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Reviewed for accuracy by Lauri Middleton, RN, MSN, licensed Medicare agentReviewed for clarity by Karen OrillaMeet our reviewers →

Life changes · 3-minute guide

Read your Annual Notice of Change

Take next year’s changes one topic at a time.

The short answer

An Annual Notice of Change (ANOC) describes changes in a Medicare plan for the coming year. Use your own notice to prepare questions about coverage and costs.

A useful next step

  1. Use the right year’s notice

    Check that it is the notice for the coming year. Keep it with current documents for comparison.

  2. Mark the topics that matter to you

    Look for changes that raise questions about how you use coverage. Do not assume a summary verifies your providers or prescriptions.

  3. Ask before deciding

    Ask your Medicare plan to clarify details. If you want to explore a change, first confirm enrollment rules and effects on other coverage.

Words you can use

“Which changes in this notice could affect me, and where can I confirm the details?”

An everyday example · Fictional

Avery marks two sections in a notice and calls with questions. Reading the notice is useful even if Avery ultimately makes no change.

A question worth keeping

Ask what changes in next year’s notice could affect my care, prescriptions, or costs.

Words on this page

Annual Notice of Change (ANOC)
The letter your plan must send by September 30 listing what changes next year: costs, drugs, doctors, benefits. Upcoming plan changesmedicare.gov

Source and scope

General educational guidance. This does not confirm benefits, eligibility, deadlines, or costs for an individual.

Official sources

Links open the official site in this tab. We send no information about you. Checked October 10, 2026.

Sources checked October 10, 2026.