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November 14, 2026 - KFF Answers Medicare Questions:

Can I be charged a higher premium for Medicare Advantage plans if I have a pre-existing condition or if I smoke?

No, Medicare Advantage plans charge the same premiums to all enrollees; they are not permitted to vary premiums based on age, smoking history, gender, or pre-existing medical conditions.

Related:

KFF Answers Medicare Questions: My Husband And I Are Retired. He Just Turned 65 And Is Now Covered By Medicare, But I Am 62 And I Don’t Have Health Insurance. As The Spouse Of A Medicare Beneficiary, Can I Enroll In Medicare?

KFF Answers Medicare Questions: I Am Enrolled In A Medicare Advantage Plan, But Have Recently Made Plans To Do Some Traveling Throughout The United States. Will My Plan Provide The Same Coverage In All The States I Visit?

KFF Answers Medicare Questions: I Am About To Turn 65; My Spouse Is 60 And Still Working. We Are Both Covered Under Her Employer’s Health Plan. Do I Have To Do Anything With Regard To Medicare This Year?

KFF Answers Medicare Questions: Is There A Lifetime Limit On The Number Of Times A Person Can Switch Medicare Advantage And Medicare Part D Plans, Or Can I Shop Around And Switch Every Year If I Want To?

KFF Answers Medicare Questions: I Have Drug Coverage From The VA. Do I Need To Sign Up For A Part D Plan?

KFF Answers Medicare Questions: I Am Covered By Medicare And My Only Income Is $12,000 From Social Security. I Have $1,000 In A Savings Account. Do I Qualify For Any Financial Assistance With My Medicare Coverage?

KFF Answers Medicare Questions: Can I Receive Extra Benefits From A Medicare Advantage Plan That I Wouldn’t Be Able To Get In Traditional Medicare?

KFF Answers Medicare Questions: I Have Medicare Part A And Part B. I’ve Heard About Part C And Part D, But I Don’t Know What Those Are. Do I Need To Sign Up For Those During The Medicare Open Enrollment Period?

KFF Answers Medicare Questions: Can I Switch From My Current Medicare Advantage Or Medicare Part D Plan To A Plan With A “5-Star” Quality Rating In My Area Outside The Open Enrollment Period?

KFF Answers Medicare Questions: There Are A Lot Of Medicare Part D Plan Options In My Area. How Do I Decide Which Plan Is Best For Me?

KFF Answers Medicare Questions: I Signed Up For A Stand-Alone Part D Plan Early In The Medicare Open Enrollment Period, But Then I Changed My Mind. Can I Switch To A Different Plan If The Medicare Open Enrollment Period Hasn’t Ended?

KFF Answers Medicare Questions: I Am 70 Years Old And Covered By Medicare, But I’m Wondering If I Can Purchase One Of The Health Plans Offered Through The Marketplace And Drop My Medicare Coverage? Is That An Option For Me?


KFF Answers Medicare Questions: I Heard There Have Been Changes To Medicare In Recent Years To Help Beneficiaries Lower Their Out-Of-Pocket Prescription Drug Costs Or Spread Them Throughout The Year. How Can These Changes Help Me?

KFF Answers Medicare Questions: I Didn’t Sign Up For Part B When I First Became Eligible, But Want To Sign Up Now. I Know There Is A Penalty For Late Enrollment. Is There Any Way To Avoid The Penalty?

KFF Answers Medicare Questions: There Are A Lot Of Medicare Advantage Plan Options In My Area. How Do I Decide Which Plan Is Best For Me?

KFF Answers Medicare Questions: Is the Medicare Open Enrollment Period the Same As the Marketplace Open Enrollment Period? Can I Buy Medicare and Medigap Plans Through the Marketplace?

KFF Answers Medicare Questions: I’m Having A Hard Time Affording My Medicare Part D Drug Coverage. Are There Any Options For Me?

KFF Answers Medicare Questions: I Am Turning 65 In A Few Months And Want To Go On Medicare. Will I Be Automatically Enrolled In Parts A And B Or Do I Need To Sign Up?

KFF Answers Medicare Questions: How Can I Compare My Medicare Coverage Options?

KFF Answers Medicare Questions: How and When Can I Switch from Medicare Advantage to Traditional Medicare? Is There a Form I Need to Fill Out? Can I Make That Change During the Medicare Open Enrollment Period?

KFF Answers Medicare Questions: I Want To Switch From Medicare Advantage To Traditional Medicare, But I Still Want Drug Coverage. What Do I Need To Do?

KFF Answers Medicare Questions: I Am Covered By Medicare, But I Don’t Take Any Medications. Do I Need To Sign Up For A Drug Plan?


While every effort has been made to provide accurate and up-to-date information in these FAQs, people should contact Medicare, Social Security, State Health Insurance Assistance Programs (SHIP), or companies offering Medicare Advantage and Medicare Part D plans and Medigap policies directly for guidance on individual circumstances.

Source: KFF

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