If your Medicare Advantage plan is ending

Your plan may be ending, but your coverage options aren’t. We’re here to help you move forward.

Learning that your Medicare Advantage plan is ending can be stressful, but you don't have to navigate the change alone. You have options for maintaining your coverage. Reviewing your choices and enrolling in a new plan before your current coverage ends can help ensure a smooth transition.

If your plan is ending, you can generally enroll in another Medicare Advantage plan, return to Original Medicare, or, if eligible, choose Original Medicare with Medicare Supplement and Part D coverage. Your enrollment period will depend on why and when your plan is ending.

Why is my Medicare Advantage plan ending?

Medicare Advantage plans may end for several reasons, including:

  • The insurance company decides not to renew the plan
  • Medicare ends its contract with the plan
  • The plan no longer serves your county or service area
  • The plan changes its coverage offerings
  • The insurance company exits the market

If your plan is ending, you will receive advance notice explaining what is changing, when your coverage ends and what enrollment options may be available to you.

Your coverage options

When your Medicare Advantage plan ends during the Annual Enrollment Period (AEP), you have several options to continue your Medicare coverage. The best choice depends on your healthcare needs, prescription medications, preferred providers and budget. You can enroll in a new Medicare Advantage plan, return to Original Medicare, or, if eligible, choose Original Medicare with a Medicare Supplement plan and Part D prescription drug coverage. If your plan ends outside of AEP, you may qualify for a Special Enrollment Period (SEP) to select new coverage. The enrollment period available to you will depend on why and when your plan is ending.

If your plan is ending Coverage option What to consider 
Option 1Another Medicare Advantage planNetwork, prescriptions, benefits, monthly costs
Option 2Original MedicarePart A + Part B; consider separate Part D
Option 3Original Medicare + Medicare SupplementOut-of-pocket coverage; eligibility; consider Part D

 

Reviewing your options carefully can help ensure you have the coverage that best fits your needs for the coming year.

Next steps

1. Review your notice

Your insurance company will send a notice explaining:

  • When your current coverage ends
  • Why the plan is ending
  • Any special enrollment rights you may have

2. Understand your enrollment window

Depending on your situation, you may qualify for a Special Enrollment Period or be able to switch plans during Medicare's Annual Enrollment Period.

3. Explore plans available in your area

Review the plans available in your area based on provider access, prescription drug coverage, costs and benefits.

4. Verify coverage

Confirm that your preferred doctors, specialists, hospitals and prescription medications are covered by any plan you're considering.

5. Enroll before your deadline

Submitting your enrollment before your current plan terminates helps prevent interruptions in coverage and access to care.

Compare your coverage options

Before enrolling in a new plan, compare provider networks, prescription drug coverage, costs and extra benefits. Make sure your preferred doctors, hospitals and medications are covered.

Want assistance reviewing your options with Priority Health? Use our guided tool or contact your licensed insurance agent.

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Important enrollment deadlines

If your Medicare Advantage plan ends on December 31, review and enroll in new coverage during Medicare's Annual Enrollment Period (October 15 to December 7).

If your plan is ending or not renewing, you may qualify for a Special Enrollment Period (SEP) that allows you to enroll in new coverage outside the Annual Enrollment Period. Review your plan notice for your specific enrollment options and deadlines.

Missing enrollment deadlines could limit your coverage options and delay coverage changes. Starting early can make it easier to compare your options and choose the coverage that best fits your needs.

Can I stay with the same insurance company?

If you're happy with your current insurance company, check whether it offers other Medicare Advantage plans in your area.

Even plans from the same company can differ significantly in provider networks, prescription drug coverage, costs and benefits. Review the plan details carefully before enrolling.

Frequently asked questions

If you worked with a licensed insurance agent when you enrolled in your current plan, we recommend contacting them first. They can help you review your new plan options and understand what may work best for your needs.

If you don’t have an agent, you can contact Priority Health directly for help understanding which plans are available in your area. Either way, it’s important to compare your options and enroll before your current coverage ends.

If your plan is being terminated or will not be renewed, you will need to choose another coverage option for the following year.

Not always. Review the information provided in your notice to understand whether any automatic enrollment applies to your situation.

Yes. You can generally return to Original Medicare and, if desired, enroll in a standalone Medicare Part D prescription drug plan.

Yes. Most beneficiaries whose Medicare Advantage plan is ending qualify for a Special Enrollment Period that allows them to enroll in new coverage outside the standard Annual Enrollment Period.

Review the plan's provider directory or contact the plan directly to confirm your doctor's participation before enrolling.

You may lose Medicare Advantage coverage when your current plan ends. Acting before your enrollment deadline helps ensure you maintain continuous health coverage.

Ready to review your options?

We can help you compare Medicare Advantage plans available in your area and understand your coverage choices.

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If you have a licensed insurance agent, we recommend contacting them first for help reviewing your options and enrolling in a plan that fits your needs.

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