Are you are unhappy with your current coverage and want to cancel your Medicare Advantage plan? If so, you may need to jump through some hoops. Leaving a Medicare Advantage plan can be difficult outside of an applicable enrollment period. Yet, if your timing is right, canceling your Medicare Advantage plan can be a seamless process.
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When Can I Cancel My Medicare Advantage Plan?
Medicare Advantage plans are typically one-year contract plans that can be tough to cancel. Suppose you enroll in a Medicare Advantage plan during your Initial Enrollment Period and decide it is not for you. In that case, you can cancel your Medicare Advantage plan and return to Original Medicare during this enrollment period.
However, once your Initial Enrollment Period ends, you are locked into your plan until the next enrollment period, which could be months away. Medicare Advantage enrollment periods include the Annual Enrollment Period, Medicare Advantage Open Enrollment Period, and in some instances, Special Enrollment Periods.
Remember: an enrollment period is the only time you are eligible to make a change to or cancel your Medicare Advantage plan.
How to Cancel My Medicare Advantage Plan During a Special Enrollment Period
It is not uncommon for Medicare beneficiaries to qualify for Special Enrollment Periods. Beneficiaries have access to Special Enrollment Periods when specific events occur in their life, causing them to require a change in coverage.
Several events can entitle a beneficiary to a Special Enrollment Period, including (but not limited to) moving out of your plan’s service area, qualifying for Medicaid or a low-income subsidy, and loss of group coverage.
If you qualify for a Special Enrollment Period, you can switch or cancel your Medicare Advantage plan.
How to Switch Medicare Advantage Plans
If you like the idea of a Medicare Advantage plan but find your plan’s coverage to be lacking, there are times when you can switch from one Medicare Advantage plan to another. You can do this during the Annual Enrollment Period or the Medicare Advantage Open Enrollment Period.
Switch Medicare Advantage Plans During The Annual Enrollment Period
The Annual Enrollment Period occurs each fall, starting on October 15 and running through December 7. This enrollment period allows you to change from one Medicare Advantage plan to another if you wish to do so. The plan you enroll in during this time will be active on January 1 of the following year.
Switch Medicare Advantage Plans During The Medicare Advantage Open Enrollment Period
If you miss the Annual Enrollment Period, or are dissatisfied with the plan you enrolled in during this time, the Medicare Advantage Open Enrollment Period comes shortly after. Each January, this enrollment period is available to those who already have a Medicare Advantage plan. During this time, you may make one change to your Medicare Advantage plan. So, if you wish to switch Medicare Advantage plans, you may do so during this time.
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How to Switch from Medicare Advantage to Original Medicare
Like switching from one Medicare Advantage plan to another, you can only switch from Medicare Advantage to Original Medicare during an enrollment period. The Annual Enrollment Period and the Medicare Advantage Open Enrollment Period allow you to change Medicare Advantage plans. These enrollment periods will also enable you to cancel your Medicare Advantage plan altogether.
When canceling your Medicare Advantage plan, you automatically revert to Original Medicare. This is because Medicare Advantage plans absorb your risk from Original Medicare. Thus, you will automatically receive Medicare Part A and Medicare Part B coverage when you cancel your Medicare Advantage plan.
In some instances, you might be eligible to cancel your Medicare Advantage plan and revert to Original Medicare without an enrollment period. Yet, you must qualify for one of two trial right periods to do this.
Suppose you enrolled in a Medicare Advantage plan when you first became eligible for Medicare. In this case, you can use a trial right to return to Original Medicare. Likewise, imagine you left a Medicare Supplement plan to enroll in a Medicare Advantage plan for the first time. In that case, you can also use a trial right to return to Original Medicare. Keep in mind that both trial rights are only valid within the first year of enrolling in a Medicare Advantage plan.
How to Switch from Medicare Advantage to Medicare Supplement
Suppose you decide your Medicare Advantage plan’s network restrictions and high out-of-pocket costs are not for you. If so, you may be eligible to cancel your Medicare Advantage plan and enroll in a Medicare Supplement plan.
However, there is no way to switch from Medicare Advantage to Medicare Supplement directly. Once you revert from Medicare Advantage to Original Medicare, you become eligible for a Medicare Supplement plan without a lapse in coverage.
When you return to Original Medicare using a Special Enrollment Period or a trial right, you automatically qualify for guaranteed issue rights to enroll. So, you can enroll in a Medicare Supplement plan without underwriting health questions. However, if you return to Original Medicare during a typical enrollment period, you must answer health questions to enroll in a Medicare Supplement plan.
FAQs
How Do I Cancel My Medicare Advantage Plan?
If you wish to cancel your Medicare Advantage plan, the easiest way is to contact your provider directly. You can also contact your local Medicare office by phone, in person, or online during a valid enrollment period.
Once you cancel your Medicare Advantage plan, you can explore Medicare Supplement options to help cover the costs left over by Original Medicare. To find the best Medicare Supplement plan, it is best to speak with an agent who has access to several top carriers in your area. That is where we come in.
At MedicareFAQ, our agents are trained to find the best plan to cover all your health care needs. Contact us at the number above or complete our online rate comparison form to find the right Medicare Supplement plan for you!
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Sources:
MedicareFAQ is dedicated to providing you with authentic and trustworthy Medicare information. We have strict sourcing guidelines and work diligently to serve our readers with accurate and up-to-date content.
- Guaranteed Issue Rights, Medicare. Accessed April 2022.
https://www.medicare.gov/supplements-other-insurance/when-can-i-buy-medigap/guaranteed-issue-rights - How can I Switch from Medicare Advantage to Original Medicare, KFF. Accessed April 2022.
https://www.kff.org/faqs/medicare-open-enrollment-faqs/how-can-i-switch-from-medicare-advantage-to-traditional-medicare-is-there-a-form-i-need-to-fill-out/ - Join, Switch, or Drop a Medicare Advantage Plan, Medicare. Accessed April 2022.
https://www.medicare.gov/sign-up-change-plans/types-of-medicare-health-plans/medicare-advantage-plans/join-switch-or-drop-a-medicare-advantage-plan