Wisconsin Medicare Plans

Can Medicare Advantage Plans Drop You?

can Medicare Advantage Plans drop you

📬 Why Medicare Advantage Plans Are Being Discontinued in 2025

Private insurance companies offering Medicare Advantage plans may pull out of markets due to:

  • ⚠️ Unprofitability: Some plans are no longer financially sustainable for insurers.

  • 🏥 Provider Network Changes: Hospitals and doctors may leave plan networks.

  • 📉 Low Enrollment: Plans with few enrollees may be canceled.

  • 🔍 CMS Compliance or Star Rating Issues: Low-performing plans may be phased out.

This affects Medicare Advantage beneficiaries who must now find another plan or return to Original Medicare.

🕒 Key Dates: 2025 Enrollment & Grace Periods

The most critical dates to remember if your plan is changing:

DateWhat Happens
October 1, 2024Notice of plan changes/discontinuation sent to beneficiaries.
October 15 – December 7, 2024Open Enrollment Period: Switch to another Medicare Advantage plan or return to Original Medicare.
December 8, 2024Special Enrollment Period begins for those whose plans are discontinued.
January 1, 2025New plan coverage begins.

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📌 What Are Your Options If Your Plan Is Ending?

Depending on your location and health needs, here’s what you can do:

  1. Enroll in another Medicare Advantage plan in your area.

  2. Return to Original Medicare and optionally buy a Medigap supplemental policy (underwriting may apply).

  3. Join a new plan that includes prescription drug coverage if needed.

You may qualify for a Special Enrollment Period (SEP) which extends beyond the traditional Open Enrollment window.

❓FAQ: What Beneficiaries Need to Know in 2025

Q: Will I be automatically moved to another plan?
A: No. You must actively choose a new plan or you’ll be returned to Original Medicare.

Q: What if I miss the deadline?
A: You may face a gap in coverage. However, if your plan was discontinued, you may qualify for a Special Enrollment Period.

Q: Can I get drug coverage if I go back to Original Medicare?
A: Yes, you can enroll in a standalone Part D plan.

Q: Will my doctors still be in-network?
A: Possibly not. Always check each new plan’s provider network before enrolling.

Q: Will I lose prescription drug coverage if my plan ends?
A: Yes, if you don’t enroll in another Medicare Advantage plan with drug coverage or a standalone Part D plan, you may be without prescription drug coverage.

Q: Can I switch to a plan from a different insurance company?
A: Yes, during the Open Enrollment or Special Enrollment Periods, you can choose plans from other private insurance companies available in your area.

Q: How do I find out what plans are available near me?
A: You can use the Medicare Plan Finder on Medicare.gov or work with a licensed insurance agent to explore your options based on ZIP code, health needs, and prescriptions.

🎯 Need Help Finding a New Plan for 2025?

Compare Medicare Advantage plans available in your area now. Speak with a licensed insurance agent or explore plans using your ZIP code.

✅ Final Thoughts

Navigating Medicare Advantage changes can feel overwhelming, but staying informed and acting during the correct enrollment windows can protect your coverage and peace of mind. If your plan is ending in 2025, don’t wait—review your options early, compare plans carefully, and ensure your providers and prescriptions are covered. Whether you choose another Advantage plan or return to Original Medicare, the key is making a confident, timely choice that supports your health and budget.

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