Our Medicare plan finder tool is an easy way to get started finding Medicare Advantage plans and Medicare Part D prescription drug plans available in your area.
The Medicare.gov Plan Finder is a tool from the Centers for Medicare & Medicaid Services (CMS) that allows you to search for Medicare Advantage and Medicare Part D plans available where you live.
The CMS Medicare Plan Finder can be a helpful way of compiling some of your options into one place so that you can more easily narrow down your selection.
However, the plan finder tool on Medicare.gov requires you to go through many steps. You may find it easier to speak directly with a licensed insurance agent for help.
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Plus, a study published by the U.S. Government Accountability Office showed that three out of four Medicare beneficiaries struggle to use the CMS Medicare Plan Finder because it is “difficult to navigate, contains complex terms, and lacks information needed to compare coverage options.”1
The difficulty in using the site was such that Medicare.gov launched a revamped plan finder tool in recent years in an effort to make things easier for users.
How to get started with the CMS Plan Finder
There are two ways to utilize the Medicare Plan Finder:
Once you begin a search, you will be asked whether you want to learn more about Medicare plan options or to skip ahead and view plans because you know what you want.
Step 2
If you choose to learn more about your options, the Plan Finder tool will walk you through different Medicare coverage combinations and provide some basic information about each:
Original Medicare
Original Medicare + Medigap (another name for Medicare Supplement Insurance)
Original Medicare + Part D
Original Medicare + Medigap + Part D
Medicare Advantage
Once you review your options and understand the type of Medicare coverage combination you're interested in, you can click "Ready to Continue."
Step 3
Now that you know what type of plan you want and you're ready to view plans, can select the coverage you want.
Once you select your coverage, you will be asked for the following information:
Your zip code
Your Medicare number (if available)
Your birthday
Whether or not you receive help paying your Medicare premiums through a program such as Medicaid or Supplemental Security Income
Whether or not you wish to see drug costs as part of your plan comparison
How you normally fill your prescriptions
Which drugs you currently take
Your preferred pharmacies
Step 4
The Medicare plans that are available near you that fit your coverage needs will then be displayed.
You will be able to compare plans based on information such as their premiums, deductibles, benefits and Medicare Star Ratings.2
What types of Medicare plans can I find?
There are several different types of Medicare coverage options you may be able to consider.
A Medicare Health Plan is another name for plans that include Medicare Advantage plans, also called Medicare Part C.
Medicare Advantage plans provide all the same coverage as Original Medicare, and can offer other benefits not included in Original Medicare.
Medicare Supplement Insurance, or Medigap, provides coverage for out-of-pocket costs that Medicare doesn't cover, such as deductibles, copayments and coinsurance.
A Prescription Drug Plan (Medicare Part D) provides coverage only for prescription medications.
Depending on where you live and the plans that are available near you, you may be able to select Medicare plans from a list of private companies, which may include:
Each year, the Centers for Medicare and Medicaid Services rates all Medicare Advantage and Medicare Part D plans using a five-star scale.2
Plans with five stars are the highest rated plans.
Plans are rated on the following criteria:
Screening tests and vaccines
Management of chronic conditions
Member experience with the plan
Member complaints and changes in plan performance
Customer service
Drug safety and accuracy of drug pricing
The data used to score each plan comes from member surveys, information submitted to Medicare from clinicians and plans and Medicare’s regular monitoring activities.
How do I choose a Medicare plan?
When shopping for Medicare coverage, you may want to consider the following:
Do you need prescription drug coverage?
Do you want coverage for routine dental care, vision care and hearing aids?
Would you like to take on a higher monthly premium in exchange for lower out-of-pocket costs?
Do you have a favorite doctor or other health care provider that may or may not belong to specific plan networks?
Do you travel frequently?
Would you like to have the financial protection that an annual out-of-pocket spending limit can provide?
An agent can help guide you through these considerations so you can make an educated and informed decision about your care.
Once you have found a Medicare plan that suits your needs, the next step is to enroll.
There are different times of the year in which you may enroll in Medicare or switch Medicare plans, and special circumstances may lead to one person having different enrollment periods than another person.
As helpful as the Medicare.gov Plan Finder is, it’s not the only way to search for and compare Medicare plans in your area.
One alternative is to speak with a licensed insurance agent. An agent can discuss your health care needs and compile a list of available Medicare plans in your area.
Most importantly, an agent can help answer questions you are sure to have about costs, coverage, terms and conditions of plans and help you better understand exactly what it is you are shopping for.
Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.
Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.
Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.
Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.
A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.
If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.
1 U.S. Government Accountability Office. MEDICARE PLAN FINDER: Usability Problems and Incomplete Information Create Challenges for Beneficiaries Comparing Coverage Options. (July 30, 2019). Retrieved from www.gao.gov/products/GAO-19-627.
2 Every year, Medicare evaluates plans based on a 5-star rating system.
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