12 months before
Twelve months out: lay the groundwork
This is the quiet stretch where a little homework removes almost every surprise later. You are not signing anything yet, just collecting the information a licensed advisor will eventually need to recommend a plan that fits your life.
- Pull your last two years of medical and pharmacy claims. You can request them from your current insurer or download them through the member portal. Knowing what you actually used is the single best predictor of which plan will fit.
- Make a list of every doctor, specialist, and hospital you see at least once a year, plus the ones you would not want to lose. Include address and NPI if you can find it — it makes network checks much faster.
- Write down every prescription, including dose and 90-day supply, plus any over-the-counter supplement a doctor recommended. This is the single biggest source of plan-cost surprises.
- If you are still working, talk to HR about what happens to your coverage when you retire and whether your spouse or dependents are affected.
- Start a dedicated folder (paper or digital) for Medicare paperwork. You will accumulate 20 to 40 pieces of mail over the next year — they need a home.

