Why Reviewing Your Annual Notice of Change (ANOC) Is So Important

The Annual Election Period (AEP), which runs from October 15 to December 7, is an extremely important time for Medicare beneficiaries to review their coverage and make changes if needed. One of the most important tools for understanding your plan and preparing for AEP is the Annual Notice of Change (ANOC).

Every year, Medicare Advantage and Part D prescription drug plans send an ANOC to their members. This document outlines changes in coverage, costs, and rules for the upcoming plan year. Failing to review the ANOC carefully can lead to unexpected expenses, limited access to care, or gaps in coverage.

What Is an Annual Notice of Change (ANOC)?

The ANOC is a formal communication from your insurance plan that informs you about any changes taking effect on January 1 of the next year. These changes can include:

• Adjustments to monthly premiums

• Updates to deductibles, copays, and coinsurance

• Changes to covered medications or formulary tiers

• Modifications to the provider network

• Updates to benefits, such as dental, vision, hearing, or wellness programs

The ANOC is typically mailed in the fall, around late September, so you have time to review it before AEP begins.

Why Reviewing the ANOC Matters

1. Prevent Surprises with Costs

Even small changes in premiums, deductibles, or copays can significantly impact your out-of-pocket spending. By carefully reviewing your ANOC, you can spot increases early and take action if needed. For example, if your copays for specialist visits are rising, you might consider a plan that offers better coverage for the care you use most.

2. Ensure Your Medications Are Covered

Prescription drug coverage can change annually. Your ANOC will list medications that have been added or removed from the formulary, as well as any changes to tier placement that affect how much you pay. Reviewing this section can prevent costly surprises at the pharmacy and ensure you continue to have access to the medications you need.

3. Verify Your Provider Network

Networks can shift from year to year. A doctor or hospital you rely on may no longer be in-network, which could result in higher costs or even no coverage for certain services. The ANOC highlights network changes so you can determine whether your current plan still meets your healthcare needs.

4. Evaluate Additional Benefits

Many Medicare Advantage plans offer supplemental benefits like dental, vision, hearing, or fitness programs. These perks can change annually, and the ANOC details what is being added, removed, or modified. Reviewing these changes allows you to assess the overall value of your plan beyond just standard medical coverage.

5. Meet Deadlines and Avoid Gaps

AEP is the only time of year most beneficiaries can make voluntary changes to their Medicare Advantage or Part D plans. Failing to review the ANOC could mean missing the opportunity to switch plans if your current coverage no longer fits your needs. Timely review ensures you can make informed choices and avoid gaps in coverage for the next year.

Get Medicare Professional Guidance

For many beneficiaries, navigating plan changes can be confusing. Licensed Medicare brokers or counselors can help you interpret the ANOC, compare plan options, and make informed decisions. They can also help you consider how changes in your health needs, medications, or preferred providers may affect your plan selection.

Working with a professional doesn’t just save time; it can prevent mistakes that result in unexpected costs or coverage gaps.