The doctor I want to use is not covered by my Medicare Advantage Plan. When can I switch to a different plan?

The doctor I want to use is not covered by my Medicare Advantage Plan. When can I switch to a different plan?

A general rule of thumb is that an individual may not switch to another Medicare Advantage plan until the open enrollment window. For 2019 coverage, this window is from Nov 1 - Dec 15, 2018.


Exceptions for Switching to a Different Plan

The special enrollment period allows an individual to switch under particular qualifications:

  • You move to a new address that isn't in your plan's service area.
  • Moving to a Medicare Advantage Plan with a five-star quality score. To find one of these plans, head to <link>www.medicare.gov/find-a-plan<link> .


For individuals who are eligible for Medicare and switch from a Medicare Advantage plan to a traditional plan within a year, they may purchase a Medigap policy and Plan D plan within 63 days of this switch. The switch period is from January 1 to February 14 of each year. Preexisting conditions may cause rejection or increased costs.

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The doctor I want to use is not covered by my Medicare Advantage Plan. When can I switch to a different plan?