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What is the good news?
There is another enrollment period called the Open Enrollment Period (OEP) which runs the first quarter of the year – January 1st to March 31st.
You can only change from a Medicare Advantage plan to another Medicare Advantage plan during this time.
If you make a plan change in January your new Medicare Advantage plan starts February 1st.
If you make a plan change in February your new Medicare Advantage plan starts March 1st.
THOUGHT TO CONSIDER!!!
If you do wait to make a plan change with me in January 2025, you still have the Medicare Advantage plan from 2024 and are subject to any changes in that plan, including higher premiums and copays … including if Family Care Medical Group and St. Joseph’s does not agree to a contract with Excellus BCBS for 2025 (you would be out-of network).
Also, I understand that Humana does not have Upstate Hospital
in-network for 2025.
SOLUTION!
This is doable, but if you do wait to make a plan change in 2025 you would be out-of-network WITH A PPO PLAN and would have to pay the total bill upfront and seek reimbursement from the carrier (insurance company) minus your copay or coinsurance.
This would NOT work with HMO Medicare Advantage plan because there is NO out-of-network coverage.
IF YOUR MEDICARE ADVANTAGE PLAN IS ENDING BY DECEMBER 31st, 2024 – YOU DO HAVE UNTIL DECEMBER 31st, 2024 TO MAKE A PLAN CHANGE FOR 2025. (instead of the cut off date of December 7th).
You will need a January 1st effective date so there is no gap in coverage for the new year.
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