How do I convert to traditional Medicare?

Asked by: Prof. Ramiro Goldner  |  Last update: September 10, 2025
Score: 4.2/5 (51 votes)

If you're already in a Medicare Advantage plan and you want to switch to traditional Medicare, you should contact your current plan to cancel your enrollment and call 1-800-MEDICARE (1-800-633-4227). Note there are specific enrollment periods each year to do this.

How to change back to traditional Medicare?

How do you switch from a Medicare Advantage plan to original Medicare?
  1. Call 1-800-MEDICARE (1-800-633-4227) and ask an agent to help you disenroll from your plan and to enroll in original Medicare. Agents are available 24/7, except during a few federal holidays.
  2. Call your MA plan and ask to cancel your enrollment.

What is the penalty to switch back to original Medicare?

And, if you decide you want to switch again, there's also no penalty to switch from Original Medicare to Medicare Advantage. You can switch between the two types of coverage as many times as you want. You just need to make the switch during eligible enrollment periods.

Who is eligible for traditional Medicare?

You are eligible for Medicare if you are a citizen of the United States or have been a legal resident for at least 5 years and: You are age 65 or older and you or your spouse has worked for at least 10 years (or 40 quarters) in Medicare-covered employment.

Can I switch from Medicare Advantage to original Medicare without underwriting?

You can switch back to Original Medicare and sign up for a Medigap policy, without underwriting, under the following conditions. Your Medicare Advantage plan terminates coverage. In this case you must apply within 123 days of the end of your Medicare Advantage plan benefits. (Usually the end of the calendar year.)

Here's How Much We Paid With Medicare | Medicare Supplement vs Advantage

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Why are people leaving Medicare Advantage plans?

Key takeaways: People leave Medicare Advantage plans because out-of-pocket costs vary between plans, network restrictions can cause frustration, prior authorization requests can delay care, and it can be difficult to use the additional benefits they provide.

What states allow you to change Medicare supplement plans without underwriting?

Medigap state variation

Five states (California, Idaho, Illinois, Nevada, and Oregon) have “birthday rules” that allow Medigap enrollees a 30-day window following their birthday each year when they can switch, without medical underwriting, to another Medigap plan with the same or lesser benefits.

Do you have to pay for traditional Medicare?

Most people get Part A for free, but some have to pay a premium for this coverage. To be eligible for premium-free Part A, an individual must be entitled to receive Medicare based on their own earnings or those of a spouse, parent, or child.

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).

Does everyone have to pay $170 a month for Medicare?

Most people pay no premiums for Part A. For Medicare Part B in 2025, most beneficiaries will pay $185 per month. Certain factors may require you to pay more or less than the standard Medicare Part B premium in 2025.

Why do doctors not like Medicare Advantage plans?

Across the country, provider grumbling about claim denials and onerous preapproval requirements by Advantage plans is crescendoing. Some hospitals and physician practices are so fed up they're refusing to accept the plans — even big ones like those offered by UnitedHealthcare and Humana.

What is the biggest disadvantage of Medicare Advantage?

The biggest disadvantage of Medicare Advantage is that you have fewer doctors to choose from when you get medical care.
  • Plans can also cost more overall than Original Medicare if you have complex medical needs. ...
  • With some plans, you don't have any coverage if you use a doctor that isn't in the network.

Do you have to renew traditional Medicare?

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.

Which company has the best Medicare Advantage plan?

Best Medicare Advantage Plans for 2025
  • Best Overall, Best for Low Costs: Cigna.
  • Also Great for Low Costs: Alignment Health.
  • Best for Nationwide Coverage: Aetna.
  • Best for Patient Experience, Best for Drug Coverage: Kaiser Permanente.
  • Best for Special Needs Plans: Humana.

How do I change my Medicare status?

Complete and submit the Certification of Medicare Status (PDF) form with supporting documentation certifying one of the following choices: Enrolled in Medicare Part A and Part B (Submit a copy of your Medicare card or SSA documentation.)

What is the 8 month rule for Medicare?

If you lose your job-based health coverage before you or your spouse stop working, you have 8 months to sign up. If you want Medicare coverage to start when your job-based health insurance ends, you need to sign up for Part B the month before you or your spouse plan to retire.

Is Medicare Part D mandatory?

Enrollment in Part D is generally voluntary, however, some people are required to be enrolled, and others should not enroll.

Is Medicare Part B mandatory at age 65?

1. If You Are Approaching or at Age 65. If you are approaching age 65 and you already receive Social Security or Railroad Retirement benefits through early retirement, you will be automatically enrolled in Medicare Parts A (hospital insurance) and B (medical insurance) when you turn 65.

Can you switch from Medicare Advantage to traditional?

If you joined a Medicare Advantage Plan during your Initial Enrollment Period, you can change to another Medicare Advantage Plan (with or without drug coverage) or go back to Original Medicare (with or without a drug plan) within the first 3 months you have Medicare Part A & Part B.

Why is Social Security no longer paying Medicare Part B?

There could be several reasons why Social Security stopped withholding your Medicare Part B premium. One common reason is that your income has exceeded the threshold for premium assistance. Another reason could be that there was a mistake or error in your records.

What are the 6 things Medicare doesn't cover?

Some of the items and services Medicare doesn't cover include:
  • Eye exams (for prescription eyeglasses)
  • Long-term care.
  • Cosmetic surgery.
  • Massage therapy.
  • Routine physical exams.
  • Hearing aids and exams for fitting them.

What is the best supplemental insurance for Medicare?

The best Medicare supplement plan providers
  • Best for extra plan benefits: Humana.
  • Best for straightforward coverage: State Farm.
  • Best for extensive medical care coverage: AARP by UnitedHealthcare.
  • Best for a range of Medigap plans: Blue Cross Blue Shield.

Who is not eligible for Medigap?

If you have ESRD or a disability, you may not be able to buy the Medigap policy you want, or any Medigap policy, until you turn 65. Federal law doesn't require companies to sell Medigap policies to people under 65.

Is Medicare Plan F still available?

Unfortunately, no. You can join other Medicare Supplement plans, but any plan that has the Part B deductible coverage (like Plan F) is out of the running.