What Your Patients Need to Know for Medicare Open Enrollment - Scorecard - MDSpire
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What Your Patients Need to Know for Medicare Open Enrollment

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  • November 5, 2026

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Clinical Scorecard: What Your Patients Need to Know for Medicare Open Enrollment

At a Glance

CategoryDetail
ConditionMedicare coverage and access to cancer care
Key MechanismsIndividual Medicare Advantage plans may change benefits, provider networks, and coverage options. Out-of-network authorizations might be available, and continuity-of-care rules allow certain patients in active treatment to continue care out of network for a certain amount of time into the new year.
Target PopulationAdults ages 65 and older reviewing healthcare coverage, including patients navigating a cancer diagnosis or ongoing treatment.
Care SettingRoswell Park Comprehensive Cancer Center and patients throughout Western New York and beyond.

Key Highlights

  • The annual Medicare Open Enrollment period runs October 15 to December 7 this year.
  • Coverage changes may affect some patients’ access to care in 2027.
  • Roswell Park continues to participate in Original Medicare and Medicaid, remains in-network with several individual Medicare Advantage plans and most group retiree plans, and reports no changes to its participation in non-Medicare commercial and employer plans.
  • If a patient loses in-network access to Roswell Park, out-of-network authorizations might be available. Continuity-of-care rules allow certain patients in active treatment to continue receiving care out of network for a certain amount of time into the new year.

Guideline-Based Recommendations

Diagnosis

    Management

      Monitoring & Follow-up

        Risks

          Patient & Prescribing Data

          Adults ages 65 and older reviewing healthcare coverage, including patients navigating a cancer diagnosis or ongoing treatment.

          Patients can visit Roswellpark.org/medicare or call 716-845-8760 for Medicare Open Enrollment resources. For questions about a specific patient or referral, clinicians can call the Physician Referral Office at 716-845-7763.

          Clinical Best Practices

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