09/15/2026
US Medicare Plan Ending Action Steps
With over 25 years guiding clients through Medicare decisions, I want to highlight key steps if your Medicare Advantage Prescription Drug (MA-PD) plan is ending. If you don’t choose a replacement, you’ll automatically move to Original Medicare on January 1—but drug coverage will stop. For Extra Help members, reassignment may occur. Remember, Original Medicare has no annual out-of-pocket cap. In 2026, Part B will cost $202.90 per month with a $283 deductible, and the Part A deductible will be $1,700.
One major insurer is ending coverage for around 600,000 Medicare Advantage members in 2027—so those early notification letters are your signal to start reviewing options. You get a unique window: Medigap guaranteed-issue rights start 60 days before your plan ends and last for 63 days after. If you go more than 63 days without drug coverage, you could face permanent Part D penalties.
To ensure a smooth transition and continued coverage, make your new plan selection by December 31. Review each prescription, check coverage tiers, and confirm your preferred pharmacy. Whether you choose a new Advantage plan or Original Medicare with Part D, careful review now will help avoid unexpected gaps in your coverage.