Many Medicare Part D plans will come with higher premiums and different coverage next year. Seniors and those with disabilities who rely on Medicare have until the end of the year to shop around for a different plan. North Carolina residents have 49 Medicare Part D plans to choose from with premiums ranging from $15 to $128 dollars a month. Jeanie Schepisi is the Piedmont Manager for the Seniors Health Insurance Information Program. She encourages people to consider their options each year because plans often change. "We're finding that plan premiums are increasing next year. Some of them are changing their formularies or their tiers or levels that the drugs are on." The website, http://www.medicare.gov/Default.asp offers a tool where people can enter their medications and dosage to find the plan best suited to their needs. Those who want to stay with the same plan do not have to re-enroll.