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Medicare Annual Enrollment Period Guide

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Medicare Annual Enrollment Period vs. Open Enrollment Period Explained

Medicare enrollment periods can be confusing—especially when terms like Annual Enrollment Period (AEP) and Open Enrollment Period (OEP) sound so similar but serve different purposes. AEP runs from October 15 to December 7 each year and is when you can enroll in, switch, or drop Medicare Advantage or Part D plans, while the OEP takes place from January 1 to March 31 and allows those already enrolled in a Medicare Advantage plan to make a one-time change or return to Original Medicare.


When does AEP start? Important Medicare AEP Dates 2026

The Medicare Annual Enrollment Period (AEP) follows a predictable yearly timeline, giving you time to review and adjust your coverage before changes take effect:

  • September: Plans send out their Annual Notice of Change (ANOC), which outlines any changes to your current coverage, costs, or benefits for the upcoming year.

  • October 1 to October 14: You can begin reviewing plan options, comparing coverage, and preparing to make changes ahead of the enrollment window.

  • October 15 to December 7: This is the official AEP window—your opportunity to enroll in, switch, or drop Medicare Advantage or Part D plans. Changes must be made by December 7.

  • January 1: Any changes you made during AEP take effect, and your new coverage begins.

October 15 to December 7 Medicare Timeline

This window from October 15 to December 7 is your primary opportunity each year to make changes to your coverage for the upcoming year. 

What you can do:

  • Join a Medicare Advantage plan or return to Original Medicare

  • Switch between Medicare Advantage plans

  • Enroll in, change, or drop a Part D prescription drug plan


Recommended best practices to prepare:

  • Review your Annual Notice of Change (ANOC) to understand how your current plan is changing

  • Compare other available plans to ensure your doctors, prescriptions, and costs are still covered the way you expect

  • Act early in the window to avoid last-minute confusion or delays

Even if you’re happy with your current plan, it’s smart to review your options. Plans can change each year, and a plan better suited to your needs may be available. A SelectQuote licensed insurance agent will help you understand your options without bias or pressure, so your plan choice feels clear and confident.


Medicare Annual Open Enrollment End Date

December 7 is the firm annual deadline for making changes during the Medicare Annual Enrollment Period. Any updates to your coverage—whether enrolling in, switching, or dropping a plan—must be completed by this date.

In most cases, changes made by December 7 take effect on January 1 of the following year, ensuring your new coverage is in place at the start of the new plan year.

Difference Between AEP and OEP for Medicare

It’s important to know the differences between AEP and OEP so you’re fully informed about the changes you can make during each enrollment period. 

Enrollment PeriodDatesEligibilityPurpose
AEPOctober 15-December 7Anyone with a Medicare planEnroll in, switch, or drop Medicare Advantage and Part D plan
OEPJanuary 1-March 31Only Medicare Advantage plan beneficiariesMake a one-time switch to another Medicare Advantage plan or return to Original Medicare

Annual Enrollment Period (AEP) Eligibility Requirements

AEP is open to all Medicare beneficiaries, regardless of whether they are on Original Medicare or a Medicare Advantage plan. 

Allowable Actions During AEP

The Annual Enrollment Period (AEP), which runs from October 15 to December 7, is open to anyone enrolled in a Medicare plan, providing the opportunity to review and update coverage for the upcoming year. During AEP, you can take several actions, including:


  • Switch from Original Medicare to a Medicare Advantage plan

  • Change from one Medicare Advantage plan to another

  • Enroll in, switch, or drop a Part D prescription drug plan

  • Make changes to your Medigap coverage, if applicable in your state


To make the most of AEP, start by reviewing your Annual Notice of Change letter, which highlights changes to your current plan’s premiums, benefits, or provider network for the next year. Use this information to:


  • Compare prescription drug costs under your plan and others

  • Check that your preferred doctors and hospitals are still in-network

  • Evaluate overall coverage options to ensure they match your healthcare needs


For additional guidance, learn about common Medicare mistakes to avoid, which can help you make informed decisions and prevent costly errors.

