Medicare Annual Enrollment is Here: What you Need to Know for 2026

It’s That Time of Year Again — Medicare Annual Enrollment Is Here!

Every year, Medicare gives you a chance to review your health and prescription drug coverage to make sure it still fits your needs. This period, known as Medicare’s Annual Enrollment Period (AEP), runs from October 15 through December 7.

During AEP, you can:
– Switch from Original Medicare to a Medicare Advantage plan (Part C)
– Change from one Medicare Advantage plan to another
– Add or drop a Part D prescription drug plan
– Return to Original Medicare (Parts A & B)

Any changes you make during this time will take effect January 1, 2026.

Why Reviewing Your Plan Each Year Matters

Even if you’re happy with your current coverage, it’s smart to check your plan every fall. Carriers update benefits, networks, and drug formularies annually — and those changes could impact your coverage or your costs.

Some things to review:
– Monthly premium and copays
– Prescription drug coverage and tier changes
– Doctor and hospital networks
– Added benefits such as dental, vision, hearing, and wellness programs

Your health, medications, or financial situation may have changed too. A quick review ensures your plan still works for you — not the other way around.

Understanding Your Options

Here’s a quick refresher on the three main Medicare coverage paths:

1. Original Medicare (Parts A & B)
   – Covers hospital and medical care
   – Does not include prescription drugs (Part D must be added separately)
   – You can pair it with a Medicare Supplement (Medigap) policy to help with out-of-pocket costs

2. Medicare Advantage (Part C)
   – Combines hospital, medical, and often prescription coverage
   – May include extra benefits like dental, vision, and hearing
   – Offered by private insurance companies approved by Medicare

3. Prescription Drug Plans (Part D)
   – Standalone plans for those with Original Medicare
   – Helps lower prescription medication costs

How to Make the Most of Annual Enrollment

Here are a few simple tips to make your AEP experience easier:
– Gather your information early. Make a list of your prescriptions, doctors, and preferred pharmacies.
– Review the Annual Notice of Change (ANOC) from your current plan — it outlines what’s changing next year.
– Compare your options. Look at coverage, costs, and star ratings, not just the monthly premium.
– Work with a licensed local agent. Avanti Insurance Solutions partners with trusted carriers to help you compare plans available in West Michigan and find one that meets your needs.