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Medicare Deadlines in 2027: Which Dates Matter in Lafayette

Medicare Deadlines in 2027: Which Dates Matter in Lafayette…

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Key takeaways

  • The Medicare Annual Enrollment Period runs October 15 through December 7, and changes made then take effect January 1, 2027.
  • The Medicare Advantage Open Enrollment Period (January 1 – March 31) gives Advantage enrollees one more chance to switch or return to Original Medicare.
  • Lafayette is in Lafayette Parish, where 49 Medicare Advantage plans and 7 MA-PD carriers were available for 2026; the 2027 lineup is in each plan's ANOC and on Medicare.gov's Plan Finder. Stand-alone Part D plans are offered through the broader Louisiana region.
  • Missing an enrollment window can mean waiting months for coverage or paying a lifelong late-enrollment penalty, so mark the dates now.

LAFAYETTE, La. — When people talk about Medicare "options," they often jump straight to plan counts. But the more useful question is usually about timing: when can you make a change, and what happens if you miss the window? For 2027, the calendar is what shapes most of the choices Lafayette residents actually get to make.

Below is a plain-English walk through the enrollment windows that apply in Lafayette Parish, how they overlap, and what to do if a date slips by.

The Annual Enrollment Period: October 15 – December 7

This is the big one. During AEP, anyone with Medicare can:

Whatever you pick during AEP takes effect January 1, 2027. If you do nothing, your current coverage generally rolls forward — which is fine if it still fits, but worth double-checking because plans can change their formularies, networks, and costs each year. Review your plan's Annual Notice of Change.

The Medicare Advantage Open Enrollment Period: January 1 – March 31

If you're already in a Medicare Advantage plan on January 1 and decide it isn't working, you get a second chance. Between January 1 and March 31, you can:

You only get one change during this window, and it isn't open to people who stayed on Original Medicare. New coverage starts the first day of the month after you make the change.

Turning 65? Your Initial Enrollment Period

If you're new to Medicare, your seven-month Initial Enrollment Period (IEP) is what matters most. It starts three months before the month you turn 65, includes your birthday month, and runs three months after.

Sign up in the three months before your birthday month, and coverage starts the month you turn 65. Wait until your birthday month or later, and coverage can be delayed by a month or more. Miss the IEP entirely without other creditable coverage, and you may face lifelong Part B and Part D late-enrollment penalties plus a wait for the General Enrollment Period.

General Enrollment Period: January 1 – March 31

If you missed your IEP and don't qualify for a Special Enrollment Period, this is the fallback for Part B. Coverage begins the month after you enroll. Late-enrollment penalties may still apply, so this window is a safety net, not a do-over.

Special Enrollment Periods

Life events can open a Special Enrollment Period (SEP) outside the usual dates. Common triggers include:

SEPs have their own deadlines — typically two months from the qualifying event — so act quickly if something changes in your life.

How Lafayette's plan landscape fits in

Lafayette is in Lafayette Parish, where CMS's 2026 Landscape data lists 49 Medicare Advantage plans from 7 carriers offering MA-PD coverage. The 2027 lineup is detailed in each plan's ANOC and on Medicare.gov's Plan Finder. Stand-alone Part D plans are offered through the broader Louisiana region rather than a specific parish count. That's a lot of options to sort through, which is exactly why the AEP calendar matters: you want time to compare before December 7, not the week of.

What to do if you miss a deadline

Don't panic — but don't wait, either. Call 1-800-MEDICARE or visit medicare.gov to check whether an SEP applies to your situation. Louisiana's State Health Insurance Assistance Program (SHIP), known locally as SHIIP, offers free one-on-one counseling and can help you sort out timing questions without trying to sell you anything.

By the numbers

Medicare Part B premium, 2006–2026

The standard monthly Part B premium has climbed from $88.50 in 2006 to $202.90 in 2026. Hover any point for that year’s premium.

$0$50$100$150$200200820122016202020242026

Source: CMS. Standard premium shown; in some hold-harmless years many existing enrollees paid less. Confirm at Medicare.gov.

