AEP Checklist: What to Do Before You Enroll

The Medicare Annual Election Period (AEP), from October 15 to December 7, is the prime time for beneficiaries to review their Medicare coverage and make changes. Whether you’re enrolled in Original Medicare, a Medicare Advantage plan, or a Part D prescription drug plan, taking a systematic approach can save you money and ensure your coverage meets your health needs.

A checklist can simplify this process, helping you stay organized and confident as you navigate plan options. Below is a comprehensive guide to what you should do before enrolling during AEP.

1. Gather Your Current Plan Information

Before comparing new plans, it’s essential to understand your existing coverage. Collect the following:

• Your current Medicare card and plan ID numbers

• Annual Notice of Change (ANOC) from your current plan

• List of medications you currently take, including dosage and frequency

• Contact information for your preferred doctors and specialists

Having this information on hand will make it easier to identify gaps in coverage, changes in costs, and network restrictions that could affect your care.

2. Review the Annual Notice of Change (ANOC)

Your ANOC is a key document that details changes to your plan for the coming year. Carefully examine it for:

• Premium adjustments

• Changes to deductibles, copays, or coinsurance

• Updates to your drug formulary

• Network changes affecting doctors and hospitals

• Modifications to additional benefits, such as dental, vision, or hearing

Highlight any significant changes and consider whether they will impact your overall healthcare costs or access.

3. Evaluate Your Current and Anticipated Health Needs

Your healthcare needs may change from year to year. Consider:

• Medications: Are you starting any new prescriptions or discontinuing others?

• Upcoming procedures or treatments: Are you planning any surgeries or specialty care next year?

• Provider preferences: Do you want to continue seeing your current doctors?

• Lifestyle considerations: Do you travel frequently or need coverage in multiple locations?

Assessing these factors helps you determine whether your current plan still meets your needs or if a switch is advisable.

4. Compare Medicare Advantage and Part D Options

Once you’ve reviewed your current plan and health needs, compare available plans in your area. Key factors to consider include:

• Costs: Monthly premiums, deductibles, copays, coinsurance, and maximum out-of-pocket limits

• Provider networks: Ensure your doctors and preferred facilities are included

• Drug coverage: Verify that your medications are covered at an affordable tier

• Additional benefits: Dental, vision, hearing, fitness programs, or transportation perks

• Star ratings: Check Medicare plan quality ratings to gauge overall performance and satisfaction

This comparison ensures you’re aware of all options and can select a plan that balances cost and coverage.

5. Use Online Tools or Professional Help

Medicare.gov provides tools to compare plans based on cost, coverage, and network access. Enter your medications, preferred providers, and zip code to see side-by-side comparisons.

If you’re unsure about interpreting the data, consider consulting a licensed Medicare broker. A broker can provide personalized guidance, answer questions about coverage differences, and help you make an informed decision.

6. Review and Make Your Choice

After comparing options, weighing costs, and verifying coverage, make your decision. Confirm that:

• You understand all costs and benefits

• Your preferred doctors and pharmacies are in-network

• Your medications are covered

• You have completed the enrollment process before the deadline

Once your choice is submitted, keep a record of confirmation for your files.

Stay Organized and Take Action this AEP

AEP can be overwhelming, but a structured approach makes the process manageable. By following this checklist, you ensure you review your plan, assess your needs, compare options, and enroll in time.

Remember, your health and budget depend on making informed choices during AEP. If you feel uncertain, a licensed Medicare broker can guide you through the process, clarify your options, and help you select the plan that fits your lifestyle and healthcare needs.

Taking the time to prepare now can save you money, reduce stress, and give you confidence that your coverage for the upcoming year is just right.