If you could change one thing about the Medicare system, what would it be and why?

Question

Linda Bolan · Accepted Answer

Medicare is very complex. The cost of prescription drugs are high and it's difficult for some clients to fill their prescriptions due to the cost. It would be great if pricing was adjusted for Medicare clients

Answered by Linda Bolan on March 12, 2025

Agent Licensed in IN

Answered by Linda Bolan Medicare Insurance Agent

Lesley Burns · Answer

I would change the process of enrollment. For people who are concerned about retirement, they shouldn't also be concerned with penalties, late enrollments, and additonal fees.

Brian Moore · Answer

If I could change one thing about the Medicare system, it would be to tighten the oversight and regulations around soliciting and advertising to beneficiaries, because even with recent efforts to curb misleading tactics, I still see folks overwhelmed by confusing ads and high-pressure pitches that don’t always prioritize their best interests. The rules have gotten stricter—like requiring Medicare Advantage plans to get prior approval for TV ads in 2025 and holding plans accountable for third-party marketers—but beneficiaries are still bombarded with mailers, calls, and promises of “free” benefits that gloss over limitations like narrow networks or copays. Stronger enforcement, clearer standards, and maybe even a centralized opt-out system could cut through the noise, giving people a fair shot at choosing what’s right for them without the clutter of persuasive gimmicks.

Answered by Brian Moore on March 27, 2025

Broker Licensed in OH

Answered by Brian Moore Medicare Insurance Agent

Richard Moreno · Answer

The one thing I would change about the Medicare system is to have all insurance companies to have the same prescription formulary. Sometime, it is a hassle for Medicare recipients to choose a plan based on their prescription needs.

Answered by Richard Moreno on May 31, 2025

Broker Licensed in TX, FL, LA, NM & OH

Answered by Richard Moreno Medicare Insurance Agent

James Carlson · Answer

Medicare should allow agents not have to review and test annually.  We should have reviews less often.  Renew every 3-5 years.

Carly Cusack · Answer

I would include services such as mental health, dental, vision, and hearing coverage in the Medicare program. If we want to keep people healthy,  we need to serve the entire person.

James ONeal · Answer

This is Such a Great Question.

One key change to the Medicare system would be to include a prescription drug benefit in traditional Medicare, similar to the way Medicare Advantage plans do. 

This would ensure all beneficiaries have access to affordable medications and eliminate the need for separate, potentially confusing, and costly Part D plans.

It would also allow for potential savings through bulk purchasing and negotiation, which could be reinvested into the Medicare program.

Hope Suhr · Answer

Here it is! Stop the AEP and use your birthday month as the time to change.   One month before your birthday month, and one month after.

Steven Bleicher · Answer

The one glaring thing that I, as an agent would love to change is that the Free Special Needs (Advantage) Plan or SNP plan isn't: A) available in every county in the US &, B) has a much larger network of doctors/specialists/psychologists who are more compassionate towards the poor folks who truly require a greater assistance due to the conditions that they have suffered through all of their previous life!

Answered by Steven Bleicher on May 15, 2025

Broker Licensed in AZ

Answered by Steven Bleicher Medicare Insurance Agent

Diana Garner · Answer

I would eliminate drug & health deductibles and copays. Many plans have high premiums that beneficiaries must pay, and some have a high maximum out-of-pocket. Some beneficiaries receive financial assistance, but others who are right on the fine line often struggle to get the care they need and deserve.

Answered by Diana Garner on July 7, 2025

Broker Licensed in KY, FL, IN, OH & TN

Answered by Diana Garner Medicare Insurance Agent

Barbara Barnes, CMIP® · Answer

I would change the people running it. There are ways that we could make original Medicare work efficiently for all patients without needing it to be so confusing and without needing to split it between original Medicare and Medicare advantage. If we put professional managers in charge of Medicare, who are tasked with making it run smoothly and efficiently, it would be a very different system than we have today. our government simply is not equipped to run a healthcare payment system for millions of people.

Answered by Barbara Barnes, CMIP® on May 24, 2025

Agent Licensed in PA

Answered by Barbara Barnes, CMIP® Medicare Insurance Agent

Leslie Helene Sussman · Answer

Take away the Part D penalty when a Medicare Client does not enroll in a Prescription plan.

Dana Dane · Answer

I would like to see an open enrollment period for Medicare Supplements in all states. I would prohibit Medicare Advantage plans from using PROPRIETARY prior authorization. They use this in addition to Medicare's prior authorization guidelines. Why? I would prohibit the use of AI in the prior authorization process that some Medicare Advantage plans use. I would like to see some coverage for custodial long-term care.

