Return of the Medicare OEP

Return of the Medicare OEP

The coming year, 2019, is a huge year for Medicare beneficiaries, there will be many changes, and most of them are beneficial. In 2010, lawmakers did away with the Medicare Open Enrollment Period. The 21st Century Cures Act means that now they are bringing it back, starting January 1st

It can easily be confusing when you are trying to talk about the Open Enrollment Period since many different enrollment periods are accurately and inaccurately called “Open Enrollment Period,.” The period that we are talking about for Open Enrollment Period will begin on January 1 and end on March 31.

During this time beneficiaries get a one-time opportunity to change from Medicare Advantage plan to another Medicare Advantage plan. You could also disenroll for the Medicare Advantage program altogether and switch to Traditional Medicare.

Return of the Medicare OEP

“Open Enrollment Period” Confusion

Every Medicare beneficiary has heard the term “Open Enrollment Period” before, especially if they’ve been on Medicare for a while. Well, for those that get confused easily, this is for you:

Medicare Supplement Open Enrollment Period

Medigap Plans Open Enrollment Period is for beneficiaries that just turned 65 or are new to Medicare. The Open Enrollment Period for this age group lasts for 6 months and begins on the first day of the month that you turn 65 and are enrolled in Medicare Part B.

An example to help make this clear: if you turn 65 on April 8 and then join Medicare Part B on May 19. Your Medicare Supplement Enrollment will start on June 1, which is the first day of the month in which you will be both 65 and enrolled in Medicare Part B.

The returning Open Enrollment Period is for Medicare Advantage plan beneficiaries that either wish to change MA plans or return to Original Medicare.

It’s important to understand when you’re granted guaranteed issue. Many beneficiaries ask, “does Medicare cover cancer treatments.” The answer is yes, but make sure you’re enrolling during your Initial enrollment period.

Inaccurately called “Open Enrollment Period.”

Medicare can be complicated, especially with all the different enrollment periods. It’s important for California state residents to understand all types of enrollment periods.

The Annual Enrollment Period (AEP) is from October 15 through December 7, this enrollment period has been inaccurately called the Open Enrollment Period.

When Medicare beneficiaries turn 65, they become eligible for the Initial Enrollment Period, this gives beneficiaries 7 months to enroll into a Medicare Advantage plan. This enrollment period is commonly mistaken for an Open Enrollment Period, it could possibly be getting mixed up with the Medicare Supplement Open Enrollment Period.

Return of the Medicare OEP

The Open Enrollment Period Explained

Medicare’s Open Enrollment Period will replace the Medicare Advantage Disenrollment Period (MADP) that was from January 1 until February 14 of every year.

The MADP was an opportunity to disenroll from a Medicare Advantage plan, then return to an Original Medicare plan. Unfortunately, the option to enroll in a different plan wasn’t available to Medicare recipients during this time.

Now, things are changing for beneficiaries for the better. The new Medicare changes of 2019 will make changing from the unsuitable Medicare Advantage plan to a more suitable plan, possible.

Medicare-eligible beneficiaries that are enrolled in a stand-alone Part D prescription drug plan need to make changes to their Part D Prescription Drug plan during AEP (October 15 through December 7 of every year).

Each year, before September 30th, Medicare Advantage recipients will receive an Annual Notice of Change (ANOC) as well as Evidence of Coverage (EOC) from their existing insurance carrier. This notice will be for their Medicare Advantage and Medicare Prescription drug plan providers.

Whenever beneficiaries receive this information, it’s their responsibility to note changes and adjust their coverage if needed.



Author: Alisha Land

Alisha started writing as a teenager for her high school newspaper in North Carolina. Her love of writing turned into a career that has lasted over 2 decades and is still going strong. When she is not with her kids, she spends any spare time she has enjoying nature and children's photography and working on a series of children's safety books.

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