3 Periods When Medicare Recipients Can Make Changes to Their Coverage

Medicare Coverage Periods

Starting in October, there is a bit of hysteria in the Medicare world. This is because the Annual Enrollment Period is nearing – and most Medicare beneficiaries believe that this is the only time when they can make any change to their coverage.

However, contrary to what many think, Annual Enrollment Period is actually not the only time to make changes to your Medicare coverage. In certain instances, you’ll also have a period between January 1st and February 14th of each year to make changes. In other instances, you have the ability to make changes to your coverage any time you wish.

The available periods in which you can make changes to your Medicare coverage depend on which type of Medicare you have – Original Medicare with a Medicare Supplement, or a Medicare Advantage plan.

Let’s dive into the different types of Medicare coverage and the periods that you can make changes to your coverage.

Medicare Advantage Plans

If you have a Medicare Advantage plan, you have two periods in which you can make changes to your coverage: the Annual Enrollment Period and the Medicare Advantage Disenrollment Period.

Annual Enrollment Period

The Annual Enrollment Period lasts from October 15th to December 7th of each year. During this time, individuals with Medicare Advantage plans may enroll in or disenroll from a Medicare Advantage plan.

Medicare Advantage Disenrollment Period

During the Medicare Advantage Disenrollment Period, Medicare Advantage beneficiaries can return to Original Medicare. This period lasts from January 1st to February 14th of each year.

If you disenroll in January, your Original Medicare will be effective on February 1st. If you disenroll in February, your Original Medicare will be effective on March 1st.

This period is not a time to join or switch Medicare Advantage plans. It is only a time to drop your Medicare Advantage plan and switch back to Original Medicare.

Medicare Supplements

Unlike Medicare Advantage plans, there are not specific periods in which you can switch or drop your Medicare Supplement. You can change your Medicare Supplement at any time of the year. However, after your Open Enrollment Period (the 6-month period which starts the day you are 65 years old and enrolled in Medicare Part B), you will be subject to medical underwriting. This means that the insurance providers can charge you higher premiums based on your health history and current health status. They can also potentially deny you coverage altogether.

The underwriting requirements will depend entirely on which Medicare Supplement company you choose for your policy. Some insurers will accept higher-risk beneficiaries – but you will likely pay with a higher premium.

If you have a guaranteed issue right, you should be able to make changes without any problems. You have a guaranteed issue right if your Medicare Supplement insurance company goes bankrupt and ends your policy through no fault of your own, or you leave your Medicare Supplement insurer because the company misled you. In either of these situations, you can switch Medicare Supplement plans without medical underwriting.

If you do decide to switch your Medicare Supplement plans, be sure not to cancel your existing policy until you are approved with coverage from the new insurer.

In Conclusion

There are many opportunities where you can make changes to your Medicare coverage. It really just depends on what type of coverage you have.

If you have a Medicare Advantage plan, you have two time periods where you can make changes to your coverage. With a Medicare Supplement, you can technically change at any time.

If you are confused about which coverage you have and when you need to make changes, feel free to reach out to one of our Medicare experts at (800) 310-2550. Or, view your Medicare Supplement quote online.