Medicare Blog

who do you call to make changes to medicare

by Maryse Ratke V Published 3 years ago Updated 2 years ago
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1-800-633-4227

Full Answer

When can I Change my Medicare plan?

There are many plan changes that Medicare beneficiaries might want to make from one year to the next. For most of them, the applicable open enrollment period is October 15 to December 7, with changes effective on January 1. During that timeframe, you can: Switch from Original Medicare to Medicare Advantage, or vice versa.

How do I know if my coverage is affected by Medicare?

If so, read the materials from your insurer or plan, or call them to find out how the coverage works with, or is affected by, Medicare. If you have coverage through a former or current employer or union or other source, talk to your benefits administrator, insurer, or plan before making any changes to your coverage.

Who do I call if I Have Questions about Medicare?

Do you have questions about your Medicare coverage? 1-800-MEDICARE (1-800-633-4227) can help. TTY users should call 1-877-486-2048. What should I have ready when I call 1-800-MEDICARE?

How do I contact Medicare about a medical bill?

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE. If you want Medicare to be able to give your personal information to someone other than you, you need to fill out an " Authorization to Disclose Personal Health Information ."

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How do I make changes to my Medicare?

How to switchTo switch to a new Medicare Advantage Plan, simply join the plan you choose during one of the enrollment periods. You'll be disenrolled automatically from your old plan when your new plan's coverage begins.To switch to Original Medicare, contact your current plan, or call us at 1-800-MEDICARE.

Can you change Medicare at any time?

If you're covered by both Medicare and Medicaid, you can switch plans at any time during the year. This applies to Medicare Advantage as well as Medicare Part D.

How can I contact Medicare by telephone?

(800) 633-4227Centers for Medicare & Medicaid Services / Customer service

What is the deadline to make changes to Medicare?

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.

Can I change my Medicare Advantage plan if I don't like it?

No, you can't switch Medicare Advantage plans whenever you want. But you do have options if you're unhappy with your plan. You can jump to another plan or drop your Medicare Advantage plan and change to original Medicare during certain times each year. You may be eligible to change plans at other times, too.

What are the negatives of a Medicare Advantage plan?

Medicare Advantage can become expensive if you're sick, due to uncovered copays. Additionally, a plan may offer only a limited network of doctors, which can interfere with a patient's choice. It's not easy to change to another plan. If you decide to switch to a Medigap policy, there often are lifetime penalties.

How do I speak to Medicare?

Call 1-800-MEDICARE For questions about your claims or other personal Medicare information, log into (or create) your secure Medicare account, or call us at 1-800-MEDICARE (1-800-633-4227). TTY users can call 1-877-486-2048.

What phone number is 800 633 4227?

For questions about Medicare benefits, call 1-800-MEDICARE (1-800-633-4227) or visit Medicare.gov. TTY users should call 1-877-486-2048.

When should I contact Medicare?

Generally, we advise people to file for Medicare benefits 3 months before age 65.

Does my Medicare automatically renew?

Although there are a few exceptions, Medicare plans generally renew each year automatically. This is true for original Medicare as well as Medicare Advantage, Medigap, and Medicare Part D plans.

Do I have to renew Medicare Part B every year?

For Original Medicare (Parts A and B), there are no renewal requirements once enrolled. Medigap plans ― also known as Medicare Supplement plans ― auto renew annually unless you make a change.

How do I change my Medicare Part B start date?

If changing your initial month of Part B coverage is possible in your case, you'll likely need to submit a new form CMS-40B (https://www.cms.gov/cms40b-application-enrollment-part-b) along with any required documentation. You should probably first contact Social Security to see what options are available to you.

Phone

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

1-800-MEDICARE (1-800-633-4227)

For specific billing questions and questions about your claims, medical records, or expenses, log into your secure Medicare account, or call us at 1-800-MEDICARE.

When can I join a health or drug plan?

Find out when you can sign up for or change your Medicare coverage. This includes your Medicare Advantage Plan (Part C) or Medicare drug coverage (Part D).

Types of Medicare health plans

Medicare Advantage, Medicare Savings Accounts, Cost Plans, demonstration/pilot programs, and Programs of All-inclusive Care for the Elderly (PACE).

When to switch to original Medicare?

Switch to Original Medicare during the first year on the Medicare Advantage plan (trial period). Switch to Original Medicare during the annual Medicare Advantage open enrollment period (January 1 to March 31).

How many stars does Medicare have?

