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Do I Really Need a Medicare Drug Plan?

I am often asked the following question "Charlie, I don't think I need a Medicare Part D drug plan. I don't take any medications. Can't I just add that later if I ever need it?"

Regardless of whether you take several expensive medications or take no medications at all, almost everyone on Medicare needs to enroll in a Medicare Part D drug plan.

There are three primary reasons you need a Medicare Part D drug plan even if you take no medications:

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The Medicare Musical Chairs Trap

I received a call from Bruce in Ohio last week.

Bruce is 69 years old and was diagnosed with Atrial Fibrillation two years ago. He has only had two episodes of an irregular heart beat and feels he has the condition well-managed with a medication called Xarelto.

The reason Bruce was calling was the Medicare Supplement he had chosen when he turned 65 had increased its premium nearly 50 percent in four years.

Charles Bradshaw
Unfortunately, Bruce was now unable to leave this plan for a less-expensive Medicare Supplement because the Atrial Fibrillation caused him to be declined when he applied for a different Medicare Supplement.

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Medicare choices today may matter more later

I have been privileged to help several thousand people who were going on Medicare understand their Medicare options so they could make the right Medicare decision for them.

While many people I help understand the long-term implications of the choices they make when they first go on Medicare, I often talk with someone who does not yet realize the Medicare choices they make when they first go on Medicare are often long-term rather than short-term decisions.

The conversation will often go something like this...

"Hi Charlie...this is Robert. I am turning 65 and going on Medicare next month. I need to decide what Medicare plan I need. I am in good health, take no medications and only see a doctor once or twice a year."

If I were helping this same person with his property insurance, the same logic would go something like this...

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