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See our Advertiser Disclosure.KKaz WeidaRRobin Hartill, CFP®Updated Tue, October 14, 2025 at 3:18 PM GMT+2 6 min readMedicare open enrollment is a nearly eight-week stretch from mid-October to early December when the more than 66 million Americans currently enrolled in Medicare can make changes to their coverage that take effect in the new year.Reviewing coverage is especially important during this time of year because it’s the only time you can change coverage unless you qualify for a special enrollment period. Let’s take a closer look at coverage options for Medicare participants and how to use the open enrollment period to ensure you’re getting the most out of your health plan.Read more: Ignoring your Medicare Annual Notice of Change could cost you thousandsMedicare open enrollment runs from Oct. 15 to Dec. 7, allowing Medicare beneficiaries to make changes to their current coverage that go into effect on Jan. 1 of the following year.During the open enrollment period, you should closely review any materials you receive about eligibility or plan coverage changes. These notices are usually titled “Evidence of Coverage” (EOC) or “Annual Notice of Change” (ANOC).You can do the following during Medicare open enrollment:Switch from an original Medicare plan (also known as traditional Medicare) to a Medicare Advantage plan, or vice-versaSign up for a Medicare Part D plan if you have original MedicareSwitch from one Part D plan to anotherChoose a different Medicare Advantage plan available in your service areaIf you find Medicare and its myriad plan options confusing, you’re not alone. There are several distinctions, advantages, and drawbacks between original or “traditional” Medicare and Medicare Advantage.Traditional Medicare, also sometimes called original Medicare, covers doctor’s office visits and hospital stays (Part A) and doctor’s office visits (Part B). Most doctors — including surgeons and specialists — in the U.S. accept Medicare patients.Unlike Medicaid, there is no income limit for eligibility to receive Medicare benefits. Still, Medicare is not free.Most beneficiaries don’t pay premiums for Medicare Part A, but monthly premiums apply to Part B coverage. You’ll also pay fees similar to a private insurance plan for things like deductibles, co-insurance, and co-pays. Traditional Medicare plans are usually coupled with a separate prescription coverage plan called Part D, which also charges premiums.Medicare Advantage (MA) is offered through private insurance companies and usually bundles several parts of Medicare. Medicare Advantage plans have become hugely popular because they provide savings in the form of very low premiums and yearly out-of-pocket caps. Some Medicare Advantage plans also offer dental or vision coverage, and fold in Part D drug coverage. But MA plans may limit which providers you can see and require you to get approval for some procedures.Medicare Advantage has a different open enrollment period from traditional Medicare. The Medicare Advantage open enrollment period starts on Jan. 1 and closes March 31 each year, enabling only those enrolled in a Medicare Advantage plan to adjust their coverage.Up NextHow much money should I have saved by 50?Retirement planning: A step-by-step guideWhat is the retirement age for Social Security, 401(k), and IRA withdrawals?Whether you receive healthcare through original Medicare or opt into a Medicare Advantage Plan, out-of-pocket costs for prescriptions covered by Medicare’s prescription drug plan will be capped at $2,100, a $100 increase from 2025. The maximum Part D deductible will also rise from $590 in 2025 to $615 in 2026.Read more: Medicare drug changes are coming next year. How to prepare.One of the most confusing parts about Medicare can be the different components that make up this health insurance coverage. Here’s a quick glance at what each part of Medicare provides.Medicare Part A provides coverage for inpatient care, typically at hospitals or nursing facilities. This part of Medicare can also cover hospice and in some cases, at-home care.Medicare Part B covers doctor visits for both medically necessary and preventative services. It also includes things like ambulance service, medical equipment, and some mental health or substance abuse coverage.Part C is the alternative to traditional Medicare known as Medicare Advantage, which bundles Part A, B, and usually Part D coverage into one health plan.Part D covers the cost of prescription drugs at pharmacies and clinics, including shots and vaccines. Medicare Part D is usually offered as a separate plan unless you have Medicare Advantage.As you might expect, Medicare won’t foot the bill for everything. With the exception of individual Medicare Advantage plans that offer extra benefits, the following services and care are not included in standard Medicare coverage.Eye exams and prescription eyewearCosmetic surgeryMassage or chiropractic therapyHearing aidsConcierge medicineDental careAlthough Medicare specifically prohibits coverage for “routine” physical exams, it does cover an annual “wellness” visit, which can include updating prescriptions, healthcare screenings, and cognitive assessments.Medigap policies, sometimes called Medicare Supplement Health Insurance, are private health insurance policies that cover or fill in the gaps for some of the out-of-pocket costs of Medicare, including deductibles, coinsurance and in some cases medical costs when traveling outside the US.This insurance may not be available to some with preexisting conditions and is not subject to Medicare’s open enrollment period.There are some situations in which eligible Medicare recipients may qualify for a special enrollment period. Those who move cross-country, lose an employer or union-sponsored coverage, or live in nursing homes or care facilities may be eligible to make changes to their Medicare coverage at other times of the year.Those newly eligible to enroll in Medicare have an initial enrollment period that extends three months before to three months after their 65th birthday.Medicare open enrollment for 2026 will run from Oct. 15 through Dec. 7 as usual, despite the federal government shutdown. Benefits and coverage are said to be unaffected, though some telehealth services may not be available.According to medicare.gov, “Due to the government shutdown, updates to information on this website may be limited or delayed. Your Medicare benefits and coverage will continue as before, and you can go to your doctor and access the health care services you need.”If you don’t take action during Medicare open enrollment, you’ll be automatically re-enrolled in the same coverage, whether you have original Medicare (plus Part D coverage) or a Medicare Advantage plan, assuming your plan will still be available.