Medicare Advantage Plan Canceled? What to Do Before Coverage Gaps Appear

Medicare Advantage Plan Cancellation: What Happens After Dec. 7

A Medicare Advantage plan cancellation after Dec. 7 can be costly for beneficiaries who assume their coverage choices are locked in for the year ahead. When Medicare open enrollment ends on Dec. 7, many people believe no further changes are allowed—but that assumption can be especially harmful if a plan is canceled.

Each year, insurers withdraw or restructure Medicare Advantage plans, sometimes affecting thousands of enrollees at once. For those impacted, federal rules provide a limited opportunity to avoid coverage gaps and, in some cases, access coverage options that are otherwise unavailable.

If your Medicare Advantage plan is canceled, you generally have until Dec. 31 to select a new plan that will take effect Jan. 1. That window is critically important, according to Jae Oh, CFP, author of Maximize Your Medicare, who says many people miss it simply because they don’t realize it exists.

What Happens After a Medicare Advantage Plan Cancellation

Unlike the standard annual election period, which ends Dec. 7, a Medicare Advantage plan cancellation triggers a special election period. During this time, beneficiaries can choose another Medicare Advantage plan or return to Original Medicare.

More significantly, a canceled plan also opens a guaranteed issue window for Medigap. This allows eligible beneficiaries to enroll in a Medigap policy without medical underwriting, even if they have health conditions that would normally make coverage difficult or expensive to obtain.

This protection is written into federal regulation, and insurers do not have discretion to deny coverage during this window. More details on these protections are outlined in federal guidance from Medicare.gov.

Why Coverage Decisions After a Plan Cancellation Are Complicated

Deciding whether to remain in Medicare Advantage or move to Medigap after a Medicare Advantage plan cancellation is rarely straightforward.

Medicare Advantage plans can be appealing because premiums are often low, sometimes as low as zero, aside from Part B premiums. Medigap, by contrast, can cost thousands of dollars per year but offers broader provider access and more predictable out-of-pocket costs.

Geography also plays a role. In some regions, including parts of California and other high-cost markets, the number of Medicare Advantage PPO plans has dropped sharply. In other areas, competition remains strong and provider networks remain robust.

“There is no blanket rule,” Oh said. “It really comes down to the individual household.”

Prescription Drug Coverage After a Medicare Advantage Plan Cancellation

One common mistake after a Medicare Advantage plan cancellation is focusing on medical coverage while overlooking prescription drugs. Anyone returning to Original Medicare must also choose a standalone Part D plan.

That decision has become more complex for 2026 as the number of available Part D plans has declined. However, there is an important upside: a new hard cap on prescription drug spending.

Out-of-pocket prescription drug costs will be capped at $2,100 in 2026, a change that could significantly reduce risk for people with high medication expenses.

The Risk of Doing Nothing After a Plan Is Canceled

If your Medicare Advantage plan is canceled and you fail to act, you may be automatically returned to Original Medicare. That default outcome leaves beneficiaries without prescription drug coverage and without an out-of-pocket maximum, exposing them to potentially unlimited costs.

Timing matters. After Jan. 1, opportunities narrow quickly. By Jan. 2, people who did not actively choose a new Medicare Advantage plan may no longer be eligible to enroll in one, and the special Medigap window disappears.

Although Medicare Advantage members have another opportunity to make changes during the first quarter of the year, that option only applies if they are already enrolled in a Medicare Advantage plan.

Was Your Medicare Advantage Plan Canceled or Just Renamed?

Not every unsettling notice means a plan has been canceled. Some Medicare Advantage plans are simply renamed, and members are automatically “crosswalked” into a new version. In those cases, beneficiaries do not qualify for special Medigap rights.

The distinction should be clearly explained in the Annual Notice of Change, which beneficiaries receive each fall. If the notice states the plan is canceled outright, action is required. If it describes a rename or crosswalk, coverage continues, but options are more limited. CMS provides additional clarification on how these notices work.

Bottom Line on a Medicare Advantage Plan Cancellation

A Medicare Advantage plan cancellation can feel like bad news. For beneficiaries who act quickly and understand the rules, however, it can also be an opportunity to reassess coverage and secure protections that are otherwise unavailable.