Updated on Nov. 11, 2025
The Annual Enrollment Period (AEP) is one of the most important times of the year for Medicare beneficiaries. From now to December 7, adults 65 and older have the opportunity to review their current Medicare coverage and make adjustments for the upcoming year. Whether you’re looking to change your plan or simply reassess your options, this is a critical window for ensuring your healthcare needs are met in 2026.
A recent study found that over 30% of Medicare beneficiaries fail to review or update their plan each year, leaving them vulnerable to rising out-of-pocket costs or losing coverage for important services. With so many changes from year to year, especially with prescription drug lists, specialist networks, and preventive care, this is a time when thoughtful evaluation can save you both money and stress.
Key Areas to Review During AEP:
Prescription Drug Coverage
For 2026, there are a few notable changes that could affect your out-of-pocket costs. For example, the Part D Maximum Out-of-Pocket (MOOP) will increase by $100, from $2,000 to $2,100, and many plans are introducing a deductible for Part D, which could mean higher upfront costs for medications.
These changes might seem overwhelming, but MemorialCare’s team is here to guide you through them and help you find a plan that keeps your costs predictable and your care seamless.
Specialist Access and Network Flexibility
If you see specialists regularly, you’ll want to ensure they’re included in your plan’s network for 2026. According to surveys, 15% of seniors report disruptions in access to preferred doctors or specialists when their plan changes.
Preventive Care
Preventive care is a cornerstone of maintaining good health as you age. However, only 60% of seniors take full advantage of the preventive benefits available under Medicare. These services, such as annual wellness exams, screenings, and vaccinations, often come at no additional cost, but you must ensure your plan includes them.
Flexibility to Switch Plans
Many seniors are unaware that they have the flexibility to switch medical groups and health plans on a year-round basis in certain situations. If your healthcare needs change, you don’t have to wait for AEP to adjust.
By attending one of our free seminars, you’ll have the opportunity to ask questions, gain clarity on your options, and make informed decisions. For more information, call me at (714) 698-4003, or email me at jjuarez2@memorialcare.org.