The Annual Enrollment Period (AEP) typically refers to a specific period during which individuals can make changes to their health insurance plans or enroll in new ones.
The primary purpose of the AEP is to allow individuals to review their current coverage and make changes if necessary.
During the Annual Enrollment Period, individuals can typically do the following:
There are certain circumstances, such as qualifying life events (like marriage, birth/adoption of a child, or loss of other coverage), that may qualify individuals for a Special Enrollment Period outside of the AEP.
It's crucial for individuals to review their health insurance options during the AEP to ensure they have the coverage that best meets their current needs. Changes made during this period generally take effect on January 1 of the following year.
Overall, the Annual Enrollment Period is a critical time for beneficiaries of Medicare and other health insurance plans to evaluate and adjust their coverage as necessary for the upcoming year.
The Medicare Annual Notice of Change (ANOC) is a document sent to you in late August or September by your Medicare Advantage (Part C) or Medicare Prescription Drug (Part D) plan carrier. The purpose of this notice is to prepare you for the Annual Enrollment Period (AEP) by providing detailed information about the changes to your plan for the upcoming year. This helps you decide if you want to stay with the current plan you are on or make a change during AEP.
Details about any changes in the medical and drug coverage provided by the plan. This could include updates to covered services, changes in network providers, or alterations in the types of drugs covered.
Information on any adjustments to premiums, deductibles, copayments, or coinsurance.
For Medicare Part D plans, the ANOC will outline changes to the drug formulary, which is the list of covered prescription drugs. This might include additions or deletions of drugs, as well as changes in drug tiers. IT IS VERY IMPORTANT TO REVIEW THIS while cross-referencing any changes to your medications.
Updates on which healthcare providers and facilities are in-network, including any changes to the availability of services or providers.
Any modifications to the plan’s rules, such as authorization requirements or coverage limits, as well as changes in ancillary benefits like dental, vision, OTC, and wellness services.
The ANOC is crucial for you to understand how your current plan will change in the upcoming year. It helps you prepare for the Annual Enrollment Period (AEP), which occurs from October 15 to December 7 each year. It helps you decide if you want to switch plans or make other changes if needed.
We do not offer every plan available in your area. Currently we represent 8 organizations which offer 177 products in your area. Please contact Medicare.gov, 1-800-Medicare, or your local State Health Insurance Program (SHIP) to get information on all your options. This is a proprietary website and is not associated, endorsed or authorized by the Social Security Administration, the Department of Health and Human Services or the Center for Medicare and Medicaid Services. This site contains decision-support content and information about Medicare, services related to Medicare and services for people with Medicare. If you would like to find more information about the Medicare program please visit the Official U.S. Government Site for People with Medicare located at http://www.medicare.gov.