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What Your Patients Need to Know for Medicare Open Enrollment
The annual Medicare open enrollment period runs October 15 to December 7 this year, giving adults ages 65 and older the opportunity to review and possibly change their healthcare coverage.
Inform clinicians and patients about Medicare Open Enrollment dates and Roswell Park’s insurance participation and support resources.
Approach:
Enrollment period: Medicare Open Enrollment runs October 15 through December 7. Adults 65 and older can review or change coverage, with changes potentially affecting access to care in 2027.
Coverage status: Roswell Park continues to participate in Original Medicare and Medicaid and remains in-network with several regional individual Medicare Advantage plans and most group retiree plans. Its participation in non-Medicare commercial and employer plans has not chang…
Patient support: Patients can visit Roswellpark.org/medicare or call 716-845-8760 for Medicare Open Enrollment assistance. For patient-specific or referral questions, clinicians can call the Physician Referral Office at 716-845-7763.
Key Findings:
Some individual Medicare Advantage plans are changing benefits, provider networks, and coverage options for the coming year.
If a patient loses in-network access to Roswell Park, out-of-network authorization may be available.
Continuity-of-care rules allow certain patients in active treatment to continue care with an out-of-network provider for a limited period into the new year.
Interpretation:
The article advises patients to review coverage during Open Enrollment and describes Roswell Park resources for coverage questions, care coordination, authorization requests, and continuity of treatment.
Limitations:
The article does not identify which specific Medicare Advantage plans are changing or list the plans with which Roswell Park remains in-network.
It does not specify the duration or eligibility criteria for continuity-of-care protections or out-of-network authorizations.