A new year brings fresh starts—and for Medicare beneficiaries, it’s the perfect time to make sure your coverage still fits your health needs, budget, and lifestyle. Whether you’re newly enrolled or have been on Medicare for years, reviewing your plan at the beginning of the year can help you avoid surprises and feel confident moving forward.
At Lehigh Valley Medicare Advisors, we believe peace of mind starts with understanding your coverage. Here’s what to review as you begin the new year.
Why a New Year Medicare Review Matters
Even if you didn’t make changes during Open Enrollment, things can still shift from year to year. Insurance providers may update:
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Monthly premiums
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Prescription drug formularies
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Provider networks
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Copays and out-of-pocket costs
Your own needs may have changed too—new medications, doctor visits, or upcoming procedures can all impact whether your current Medicare plan is still the best fit.
Starting the year with a Medicare review helps ensure there are no gaps in coverage and no unexpected costs down the road.
Key Medicare Items to Review in the New Year
1. Your Prescription Drug Coverage
Medication costs are one of the most common Medicare concerns. Review your current prescriptions to ensure:
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Your medications are still covered
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They’re in the lowest-cost tier available
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Your preferred pharmacy is still in-network
Small changes here can make a big difference in annual costs.
2. Your Doctors and Healthcare Providers
Confirm that your primary care doctor, specialists, and preferred hospitals are still part of your plan’s network—especially if you’re enrolled in a Medicare Advantage plan.
Seeing an out-of-network provider could result in higher costs or limited coverage.
3. Your Monthly and Annual Costs
Take a look at:
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Monthly premiums
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Deductibles
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Copays and coinsurance
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Maximum out-of-pocket limits
Understanding these numbers early in the year helps you plan ahead and avoid financial stress.
4. Extra Benefits You May Be Missing
Many Medicare Advantage plans include additional benefits such as:
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Dental, vision, and hearing coverage
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Fitness or wellness programs
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Over-the-counter allowances
Make sure you’re taking full advantage of everything your plan offers.
What If You’re Unsure About Your Coverage?
You’re not alone. Medicare can feel overwhelming, especially when plans, rules, and benefits change. The good news? You don’t have to navigate it by yourself.
Working with a local Medicare advisor allows you to:
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Get personalized guidance
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Ask questions in plain language
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Review your options with no pressure
Start the Year with Confidence
The new year is a great time to feel confident, informed, and secure about your Medicare coverage. A quick review now can save you time, money, and stress later in the year.
If you live in the Lehigh Valley and have questions about your Medicare plan, Lehigh Valley Medicare Advisors is here to help. Our team is committed to making Medicare simple and ensuring you have coverage that truly works for you.
Start the new year with clarity—because confidence in your healthcare matters.