Medicare Renewal: Do I Have to Enroll Every Year? | GoHealth (2024)

Key Takeaways

  • Do you have to re-enroll in Medicare every year? Original Medicare coverage automatically renews every year so you don’t have to re-enroll.
  • In most cases, your Medicare Advantage plan or Medicare Part D plan will renew at the end of each year. However, if your plan ends their coverage, you will need to re-enroll in Medicare.
  • Your plan provider notifies you each year of any changes to coverage. This gives you lots of time to decide if you want to re-enroll in the same plan or switch to a new plan.
  • If you don’t want to renew Medicare coverage through the same plan, you can switch plans during the Open Enrollment Period.

Medicare Renewal Periods

Do I have to re-enroll in Medicare every year? In most cases, Medicare re-enrollment is automatic so you only have to enroll in Medicare once.

After you’re enrolled in Medicare, your coverage will continue unless you decide to make changes. Original Medicare, Medicare Advantage plans, Part D plans and Medigap plans all automatically renew. This prevents any gaps in coverage, and saves on time and paperwork for everyone. You won’t need to take any action, and your coverage will continue.

Renewing Medicare Part A

Once you’ve enrolled in Medicare Part A, your coverage automatically renews every year. If you’re happy with your Medicare coverage and you don’t make any changes, your Medicare Part A plan will renew at the end of each year.

Renewing Medicare Part B

Just like Medicare Part A, your Medicare Part B coverage renews at the end of every year. As long as you pay your Part B premiums on time, your plan automatically renews. Your monthly premium may change when the plan renews, but your coverage won’t be dropped.

Renewing Medicare Advantage

Medicare Advantage replaces Original Medicare coverage with a plan from a private insurance company. When you switch to a Medicare Advantage plan or Part C plan, it will replace the Part A and Part B coverage provided by Original Medicare. These plans also renew automatically, so you don’t have to re-enroll in Medicare every year.

Medicare Advantage plans may change their coverage each year, or make changes to their network of providers. They can also reduce the service area or even end the plan altogether. If you’re no longer happy with your coverage or your plan ends, you can enroll in a new Medicare Advantage plan.

Renewing Medicare Part D

Just like Medicare Advantage plans, Medicare Part D plans will automatically renew each year so you don’t have to stress about your prescription drug coverage. But if the insurance company stops offering the plan or doesn’t offer the plan in your area, you’ll need to enroll in a new Part D plan.

Renewing Original Medicare with a Medigap Policy

Your Medigap coverage automatically renews every year. In most cases, your Medigap policy will continue even if your insurance provider stops offering the plan to new Medicare beneficiaries.

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Medicare Renewal: Do I Have to Enroll Every Year? | GoHealth (3)

Will I Get an Annual Notice of Change?

When you’re enrolled in a Medicare Advantage plan or a Medicare Part D plan, you’ll get an Annual Notice of Change (ANOC) every September. This letter details any new changes to your Medicare plan. You’ll have time to review the changes and make sure this is still the right plan for your healthcare needs.

Changes listed in the ANOC can include:

  • Updated coverage options
  • Adjusted copayments and coinsurance amounts
  • Changes to the formulary or prescription drug coverage list
  • New in-network provider list

You don’t need to renew your plan each year, but it’s a good idea to review your ANOC annually. It’s important to find out how the changes in your plan may affect your healthcare coverage. For example, if your primary doctor isn’t listed as an in-network provider, or your medications will no longer be covered, you may want to switch to a new Medicare plan.

Non-renewal Notice

Instead of a Notice of Change, you may get a non-renewal notice from your plan provider. This means that your insurance provider is not renewing their contract with Medicare, or they won’t be offering your plan the following year.

You’ll need to review your plan options and switch to new Medicare coverage. The best time to enroll in a new plan is during the Annual Enrollment Period (AEP) from October 15 to December 7. Your old plan will end on December 31, and your new plan will begin on January 1.

Do I Have to Do Anything During Medicare Open Enrollment?

If you’re happy with your current Medicare coverage, you don’t need to do anything during the Annual Enrollment Period, also referred to as the Medicare Open Enrollment Period. Your plan will automatically renew, and your coverage will continue.

However, if your plan is ending or you want different coverage, AEP is the perfect time to make changes. During this period you can:

  • Enroll in a Medicare Advantage plan.
  • Switch to a new Medicare Advantage plan.
  • Return to Original Medicare coverage.
  • Enroll in a Part D plan.
  • Switch to a new Part D plan.

Your current plan coverage will end at the end of December, and your new coverage will kick in January 1.

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Medicare Renewal: Do I Have to Enroll Every Year? | GoHealth (4)

Does Your Medicare Card Expire?

Your Medicare plan automatically renews each year, and so does your Medicare card.

You receive a red, white, and blue Original Medicare card in the mail when you first enroll. You’ll get a Medicare Advantage plan card or a Part D card if you join either type of plan.

As long as you’re enrolled in Medicare and pay your monthly premiums, these Medicare cards do not expire. There’s no need for Medicare card renewal or replacement unless your original card is lost or damaged.

Your Medicare card will expire if your Medicare plan ends. This can happen if you no longer live in the coverage area or the insurance provider stops offering this plan.

Changing plans? Your old Medicare card will expire when the plan ends, and you’ll get a card for your new plan.

