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The Annual Medicare Plan Review: Your Key to Optimal Healthcare Coverage

Medicare is a crucial aspect of healthcare coverage for millions of Americans, providing access to essential medical services. However, simply enrolling in a Medicare plan isn't enough to ensure you're getting the best value and coverage for your unique healthcare needs. That's where the annual Medicare plan review comes in. In this blog post, we'll delve into why it's essential to review your Medicare plan every year, helping you make informed decisions and safeguard your health and finances.

Why Should You Review Your Medicare Plan Annually?

1. Changing Healthcare Needs

As we age, our healthcare needs often evolve. New medical conditions may arise, or existing ones may become more complicated. Medications and treatment plans can

change, and your preferred healthcare providers may differ from year to year. Conducting an annual Medicare plan review allows you to adapt your coverage to these shifting needs.

2. Plan Benefits May Change

Medicare plans can change their benefits and costs each year. What was covered last year might not be included in your plan the following year, or the cost-sharing for services may increase. Reviewing your plan annually ensures you stay informed about these changes and can make adjustments accordingly.

3. Financial Savings

The cost of healthcare can be a significant burden, especially for retirees on a fixed income. An annual Medicare plan review can help you identify opportunities to save money. You may discover plans with lower premiums, reduced out-of-pocket costs, or better prescription drug coverage. These savings can have a positive impact on your overall financial health.

What to Consider During Your Annual Medicare Plan Review

When conducting your Medicare plan review, it's essential to keep specific factors in mind to make the process as effective as possible. Consider the following:

Coverage Needs

Review your current health status and any upcoming medical needs. Are there specific treatments, surgeries, or medications you anticipate needing in the coming year? Make a list of your healthcare requirements to ensure your plan adequately covers them.

Provider Networks

Are your preferred doctors, specialists, and hospitals still in-network with your current plan? Confirm this information to avoid unexpected out-of-pocket expenses.

Medication Coverage

If you take prescription medications, check whether your plan covers them and at what cost. Medication formularies can change, so ensure your essential drugs remain accessible and affordable.

Premiums and Deductibles

Evaluate the monthly premiums and deductibles associated with your plan. Can you find a plan with lower costs while maintaining the coverage you need?

Star Ratings and Reviews

Medicare assigns star ratings to health and drug plans based on factors like quality of care and customer satisfaction. Review these ratings to gauge the performance and reputation of your current plan.

Special Enrollment Periods

Be aware of any Special Enrollment Periods (SEPs) that may allow you to switch or adjust your plan outside of the annual Open Enrollment Period. SEPs can arise due to various life events, such as moving, losing other coverage, or qualifying for Extra Help.

Benefits of Regularly Reviewing Your Medicare Plan

An annual Medicare plan review offers numerous advantages, including:

  • Optimized Coverage: Ensures your plan aligns with your current healthcare needs, reducing the risk of coverage gaps or unnecessary expenses.

  • Cost Savings: Identifies opportunities to save money on premiums, co-payments, and prescription drugs.

  • Access to Better Care: Helps you maintain access to your preferred healthcare providers, ensuring you receive the care you trust.

  • Peace of Mind: Knowing that you have the most suitable Medicare plan in place provides peace of mind, reducing stress about potential healthcare costs.

  • Legal Compliance: Ensures you remain compliant with Medicare regulations, preventing potential penalties or complications.


In the ever-changing landscape of healthcare, an annual Medicare plan review is not just a smart choice; it's a necessary one. Regularly assessing your plan's coverage, costs, and benefits can lead to improved healthcare outcomes and financial security. Don't miss out on the opportunity to make informed decisions about your Medicare coverage. Take the time to review your plan each year and enjoy the peace of mind that comes with knowing you have the right plan for your needs. Your health and financial well-being depend on it.

About Preferred Senior Benefits in Meridian, Idaho

Medicare is a federal program that provides healthcare coverage to individuals 65 years or older. Original Medicare coverage is broken into two parts—Part A and Part B—and is accepted by nearly every doctor and hospital in the country. Medicare Part A covers inpatient or hospital stays, while Part B covers outpatient or medical care. Together, Part A and B cover about 80% of the typical healthcare costs seniors face. This leaves a few significant gaps in coverage. Medicare Supplement (Medigap) and Medicare Advantage plans are policies designed to help extend coverage, lessen costs, and ultimately give beneficiaries peace of mind. If you or someone you know would like more information about how to enroll in Original Medicare or one of the Medicare Advantage plans, call now to speak with a licensed agent (208) 818-2523. We can’t wait to help you learn about your options.

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