Medicare Plans
Switching Your Medicare Plan in St. Louis, MO
Keeping the same Medicare plan every year is a decision too. Networks, drug tiers and copays change each January, and a plan that suited you three years ago in Webster Groves or Chesterfield may cost you more now.
Changing plans is usually easy, as long as Medicare has a window open for you. Here's how to tell whether you can switch right now, and what to compare first.
- See whether a window is open for you
- Keep the doctors and drugs you count on
- Free to review, no pressure to change
- Local help from people who know St. Louis
Find out if you can switch, and if you should
Tell us your current plan, your doctors and your prescriptions. A licensed insurance agent confirms which enrollment window applies and calls you back during business hours with a plain answer, even when staying put is the better choice.
What to expect
Free review- A licensed agent calls you back during business hours, Mon-Fri, 8:30am-5:30pm CT
- Your doctors and prescriptions get checked before any plan is suggested
- No fee for our help, and your premium is the same either way
- No obligation to enroll, and no pressure if you'd rather stay put
Reviewed by the licensed insurance agents at St. Louis Senior Insurance. Last reviewed: October 2026. Office hours: Mon-Fri, 8:30am-5:30pm CT.
Thanks, we have your request.
A licensed agent will call you during business hours, Mon-Fri, 8:30am-5:30pm CT. If you'd rather not wait, call 314-463-5815 now.
Eligibility
Which window fits your situation
| Window | Dates | What you can do |
|---|---|---|
| Annual Open Enrollment | Oct 15 to Dec 7 | Change Advantage plans, change Part D plans, or go back to Original Medicare |
| Medicare Advantage Open Enrollment | Jan 1 to Mar 31 | One change if you're already in an Advantage plan |
| Special Enrollment Period | Set off by an event | Moving, losing job-based coverage, qualifying for Extra Help, or your plan leaving your county |
| Missouri Medigap anniversary | 30 days before or after your policy anniversary | Move to the same plan letter at another company with no health questions |
| Other Medigap changes | Any time | Apply for a different plan, usually with health questions unless a guaranteed-issue right applies |
A move inside the metro can open a window
A new address, even one as close as a move from South City out to O'Fallon, can open a Special Enrollment Period if it takes you outside your plan's service area. Give us your move date and we'll check.
Reasons
Good reasons to look again
- Your doctor or hospital left the plan's network
- A drug moved to a higher tier or came off the drug list
- Your Medigap premium went up again
- Routine visits are costing more than you planned
- You now qualify for Extra Help or a Missouri Medicare Savings Program
- You moved, retired or lost coverage from a job
Switching isn't always the answer. Sometimes the plan you have is still the best one we can offer in your part of the St. Louis area, and the right move is to keep it. We'll tell you that plainly. We'd rather keep you as a client for years than move you around for one season.
Local networks
Switching plans around St. Louis
Most switching questions here come back to hospitals. Advantage plans sold in the St. Louis area don't all contract with the same groups. One may include BJC and SSM Health, another Mercy and St. Luke's, and those contracts can change at renewal. The plans offered also differ between St. Louis City, St. Louis County and St. Charles County. If you're in cancer treatment, ask whether the plan covers your oncologist. Veterans who use the John Cochran or Jefferson Barracks VA medical centers should think about how VA care fits with any Medicare plan before switching. Not sure we cover your area? See our service areas.
For free counseling on every plan sold in your county, you can also call Missouri SHIP at 800-390-3330.
Process
How a switch works
-
1
Start with what you have
Have your plan card, your drug list and the names of the doctors you want to keep.
-
2
Compare real numbers
Premium, deductible, copays, network and drug tiers, added up for the whole year instead of one month.
-
3
Confirm your window
We make sure you're allowed to switch and confirm the start date before you sign any application.
-
4
Enroll and follow up
We send in the paperwork, watch for confirmation and make sure the old coverage ends cleanly with no gap.
New to comparing plans? Start with our Medicare plans overview, weigh Advantage vs. Medigap, or read the mistakes to avoid before you change anything.
Questions
Common questions about switching plans in St. Louis
Can I change Medicare plans whenever I want?
My doctor left my plan's network. What now?
Does moving across town open a window?
Can I switch Medigap companies in Missouri?
Can I leave Medicare Advantage for a Medigap plan?
Does it cost anything to find out if I can switch?
Before you switch
Annual Open Enrollment
The fall window when most plan changes happen.
Read moreMedicare Advantage
Check networks and the out-of-pocket cap before you move.
Read moreMedicare Supplement (Medigap)
Missouri's anniversary rule and when health questions apply.
Read morePart D Drug Plans
Recheck your drug list every fall, even if nothing else changed.
Read moreNot sure if you can switch right now?
One short call tells you which window applies and whether a change would save you money.