Important Medicare Dates
January 18, 2021
When can I join, switch, or drop a plan?
You can join, switch, or drop a Medicare health plan or a Medicare Advantage Plan (Part C) with or without drug coverage during these times:
- Initial Enrollment Period. When you first become eligible for Medicare, you can join a plan (see page 17).
- Open Enrollment Period. From October 15 – December 7 each year, you can join, switch, or drop a plan. Your coverage will begin on January 1 (as long as the plan gets your request by December 7).
- Medicare Advantage Open Enrollment Period. From January 1 – March 31 each year, if you’re enrolled in a Medicare Advantage Plan, you can switch to a different Medicare Advantage Plan or switch to Original Medicare (and join a separate Medicare drug plan) once during this time.
Why Terminology Matters in Health Insurance! Terminology matters because small differences in wording can have significant financial consequences for health plan members. One of the most misunderstood phrases is the difference between a provider being in network and a provider accepting a health plan . An in-network provider has a contractual agreement with the insurance company to provide services at negotiated rates. These providers are included in the plan’s network, allowing members to receive the highest level of benefits and the lowest out-of-pocket costs. By contrast, a provider who simply accepts a plan may submit claims to the insurance company but does not have a network contract. While the provider may be willing to see the patient, services could be processed as out-of-network, resulting in higher deductibles, coinsurance, or balance billing. When members confuse these terms, they may unknowingly receive care from out-of-network providers and face unexpected medical bills. Understanding the terminology helps members make informed decisions and avoid costly surprises.
