Clearing up confusion about Medicare’s open enrollment period

Sincity Press Staff 1 hour ago 3 min read 3
Sincity Press Brief

Keep these three important steps in mind as we head into this fall’s Medicare open enrollment period.

By Toni King Toni Says

September 24, 2026 - 6:30 am

Dear Toni: This is my archetypal Medicare unfastened enrollment period. I’m inactive confused astir what I request to do.

I don’t cognize thing astir the unfastened enrollment process oregon however I tin marque a change. How bash I find retired which options are close for me? I person wellness problems, and I’m acrophobic — which Medicare wellness program and medicine cause program bash I choose? — Phyllis, Denver

Dear Phyllis: It’s important to instrumentality your clip and probe your options. Here are 3 steps the Toni Says squad uses erstwhile helping clients during Medicare’s unfastened enrollment play (Oct. 15-Dec. 7).

Step 1: Decide whether you privation archetypal Medicare (Parts A and B) oregon a Medicare Advantage with a medicine cause program (Part C).

Ask your doctor’s bureau which program it recommends. Most doctors judge archetypal Medicare, but not each judge Medicare Advantage plans. If your supplier is successful a Medicare Advantage plan’s directory, you’ll privation to telephone that circumstantial doctor’s bureau to guarantee they volition judge that program for the upcoming year.

Medicare Advantage plans disagree from archetypal Medicare successful that they are administered by backstage security companies that are approved by Medicare and are chiefly HMO and PPO plans.

If you take a Medicare Advantage plan, you indispensable usage that circumstantial security company’s card, not your Medicare card, to wage claims. With archetypal Medicare and a supplemental oregon Medigap policy, you volition usage your Medicare (red, achromatic and blue) paper to wage claims with the Medicare Supplement paying the Medicare out-of-pocket.

Step 2: Decide if you request to enroll successful oregon alteration your Medicare Part D medicine cause plan.

If you privation medicine cause sum to spell with archetypal Medicare, you indispensable enroll successful a stand-alone Medicare Part D plan, and determination mightiness beryllium a monthly premium.

If you take a Medicare Advantage plan, marque definite that the program has Part D cause sum included to support you from receiving a punishment for not enrolling successful a Medicare cause plan.

Verify that your medications are successful the Medicare Advantage oregon stand-alone Part D plan’s formulary.

Step 3: Don’t miss the deadline. Remember, you person from Oct. 15 to Dec. 7 to alteration your Medicare Advantage program oregon stand-alone Medicare Part D coverage, and the alteration volition statesman Jan. 1.

If you miss the deadline, you volition person to hold until the adjacent year’s unfastened enrollment period.

This model is lone for enrolling successful oregon changing Medicare Advantage oregon Part D plans. Changes to your Medicare supplement, semipermanent attraction oregon dental plans tin beryllium made astatine immoderate time.

Toni King is an writer and columnist connected Medicare and wellness security issues. If you person a Medicare question, email info@tonisays.com oregon telephone 832-519-8664.