5 Key FAQs About Medicare's Annual Enrollment Period

Oct 08 2025 15:00

Medicare’s Annual Enrollment Period (AEP): 5 Key FAQs

Medicare’s Annual Enrollment Period (AEP) occurs each year from October 15 to December 7—a crucial, yet limited-time opportunity to make changes to your Medicare coverage. While the AEP can feel confusing, this blog aims to simplify the most common questions and empower you to take informed action. Don't skip any FAQ, even if you think your plan is currently perfect. Here’s what you need to know:

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. Plan details like premiums, provider networks, and drug formularies can change each year. Understanding these changes ensures that you’re still getting the best available coverage and saving money where possible. A quick review could unveil benefits or savings you didn’t know existed.

What changes can I make during Open Enrollment?

During the AEP, you have the option to switch from Original Medicare to a Medicare Advantage plan, change from one Advantage plan to another, or modify your Part D prescription coverage. This flexibility is crucial because it allows you to tailor your healthcare coverage to fit your evolving needs and circumstances.

What if I miss the Open Enrollment deadline?

If you miss the Open Enrollment deadline and don't qualify for a Special Enrollment Period due to a major life event, you'll have to wait until the next year's window to make changes. Planning ahead and knowing your deadlines is vital to ensure that you're not left with unsuitable coverage for an entire year.

When can I learn about next year’s plans?

You can access information for next year’s plans beginning in October. By calling 1-800-MEDICARE or visiting Medicare.gov, you will have the resources you need for a comprehensive review. Staying informed early on helps you make timely and educated decisions about your health coverage.

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

Original Medicare is government-managed and typically requires separate drug coverage and optional Medigap. Meanwhile, Medicare Advantage plans are offered by private insurers and often bundle medical and drug benefits, some even include extras like dental or vision. Understanding these differences is key to selecting a plan that best suits your healthcare needs. Understanding AEP gives you control over your healthcare decisions. Start researching early, use trusted resources like Medicare.gov, and consider speaking with a professional if needed. Remember, a small review of your plan today can lead to big savings or improved coverage in the year ahead.