Search Menu GoHealth CALL US MEDICARE GUIDE Introduction Original Medicare Medicare Part A Medicare Part B Medicare Part C (Advantage) Medicare Supplement Medicare Part D Medicaid & Medicare What Is & Isn't Covered? Medicare Costs & Enrollment Medicare Changes 2021 Medicare & COVID-19 MedicareMedicare Changes in 2021 Medicare Changes for 2021: What You Should Know Acupuncture, expanded MA availability, and more are in store for Medicare beneficiaries in 2021 Reviewed by: Shikita Nunnery, Licensed Insurance Agent. Written by: Aaron Garcia. SHARE ON FACEBOOK SHARE ON TWITTER SHARE ON LINKEDIN EMAIL THIS PAGE PRINT THIS PAGE Key Takeaways Insulin copayment for a 30-day supply have been capped at $35 for qualified Medicare beneficiaries. End-Stage Renal Disease (ESRD) patients can enroll in Medicare Advantage starting in 2021 Telehealth and telemedicine coverage will extend to 2021, along with Covid-19 lab and antibody tests. For the first time, acupuncture may be a benefit for chronic low back pain. Each year, the Centers for Medicare & Medicaid Services (CMS) adjusts its rates and policies based on several factors, including data and need. The changes coming to Medicare in 2021 go well past the usual standard rate hikes. If you’re enrolled in Medicare or are planning to enroll in Medicare in 2021, here are some notable changes. What Are The Changes To Medicare For 2021? Your Medicare coverage in 2021 may expand to provide lower costs and more services. This year will bring a cap on insulin prices and extended coverage for telehealth and COVID-19 services. Medicare Advantage coverage expands to acupuncture and beneficiaries with end stage renal disease. Lower prices for insulin One of the most significant changes in store for Medicare beneficiaries in 2021 will come from lowered out-of-pocket costs for insulin. During the fall’s annual enrollment period, eligible Medicare beneficiaries can enroll in the Part D Senior Savings Model. This model’s plans offer several types of insulin for a maximum copayment of $35 for a 30-day supply. [1] The impact of this change promises to be wide-reaching; according to CMS, one in three Medicare beneficiaries has diabetes, and 3.3 million take some form of insulin. [2] Medicare Advantage will cover End-Stage Renal Disease (ESRD) Starting in 2021, Patients with ESRD can enroll in a Medicare Advantage plan. Now, those with ESRD can take advantage of the out-of-pocket maximums many Medicare Advantage plans offer. And while MA beneficiaries may have different costs and restrictions than those with Original Medicare, MA plans can’t charge more for critical services such as outpatient dialysis and immunosuppressant drugs. Telehealth & Telemedicine still in use CMS expanded telehealth and telemedicine services in 2020 as a way of keeping seniors safe during the COVID-19 pandemic. [3] Those expansions will remain in place for 2021. That means you can take advantage of services like E-visits, check-ups, and more — all via your computer’s camera and microphone. This development should have a significant impact on Medicare in 2021 as recent studies show that 68% of Medicare-eligible adults had access to a computer and the internet at their homes. [4] Back pain? Acupuncture is now covered Those suffering from chronic lower back pain may find some relief in 2021 thanks to new acupuncture benefits. If you qualify, you can receive 12 acupuncture treatments in 90 days. If your doctor determines you’ve shown improvement during those initial visits, you can be approved for eight additional treatments (no more than 20 in a year). To be eligible, your back pain must: Have lasted 12 weeks or longer Not be associated with pregnancy or past surgery Not have a known cause such as cancer or inflammatory diseases Covid-19 testing still covered Medicare will continue to cover Covid-19 testing services in 2021. [5] This is true of Original Medicare and Medicare Advantage beneficiaries. Beneficiaries will receive free lab tests for Covid-19 with no out-of-pocket costs. If you were previously diagnosed or think you had a Covid-19 infection in the past, you may qualify for a no-cost antibody test. Medicare will also cover all medically necessary hospitalizations related to Covid-19. CMS has also said Medicare would cover a vaccine when/if one becomes available. A small increase to Part B premiums Like other years, Medicare beneficiaries will pay a higher Part B monthly premium in 2021 than in 2020, but the increase is small. The Part B premium for 2021 will be $148.50, an increase of $3.90 from the 2020 premium of $144.60 (a 2.7% increase). For comparison, the premium increased 6.7% from 2019 to 2020. The Part A premium — which must only be paid by enrollees who paid Medicare taxes for less than 10 years (40 quarters) through an employer — also experienced modest increases. The premium for those who paid Medicare taxes for 30-39 quarters increased from $252 to $259; those who paid for less than 30 quarters, it increased from $458 to $471. If you have questions about any of these changes to Medicare or how they affect your coverage, GoHealth can help. We have experienced, licensed insurance agents that will review your plan and let you know what to expect in 2021. What's Next? Medicare 1-855-792-0088 TTY:711 Mon-Fri, 7am-9pm CT, Sat-Sun, 9am-6pm CT And, We’ll Call You. Sources Medicare & You 2021. Medicare.gov. Part D Senior Savings Model. CMS.gov. CMS Proposed 2021 Medicare Physician Fee Schedule: Physician Groups Call for Permanent Changes to Telehealth Reimbursement and Other Comments. policymed.com. Opportunities and Barriers for Telemedicine in the U.S. During the COVID-19 Emergency and Beyond. kff.org. Medicare & Coronavirus. Medicare.gov. This website is operated by GoHealth, LLC., a licensed health insurance company. The website and its contents are for informational and educational purposes; helping people understand Medicare in a simple way. The purpose of this website is the solicitation of insurance. Contact will be made by a licensed insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. Our mission is to help every American get better health insurance and save money. If you’re looking for the government’s Medicare site, please navigate to www.medicare.gov. GoHealth Twitter Facebook LinkedIn Instagram About Medicare Medicare Medicare Advantage Medicare Part A & B Medicare Supplement Medicaid and Medicare Medicare Part D Enroll Enrolling the First Time Eligibility & Enrollment Guides Low Income & Medicare New to Medicare Before 65 Medicare Plans Medicare Beneficiary Caregivers Resources Medicare Changes in 2021 Medicare by State What's Covered? What's Not Covered? Medicare Costs Medicare & COVID-19 Resource Guide Glossary Health Insurance Plan Types Healthcare Costs Providers & Prescriptions Health Insurance Health Insurance Major Medical Insurance Dental Insurance Insurance by State Obamacare Family Health Insurance Vision Insurance Accident Insurance Critical Illness Insurance Indemnity Insurance Short Term Health Insurance About Us Our Mission Company History Healthcare Partners Encompass Investor Relations Newsroom Contact Us Careers Careers Roles Locations Diversity and Inclusion Sales Consultants Apply Now Copyright © 2021 GoHealth. All Rights Reserved Terms & ConditionsPrivacy PolicyLicensingSitemapEditorial Review Process This website is not affiliated with GoHealth Urgent Care.