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Medicare Advantage Plan Changes: Your Second Chance Opportunity

3/8/2025

 
Medicare Advantage Plans - open enrollment 2025
Are you feeling stuck with a Medicare Advantage plan that isn't meeting your needs? Many seniors don't realize they have another opportunity to make changes after the Annual Enrollment Period ends. This little-known second chance period could be your pathway to better coverage.

Understanding the Medicare Advantage Open Enrollment Period
While the Annual Enrollment Period (October 15 - December 7) gets most of the attention, the Medicare Advantage Open Enrollment Period runs from January 1 through March 31 each year. This special enrollment window provides flexibility for those who missed the earlier deadline or discovered their current Medicare Advantage plan isn't working as expected.

During this period, you have options. If you're currently enrolled in a Medicare Advantage plan, you can:
  • Switch to a different Medicare Advantage plan
  • Return to Original Medicare (and potentially enroll in a Part D prescription drug plan)

Why Consider Making a Change?
There are numerous reasons why your current Medicare Advantage plan might not be meeting your expectations:

Your doctors or preferred healthcare facilities may no longer be in-network, requiring you to find new providers or pay higher out-of-pocket costs. Perhaps your prescription medications have changed, but your current plan's formulary doesn't cover your new medications adequately. Many beneficiaries also discover unexpected coverage gaps for specific treatments or services they need.

Some find that their plan's premiums, deductibles, or copayments increased more than anticipated. Others may have experienced service issues, such as difficulty getting claims approved or reaching customer service representatives.

Taking Action During the Open Enrollment Period
If any of these scenarios sound familiar, don't continue struggling with inadequate coverage. This special enrollment period exists specifically to help beneficiaries find better solutions for their healthcare needs.

The process for changing plans is straightforward, but navigating the options requires careful consideration of your specific health needs, preferred providers, and budget constraints. Working with an experienced Medicare advisor can help ensure you select the most appropriate plan.

Next Steps to Better Coverage
Begin by reviewing your current healthcare needs, including regular doctors, specialists, facilities, and prescriptions. Compare these against the networks and formularies of available Medicare Advantage plans in your area.

Consider coverage for any planned procedures or ongoing treatments you may need this year. Evaluate the total cost picture, including premiums, deductibles, and expected out-of-pocket expenses based on your typical healthcare usage.
Don't miss this valuable opportunity to improve your healthcare coverage. The Medicare Advantage Open Enrollment Period only runs through March 31, giving you limited time to make this important decision.

Reach out today to explore your options and find a Medicare Advantage plan that truly serves your health needs and financial situation. A simple phone call could be the first step toward better, more affordable healthcare coverage for the rest of the year. 
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    Ted Czabanowski

    Licensed Insurance Agent in Rhode Island

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Ted Czabanowski from Elder Care Insurance Solutions, Inc. currently offers Medicare plans in many states but not in all service areas.

We do not offer every plan available in your area.  Currently we represent 5 of 6 organizations in Rhode Island, which offer 39 of 56 products based on service area. In all other states currently appointed, we represent 3-5 organizations each.  We currently offer in the states of Connecticut 38-43 plans out of 60-65; Florida, 72 plans out of 145-50 ; Georgia 70-75 plans out of 135-140; Indiana 50-55 plans out of 120-125; Maine 35-40 plans out of 65-70; Massachusetts 20-25 plans out of 45-50; Michigan 60-65 plans out of 145-50: Nevada 45-50 plans out of 100-105; New York 30-35 plans out of 60-65; Ohio 53-58 plans out of 155-160; Pennsylvania 55-60 plans out of 138-143; So. Carolina 60-65 plans out of 110-115.

Please contact Medicare.gov, 1‑800‑MEDICARE, or your local State Health Insurance Program to get information on all your options.


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