October. You may switch by December 15 for a 01/01/20 effective date. There are often extensions so be sure to ask us if you need extra time. No health checks required to change plans.

    HOW CAN I REVIEW MY PLAN?

    You can always contact YOUR AGENT directly (email preferable at first) to check if your plan is still a good fit. Be sure to let us know your NAME, your INSURER, your important CLINICS with city name (i.e., Allina Health in Plymouth) and DRUG list. Note that in general we do not need your doctors’ names. If we do, we will let you know. Also let us know if you have been satisfied or not. If not, please be specific. You can contact us through this site or use our direct email addresses:


    meganh@thecriterionagency.com for Medicare plans

     

    kristin@thecriterionagency.com for under 65 individual and family plans

    WHAT IF I’M HEALTHY AND SATISFIED BUT WANT TO DO A QUICK REVIEW ON MY OWN?

    If you have been healthy and satisfied with your plan but want to do a quick check on your own, here is what you should consider:

     

    Premium – be sure to locate your new 2020 premium.

     

    Deductible – check any deductible amounts (particularly for under 65 clients or Medicare drug plans).

     

    Out-of-Pocket Maximum – this amount is VERY important because it tells you the MOST you will have to pay out in a calendar year for medical services (for Medicare) and medical and drugs (for under 65).

     

    Network & Drugs – have you received any network or drug change information that would impact you?

     

    Co-Pays/Co-insurance Amounts – check amounts for any services you routinely use.

     

    IMPORTANT NOTICE: Insurers should contact you directly during the open enrollment if you use a clinic or drug that will not be covered or will experience a coverage change for 2020. So it is important to watch your mail throughout the open enrollment. Sometimes these notices show up a week or two later than your renewal information. If you receive a notice that will impact you, be sure to contact your agent.

     

    CONCLUSION: If you are healthy with few medical/drug concerns and the above factors have been reviewed to your satisfaction, you should feel comfortable continuing on your plan for 2020.

    HOW DO I RENEW MY PLAN?

    If you receive a renewal notice and then do NOTHING, your plan will auto-renew for 2020. You simply pay the new premium in January. You will then continue on that plan for the next calendar year.

     

    If for some reason you do not receive a renewal notice be sure to contact us.

     

    For NON-Medicare clients who use MNSure, be sure to follow any special instructions sent to you direct from MNSure and/or the insurer to keep your insurance in place.

    CAN I HAVE AN APPOINTMENT?

    If you have had a major health change which includes expensive drugs, we may need to do a sit-down meeting and review your situation. I do hold appointments open for more serious health issues (cancer, Parkinson’s, etc). However, for most medical and drug changes, those issues can be effectively addressed by email and/or phone. If you simply call for an appointment, we will go through a series of questions to determine the most effective way to move forward.

    A GUARANTEE OF SERVICE DURING OPEN ENROLLMENT

    It is our mission to follow-up with ALL clients within 48 business hours. If you do not get a reply within a few business days be sure to re-contact us indicating that. You will go to the top of the list.

     

    It is also our mission to service ALL clients during open enrollment. Over the years, we have effectively assisted clients over the phone, email, mail and in appointments to get the right plan during open enrollment.

    IS THERE ANYWHERE ELSE I CAN GO FOR INFORMATION ON MEDICARE PLANS?

    Feel free to go to your insurer community meeting to review your plan in detail if interested. These meetings can be a great resource. Your insurer should send you a list of meetings.

     

    Note that we are NOT suggesting that you go to ALL insurer meetings! That would be overwhelming. If you want to consider another insurer, let us know so we can check the network etc before you commit to a meeting. We would be happy to give you any details on new insurers/plans so you don’t waste time.

     

    For 2020, we represent Aetna, BCBS, HealthPartners, Humana, Medica, SilverScript, UCare and UHC/AARP.

     

    Another great resource is Medicare. Feel free to check out: Medicare.gov.