Preparing for Medicare AEP

In preparation of Medicare AEP next month, here are a few things you can start to think about. During this time, Oct. 15 – Dec. 7, you are able to (1) leave a Medicare Advantage (MA) Plan and possibly go to a Medicare Supplement instead, (2) switch to a different MA Plan, or
(3) change/add a Medicare Prescription Drug Plan. If you decide to make a change, the new plan will be effective Jan. 1.

In 2026, we saw a shift in the way MA plans offered coverage. Many of the plans reduced the added benefits which includes Dental and Vision coverage, OTC benefits, or the grocery benefit.

Many of the MA plans also increased their out-of-pocket limits and copays in the plan. If you experienced this shift, be sure to keep your eyes on any plan changes for 2027. The changes will not publish until Oct. 1 but MA plan members will receive their Annual Notice of Changes soon.

If you have thought about changing from a MA plan to a Medicare Supplement/Medigap plan, this is the time to investigate that option as well. You will have to answer a list of medical underwriting questions to be accepted in the Medigap plan. If you have a medical need that requires ongoing medical treatment, you will likely not be able to enroll in a Medigap plan. Also, if you have any recent major medical events such as cancer, stroke, heart conditions, kidney problems, liver issues, or chronic breathing problems, you will not be able to make the switch.

There are certain loopholes in Medicare that do allow you to switch from a MA plan to a Medigap without underwriting. For example, if you move outside of your MA plan’s service area, or if your MA plan leaves the area, you will have a Guaranteed Issue right into a Medicare Supplement. There are many others so never hesitate to ask.

I always recommend checking your plan’s new coverage to be sure it will be beneficial for you the following year. It can be as simple as a quick phone call or email to your Medicare Insurance agent. If you have any questions or need assistance, please contact us and schedule a time to chat. 720-665-6015 call/text