Answered by Dana Dane on April 24, 2025

Agent Licensed in OR, AZ, CA & 6 other states

Answered by Dana Dane Medicare Insurance Agent

Leslie Kaz · Answer

If I could change one thing about Medicare, I’d simplify the whole dang system—because right now, it’s like trying to do your taxes in another language while blindfolded.

Here's Why:
Medicare is needlessly complicated:

You've got Part A, B, C, and D—each with different rules.

Then there’s Medigap vs. Medicare Advantage, with very different networks, costs, and coverage.

Enrollment timing alone is a minefield: miss a deadline and you're stuck with penalties for life.

All of this confusion leads to:

Seniors picking the wrong plan.

Doctors not being covered.

Medications being too expensive.

Folks not getting the benefits they deserve.

If we could fix this one thing…
We’d see:

Less confusion and fewer costly mistakes.

More trust in the system.

Better health outcomes because people would actually understand their benefits.

The Bottom Line:
Medicare should work for seniors, not confuse the heck out of them. If we streamlined it—same core benefits, clear choices, easy access—it would truly feel like the safety net it was designed to be.

Vachik Chakhbazian · Answer

Ensure traditional Medicare is comprehensive, simple to navigate, and affordable.
Add oral health, audiology, and vision coverage for all beneficiaries in traditional Medicare.
Increase low-income protections and reduce cost-sharing.
Add coverage for long-term care.

John L Herman Jr · Answer

Make it more consistent.  Insurance Carriers change Plans too often…do not have the same benefits as other Carriers.  But assuming Medicare stays as confusing as it is today…then make Brokers more available to educate people in settings that are available to more Seniors.

Letting Brokers “sell” Medicare is too easy…meaning they allow rookies to enroll clients…and even have Insurance Carriers slamming people with phone calls selling Plans by people with limited qualifications.

Karen Ansell · Answer

There are many things I would change about Medicare.
 I would have regular Medicare cover dental, vision and hearing aids.
Medicare Advantage plans should have better customer service.

Larry Pereiro · Answer

I believe Medicare could improve their engagement with the Senior Market by  first of all making sure that Social Security Offices refrain from giving advise about Medicare other than "You should talk to a licensed and certified Medicare agent in your area about the options you have. 
Then they could also regulate the call centers to insure their compliance with non-pressured, non-biased presentations that simply allow the educational process to allow the senior market to make an informed decision about their Medicare Options.

Brenda Watson · Answer

Medicare advantage. I would require all Medicare, advantage plans to be standardized, just like Medicare, supplements are standardized. It makes it very difficult for these seniors to figure out which plan is going to be best when all the plans get to be different. Based on whatever the company wants to choose.

Answered by Brenda Watson on July 30, 2025

Broker Licensed in OK & AR

Answered by Brenda Watson Medicare Insurance Agent

Sandy Hammond · Answer

The one thing I would like to change about Medicare is the late enrollment penalties. I do not believe that they are fair, since Medicare can be so confusing and Social Security is not allowed to give any type of direction as to what one needs to do when, when it comes to enrolling into Medicare. You don't know what you don't know.

Answered by Sandy Hammond on July 20, 2025

Agent Licensed in OH, IN & KY

Answered by Sandy Hammond Medicare Insurance Agent

Chris Prang · Answer

There are numerous things that I would change. But if I had to start with one, it would be replacing the existing Medicare Supplement options with Medicare Supplements that are based on unchanging annual deductible amounts that apply/go towards both Part A and Part B.

Presently, depending on age, there are 10-12 Medicare Supplements to choose from. But there are really only two that people pick from...  the Plan G and the Plan N. And a very small percentage pick the High-Deductible G. So, it's clear, Medicare doesn't need 10-12 options. 

The deductible options would be something like $500, $1,000, $1,500, $2,000. These deductible amounts would never change each year like the Part A and Part B deductibles do and like the High-Deductible G does as well. 

This would be much simpler and easier to understand.

Scott Klag · Answer

If I could change one thing about Medicare, I would simplify the entire process and do away with call centers offering plans to unsuspecting seniors. Medicare is extremely complex and if you don't have proper guidance, you may make a serious financial mistake.

Answered by Scott Klag on April 21, 2025

Agent Licensed in OH

Answered by Scott Klag Medicare Insurance Agent

If you could change one thing about the Medicare system, what would it be and why?

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If you could change one thing about the Medicare system, what would it be and why?

Agents: Share Your Expertise

Seniors: Ask a Question of Your Own

Related Questions

Agent Locator

Medicare Agents HubA non-government resource website

Medicare Agents Hub
A non-government resource website