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Do medicare advantage plans have to be renewed every year?

2 min read

For most beneficiaries, the answer to the question, do medicare advantage plans have to be renewed every year? is no, as these plans typically renew automatically. However, staying informed about annual changes is crucial to ensure your coverage continues to meet your healthcare needs and budget.

Quick Summary

Most Medicare Advantage plans automatically renew annually, so no action is required if you are satisfied with your current coverage. Before this occurs, however, plans send an Annual Notice of Change detailing any updates to costs or benefits, giving beneficiaries the opportunity to switch during the Annual Enrollment Period if they wish.

Key Points

  • Automatic Renewal: Most Medicare Advantage plans automatically renew every year if the plan is still offered and premiums are paid.

  • Annual Notice of Change (ANOC): Sent annually, this document details upcoming changes to your plan.

  • Annual Enrollment Period (AEP): From October 15 to December 7, you can switch plans or return to Original Medicare.

  • Plan Discontinuation: If your plan is discontinued, you receive a non-renewal notice and must choose new coverage.

  • Special Enrollment Periods (SEPs): Certain life events allow changes outside of AEP.

  • Penalties for Non-Payment: Failure to pay premiums can lead to disenrollment.

In This Article

The Automatic Renewal Process

For the vast majority of individuals with a Medicare Advantage (Part C) plan, the renewal process is seamless and automatic. Unless you receive a non-renewal notice from your carrier, your plan will continue into the new year as long as you pay your premiums.

The Annual Notice of Change (ANOC)

If you have a Medicare Advantage or Part D plan, your provider will send an Annual Notice of Change (ANOC) summarizing upcoming yearly changes. This document details potential updates to costs, benefits, networks, and drug coverage. Reviewing this notice is important to understand how these changes could impact you.

The Annual Enrollment Period (AEP): Your Window for Change

The Annual Enrollment Period (AEP) runs from October 15 to December 7. This is when you can evaluate your plan based on the ANOC and your health needs. Options during the AEP include switching Medicare Advantage plans or returning to Original Medicare (Parts A and B). If you switch back, you can enroll in a standalone Medicare Part D plan.

What Happens if You Do Nothing During AEP?

If you are satisfied with your plan's changes and do not act during the AEP, your Medicare Advantage plan will renew automatically with the updated terms. However, not reviewing the ANOC and your options could leave you with a plan that doesn't meet your needs for the following year.

When Your Plan is Discontinued

If a Medicare Advantage plan is discontinued, you will receive a non-renewal notice. A Special Enrollment Period (SEP) begins, allowing you to find new coverage. If you do not choose a new plan, you may be automatically enrolled in Original Medicare.

Understanding When to Make a Change

Annual review is advisable due to potential changes in your health, provider network, costs, or available plans.

Comparison: Medicare Advantage vs. Original Medicare

Feature Original Medicare Medicare Advantage (Part C)
Coverage Parts A and B. Bundles Parts A, B, and usually D. May include extra benefits.
Network Restrictions Can see any doctor in the U.S. who accepts Medicare. Often requires staying within a specific network (HMO/PPO).
Costs Has deductibles, coinsurance, and no out-of-pocket maximum. Requires separate Part D and may use Medigap. Has different copayments/deductibles and an out-of-pocket spending limit.
Prescription Drugs Requires a separate Part D plan. Most plans include Part D coverage.
Extra Benefits Does not cover routine dental, vision, or hearing. Most plans offer extra benefits.
Referrals No referrals needed for specialists. May require a referral for specialists, especially HMO plans.

For more information, the official Medicare website is a useful resource: {Link: Medicare.gov https://www.medicare.gov/}

Conclusion

While Medicare Advantage plans typically renew automatically, it is important to review the Annual Notice of Change and utilize the Annual Enrollment Period to make informed decisions about your coverage.

Frequently Asked Questions

No. If you are satisfied with your plan and the changes in the Annual Notice of Change, it will automatically renew.

The Annual Enrollment Period (AEP) is for making changes to coverage and runs from October 15 to December 7.

You'll receive a non-renewal notice in October and must choose a new plan by December 7, or you will be automatically returned to Original Medicare.

Yes. The Medicare Advantage Open Enrollment Period (MA OEP) is from January 1 to March 31, allowing switches between MA plans or back to Original Medicare.

The ANOC is a letter sent in September detailing upcoming changes to your plan's costs, benefits, and coverage.

Generally, you must wait for the next enrollment period unless you qualify for an SEP.

Yes, you can switch back during the AEP (Oct 15–Dec 7) or the MA OEP (Jan 1–Mar 31).

Review changes in premiums, drug formulary, and the list of covered providers and hospitals.

References

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Medical Disclaimer

This content is for informational purposes only and should not replace professional medical advice. Always consult a qualified healthcare provider regarding personal health decisions.