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Newsletter

Medicare - April 2026

IN THIS ISSUE...

  • MEDICARE BENEFICIARY IDENTIFIERS (MBI) REISSUED FOR 1.3 MILLION BENEFICIARIES


  • MEDICARE OPEN ENROLLMENT ENDED MARCH 31


  • MEDICARE ADVANTAGE PLAN TERMINATIONS IN 2025 


MEDICARE BENEFICIARY IDENTIFIERS (MBI) REISSUED FOR 1.3 MILLION BENEFICIARIES

Your MBI (your 11 randomly assigned digits and alphabetical Medicare number) is the number Medicare (CMS) and carriers use to process claims. CMS has announced that approximately 1.3 million beneficiaries will receive replacement Medicare numbers. While CMS did not specifically say why these cards were issued, most of these cards were reissued because of data breaches. These cards should have been received by the end of March and take effect April 14.


Steps To Take If You Receive A New MBI

 

  • Keep the new card handy and show it at your next visit. Give the new MBI to your doctor, pharmacy, durable‑medical‑equipment supplier, and any Medicare Advantage or Medigap plan you use. Confirm they updated your record.

 

  • Do not destroy the old card until providers confirm they have the new MBI. Once confirmed, shred or destroy the old card.

 

  • Take a photo of the new card and store it in your phone for quick reference. Keep the physical card in a safe place.

 

  • If a claim is denied because of an invalid number, ask the provider to resubmit the claim with the new MBI and keep written notes of calls, dates, and names. If needed, contact your plan’s member services and Medicare for help.

 

Watch For Scams And Verification Tips

 

Medicare will never call asking for payment to issue a new card. If someone asks for money or personal information to “activate” a card, hang up and verify directly with Medicare or your plan.


If you receive a suspicious letter or call about your new MBI, contact your plan or call us at 786-970-0740 before responding. Keep copies of any official CMS mail you receive.

MEDICARE OPEN ENROLLMENT ENDED MARCH 31

The Medicare Open Enrollment Period ended March 31Between January 1 and March 31, 2026 beneficiaries with Medicare Advantage (MA) or Medicare Advantage Prescription Drug Plans (MAPD) had the opportunity to change to a different MA or MAPD plan or return to Original Medicare (and also enroll in a Medicare Supplement and/or stand-alone prescription drug plan). 


Those on Original Medicare (with or without stand-alone prescription drug coverage) could not make an election during the Open Enrollment Period.


As of today, those on Medicare Advantage or Medicare Advantage Prescription Drug plans can change to different MA or MAPD plans only if they are eligible for a special election period. Contact us at 786-970-0740 if you were unable to change plans during the Open Enrollment Period and want to determine under what circumstances you may qualify to change plans.


MEDICARE ADVANTAGE PLAN TERMINATIONS IN 2025 

According to both the Kaiser Family Foundation (KFF) and the Journal of the American Medical Association (JAMA), about 2.6 million Medicare Advantage/Medicare Advantage Prescription Drug (MA/MAPD) enrollees had plans terminated for 2026. This represents about 13% of MA/MAPD plan enrollment. This is more than a 100% increase from the 6% of plans that were terminated from these plans in 2024.


Nevertheless, total MA/MAPD plan enrollments actually increased for 2026. The increased enrollment occurred with “special needs plans” (i.e. dual special needs plans for those on both Medicare and Medicaid and chronic special needs plans for those with chronic disabilities such as diabetes, cardiovascular conditions, and lung disorders).


Members of terminated plans are given the option of enrolling in Medicare Supplement plans without having to answer health questions (i.e., no medical underwriting is involved). This led to record enrollments for a number of Medicare Supplement carriers during the annual enrollment period that ran between October 15 and December 7 for a January 1, 2026 effective date. Since carriers were required to accept all applicants of terminated plans irrespective of insurability, this has or will result in higher-than-normal Medicare Supplement premium increases by virtually every carrier.


A large number of the terminations that occurred in Florida involved PPO plans, and many HMO carriers that did not formerly require referrals previously implemented referral requirements for 2026.


It’s too early to predict what will happen in 2026 (regarding terminations effective January 1, 2027). We will keep you posted as developments occur.

