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Open Enrollment
Medicare
October 15–December 7
What is Open Enrollment
Open enrollment is the period of time each year when individuals who are enrolled in Medicare or Medicare Advantage can make changes to their coverage. During open enrollment, individuals can switch from Original Medicare to a Medicare Advantage plan, or vice versa, and they can also switch between different Medicare Advantage plans or prescription drug plans.
It is possible that some individuals may not be aware of open enrollment or may not understand the importance of reviewing their coverage options during this time. It is important for individuals to stay informed about their Medicare coverage and to take advantage of open enrollment to ensure that they have the coverage that best meets their needs.
It is possible that some individuals may not be aware of open enrollment or may not understand the importance of reviewing their coverage options during this time. It is important for individuals to stay informed about their Medicare coverage and to take advantage of open enrollment to ensure that they have the coverage that best meets their needs.
From
October 15th
To
December 7th
January 1–March 31
Open Enrollment
Open Enrollment Period (OEP) The Medicare Advantage Open Enrollment Period (OEP) takes place from January 1 to March 31 The Open Enrollment Period applies to:
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Beneficiaries who are enrolled in a Medicare Advantage (MA) plan as of January 1. These enrollees can use the January 1 to March 31 OEP to enroll in another MA plan or disenroll from their MA plan to return to Original Medicare.
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Dual-eligible and Low-Income Subsidy (LIS) beneficiaries who, in general, may make changes once per calendar quarter. The Open Enrollment Period gives beneficiaries who are currently enrolled in a MA plan some options. They can switch to a different MA plan or drop their plan and return to Original Medicare with or without Part D drug coverage. Enrollees get a one-time election to make any of the following changes through the MA OEP:
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Switch from a Medicare Advantage Prescription Drug Plan (MA-PD) to a different MA-PD
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Switch from an MA-PD to an MA-only plan
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Switch from an MA-only to an MA-PD
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Switch from an MA-only plan to a different MA-only plan
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Drop MA-PD coverage and return to Original Medicare (with or without Part D)
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Drop MA-only coverage and return to Original Medicare (with or without Part D) However, there are STIPULATIONS for beneficiaries enrolled in Original Medicare.
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If an enrollee has ONLY Original Medicare, they cannot use the OEP to enroll in an MA plan.
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The OEP does not apply to beneficiaries who have a Medicare Savings Account (MSA) or another type of Medicare health plan, such as a Medicare Cost Plan. Medicare Supplements are also exempt, as they are connected to Original Medicare, which does not apply to the OEP.
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Enrollees of standalone Part D prescription drug plans (including those who have Original Medicare) cannot use the OEP to make changes to their drug coverage.
It is possible that some individuals may not be aware of open enrollment or may not understand the importance of reviewing their coverage options during this time. It is important for individuals to stay informed about their Medicare coverage and to take advantage of open enrollment to ensure that they have the coverage that best meets their needs.