Understanding Your Medicare Advantage Trial Rights

Jake Dalton posted on Oct 27 2025 19:18

Choosing the right Medicare plan can be overwhelming. With so many choices and regulations, it’s easy to doubt your decision. That’s why the Medicare Advantage trial right is so important. This one-time opportunity offers you flexibility in your first year of Medicare Advantage enrollment, ensuring you're not stuck with a plan that doesn't suit your needs.

What Is the Medicare Advantage Trial Right?

The Medicare Advantage trial right is a special, one-time option that allows certain beneficiaries to explore a Medicare Advantage (Part C) plan for up to a year. If during this time you realize the plan isn’t suitable, you can switch back to Original Medicare and apply for a Medigap policy without going through medical underwriting.

During this trial, you must choose between a Medicare Advantage plan and a Medigap policy — you can't have both simultaneously.

Why Is This Trial Period Important?

Outside of this trial period, reverting to Original Medicare and obtaining Medigap coverage can be significantly more challenging. Typically, Medigap insurers might impose medical underwriting, potentially denying coverage or increasing premiums if you have pre-existing conditions.

The trial right acts as a safety net, letting you test-drive a Medicare Advantage plan while retaining your guaranteed access to Medigap, should you choose to switch within the first year.

Who Can Benefit from the Trial Right?

Eligibility for the trial right depends on your enrollment situation:

  • New to Medicare Advantage at age 65: When you're first eligible for Medicare Part A and choose a Medicare Advantage plan, you have a 12-month trial. During this period, you can revert to Original Medicare and purchase any Medigap policy in your state without medical underwriting.
  • Switching from Original Medicare with Medigap to Medicare Advantage for the first time: You also receive a 12-month trial. If the Medicare Advantage plan doesn’t suit you, you can switch back to Original Medicare, add a Part D plan, and return to your previous Medigap plan (if still available) or choose a new one, all without underwriting.

Timing Is Crucial

The trial period doesn’t just offer freedom; it comes with deadlines. You can leave your Medicare Advantage plan anytime during the 12 months. Once you disenroll, you have a special enrollment period to apply for Medigap: up to 60 days before your coverage ends or within 63 days after.

If you miss this window, you could lose your guaranteed right to buy a Medigap policy without medical review. Acting within these time limits is key to keeping your options open.

Maximizing Your Options

Your Medicare coverage isn’t a one-size-fits-all. The trial right exists to ensure your initial Medicare decision doesn’t bind you to an unsuitable plan for your healthcare or budget. Whether you’re just turning 65 or trying Medicare Advantage after having Medigap, this safeguard provides flexibility and peace of mind.

Medicare choices can feel like lifelong commitments, but the Medicare Advantage trial right offers a unique chance to switch plans without penalties. Understanding how it works and when to act is crucial in maintaining your healthcare options.

If you're unsure about your coverage or whether you qualify for the trial period, consulting a licensed advisor can help you understand your choices. Don't let this one-time opportunity slip by; your long-term healthcare security might rely on it.