What happens if I don't like my Medicare Advantage plan?
Asked by: Jeanne Boyle | Last update: October 24, 2025Score: 4.1/5 (45 votes)
Can I drop my Medicare Advantage plan and go back to original Medicare?
Medicare Advantage Open Enrollment Period: Between January 1 and March 31 of each year, if you already have a Medicare Advantage Plan (with or without drug coverage) you can: Switch to another Medicare Advantage Plan (with or without drug coverage). Drop your Medicare Advantage Plan and return to Original Medicare.
What if I am unhappy with my Medicare Advantage plan?
-- Switch to another Medicare Advantage plan, with or without drug coverage. -- Drop your Medicare Advantage plan and return to original Medicare, with the option to join a separate Medicare drug plan. Any changes you make will take effect on the first day of the month following your plan's receipt of your request.
Why do some people not like Medicare Advantage?
Disadvantages of Medicare Advantage plans can include difficulty switching out of the plans later, restrictions on care access, limited provider networks, and limitations on extra benefits.
Can you cancel a Medicare Advantage plan?
If you're in a Medicare Advantage plan with or without Part D coverage, you can: Switch to another Medicare Advantage plan with or without Part D coverage, OR. Disenroll from your plan and return to Original Medicare anytime between January 1 – March 31.
Why I Would Never Choose Medicare Advantage
Can I change my mind about Medicare Advantage?
The Medicare Advantage Open Enrollment Period (MA OEP) runs from January 1 – March 31 each year. It allows you, if you're already enrolled in a Medicare Advantage plan, to: Switch to another Medicare Advantage plan (with or without drug coverage), or. Disenroll and return to Original Medicare.
What is the biggest disadvantage of the Medicare Advantage plan?
Medicare Advantage Plan Pros And Cons
One disadvantage is that some Medicare Advantage plans may offer fewer options when it comes to doctors and hospitals, as they may have smaller plan networks than Original Medicare.
Why are people leaving Medicare Advantage?
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.
Why are hospitals refusing Medicare Advantage plans?
Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. In 2023, Becker's began reporting on hospitals and health systems nationwide that dropped some or all of their Medicare Advantage contracts.
What is the alternative to Medicare Advantage plans?
A Medigap policy is a supplement to Original Medicare coverage. When you're getting started with Medicare, you can either buy Medigap or enroll in a Medicare Advantage Plan, but you can't have both. You can't buy Medigap while you're in a Medicare Advantage Plan unless you're switching back to Original Medicare.
Are most people happy with Medicare Advantage?
Beneficiaries in Traditional Medicare and Medicare Advantage plans say they're largely happy, but have plenty of issues with each program. When Americans are asked what they think about Medicare, they generally rate the program highly.
Do I still pay Medicare premiums with an Advantage plan?
Medicare Advantage Plan (Part C):
You must keep paying your Part B premium to stay in your plan. Deductibles, coinsurance, and copayments vary based on which plan you join. Plans also have a yearly limit on what you pay out-of-pocket.
Are there any 5 star Medicare Advantage plans?
"There isn't one Medicare Advantage plan that's the highest-rated; there are multiple plans that get an overall rating of 5 stars, which is the highest rating from CMS.
Which company has the best Medicare Advantage Plan?
- 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.
Why would someone disenroll from Medicare Advantage?
Beneficiaries who are in poorer health and have higher health care spending are more likely to leave their MA plan than their counterparts. Other research has found that disenrollment rates can reflect issues in access to care and cost.
Why are seniors losing Medicare Advantage plans?
Medicare vs Privatized Medicare Advantage
Beneficiaries are tossed aside because they live in an unprofitable market for their insurer or because they are actually using the insurance they signed up for to access services.
Which health insurance denies the most claims?
According to the analysis, AvMed and UnitedHealthcare tied for the highest denial rate, with both companies denying about a third of in-network claims for plans sold on the Marketplace in 2023, respectively.
Why do people say not to get a Medicare Advantage plan?
Many people choose MA plans for their extra benefits and out-of-pocket limits. But MA plans have some potential disadvantages. They have smaller provider networks and often require prior authorization. And with an MA plan, you won't have access to Medigap supplement insurance to cover your out-of-pocket costs.
What is the disadvantage of having Medicare Advantage?
In some cases, you'll have a higher share of costs when you see an out-of-network doctor. In other cases, you're not covered at all if you go out of network. This is particularly important if you travel a lot because Medicare Advantage plans generally don't provide out-of-state coverage.
Why are hospitals not taking Medicare Advantage plans?
Health systems have cited delayed reimbursements, cumbersome prior authorization requirements and high rates of patient claim denials for their decisions to drop Medicare Advantage plans.
What are the top 5 medicare supplement plans?
💬 From our Nerds: What are the top five Medicare supplement plans? "Based on NerdWallet's Medigap rubric, I picked five best Medicare Supplement Insurance companies for 2025: AARP/UnitedHealthcare, Mutual of Omaha, State Farm, Anthem and Blue Cross Blue Shield.
Why is original medicare better than Medicare Advantage?
Medicare Advantage plans typically require that you use care providers within a geographic service area, and once you get outside that area, you'll be covered for emergency care only. Original Medicare offers access to a national network of providers — no matter where you are in the U.S. Like to minimize risk.
What is the best medicare plan that covers everything for seniors?
Original Medicare with Medigap likely offers the most comprehensive coverage, but it may also be the most costly. A person can consider their income and how much they are able to spend before choosing a Medicare plan. Original Medicare with Medigap also offers a lot of flexibility when choosing a doctor or specialist.
Do all hospitals accept Medicare Advantage plans?
While most hospitals do accept Original Medicare, there may be some that do not accept Medicare Advantage Plans. However, if you have a medical emergency while you're enrolled in a Medicare Advantage plan, you can seek care at any ER or hospital in the country.