Medicare Advantage Open Enrollment Period (OEP) Eligibility Requirements

The Medicare Advantage Open Enrollment Period (OEP) runs January 1 to March 31 each year. This period is only available to individuals already enrolled in a Medicare Advantage (Part C) plan. During OEP, you have one opportunity to make changes to your coverage, including:

  • Switching to a different Medicare Advantage plan that may better meet your healthcare needs.

  • Returning to Original Medicare and optionally adding a separate Part D prescription drug plan.

It’s important to note that OEP does not apply to those enrolled in Original Medicare only, and you cannot use it to enroll in a Medicare Advantage plan for the first time. This period exists to give current Medicare Advantage plan members flexibility to adjust coverage if their circumstances or healthcare needs change early in the year.

Learn more about the Medicare Advantage Open Enrollment Period.

Other Medicare Enrollment Opportunities

Not everyone’s Medicare enrollment fits neatly into the standard AEP or OEP timeline. Review these options if you missed the AEP or OEP windows or need to make changes outside the usual enrollment periods.


  • The Medicare General Enrollment Period: The General Enrollment Period (GEP) runs January 1 to March 31 each year and is for individuals who missed their Initial Enrollment Period (IEP) for Medicare Part B. Coverage begins July 1 of that year, but premiums may be higher due to late enrollment. Learn more about the General Enrollment Period.

  • Missing the December 7 AEP Deadline: Missing the AEP deadline doesn’t always mean you must wait a full year to make changes. Certain Special Enrollment Periods (SEPs) may allow you to enroll or switch plans outside of AEP or OEP if you experience qualifying life events, such as moving out of your current plan’s service area or losing your employer coverage. Explore Special Enrollment Periods and qualifying events.

AEP vs. OEP FAQs

Is AEP the best time to sign up for Medicare for the first time?

If you're new to Medicare, you should enroll during your Initial Enrollment Period (IEP), which starts three months before you turn 65 and ends three months after your 65th birthday. If you miss your IEP, you may have to wait for the next AEP, which could result in delayed coverage and potential late enrollment penalties.

Can I switch Medicare Advantage plans during both periods?

Yes, you can switch Medicare Advantage plans during both AEP (October 15 to December 7) and OEP (January 1 to March 31), but with different conditions. During AEP, anyone with Medicare can switch to a different Medicare Advantage plan or change to Original Medicare with or without a Part D plan. During OEP, you can only switch Medicare Advantage plans if you’re already enrolled in one.


Can I switch from Original Medicare to Medicare Advantage during both periods?

Yes, you can switch from Original Medicare to Medicare Advantage during both AEP and OEP. During AEP (October 15 to December 7), you can make this change for the upcoming year, and during OEP (January 1 to March 31), you can switch from Original Medicare to Medicare Advantage if you're already enrolled in Original Medicare.


Can I change plans more than once during OEP?

No, you can only make one plan change per OEP. Any changes made will take effect the first of the month following your request.

What is an Annual Notice of Change (ANOC)?

An Annual Notice of Change (ANOC) is a document that your Medicare Advantage or Part D plan sends you each year to notify you of any changes to your coverage for the upcoming year. This may include changes to premiums, deductibles, coverage benefits, formularies, and provider networks. It is important to review your ANOC to ensure your current plan still meets your needs for the next year.


Do I have to enroll in Medicare every year?

No, once you’re enrolled in Medicare, you generally don’t need to enroll every year unless you want to make changes to your coverage. However, during AEP or OEP, you can switch plans or update your coverage options. If you're already enrolled in Medicare, your coverage will automatically renew, but you should still review your plan to ensure it fits your needs.


What happens if I miss the deadlines for AEP and OEP?

If you miss the deadlines for AEP (October 15 to December 7) and OEP (January 1 to March 31), you may not be able to make changes to your coverage until the next year unless you qualify for a Special Enrollment Period (SEP). SEPs are granted for specific life events, such as moving or losing coverage. Missing these enrollment periods without a valid SEP could result in a gap in coverage or potential penalties, especially if you delay enrolling in a Medicare plan.


Let SelectQuote Help You Understand Enrollment Windows

All of the terminology and parameters associated with AEP and OEP can be confusing, but our licensed insurance agents can save you time by reviewing your enrollment eligibility. We help you understand the fine print so you can avoid missteps that could impact your health, wallet, or access to care. The service is free, and there’s no obligation to enroll.


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