Medicare Annual Enrollment: 5 FAQs You Must Know

James Neil | Sep 17 2025 15:00

Every year, Medicare's Annual Enrollment Period (AEP) runs from October 15 to December 7. It is a limited-time opportunity to make changes to your Medicare coverage. Though it may seem confusing, this blog will simplify the most common questions, empowering you to take informed action to adjust your healthcare plan as needed. Even if you think your plan is working just fine, delve into these FAQs carefully for assurance and insights.

FAQ 3: Do I need to do anything if I’m happy with my current plan?

Even if you’re satisfied, it’s advisable to review your coverage. Premiums, provider networks, and drug formularies can change each year. Don't assume that last year's plan will be suitable for next year. These changes can impact your out-of-pocket costs and healthcare choices, making a review an essential step even if only a small adjustment is required.

FAQ 5: 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 can limit your healthcare options and potentially increase costs, so be proactive to ensure your choices align with your needs.

FAQ 2: What’s the difference between Original Medicare and Medicare Advantage?

Original Medicare is government-managed and generally paired with separate drug coverage and optional Medigap. Medicare Advantage plans, offered by private insurers, often bundle medical and drug benefits, with some including extras like dental or vision. Understanding these differences is crucial as they significantly affect coverage options and associated costs.

FAQ 4: When can I learn about next year’s plans?

Information for next year’s plans becomes available in October. You can call 1-800-MEDICARE or visit Medicare.gov for details. Early research helps in making informed decisions, ensuring that any changes or continued coverage suit your evolving healthcare needs.

FAQ 1: 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. Knowing what changes you can make ensures that your health plan best suits your current lifestyle and health needs.

Understanding AEP gives you control over your healthcare decisions, allowing for optimized coverage and potential cost savings. By starting your research early, utilizing trusted resources like Medicare.gov, and consulting with a professional if needed, you're equipped to ensure that your plan supports your health goals. Even a small review of your plan can lead to big savings or better coverage in the coming year.

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