Medicare AEP: 5 Key FAQs to Plan Your Coverage

When can I learn about next year’s plans?

Information for next year's plans becomes available starting in October. You can call 1-800-MEDICARE or visit Medicare.gov to learn more. Understanding the options available to you ahead of time means being better prepared to make informed decisions.

What if I miss the Open Enrollment deadline?

If you miss the Open Enrollment period, which ends on December 7, you'll generally need to wait until the next year's window to make changes, unless you qualify for a Special Enrollment Period due to a major life event. Missing this deadline could mean sticking with a plan that might not be your best fit for another whole year.

What changes can I make during Open Enrollment?

During the Medicare Annual Enrollment Period, you can switch from Original Medicare to a Medicare Advantage plan, change from one Advantage plan to another, or modify your Part D prescription drug coverage. These changes can significantly impact your healthcare experience and costs, so it's essential to explore your options thoroughly.

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

Even if you're satisfied with your current Medicare plan, it's wise to review your coverage each year. Plans can change, including premiums, provider networks, and drug formularies. A review could reveal a better option or confirm you're on the right track, helping you avoid surprises.

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

Original Medicare is government-managed and typically requires separate drug coverage and optional Medigap policies. On the other hand, Medicare Advantage plans are offered by private insurers and often bundle medical and drug benefits, with some even covering additional services like dental or vision. Understanding these differences is crucial to selecting the plan that best suits your needs.

Medicare’s Annual Enrollment Period (AEP), from October 15 to December 7, is critical. Use this time to make informed changes to your Medicare coverage. Whether you're content with your plan or looking for alternatives, knowledge is power. Begin your research early with trusted resources like Medicare.gov and consider speaking with a professional if needed. Even minor plan reviews can lead to significant savings or enhanced coverage the following year.