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The third phase is that of metabolic alterations, in which the levels of waste products such as methylmalonic acid increase in the blood

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However, if you already have Medicare Advantage and want a new Medicare Advantage plan, or if you have Medigap but want to switch to Medicare Advantage, youll have to wait for one of three* Medicare Advantage enrollment periods: Annual Enrollment Period: October 15 December 7 of every year, applies to all Medicare beneficiaries, any change is allowed Special Enrollment Period: Applies only to those with specific circumstances, such as a special medical or financial need, and allows enrollments at specific times outside of AEP and OEP Open Enrollment Period: January 1 March 31 of every year, allows those with Medicare Advantage to make one switch to a different Medicare Advantage plan or drop coverage *The fourth Medicare Advantage enrollment period is when you first become eligible for Medicare and is called the Initial Enrollment Period