If you recently received notice that your Medicare plan, or Medicare Advantage plan, is being discontinued, you’re not alone. Across the country (and right here in New York), insurers are scaling back or exiting less profitable markets (Kiplinger).
While this can feel stressful, there are steps you can take to make sure your coverage doesn’t lapse and to find a better plan for your health and budget.
Why Are Plans Being Discontinued?
A mix of financial pressure, federal reimbursement changes, and rising health costs is driving insurers to reduce their Medicare Advantage footprints:
- Some major insurers are cutting back or exiting entire counties. For example, UnitedHealth announced it will discontinue its Medicare Advantage presence in 109 U.S. counties in 2026, according to Reuters.
- Local carriers in New York are also making changes: MVP is dropping several plans, and CDPHP is eliminating certain drug-coverage options, the Times Union explains.
- These shifts are happening alongside tighter government funding and increased regulatory strain.
Because insurers must absorb the extra cost of covering benefits while meeting regulatory caps (for example, on prescription drug out-of-pocket limits), some plans become financially unsustainable and are discontinued (the Kaiser Family Foundation).
Steps to Take if Your Plan Is Discontinued
Here’s how to act so you don’t lose coverage:
1. Review the notice you received carefully
Your insurer is required to send you a non-renewal or discontinuance notice. It often includes deadlines, whether you can enroll through a Special Enrollment Period (SEP), and what options you have.
2. Note the relevant enrollment period
- The Annual Enrollment Period (AEP) runs October 15 to December 7, 2025, during which you can switch Medicare Advantage or Part D plans.
- If your plan was discontinued, some notices allow you to select a new plan until December 31 without penalty.
- In limited cases, you may qualify for a Special Enrollment Period (SEP) following the discontinuation.
3. Research your options early
Don’t wait until the last minute. Compare plans available in your area. Key things to look at:
- Provider networks: Will your doctors still be covered?
- Drug formularies: Does the plan cover your medications and at what cost?
- Premiums, deductibles, and out-of-pocket max: These can vary significantly.
- Benefit trade-offs: Some plans reduce supplemental benefits (vision, dental, wellness perks) when trying to maintain financial viability.
4. Enroll in the new plan
Submit your enrollment by the relevant deadline (typically December 7 for the Annual Enrollment Period (AEP). However, If your plan was discontinued, you may have until December 31 to choose a new one without penalty). Make sure the new plan starts January 1 to avoid coverage gaps.
5. If your plan wasn’t discontinued, still review
Even if your current plan remains active, benefits, networks, and costs often change each year. It’s wise to compare alternatives anyway, especially after insurer shake-ups.
Why Timing & Support Matter
- Delays cost you: Failing to enroll by deadlines could mean losing drug coverage or being locked into a less ideal plan.
- Support can ease the burden: Licensed agents can help you compare side-by-side, explain trade-offs, and guide you through enrollment.
- You deserve the best match: Everyone’s health and financial needs differ. Don’t settle for the first available option unless it truly fits.
How Simco Can Help
At Simco, we understand the stress of sudden plan changes. Our licensed insurance advisors are ready to:
- Help you interpret your discontinuance notice
- Compare plan options available in your area
- Assist with enrollment paperwork
- Explain benefit trade-offs and cost implications
You don’t have to navigate this alone. Whether your Medicare Advantage plan was discontinued or you’re simply exploring your options, our team is here to support you.
Contact us today to schedule a 1-on-1 consultation, and let us help you find the plan that keeps you covered and confident in 2026 and beyond.
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