Medicare Part D enrollment starts

The good news is there are plenty of choices, the bad news is that prices are going up, in some cases as much as 60 percent and it gets even worse, many of the plans have changed what they pay for and how much they pay. That means if you simply select the plan you've had in the past, you could get burned.

"It is important to check to make sure the plan will still cover the drugs you are use to taking because if there is a change in the plan you could find your out of pocket costs increase dramatically," said Gail shearer, with Consumer Reports Magazine.

Consumer reports also suggests this is a good time of year for patients to talk with the doctors about the drugs they take and cheaper alternatives such as generics and the so-called best buy drugs.

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