Health Care RedesignMedicare - GeneralMedicare Advantage

5 Questions About the Idea of Default Enrollment into Medicare Advantage Plans

(By Meredith Freed, Juliette Cubanski, Jeannie Fuglesten Biniek, and Tricia Neuman for The Kaiser Family Foundation Published: Apr 29, 2025)

President Trump has said he will not cut Medicare benefits. At the same time, key figures within the administration, policymakers, and some conservative groups have previously expressed support for boosting the role of Medicare Advantage within the Medicare program, which could include changing the Medicare enrollment process, making Medicare Advantage the default enrollment option rather than traditional Medicare. Under current law, people who sign up for Medicare Parts A and B are automatically enrolled in traditional Medicare, unless they affirmatively choose to enroll in a Medicare Advantage plan. In contrast, under a Medicare Advantage default enrollment approach, unless Medicare beneficiaries make an affirmative choice to enroll in either traditional Medicare or a specific Medicare Advantage plan, they would be automatically enrolled into a Medicare Advantage plan, with the option to switch plans or enroll in traditional Medicare. Continue reading here…

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