Medicare utilizes a star rating system for Medicare Advantage and Part D Prescription Drug Plans. Each Medicare contract is assigned a rating of one to five stars, with the best contracts receiving five stars.

How long is the disenrollment period for Medicare?

The disenrollment period, created by the Affordable Care Act, was only a month and a half long. It allowed Medicare Advantage enrollees to switch to Original Medicare and a Part D plan, but did not allow them to switch to a different Medicare Advantage plan.

How to leave Medicare Advantage?

To protect Medicare beneficiaries, lawmakers provided escape hatches for Medicare Advantage enrollees who decide – for whatever reason – that they’d rather be covered under Original Medicare . There are essentially four different avenues available to enrollees who want to leave their Medicare Advantage plan: 1 Make changes during general open enrollment (October 15 to December 7, with changes effective January 1). 2 Switch to Original Medicare during the first year on the Medicare Advantage plan (trial period). 3 Switch to Original Medicare during the annual Medicare Advantage open enrollment period (January 1 to March 31). Note that Medicare Advantage enrollees also have the option to switch to a different Medicare Advantage plan during this time. 4 Switch to Original Medicare (or a different Medicare Advantage plan, depending on the situation) if a special enrollment period becomes available.

What percentage of Medicare beneficiaries are in Medicare Advantage?

Medicare Advantage (Medicare Part C) has become increasingly popular over the last decade. Thirty-four percent of all Medicare beneficiaries were in Medicare Advantage plans as of 2019, up from just 13 percent in 2005. And by late 2019, nearly 38 percent of Medicare beneficiaries had private coverage, nearly all of whom had Medicare Advantage ( Medicare Cost plans are another form of private Medicare coverage, but very few people are enrolled in those plans). But that doesn’t mean everyone is happy with Medicare Advantage, or that it’s the right option for all Medicare beneficiaries who enroll in it.

How long is the Medicare trial period?

This applies to people who enrolled in Medicare Advantage as soon as they turned 65 , and also to people who switched from Original Medicare to Medicare Advantage – but only if it’s their first time being on a Medicare Advantage plan.

When is the open enrollment window for Medicare Part B?

This window runs from January 1 to March 31, with coverage effective July 1.

How many months do you have to sign up for Medicare?

If you sign up for Medicare during the general enrollment period, you have three additional months (April – June) during which you can select a Part D plan or a Medicare Advantage plan.

When will Medicare open enrollment end?

A: For 2021 coverage, open enrollment (also known as the annual election period) for Medicare Advantage and Medicare Part D ended on December 7, 2020.

How many Medicare Advantage plans will be available in 2021?

For 2021, there are a total of 28 plans that have a five-star rating. Most are Medicare Advantage plans, but the list includes two stand-alone Part D plans and two Medicare cost plans.

When is the special enrollment period for Medicare?

The federal government allows a special enrollment period, after the end of the general enrollment period, for people who live in (or rely on enrollment help from someone who lives in) an area that’s experienced a FEMA-declared major disaster or emergency. For 2021 coverage, there are several states and several partial states where this special enrollment period is available. Eligible enrollees who make a Medicare Advantage or Part D plan selection during this special enrollment period will have coverage effective January 1, 2021.

When will Medicare Advantage coverage start in 2021?

Eligible enrollees who make a Medicare Advantage or Part D plan selection during this special enrollment period will have coverage effective January 1, 2021.

When is Medicare Part B coverage guaranteed?

If you’re within the six-month open enrollment window that begins as soon as you’re at least 65 and enrolled in Medicare Part B, the coverage is guaranteed issue. That is also the case if you’re in a special enrollment period triggered by a qualifying event.

Does Medicare Advantage last longer than the disenrollment period?

As of 2019, this window replaced the Medicare Advantage Disenrollment Period that was available in prior years. It lasts twice as long and provides more flexibility than the disenrollment period did, as it also allows Medicare Advantage enrollees the option to switch to a different Medicare Advantage plan.

Key Takeaways

Several enrollment periods each year allow you to change your Medicare coverage.

How Do I Change My Medicare Plan?

The specific steps needed to change your Medicare plan depend on the type of plan you want to join.

Can You Change Medicare Plans After Enrollment?

Yes, depending on your circumstance, you may have an opportunity to change your Medicare plan after the Medicare Open Enrollment Period. Whether or not you’re allowed to make a change (and when) depends on what type of Medicare plan you’re enrolled in.

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