About Paul Cholak


Paul is a licensed, independent health and life insurance agent and has over forty years of benefits experience and specializes in helping Medicare beneficiaries obtain health insurance. However, he offers a complete array of life and health insurance products to individuals of all ages.


He guides Medicare beneficiaries through the steps of getting insurance and is available to help clients both BEFORE and AFTER they've made their purchase decision.


Disclaimer for Part C and D plans: "We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE (TTY: 1-877-2048) to get information on all your options."

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Schedule For 2026
Affordable Care Act Enrollment

The Open Enrollment Period for Affordable Care Act plans on the Federal Facilitated Marketplace (https://www.healthcare.gov)
has ended.

You NOW need a
Qualifying Life Event to qualify.

There are no pre-existing condition limitations.

Call Us At 786-970-0740 (Cell)
to determine what kind of plan you may be eligible for.


2026 Annual Enrollment Period For Medicare Beneficiaries

Outside of the Annual Enrollment Period, enrollment in a Medicare Advantage, Medicare Advantage Prescription Drug, or Medicare Coverage (Part D ) plan can occur ONLY if a Medicare beneficiary is eligible for another election period [e.g., the Individual/Individual Coverage Election Period (ICP or ICEP)] when first becoming eligible for Medicare; a Special Election Period (for those who experience qualifying life events like an involuntary termination of their existing plan, moving outside of the plan’s service area; losing or becoming entitled to Medicare; losing Extra Help; declaration of a weather related emergency, etc.); or the Open Enrollment Period. Except for individuals desiring to enroll in a Chronic Special Needs Plan, there are no health questions to qualify.

Medicare beneficiaries can enroll in a Medicare Supplement plan within 6 months of their Part A and B effective dates without answering health questions. Generally, individuals with Medicare Supplement plans can change plans at any time but in many cases will need to answer health questions to qualify. Individuals with Medicare Advantage plans can enroll in Medicare Supplement plans during the Annual Enrollment Period or Open Enrollment Periods but in most cases will have to answer health questions. There are special rules for individuals with “trial rights” or eligibility for guaranteed issue policies that don’t require answering health questions.

Call us at 561-734-3884 or 877-734-3884 (TTY: 711) for details.

family consulting

We offer a comprehensive set of Affordable Care Act (“Obamacare”) plans

to individuals and families qualified to buy health (tax- and non-tax subsidized) insurance and dental/vision and/or hearing plans through the Federal marketplace (this is called buying “on-exchange” or “on-marketplace”) or directly from insurance carriers (this is referred to as buying “off-exchange or -marketplace”). Our Affordable Care Act policies comply with the Affordable Care Act and contain all of the “essential health benefits” required by that law.

We offer association group health insurance plans

to those who can qualify and are looking for less expensive alternatives to Affordable Care Act plans.

The dental/vision and/or hearing insurance

products are available both on an insured or discount basis.

We offer short-term health insurance policies

for those who are looking for coverage for a maximum of up to 36 months (depending on state law).

We offer Medicare Supplement, Medicare Advantage, and Part D Drug plans

to Medicare-eligibles. Our site is compliant with federal, state, and carrier guidelines in selling these policies. See the Medicare-eligibles section of this site for details.

We represent many carriers that offer supplemental benefits

to both individuals and families and Medicare beneficiaries, and the site contains information about hospital indemnity, cancer, critical illness, accident, and international medical insurance offered by many different carriers. This section of the site also contains valuable information and tools about lowering the cost of prescription medications. Call us if you want more information about or would like to enroll in one of these products.

We also offer Short- and Long-Term Disability products

and can also help you meet the costs of long-term care, nursing home, or short-term (recovery) care needs.

Finally, we have a complete array of Life, Final Expense, and Annuity products

and offer pre-need services in Florida, as we have both life insurance and pre-need licenses in that state.

You pay nothing for our services:

we’re paid directly from the carriers we represent, Premiums are NEVER EVER marked up to include paying us for our services: you pay the same whether you order directly from the carrier or the marketplace on your own or directly through us or from our site.

We ONLY offer alternatives that are suitable for you and for which we feel meet YOUR needs.
When or if we feel a product or service is not appropriate for you from either a cost or benefit point of view we will tell you so.

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In short, we’re experts in all aspects of health and life insurance and also have relationships with professionals who can help you with very specialized situations.

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