Sources

This website is operated by GoHealth, LLC., a licensed health insurance company. The website and its contents are for informational and educational purposes; helping people understand Medicare in a simple way. The purpose of this website is the solicitation of insurance. Contact will be made by a licensed insurance agent/producer or insurance company. Medicare Supplement insurance plans are not connected with or endorsed by the U.S. government or the federal Medicare program. Our mission is to help every American get better health insurance and save money.

Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Medicare Renewal: Do I Have to Enroll Every Year? | GoHealth (2024)

FAQs

Medicare Renewal: Do I Have to Enroll Every Year? | GoHealth? ›

In most cases, Medicare re-enrollment is automatic so you only have to enroll in Medicare once. After you're enrolled in Medicare, your coverage will continue unless you decide to make changes. Original Medicare, Medicare Advantage plans, Part D plans and Medigap plans all automatically renew.

Do I have to re-enroll in Medicare every year? ›

A short answer to this question is no. If you're enrolled in Original Medicare (Parts A and B) or a Medicare Advantage (MA) plan, your plan will renew automatically. However, there are some exceptions and enrollment information you may not be aware of.

Do Medicare benefits reset every year? ›

Does Medicare Run on a Calendar Year? Yes, Medicare's deductible resets every calendar year on January 1st. There's a possibility your Part A and/or Part B deductible will increase each year. The government determines if Medicare deductibles will either rise or stay the same annually.

What happens if I don't do open enrollment on Medicare? ›

If you miss your 7-month Initial Enrollment Period, you may have to wait to sign up and pay a monthly late enrollment penalty for as long as you have Part B coverage.

How often do you have to apply for Medicare? ›

Generally, you're first eligible to sign up for Part A and Part B starting 3 months before you turn 65 and ending 3 months after the month you turn 65. If you don't sign up for Part B when you're first eligible, you might have to wait to sign up and go months without coverage.

Does Medicare require yearly renewal? ›

Original Medicare coverage automatically renews every year so you don't have to re-enroll. In most cases, your Medicare Advantage plan or Medicare Part D plan will renew at the end of each year. However, if your plan ends their coverage, you will need to re-enroll in Medicare.

What happens if you never enroll in Medicare? ›

Generally speaking, you may have to pay a 10% surcharge on Medicare Part B premiums for each year you go without signing up for Medicare Part B coverage starting the month you're eligible for coverage.

Does Medicare check your income every year? ›

Each fall, when we ask the IRS for information to determine next year's premiums, we ask for tax information to verify your reports of changes affecting your income-related monthly adjustment amounts, if any. We also ask the IRS for your two-year-old MAGI if we've temporarily used three-year-old MAGI.

Does Medicare 100 days reset every year? ›

The benefit period ends when you haven't gotten any inpatient hospital care (or up to 100 days of skilled care in a SNF) for 60 days in a row. If you go into a hospital or a SNF after one benefit period has ended, a new benefit period begins.

What is the 90 day rule for Medicare? ›

If you're admitted to a hospital or other acute care facility, Medicare Part A covers up to 90 days of treatment during each benefit period.

What happens if you do nothing during open enrollment? ›

If you miss open enrollment, you may find that you cannot enroll or make changes to your coverage until the following year. However, qualifying life events can trigger a special enrollment period that will allow for mid-year enrollments and plan changes.

Is Medicare enrollment mandatory? ›

Medicare isn't exactly mandatory, but it can be complicated to decline. Late enrollment comes with penalties, and some parts of the program are optional to add, like Medicare parts C and D. Medicare parts A and B are the foundation of Medicare, though, and to decline these comes with consequences.

What will Medicare charge if someone doesnt enroll? ›

Part B late enrollment penalty

You'll pay an extra 10% for each year you could have signed up for Part B, but didn't. You may also pay a higher premium depending on your income.

Do you have to reapply for Medicare every year? ›

While Original Medicare (Part A and Part B) doesn't require annual renewal, Medicare Advantage and Medicare Part D prescription drug plans do require renewal each year during the Medicare Annual Enrollment Period (AEP).

Why do you have to wait 2 years for Medicare? ›

The original purposes of the 24month waiting period were to limit costs to the Medicare trust funds at a time when many workers might have other health insurance coverage and to ensure that Medicare protection is extended only to persons whose disabilities are severe and long lasting.

What are the three enrollment periods for Medicare? ›

The three Medicare enrollment periods — initial, special and general — are specific time frames when you can enroll in Medicare based on certain circ*mstances, such as choosing to delay enrollment if you continue working past age 65. As such, you may qualify for more than one at different times in your life.

What is the fixed enrollment period for Medicare? ›

The initial enrollment period. When you turn 65, you have a seven month window to enroll in Medicare. This includes three months before the month you turn 65, your birth month, and three months after the month you turn 65.

Can I drop my employer health insurance and go on Medicare Part B? ›

Once you stop working (or lose your health insurance, if that happens first) you have an 8-month Special Enrollment Period (SEP) when you can sign up for Medicare (or add Part B to existing Part A coverage).

Why are people leaving Medicare Advantage plans? ›

Network restrictions are another common reason why beneficiaries leave their Medicare Advantage plans. With Medicare Advantage plans, staying within your policy's network is key to paying the lowest possible costs for health services. Going out of your network could mean high fees or no coverage.

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