If Current Medicare Coverage Is---

Can Use Open Enrollment Period To ---

Cannot Use Open Enrollment Period Election To ---

Medicare Advantage with prescription drug coverage (MA-PD)

A different MA-PD or

Original Medicare + PDP

or MA-PFFS + PDP

MA-only or

Original Medicare only

(cannot drop drug coverage)

Medicare Advantage with no prescription drug coverage (MA-only)

A different MA-only or

Original Medicare only

MA-PD or

Original Medicare + PDP

(cannot add drug coverage)

MA-only PFFS + PDP

MA-PD or

different MA-only PFFS and same PDP or

Original Medicare and same PDP

MA-only or

Original Medicare only

(cannot drop drug coverage)

Original Medicare and a prescription drug plan (PDP)

MA-PD or

MA-PFFS and the same PDP

MA-only or

A different PDP to use with Original Medicare

(cannot drop drug coverage)

Original Medicare only

MA-only

MAPD or

Original Medicare + PDP

(cannot add drug coverage)