Back to Blog
June 25, 2026

The Medicare Annual Enrollment Period: What You Can Change Each Fall

By Bradley Stone

The Medicare Annual Enrollment Period: What You Can Change Each Fall

Hello, I am Bradley Stone. I help Central Florida neighbors take a fresh look at their Medicare coverage every fall, and one of the questions I hear most often is simple. When am I actually allowed to make changes? The short answer is that there is a window every fall set aside just for this. It is called the Annual Enrollment Period, and a lot of folks call it AEP for short. Let me walk you through what it is and why a fresh look every fall is worth your time.

When the fall window happens

The Annual Enrollment Period runs each fall, from the middle of October to early December. Those dates are the same every year, so you can count on them. Any change you make during this window takes effect at the start of the new year. That timing gives you a clean break point. You review your plan in the fall, make any change that fits you better, and you start fresh in January with coverage that matches your real life.

I always tell people not to wait until the last week. The choices deserve some thought, and rushing rarely helps. If we sit down together in October, we have plenty of room to look things over.

What you are allowed to do during the fall window

This is the part people most want to understand. During the Annual Enrollment Period, you have real freedom to adjust your coverage. Here is what is on the table.

You can join a Medicare Advantage plan, drop one, or switch from one Medicare Advantage plan to another. You can join a Part D prescription drug plan, drop one, or switch to a different Part D plan. And you can move between two different setups entirely. That means you can go from Original Medicare paired with a drug plan over to a Medicare Advantage plan, or you can move the other direction, back to Original Medicare with a stand alone drug plan.

In plain language, this is your once a year chance to reshape how your Medicare works. If your current plan has stopped fitting you, the fall window is when you fix it. For a fuller look at Florida drug coverage, see my guide on Medicare Part D in Florida.

Why I ask you to review every year, even if nothing feels wrong

Here is the thing that surprises people the most. Your plan can change even when you do nothing at all. Each year, the companies behind these plans adjust their drug lists, their provider networks, and their costs. A medication that was covered well last year might sit on a different tier this year. A doctor or pharmacy you rely on might leave the network. The figures you pay can shift too.

So the plan that fit you perfectly last year may quietly become the wrong plan this year, and nobody sends a loud alarm when that happens. Each fall, usually around September, your plan mails out a document called the Annual Notice of Change, or ANOC for short. It spells out what is changing for the coming year, your costs, your covered drugs, and your network. Most people glance at it and set it aside. I read those notices for a living, and I will read yours with you so nothing slips past.

When we sit down for your review, it helps to have a few things handy:

  • Your current plan name
  • The Annual Notice of Change letter your plan mailed you
  • Your medication list
  • Your preferred pharmacy
  • The doctors you want to keep seeing

This is exactly why a yearly review is worth your time. We compare your current plan against what else is available, check that your medications and doctors are still covered the way you need, and look at the current figures side by side. Sometimes the plan is still the best fit and we change nothing. That is a fine outcome too. The point is that you decided on purpose instead of drifting into a plan that no longer serves you.

A quick word before we go further

I work independently, so every fall I get to put your plan up against a wide field of carriers and see which one truly fits you that year. The carriers cover my fee, so this review never adds a cost to your end. Think of me as the person who runs that yearly checkup with you, here in Central Florida, taking it at whatever pace feels comfortable. If you would like to walk through your fall options together, call me at 407.878.8277 or request a free quote at our contact page. I will give you straight answers and the time to think them over.

The second chance early in the year

The fall window is the big one, but it is not the only one. There is also a separate period early in the year called the Medicare Advantage Open Enrollment Period. It opens in the opening weeks of the new year, so it lands right after your fall changes have taken effect. This one is more limited. If you are already in a Medicare Advantage plan and realize after January that it is not working for you, this early year window lets you make one change. You can switch to a different Medicare Advantage plan, or drop it and go back to Original Medicare with a drug plan.

I think of it as a safety net. It does not let you do everything the fall window allows, but if you find yourself stuck in the new year with a plan that does not fit, it is good to know the door has not fully closed. If the enrollment windows feel like a tangle, I broke them all down in plain terms over in Medicare enrollment periods explained.

Where Medicare Supplement fits, and where it does not

This is a point of real confusion, so let me clear it up. A Medicare Supplement, which some people call Medigap, is not tied to this fall window the same way the other coverage is. The Annual Enrollment Period governs Medicare Advantage and Part D drug plans. A Supplement follows a different set of rules, and the best time to enroll in one is usually different entirely.

People often hear that fall is the time to change everything, and assume that includes their Supplement. It usually does not work that way. If you are weighing one path against the other, I put together a side by side look at Medicare Advantage versus a Supplement that explains how the two differ. And to avoid the slip ups I see most often, common Medicare mistakes is worth a few minutes.

How a yearly review with an independent broker protects you

Here in Florida the fall brings a flood of Medicare commercials on the TV and glossy mailers stuffing your mailbox, and our state carries one of the largest selections of Advantage plans in the country, which makes it that much harder to tell which one actually fits you. Part of my job is cutting through that noise so you are choosing on facts, not on whoever bought the most ad time. When you bring me in each fall, you get someone whose only job is to catch the changes before they cost you. Because I work with many companies, I am not steering you toward any one of them. I look at your actual medications, your actual doctors, and your real budget, and I compare the current figures across the plans available to you. If a change will help, I will say so. If staying put is smarter, I will say that too. You can read more on my Medicare services page, which serves as the hub for everything I cover.

Here is what I would like to be for you. Every autumn, before the new year locks in, the person who pulls your plan back out, lays it next to everything else available, and makes sure you are not quietly carried onto coverage that costs more or covers less than it should. That yearly re-shop is the whole point of working with me. Plans drift, your life changes, and an independent set of eyes each fall keeps the two lined up. So when fall comes around, let us make it a standing appointment. Call me at 407.878.8277 or request a free quote at our contact page, and we will give your coverage its checkup before the calendar turns.

Stone Financial Partners is an independent insurance agency. We do not offer every plan available in your area. Any information we provide is limited to the plans we do offer in your area. Please contact Medicare.gov or 1 800 MEDICARE to get information on all of your options.

Stone Financial Partners is not connected with or endorsed by the federal Medicare program. This guide is educational information, not official government material.

Want the full breakdown on Medicare?

See our Medicare page →

Ready for a Free Quote?

Contact Stone Financial Partners today. We would love to hear from you.

Call NowFree Quote