Carlisle Employees: Navigating the Essentials of Medicare Advantage Plans for Your Retirement Health Needs

Healthcare Provider Update: Healthcare Provider for Carlisle: Aetna Carlisle's medical plans are administered by Aetna, offering a variety of coverage options to suit the needs of employees and their families. These plans provide comprehensive benefits, including preventive care and prescription drug coverage, with options such as high-deductible plans paired with Health Savings Accounts (HSAs) to help manage costs effectively. Potential Healthcare Cost Increases in 2026: In 2026, healthcare costs are expected to surge significantly due to a combination of factors, including the likely expiration of enhanced federal subsidies and ongoing inflation in medical expenses. Many states face premium hikes soaring upwards of 60%, pushing average out-of-pocket costs for consumers potentially over 75%. With insurers forecasting a medical trend increase of around 7-10%, and the top insurers posting substantial profits, consumers could be left grappling with higher premiums and reduced access to affordable healthcare options. Consequently, strategic planning for medical expenses has never been more critical for individuals and families navigating this challenging landscape. Click here to learn more

Medicare Advantage, sometimes known as “Part C,” is something of a catch-all choice for Carlisle employees who are ready to sign up for Medicare. Medicare Advantage plans are offered by private insurers in conjunction with the Medicare program and can provide you with additional health insurance coverage.

What’s in them?
In addition to signing up for Medicare Part A (hospital stays) and Part B (medical coverage), Medicare Advantage plans offer their subscribers extra features. This frequently, but not always, includes the Medicare Part D prescription drug plan. In some cases, Medicare Advantage plans offer coverage for areas not normally offered within regular Medicare plans. This can include dental, hearing, and vision insurance.

What are the rules?
Medicare pays for a fixed amount of your health care to Carlisle offering your Medicare Advantage (MA) plan. Beyond that, each MA plan requires different out-of-pocket fees. Those fees can vary from plan to plan. Depending on your plan, you may have different rules you need to follow when seeking a medical referral to get treatment from a specialist or if you are seeking non-urgent care (even from health care providers within the plan). It’s also important to remember that rules, requirements, and features may change from year to year. It will be important to make sure that those changes line up with any treatment that you need.

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What about my prescriptions?
While most MA plans offer Part D coverage for prescription drugs, some don’t. One example would be Medicare Medical Savings Account plans. In cases where the plan can’t or chooses not to offer prescription drug coverage, you may have the ability to join a separate Medicare Prescription Drug Plan, depending on the type of plan you enroll in. You will likely have a number of questions and concerns as you examine your options for Medicare Advantage plans. Discuss these with a trusted financial professional who can help you make choices that may best fit your lifestyle.

1. Medicare.gov, 2022