By the numbers

How people get Medicare in Lafayette Parish

42% are on Medicare Advantage
(MA penetration in Lafayette Parish)
42%
58%
Medicare Advantage Medicare Supplement (Medigap) Original Medicare only
U.S. average

MA penetration from CMS enrollment data; Medigap share is an estimate. U.S. average is about 54% Medicare Advantage. These are area-level figures, not plan-specific.

Higher-income surcharges

2026 IRMAA income brackets

If your income is above a threshold, you pay an income-related surcharge (IRMAA) on top of your Part B and Part D premiums. The figures below are for 2026, based on your 2024 tax return; CMS publishes the 2027 IRMAA brackets later in the fall along with the Part B numbers.

Income — single filerIncome — married, jointPart B monthly premiumPart D surcharge
$109,000 or less$218,000 or less$202.90Plan premium only
$109,001 – $137,000$218,001 – $274,000$284.10+ $14.50
$137,001 – $171,000$274,001 – $342,000$405.80+ $37.40
$171,001 – $205,000$342,001 – $410,000$527.50+ $60.40
$205,001 – $500,000$410,001 – $750,000$649.30+ $83.30
Above $500,000Above $750,000$689.90+ $91.00

Standard Part B premium is $202.90/month. Part D surcharges are added to your drug plan’s premium. Married-filing-separately uses a different, compressed schedule. Confirm current amounts at Medicare.gov.

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See Medicare options serving Lafayette & speak with a licensed agent

Medicare Advantage companies in Lafayette Parish

By local enrollment size · informational, not a ranking
CompanyLocal enrollmentPlans offeredLocal agentsAction
HumanaNational—Yes
UnitedHealthcareNational—Yes
Aetna (CVS Health)National—Yes
Louisiana Health Service & Indemnity CompanyRegional—Yes
Centene (WellCare)National—Yes
Elevance Health (Anthem)National—Yes
Enrollment data: CMS Medicare Advantage enrollment by company (county level). Figures shown are illustrative sample data pending the current CMS file. Listed by enrollment size, largest first — this is not a ranking, recommendation, or endorsement of any company or plan.

Provided by licensed insurance partners; MyMedicarePlans.org may be compensated. Not a ranking or endorsement of any plan.

Explore

When can you enroll? An interactive year

JFMAMJJASOND
October 15 – December 7 — anyone with Medicare can join, switch, or drop a Medicare Advantage or Part D plan. Changes take effect January 1.

Enrollment windows are federal and the same nationwide. Confirm your personal dates at Medicare.gov or 1-800-MEDICARE.

Explore

The parts of Medicare

Part A covers inpatient hospital stays, skilled nursing facility care, hospice, and some home health care. Most people pay no premium for Part A.

Good to know

Frequently asked questions

What is the deadline to change my Medicare plan for 2027?
For most people, December 7, 2026 is the deadline to make changes during the Annual Enrollment Period. Coverage picked during AEP begins January 1, 2027.
Can I switch Medicare Advantage plans after January 1?
Yes, if you're already enrolled in a Medicare Advantage plan. The Medicare Advantage Open Enrollment Period runs January 1 through March 31, and you can make one change — either to a different Advantage plan or back to Original Medicare with a stand-alone Part D plan.
What happens if I miss my Initial Enrollment Period at 65?
You may have to wait for the General Enrollment Period (January 1 – March 31) to sign up for Part B, and you could owe a late-enrollment penalty for as long as you have Medicare. If you had creditable coverage through an employer, a Special Enrollment Period may apply instead.
Where can I get free help understanding these dates in Lafayette?
Contact Louisiana SHIIP, the state's SHIP program, for free and unbiased counseling. You can also call 1-800-MEDICARE (1-800-633-4227), available 24/7, or use the Plan Finder at medicare.gov. ## For official information **medicare.gov** — the official federal site for enrollment and plan comparison. **1-800-MEDICARE (1-800-633-4227)** — available 24 hours a day, seven days a week. **Louisiana SHIIP (State Health Insurance Information Program)** — free, unbiased local counseling for Lafayette-area residents.
Sources & further reading
  • CMS — MA/Part D Landscape & Plan Finder data

For personalized answers, contact Medicare.gov, 1-800-MEDICARE, or your local SHIP.

Also for Lafayette

Content Integrity Standards

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This page was last updated: September 30, 2026.

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