What are the details
Begins on January 1st and continue through March 31st
Is only available to people already enrolled in a Medicare Advantage plan
Provides one additional chance to change your Medicare Advantage plan
Why would I use the MA-OEP to change your Medicare Advantage plan?
You may wish to change Medicare Advantage plan coverage if:
- You wrongly enrolled in a plan that does not have drug coverage but you wanted one with drug coverage.
- Another MA plan in your area provides more affordable overall coverage with a lower maximum out-of-pocket limit (MOOP).
- A Special Needs Medicare Advantage Plan (SNP) is available in your area and provides benefits tailored specifically to your health needs, chronic condition, Long Term Care (LTC) residence, or financial status.
- Your doctor or specialists have moved to another healthcare network and they are no longer available in your plan.
- Your MA or MAPD no longer provides SilverSneakers or other fitness program coverage and you wish to a change to a plan that includes this benefit.
- You found another Medicare Advantage plan in your area with better supplemental benefits such as vision and dental coverage.
- Your Medicare Advantage plan no longer includes your neighborhood pharmacy within the plan’s pharmacy network – or your chosen pharmacy is no longer a preferred network pharmacy.
- Your Medicare Advantage plan’s drug formulary no longer covers all of your medications.
What you need to consider?
Can I change my Medicare Advantage plan enrollment to any plan?
Not necessarily. Each Medicare Advantage plan has the option of closing enrollment during the MA OEP and is not required to allow new plan members to enroll into the plan during the MA OEP.
As noted by the Centers for Medicare and Medicaid Services (CMS),
“Unlike the mandatory election periods, any MA organization has the option to voluntarily close one or more of its MA plans to enrollment requests during the MA-OEP. If an MA plan is closed for enrollments, then it is closed to all individuals.
Reminder about the timing
When you disenroll from your Medicare Advantage plan, the dis-enrollment begins the first day of the next month after dis-enrollment.
For example, if you disenroll from your Medicare Advantage plan on February 10th, your Original Medicare Part A and Part B coverage begins on March 1st. At the same time, you can also join a stand-alone Medicare Part D prescription drug plan and your new Medicare prescription drug plan will also start on March 1st.
automatic SSA premium deductions
Social Security will probably need a little time adjusting your deductions if you decide to use the MA-OEP.
If you dropped or changed your Advantage plan during the MA-OEP and joined another MA plan or Part D plan, you may still see payments for your old MA plan deducted in February and maybe even March. Any over-payments will be reversed for your newly chosen MA or Part D plan.