The Medicare Advantage Open Enrollment Period (MA OEP) is currently underway and runs through March 31, 2026. This is an important opportunity for Medicare beneficiaries who are already enrolled in a Medicare Advantage plan to review their coverage and make a one-time change if needed.
If you are currently enrolled in a Medicare Advantage PPO plan, it’s especially important to check with your healthcare providers-particularly any out-of-network providers you regularly use. SHINE counselors are increasingly seeing situations where out-of-network providers are declining to accept Medicare Advantage PPO coverage or refusing to bill the plan, which can leave beneficiaries responsible for paying for services upfront and seeking reimbursement directly from their PPO plan.
During the MA OEP, eligible beneficiaries can take action to better align their coverage with their healthcare needs. This may include switching to a different Medicare Advantage plan that offers a more suitable provider network or coverage structure.
Now is the time to confirm that your plan works with the doctors and facilities you rely on. Reviewing your options before March 31st can help you avoid disruptions in care and unexpected expenses later in the year.
SHINE counselors are available to assist you in reviewing your coverage. To schedule a SHINE appointment, call SeniorCare at 978-281-1750 or the regional SHINE office at 978-946-1374.