How to Choose a Medicare Plan: The 12-Point Checklist
Updated: Oct 9
How to Choose a Medicare Plan: 12-Point Checklist
Choosing Medicare doesn't have to be overwhelming. Use this 12-point checklist to compare Medicare Advantage, Part D and supplemental coverage.
How to Choose a Medicare Plan: A 12-Point Checklist
Shopping for Medicare shouldn't begin with: "What's the cheapest plan?"
Instead, begin with: "What does my healthcare actually look like?"
FAQ
1. Are my doctors in the plan?
This should be one of your first questions.
If you choose Medicare Advantage, provider network rules can be important.
2. Is my preferred hospital included?
Check the hospital network—not just your doctor's office.
3. Are my prescriptions covered?
Review your medications against the plan's formulary.
4. What will my prescriptions cost?
Look beyond the monthly premium.
5. What's the deductible?
Understand what you pay before the plan begins paying certain expenses.
6. What are my copays?
Calculate likely costs for:
Primary care
Specialists
Urgent care
Emergency care
Hospitalization
7. What's the maximum out-of-pocket amount?
Medicare Advantage plans have yearly limits for covered Medicare services.
8. Do I need referrals?
Some plan structures may require referrals or other care-management procedures.
9. Is prior authorization required?
Some Medicare Advantage plans may require prior authorization for certain services or supplies.
10. Are dental, vision or hearing benefits included?
Some Medicare Advantage plans may offer benefits beyond Original Medicare.
But don't assume that every plan offers the same extras.
11. Do I travel?
Your travel habits can affect which coverage structure makes sense for you.
12. What happens if my needs change?
Don't just think about today's healthcare needs.
Think about the next several years.
The JRF Services Medicare Checklist
Before comparing plans, gather:
Doctors: __________________
Hospitals: __________________
Prescriptions: __________________
Pharmacy: __________________
Typical medical visits: __________________
Travel needs: __________________
Monthly budget: __________________
Current coverage: __________________
Then compare plans based on your actual circumstances.
JRF Services emphasizes personalized Medicare guidance and comparison of plans from multiple carriers.
Comments