What is the Medicare ‘Donut Hole,’ or Part D Coverage Gap?

You’re happy with your doctors. Your prescriptions haven’t changed. Your Medicare coverage worked well this year. So, is reviewing your plan really necessary? It’s a worthwhile step. Your healthcare needs may stay the same while your plan’s costs and coverage change. Taking time to review the details this fall can help you make a more informed decision about the year ahead. Medicare Open Enrollment runs October 15 through December 7 each year. Changes made during this period take effect January 1, as long as the plan receives your enrollment request by December 7. That means this fall’s enrollment decisions affect your coverage for 2027. Start With the Notice You Might Be Tempted to Skip If you have a Medicare Advantage or prescription drug plan, your plan sends an Annual Notice of Change, often called an ANOC, each fall. It explains changes to costs, coverage, and other plan details that begin

Medicare Open Enrollment is one of the most important times of the year for people who already have Medicare. From October 15 through December 7, 2026, Medicare beneficiaries have an opportunity to review their current coverage and make changes for 2027. Any coverage changes made during this period generally take effect on January 1, 2027. Even if you are satisfied with your current plan, taking time to review your coverage can be worthwhile. Medicare Advantage and prescription drug plans can change from year to year—including premiums, provider networks, prescription drug coverage, copays, deductibles, and additional benefits. Here are seven areas worth reviewing before making your Medicare decisions for 2027. 1. Review Your Current Plan’s Changes for 2027 One of the biggest Medicare mistakes is assuming that because a plan worked well this year, it will automatically work the same way next year. Plans may change their: Monthly premiums Deductibles Copayments

You schedule an appointment, hand over your insurance card, and assume your coverage will take care of the rest. Then a bill arrives—or the pharmacy tells you that your new prescription needs approval. Understanding your Medicare coverage before you use it can help you prepare for expenses, address paperwork, and ask better questions. Whether you are new to Medicare or have had coverage for years, these five questions are worth keeping handy. 1. Can I Use This Doctor With My Coverage? “Do you take Medicare?” is a starting point, but the next question depends on how you receive your benefits. With Original Medicare, you can generally use doctors and hospitals that accept Medicare throughout the United States. Ask whether the provider accepts assignment, meaning they agree to accept the Medicare-approved amount as full payment for covered services. With Medicare Advantage, you may need to use your plan’s network for non-emergency

Turning 65 is an exciting milestone—but it also brings important Medicare decisions. With multiple enrollment periods, coverage options, and deadlines to understand, even a small mistake could lead to delayed coverage, unexpected expenses, or lifelong penalties. Here are seven common Medicare enrollment mistakes and how you may be able to avoid them. 1. Assuming Medicare Enrollment Is Always Automatic Some people are automatically enrolled in Medicare Parts A and B, while others must enroll themselves. If you are already receiving Social Security or Railroad Retirement Board benefits before turning 65, enrollment may happen automatically. If you are not receiving these benefits, you will generally need to sign up for Medicare. Do not assume your coverage will begin automatically. Confirm your enrollment status before your 65th birthday. 2. Missing Your Initial Enrollment Period Your Medicare Initial Enrollment Period is a seven-month window that generally includes: The three months before your 65th