10 Most Important Questions to Ask When Shopping for a Medicare Plan

Jan 11, 2023

Shopping for a Medicare plan can be a frustrating and overwhelming experience for many people. There are so many options and variables to consider, and the consequences of making the wrong choice can be significant. In this blog, we'll explore some of the reasons why shopping for a Medicare plan can be so frustrating, and share a real-life story of someone who experienced this frustration firsthand.

Meet Karen. Karen is a 67-year-old retiree who recently became eligible for Medicare. She was excited to enroll and start taking advantage of the benefits that come with the program, but quickly found herself feeling overwhelmed by the options. There were so many different plans and providers to choose from, and each one seemed to have its own set of confusing terms and conditions.

Karen spent hours researching online and talking to friends and family, but the more she learned, the more confused she became. She tried calling various providers to ask for more information, but was often put on hold for long periods of time or transferred to someone who couldn't answer her questions.

Eventually, Karen decided to seek the help of an independent insurance agent who specialized in Medicare plans. The agent was able to explain the different types of plans and help Karen understand what each one covered. The agent also helped Karen compare plans and choose one that best suited her needs and budget.

Karen's story is not uncommon. Many people find themselves in similar situations when shopping for a Medicare plan. The process can be complicated and overwhelming, and it's easy to feel like you're not getting the information you need to make an informed decision. That's where an independent insurance agent can be a valuable resource.

In the rest of this blog, we'll explore some of the reasons why shopping for a Medicare plan can be so frustrating, and offer some tips for making the process a little easier, including the option of working with an independent insurance agent.

Here are the top 10 questions you should ask when shopping for a Medicare plan.

Why Do You Need a Medicare Plan?

Before choosing a Medicare Plan, it's important to make sure you actually need one. Most people qualify for Medicare when they turn 65, but some younger people may be eligible due to disability. It's important to know your eligibility status before starting your search.

What Are the Different Types of Medicare Plans?

There are four main types of Medicare Plans: Part A (Hospital), Part B (Medical), Part C (Medicare Advantage), and Part D (Prescription Drug Coverage). Each plan has different costs and benefits, so it's important to understand the differences.

What Does the Plan Cover?

Make sure to review what each plan covers and if it fits your healthcare needs. Some plans have broader coverage than others, and some plans may have limitations, so make sure to read the fine print.

What Are the Out-of-Pocket Costs?

All Medicare Plans have some level of out-of-pocket costs. Make sure to review the costs for each plan, including deductibles, copays, and coinsurance, so you can budget accordingly.

Will Your Doctors Be Covered?

If you have a preferred doctor, it's important to ensure they are in-network with your Medicare Plan. Otherwise, you might have to pay out-of-pocket or find a new doctor within the plan's network.

Will Your Medications Be Covered?

If you take prescription medications, make sure to review each plan's drug coverage. Some plans may only cover certain medications, or include coverage limits.

What Extra Benefits are Included?

Some Medicare Plans may include extra benefits, such as dental or vision coverage. Make sure to review the extra benefits each plan offers to determine which plan might be the best fit for your healthcare needs.

How Easy is it to Access Care?

Some Medicare Plans require you to get a referral from your primary care provider before seeing a specialist. Make sure to check the plan's rules and procedures to determine how easy it is to access care when you need it.

What is the Plan's Star Rating?

Every year, Medicare releases star ratings for each plan, which can help you evaluate and compare the quality of care provided. Make sure to check the star rating for each plan you are considering.

What is the Total Cost of the Plan?

Last but not least, make sure to review the total cost of the plan, including premiums, deductibles, copays, coinsurance, and any other out-of-pocket costs. This will help you determine if the plan is within your budget.



Shopping for a Medicare plan can be a complex process, but asking the right questions can help you make the best decision for your healthcare needs. Make sure to review all of your options and consider your individual healthcare needs when choosing a Medicare plan.


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If you would like one of our Medicare Agents to assist you with your health plan options, you can email us by clicking the link below to get started. We can't wait to help you!

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