Planning

Your fall coverage calendar: the dates that matter between now and January 1

Insurance runs on a calendar, and the busy season starts sooner than most people think. Here's the fall, in order — and what each date actually asks you to do.

Nothing on this list requires action today. But every fall, people discover a deadline two weeks too late — so here's the whole sequence in one place, using the statutory windows that hold every year.

Late September: the letter worth opening

If you're on a Medicare Advantage or Part D plan, your plan mails an Annual Notice of Change (ANOC) around late September. It lists exactly what changes January 1: premium, copays, drug list, network. It's the single most useful piece of insurance mail you'll get all year, and most people don't open it. Open it — it tells you whether the next date on this calendar matters to you.

October 15 – December 7: Medicare's Annual Enrollment Period

The AEP is when anyone on Medicare can switch Medicare Advantage plans, move between Original Medicare and Medicare Advantage, or change Part D drug plans. Changes take effect January 1. If your ANOC showed your plan getting worse for how you actually use it — a drug moving tiers, a doctor leaving network — this is the window to compare what else is available where you live. If your plan still fits, doing nothing keeps it.

November 1: marketplace Open Enrollment begins

For individual and family coverage, Open Enrollment starts November 1 in most states for coverage starting January 1 (enrollment deadlines for January 1 coverage vary; many states use December 15, and some state exchanges run longer overall). After the window closes, you'll generally need a qualifying event to enroll. If your income changed this year, re-checking your tax credit during Open Enrollment is worth the ten minutes even if you keep the same plan.

January 1 – March 31: the do-over window

Two useful January facts. Everything you chose in the fall takes effect January 1. And if you're in a Medicare Advantage plan that turns out wrong, the Medicare Advantage Open Enrollment Period (January 1 – March 31) allows one switch to another MA plan or back to Original Medicare. It's a real safety valve — but only for people already on Medicare Advantage.

What to do in August

Honestly? Almost nothing — just calendar it. When the ANOC arrives, read it. If anything in it surprises you, the AEP gives you eight weeks to act, and a licensed agent can compare your options with you for free. The people who get squeezed are the ones who start on December 6.

Common questions

Your fall coverage calendar: the dates that matter between now and January 1: common questions

What is the ANOC letter and when does it arrive?
The Annual Notice of Change arrives from your Medicare Advantage or Part D plan around late September. It lists exactly what changes on January 1 — premium, copays, drug list, network — and tells you whether you should compare plans during the Annual Enrollment Period.
What can I change during Medicare's Annual Enrollment Period?
From October 15 to December 7, you can switch Medicare Advantage plans, move between Original Medicare and Medicare Advantage, or change Part D drug plans. Changes take effect January 1. If your current plan still fits, no action keeps it.
When is marketplace Open Enrollment for 2027 coverage?
It begins November 1, 2026 in most states. Deadlines for coverage starting January 1 vary by state — many use December 15 — and some state exchanges run longer. Outside the window, enrolling generally requires a qualifying life event.

Want help with your own situation?

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