AvMed Medicare 2026: What to Do Now If You’re Unhappy or Missing Coverage
- Yahoska Perez
- Jan 23
- 2 min read
If you’re searching “AvMed Medicare 2026”, chances are you’re dealing with one of two situations right now:
You were moved to Original Medicare and realized you don’t have prescription drug coverage
You enrolled in a new plan quickly and now feel stuck in a Medicare plan that doesn’t fit
You’re not alone—and the good news is, you may still have time to fix it.
Where Many Former AvMed Medicare Members Are Right Now
Since AvMed officially exited the Medicare Advantage market, many Florida seniors were automatically transitioned or had to make quick decisions during Annual Enrollment.
Now that January 2026 is here, I’m hearing the same concerns over and over:
“I didn’t realize my prescriptions weren’t covered.”
“My new plan doesn’t include my doctors.”
“My copays are higher than I expected.”
“I rushed into a plan just so I wouldn’t lose coverage.”
This confusion is common after a carrier exit—but it doesn’t mean you’re stuck.
Special Enrollment Period for AvMed Medicare Members in 2026
According to Medicare.gov, individuals affected by a plan termination—like the AvMed Medicare exit—qualify for a Special Enrollment Period (SEP).
That means you may have extra time in 2026 to:
Enroll in a Medicare Advantage plan
Add a Medicare Part D prescription drug plan
Switch to a different Medicare Advantage plan
Correct a decision that isn’t working for you
This SEP exists specifically to protect beneficiaries who were impacted by carrier exits and coverage disruptions.
If You’re on Original Medicare With No Prescription Coverage
One of the biggest issues I’m seeing right now is former AvMed members who are now on Original Medicare only and just discovered:
No Part D prescription coverage
Full retail cost for medications
Potential late enrollment penalties if not addressed correctly
With the proper SEP, this can often be fixed, but timing and accuracy matter.
If You Chose a Plan You Don’t Like — You’re Not Alone
Many people felt pressured to “pick something” before AvMed ended. Now they’re realizing:
Their doctors are out of network
Their medications cost more than expected
The benefits they were promised don’t match reality
If your plan was selected due to the AvMed Medicare transition, you may still be eligible to make changes in January 2026.
How a Licensed Medicare Broker Can Help Right Now
As a former AvMed Medicare employee and current Florida-based Medicare broker, I help former AvMed members:
Verify Special Enrollment Period eligibility
Compare plans side-by-side
Check doctors, prescriptions, and pharmacies
Avoid unnecessary penalties or coverage gaps
There is no cost for my services, and you are never obligated to enroll.
Why This Matters Now — Not Later
Waiting can mean:
Paying out-of-pocket for prescriptions
Staying in a plan that doesn’t meet your needs
Missing your SEP window altogether
Acting now can restore peace of mind—and proper coverage.
Your Next Step: Free AvMed Medicare Review
If you were impacted by AvMed Medicare 2026 changes, now is the time to review your options.
📞 Schedule your FREE Medicare ReviewLet’s confirm whether you qualify for a Special Enrollment Period and fix what isn’t working—quickly and correctly.
To your health,
Yahoska Perez
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