Switching Back to Original Medicare: Is it Possible?

Quick Overview

Many enrollees often wonder if they can transition back to Original Medicare after enrolling in other plans like Medicare Advantage or Part D. Understanding the process, eligibility, and implications is crucial for making an informed decision. Dive into the details with Truth Medicare.

Understanding Original Medicare

Original Medicare, composed of Part A Medicare (Hospital Insurance) and Part B (Medical Insurance), is a government-run program to provide senior citizens and certain young individuals with disabilities with basic health coverage. While it provides foundational coverage, it's not comprehensive, prompting many to explore other options.

Switching to Medicare Advantage and Part D

Medicare Advantage Plans, known as Part C Medicare, are an “all in one” alternative to Original Medicare. These plans are offered by private insurance companies, like Aetna, United Healthcare, and Cigna, that are approved by Medicare. They cover hospital and medical services and often include Part D Medicare (Prescription Drug coverage). They may also offer additional services, and can be HMO, PPO, PFFS, or POS plans.

Why Switch Back to Original Medicare?

There are various reasons one might want to revert to Original Medicare. Perhaps the costs associated with a Medicare Advantage plan became prohibitive, or their healthcare needs changed. Maybe their preferred healthcare providers are not in their current plan's network, or they have challenges with plan-specific rules like needing a referral to see a specialist.

Transitioning Back to Original Medicare

Yes, switching back is possible! Individuals can generally make this switch during the Annual Enrollment Period (AEP) or during Special Enrollment Periods (SEPs) under certain circumstances. It's essential to understand Medicare Eligibility criteria and any associated timelines. Working with partners like Truth Medicare can simplify this transition, offering expertise through collaborations with top insurance providers.

Considering Supplemental Insurance

If you're reverting to Original Medicare, it might be beneficial to consider Supplemental Insurance or Medigap policies to fill coverage gaps. These policies, offered by private insurance companies like Humana, Blue Cross Blue Shield, and more, can help pay out-of-pocket costs not covered by Original Medicare.