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Annual Enrollment Period: Understanding Plan Terminations and Crosswalks

Each year, some Medicare plans are discontinued due to changes in carrier strategies, regulations, or reimbursement levels. For 2026, several national carriers, including UnitedHealthcare and Aetna, have already announced plan terminations. Other national and regional carriers may also follow with Service Area Reductions (SARs), meaning many beneficiaries could see changes to their current coverage. If your plan is affected, you may hear terms like SAR or crosswalk. But what do these mean, and how do they affect your coverage?

What Is a Service Area Reduction (SAR)?
A Service Area Reduction occurs when a carrier decides not to offer a specific plan in your county or state. If your plan is discontinued, you will receive a notification letter from your insurance company and from Medicare, usually by early October, before the Annual Enrollment Period (AEP). This letter is your official notice that you need to review your options.

What Does “Crosswalked” Mean?
In some cases, instead of losing coverage entirely, you may be crosswalked (or “mapped”) into a different plan from the same carrier for the following year. While this ensures you’re not left without coverage, the new plan may have different premiums, co-pays, drug coverage, or provider networks. It’s important not to assume the new plan is the same as your old one—because often, it’s not.

What Happens If You Do Nothing?

  • If you are crosswalked and take no action, you’ll automatically be enrolled in the new plan for 2026. This may work for some people, but you could face unexpected changes in costs or benefits.
  • If your plan is terminated with no crosswalk option and you do nothing, you could be left without prescription coverage or Medicare Advantage coverage starting January 1. In that case, you would remain on Original Medicare but lose drug coverage and extra benefits until you select a new plan.

How Long Do You Have to Decide?
If your plan is ending, you’ll have a Special Enrollment Period (SEP) in addition to AEP (October 15–December 7). This SEP typically runs until the end of February 2026, but acting early helps ensure no gaps in care.

Where to Find Help
Mediconnect is here to make this process easier. We can:

  • Explain your SAR letter in clear, simple terms
  • Review your crosswalked plan to see if it’s truly the best fit
  • Compare other Medicare Advantage, Medigap, and PDP options in your area
  • Help you make a confident, timely decision so you’re never without coverage

The Bottom Line
Plan terminations may feel unsettling, but you’re not alone. If you receive a notice about your plan for 2026, don’t panic—plan. Mediconnect will guide you every step of the way so you stay covered with confidence.

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