Does Medicare Offer a Grocery Benefit? Here’s What You Need to Know
Why did my Medicare costs go up?
If you’ve asked this question—or found your pharmacy surprised you with a new copay or deductible—there’s a good chance the answer was in your Annual Notice of Changes (ANOC).
This post is for anyone currently enrolled in a Medicare Advantage or Part D prescription drug plan. If you’re turning 65 soon or helping a loved one navigate coverage, this is essential reading. We’ll show you what the ANOC is, how to read it, and what steps to take to protect your health—and your wallet.
What Is the Medicare Annual Notice of Changes (ANOC)?
The ANOC is your yearly Medicare "heads up"
Each fall, Medicare Advantage and Part D plans send out the Annual Notice of Changes. This document outlines what’s changing in your plan for the upcoming year—including:
- Monthly premiums
- Deductibles and copays
- Prescription drug coverage
- Provider networks
- Extra benefits (like dental, vision, gym memberships)
You’ll typically receive your ANOC by September 30, giving you time to review before Medicare Open Enrollment (Oct 15–Dec 7).
Tip: Look for an envelope marked with your plan name—don’t toss it with the junk mail!
Why the ANOC Matters: A Real-World Example
Meet Tom and Susan, both 67 and enrolled in the same Medicare Advantage plan.
Last year, Susan didn’t read her ANOC. Come January, her primary care doctor was suddenly out of network, and her heart medication jumped to Tier 3 with a $47 copay.
Tom, on the other hand, read his ANOC, noticed those same changes, and called a Medicare insurance advisor to switch to a plan with lower drug costs and his doctor still covered.
Outcome: Susan paid hundreds more over the year. Tom didn’t.
Reading the ANOC is the difference between getting blindsided—and staying in control.
What Should You Look for in Your ANOC?
A quick checklist:
- 1. Monthly Premiums – Are they going up or down?
- Drug Coverage (Formulary) – Are your prescriptions still covered and in the same tier?
- Provider Network – Are your doctors, specialists, and hospitals still in-network?
- Deductibles and Copays – Will your out-of-pocket costs increase?
- Supplemental Benefits – Have dental, vision, hearing, or OTC benefits changed?
- Plan Star Rating – Has the quality score of your plan gone up or down?
Pro tip: Use a pen to highlight any changes and make a list of questions to review with a licensed Medicare insurance consultant.
What to Do if You Don’t Like the Changes
If your plan no longer meets your needs, you have options—but you need to act during Medicare Open Enrollment (Oct 15–Dec 7).
Your choices may include:
- Switching to a different Medicare Advantage plan
- Returning to Original Medicare + a Supplement (Medigap)
- Choosing a new Part D drug plan
- Exploring plans that offer better extras like dental or transportation
How we can help:
At our agency, we compare 66+ plans across multiple insurers to find what fits you best—not just what’s being pushed by one company. And we do it with no pressure, just clear guidance.
FAQs
What if I never got my ANOC?
Call your plan directly or check your online member portal. You have a right to it by law.
Is the ANOC the same as the Evidence of Coverage (EOC)?
No. The EOC is a detailed benefits guide. The ANOC is a summary of what’s changing next year.
Do Medigap plans send ANOCs?
No, Medigap plans generally do not change annually the same way Advantage or Part D plans do, so they don’t send ANOCs.
Your Medicare Annual Notice of Changes isn’t just another piece of mail—it’s your early warning system. Reviewing it now can save you money, time, and headaches in the year ahead.
Need help reviewing your ANOC or comparing plans?
We specialize in helping adults who are turning 65 or already on Medicare make confident, cost-effective choices.



