Most people who already have a Medicare Advantage plan never open the Plan Finder again after the year they enrolled. That is the single most expensive habit in Medicare, because plans are not static. Premiums move, drug tiers get reshuffled, networks lose hospitals and benefits get trimmed, and none of it requires your consent. A plan that was the right answer two years ago may not be the right answer now, and the only way to find out is to look.
Your plan is required to send you an Annual Notice of Change by September 30 each year, spelling out what is different about your coverage for the coming year. It arrives in a thick envelope that most people put on the counter and never open. Open it. Then take the changes it describes and check them against what else is available in your county.
The three changes worth checking every year
Whether your prescriptions moved to a higher tier or left the formulary altogether. Whether your doctors and your hospital are still in network for the coming year. And whether the maximum out of pocket amount went up, since that is the number that protects you in a bad year.
Doing nothing is a decision. If you take no action during enrollment, you are automatically kept in your current plan under its new terms for the coming year, whatever those terms turn out to be. Twenty minutes in the Plan Finder each October is what turns that from a default into a choice.
Two people in the same ZIP code can pull completely different plan lists out of the same tool. These are the inputs responsible.
| Common approach |
What it costs you |
Better approach |
| Sorting by monthly premium |
Zero premium plans rise to the top regardless of what they cost you in practice |
Sort by estimated total yearly cost |
| Skipping the drug list |
Drug costs drop out of the estimate entirely, so every plan looks similar |
Enter each prescription with dose and quantity |
| Leaving the default pharmacy |
Prices your drugs against a pharmacy you may never set foot in |
Select your actual pharmacy and compare mail order |
| Ignoring star ratings |
Loses a real signal about complaints, customer service and members leaving |
Use 4 stars and up as a filter |
| Comparing eight plans at once |
Produces a spreadsheet nobody finishes and a decision nobody makes |
Shortlist three, then verify each by phone |