Doctors and specialists
List the providers you want to keep, including specialists, hospitals, clinics, and durable medical equipment suppliers.
Plan Review Tool
Medicare plan review checklist
A useful Medicare comparison starts with your real health care needs—not only a premium or list of extra benefits.
Information to gather
Prescriptions
Write down each medication’s exact name, dosage, frequency, and whether you prefer a retail or mail-order pharmacy.
Current coverage
Bring your Medicare card, current plan information, employer or retiree benefits, Medicaid details, and notices from your insurer.
Preferred pharmacies
Plan pricing can differ between standard, preferred, retail, and mail-order pharmacies. Include the locations you actually use.
Travel and residence
Consider extended travel, seasonal residence, and whether you routinely need non-emergency care outside your local area.
Budget and priorities
Consider premiums, deductibles, expected copays, maximum out-of-pocket limits, and which benefits matter most.
Questions to ask about every plan
Are my doctors, hospitals, and pharmacies in network?
Are all my prescriptions on the formulary, and at what tiers?
Does the plan require referrals or prior authorization?
What will I pay for primary care, specialists, hospitals, and common services?
What is the annual medical out-of-pocket limit?
How does coverage work when I travel?
Are extra benefits relevant to me, and what limitations apply?
Provider participation, formularies, premiums, copays, and benefits can change. Verify details directly with the plan before enrolling.
Review your situation with Gala Health
Bring your coverage information, doctors, prescriptions, preferred pharmacies, and questions for a personalized plan review.
Request a plan review