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Medicare Open Enrollment: A DPC Physician’s Toolkit for 2027 Changes

Today we discuss why Direct Primary Care (DPC) practices still field urgent calls during Medicare open enrollment when patients’ coverage changes affect care outside the DPC clinic. 

Host Maryal Concepcion introduces the Fall 2026 Medicare Toolkit and gives a five-question CMS-based quiz covering 2027 updates: 

1. Find out what the Part D out-of-pocket maximum is with a deductible and an option to spread costs via the Medicare Prescription Payment Plan
2. when a Medicare Advantage plan ends, patients have until the end of February to choose a new plan and 63 days after the plan ends to buy Medigap without health questions. See the TOOLKIT for more on this.
3. HSA funds - can they pay for Medigap premiums? What happens to your HAS when you are on Medicare. 
4. More drugs gain negotiated prices (25 total) in 2027

and new plans must honor active treatment for 90 days. Get free patient downloads, quizzes and more at CaringDirectly.com patient resources and clinic map listings.

DOWNLOAD OUR FREE MEDICARE EDITION OF THE TOOLIT, OUR MAGAZINE ALL ABOUT DPC!

00:00 What Is Direct Primary Care
00:53 Open Enrollment Calls Hit DPC
01:54 Toolkit And Medicare Pop Quiz
02:11 Quiz Q1 Part D Costs
02:43 Quiz Q2 Plan Ending Window
03:26 Quiz Q3 HSA And Medigap
03:58 Quiz Q4 Negotiated Drug Prices
04:21 Quiz Q5 Continuity Of Care
04:44 Score Yourself And Get Toolkit
05:37 Survival Guide And Dates
06:07 Patient Resources Caring Directly
07:47 Add Your Clinic To The Map
08:04 Translations Contact And Wrap Up

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