Are You in the 68% Who Miss Out During Medicare Open Enrollment?

Every year, millions of people across the country go through Medicare open enrollment without reviewing or changing their plans. According to recent reports, nearly 68% of Medicare users miss out on better coverage, lower costs, or additional benefits—just because they didn’t take the time to explore their options.

If you’re one of them, you’re not alone. But this blog can help you understand why Medicare open enrollment matters and what you can do to avoid missing out.

What Is Medicare Open Enrollment?

Medicare open enrollment happens once a year, from October 15 to December 7. During this time, anyone with Medicare can:

• Switch from Original Medicare to a Medicare Advantage plan

• Move from one Medicare Advantage plan to another

• Join, drop, or change a Medicare Part D (prescription drug) plan

Many people think their current plan is “good enough” and don’t take a second look. But even small changes in coverage, cost, or networks can have a big impact.

Why Do 68% Miss Out During Medicare Open Enrollment?

There are several reasons why so many people skip reviewing their plans:

1. Lack of Awareness

Many people don’t realize that Medicare open enrollment even exists—or they assume it doesn’t apply to them.

2. Confusion About Choices

The different parts of Medicare can feel confusing. Between Parts A, B, C, and D, it’s easy to stick with the status quo rather than review what’s new.

3. Thinking Everything Stays the Same

Some people believe if they’re happy now, they’ll still be happy next year. But plans change every year. Premiums go up. Doctors leave networks. Drug prices shift.

4. Feeling Overwhelmed

With so many letters, deadlines, and options, some Medicare users get overwhelmed and give up before they even begin.

The Cost of Skipping Medicare Open Enrollment

Skipping Medicare open enrollment might seem harmless, but it can cost you more than you think:

• You could miss out on plans with lower premiums or copays

• You might stay on a plan that no longer covers all your medications

• You could lose access to doctors or clinics in your area

• You might not get extra benefits like vision, hearing, or dental care

Making even one small change during Medicare open enrollment could save you hundreds—or even thousands—of dollars a year.

What You Should Do During Medicare Open Enrollment

Here’s a short checklist to help you take full advantage of Medicare open enrollment:

1. Review Your Current Plan

Look at how your plan worked for you this past year. Did you pay more than expected? Were your doctors and prescriptions covered?

2. Compare Other Plans

Use the official Medicare Plan Finder to compare plans in your area. You may find a better fit—either in cost or coverage.

3. Check for Changes

Even if you’re happy with your plan, check the Annual Notice of Change (ANOC) sent by your insurer. It will highlight any changes for the upcoming year.

4. Ask for Help if Needed

If it all feels like too much, talk to a trusted Medicare advisor or use your State Health Insurance Assistance Program (SHIP) for free guidance.

Common Mistakes to Avoid

During Medicare open enrollment, it’s important to avoid these mistakes:

• Not checking your medications: Drug coverage changes often. Make sure your prescriptions are still covered.

• Assuming your doctor is still in-network, Networks can shift. Double-check to avoid surprise bills.

• Missing the deadline: If you don’t make changes by December 7, you’ll likely be stuck with your current plan for another year.

How to Prepare for Medicare Open Enrollment

Start early. Don’t wait until the last minute. The more time you give yourself to explore, the more likely you’ll find a plan that fits your current health needs and budget.

You can also:

• Make a list of your current medications

• Write down your preferred doctors and specialists

• Think about upcoming surgeries or treatments

• Decide if extra benefits like dental or hearing are important to you

All of this will help you during Medicare open enrollment and make the decision process easier.

Medicare Open Enrollment: Final Thoughts

If you’ve ignored Medicare open enrollment in the past, now is the time to change that. With 68% of people missing out on better options, there’s a good chance you could benefit from reviewing your plan.

Medicare open enrollment isn’t just about paperwork. It’s about making sure you get the care you need at a cost you can afford.

Ready to Stop Missing Out During Medicare Open Enrollment?
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Frequently Asked Questions (FAQs)

What is the deadline for Medicare open enrollment?

The deadline for Medicare open enrollment is December 7 each year. After that, you won’t be able to make changes unless you qualify for a special enrollment period.

Can I change my Medicare Advantage plan during open enrollment?

Yes, during Medicare open enrollment, you can switch from one Medicare Advantage plan to another or return to Original Medicare.

Do I have to do anything during Medicare open enrollment?

If you’re happy with your plan and it still meets your needs, you don’t have to do anything. However, it’s wise to double-check for changes.

What happens if I miss Medicare open enrollment?

You’ll likely be stuck with your current plan until the next Medicare open enrollment period, unless you qualify for a special exception.