Annual Medicare Plan Review Checklist
Take control of your Medicare coverage with our comprehensive review checklist
Complete this checklist to ensure your plan still meets your needs for the upcoming year
Your Progress
0%
Current Coverage Review
Review your current plan's Summary of Benefits
Check what's covered, copays, deductibles, and out-of-pocket maximums for the upcoming year
Review the Annual Notice of Change (ANOC)
Understand what changes are coming to your current plan for next year
Check if your plan is being discontinued
Verify your plan will still be available in your area next year
Review your current monthly premium
Compare this year's premium to next year's and evaluate if it fits your budget
Healthcare Needs Assessment
List all current medications
Create a complete list with dosages to check formulary coverage
Identify your preferred doctors and specialists
Make a list of all healthcare providers you want to continue seeing
Review upcoming medical procedures or treatments
Consider any planned surgeries, ongoing treatments, or new health concerns
Assess frequency of doctor visits
Determine if your healthcare usage has changed from previous years
Evaluate need for additional benefits
Consider dental, vision, hearing aids, or other supplemental coverage
Provider & Pharmacy Network Check
Verify all doctors are in-network for next year
Confirm your current providers accept your plan for the upcoming year
Check hospital network coverage
Ensure your preferred hospitals are in-network
Verify pharmacy network status
Confirm your pharmacy is in-network and check mail-order options
Review specialist coverage requirements
Check if referrals are needed and verify specialist networks
Prescription Drug Coverage
Check if medications are on next year's formulary
Verify all your drugs are covered and at what tier level
Review copays for each medication
Calculate total annual drug costs including copays and deductibles
Check for prior authorization requirements
Identify any medications requiring pre-approval
Evaluate coverage gap (donut hole) protection
Understand how you'll be covered if you reach the coverage gap
Cost Analysis
Calculate total annual costs for current plan
Add premiums, deductibles, copays, and out-of-pocket expenses
Review out-of-pocket maximum changes
Check if the maximum you could pay has increased
Compare costs with alternative plans
Research other available plans in your area for potential savings
Consider if you qualify for Extra Help
Check eligibility for low-income subsidy programs
Plan Comparison & Decision
Research available plans in your county
Identify all Medicare Advantage and Medigap options available to you
Compare plan ratings and reviews
Check Medicare Star Ratings and customer satisfaction scores
Review coverage for travel and out-of-area care
Verify coverage if you travel or spend time in multiple locations
Speak with an independent Medicare advisor
Get unbiased guidance from a licensed professional who can review all options
Make enrollment decision before deadline
Take action during Annual Enrollment Period (October 15 - December 7)
Save Your Progress
Need Help With Your Medicare Plan Review?
As an independent Medicare advisor, I can help you navigate your options and find the right plan for your needs.
(888) 588-5175