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Can You Go Back to Medicare After Having Medicare Advantage

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Understanding the Enrollment Period

Can You Go Back to Medicare After Having Medicare Advantage

When you're considering a switch from a Medicare Advantage Plan to Original Medicare, timing is crucial. The enrollment period is a designated time when you can make changes to your Medicare Plan. Understanding this period will help you navigate the switch smoothly.

  • Open Enrollment Period: This runs from October 15 to December 7 each year. It's the time to enroll in another Medicare Advantage Plan or switch back to Original Medicare.

  • Medicare Advantage Open Enrollment Period: Occurs from January 1 to March 31. During this time, you can drop your Medicare Advantage Plan and return to Original Medicare or switch to another plan.

  • Special Enrollment Period: Certain life events may qualify you for this period, allowing changes outside of the standard times.

Exploring Medigap and Drug Plan Options

If you decide to return to Original Medicare, you might also want a Medigap policy to help cover costs that Original Medicare doesn't, such as copayments and deductibles. Additionally, consider if you need a separate Medicare drug plan for prescription coverage.

  • Medigap Policy: Designed to fill the "gaps" in Original Medicare.

  • Prescription Drug Plan: Optional, but essential for covering prescription costs if you're leaving a Medicare Advantage Plan that includes drug coverage.

Switching from Your Medicare Advantage Plan

Switching from a Medicare Advantage Plan back to Original Medicare isn't just about timing; it's about making sure your healthcare needs continue to be met effectively. Here's how you can make the switch:

  • Review Your Current Coverage: Understand what your current plan offers and identify any gaps in coverage when switching.

  • Plan Your Switch: Notify your current plan of your intent to drop your Medicare Advantage Plan and return to Original Medicare. This is crucial to ensure there's no lapse in coverage.

How to Join a New Medicare Plan

Once you've decided to return to Original Medicare, enrolling in a new plan is the next step. Whether it's a Medigap policy or a Medicare drug plan, here's what you need to know:

  • Contact Your New Plan: Once the plan gets your request, they will guide you through the enrollment process.

  • Understand the Time Frame: Typically, you have up to two full months after the month your current plan ends to join a new plan.

Evaluating Your Current Health Insurance Needs

Your health insurance needs may have changed since you first joined a Medicare Advantage Plan. Evaluate your current plan and consider if returning to Original Medicare, with the addition of a Medigap policy or prescription drug plan, better suits your needs.

  • Assess Health Changes: Consider any changes in your health that may require different coverage.

  • Cost Consideration: Compare the costs of staying with your current Medicare Advantage Plan versus switching back to Original Medicare with additional plans.

We're Here to Help

Switching back to Original Medicare from a Medicare Advantage Plan can be complex, but you're not alone. At Virginia Insurance Advisors, we're here to help you make informed decisions that best fit your healthcare needs.

Contact us today at (804) 613-6153 to speak with one of our knowledgeable advisors. Whether you're in Amelia Court House, VA, or nearby, we’re ready to assist you in exploring your options and ensuring a smooth transition to your new Medicare Plan.

 
 
 

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15083 Patrick Henry Hwy

Amelia Court House, VA 23002

Plans are insured or covered by Medicare Advantage (HMO, PPO, and PFFS) organization with a Medicare contract and/or a Medicare-approved Part D sponsor. Enrollment in the plan depends on the plan’s contract renewal with Medicare. We do not offer every plan in your area. Please contact medicare.gov or 1-800-Medicare to get information on all your options.

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