What changes can I make during Open Enrollment?

You can switch from Original Medicare to a Medicare Advantage plan, change from one Advantage plan to another, or modify your Part D prescription coverage. This flexibility allows you to tailor your healthcare to better fit any changes in your medical needs or preferences, ensuring you receive the right coverage at the right time.

What if I miss the Open Enrollment deadline?

Unless you qualify for a Special Enrollment Period due to a major life event, you’ll need to wait until next year’s window to make changes. Missing the deadline could mean staying with coverage that might not be optimal for your needs, which underscores the importance of timely action.

Do I need to do anything if I’m happy with my current plan?

Even if you’re satisfied, it may be a good idea to review your coverage. Premiums, provider networks, and drug formularies can change each year. Keeping abreast of these changes ensures that you aren’t caught off guard by unexpected costs or alterations in your provider options.

When can I learn about next year’s plans?

Information for next year’s plans is available beginning in October. Call 1-800-MEDICARE or visit Medicare.gov. Staying informed ensures you have the full picture of available benefits and can make educated decisions about adjustments to your plan.

What’s the difference between Original Medicare and Medicare Advantage?

Original Medicare is government-managed and typically paired with separate drug coverage and optional Medigap. Medicare Advantage plans are offered by private insurers and often bundle medical and drug benefits, with some including extras like dental or vision. Understanding these differences helps you choose a plan that offers the most complete and cost-effective care for your situation. Understanding the AEP process empowers you to make informed decisions about your healthcare coverage. Starting your research early, using trusted resources like Medicare.gov, and consulting with professionals if needed can make a significant difference. Even minor reviews of your plan can lead to substantial savings or improved coverage next year.