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Survey: 75% of Medicare Beneficiaries Say Selecting a Plan Is Confusing

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eHealth (NASDAQ:EHTH) released findings from a survey of over 1,500 Medicare beneficiaries, revealing significant confusion and knowledge gaps ahead of the Annual Enrollment Period (AEP) running from October 15 through December 7, 2025.

The survey highlights that 75% of beneficiaries find choosing Medicare plans confusing, while 36% are unaware of significant cost and benefit changes expected for 2026. Only 51% plan to review their coverage options this AEP, down from 63% last year. Additionally, 33% of beneficiaries lack understanding of differences between Medicare plan types, and 50% expressed interest in using AI assistance for plan selection.

Notable findings include confusion about GLP-1 drug coverage, vaccine costs, and Special Needs Plans, with 25% of diabetic beneficiaries unaware of Chronic Special Needs Plans (C-SNPs).

eHealth (NASDAQ:EHTH) ha pubblicato i risultati di un sondaggio su oltre 1.500 beneficiari di Medicare, che rivelano una notevole confusione e lacune di conoscenza in vista del Periodo di Iscrizione Annuale (AEP) che si svolge dal 15 ottobre al 7 dicembre 2025.

Il sondaggio evidenzia che il 75% dei beneficiari trova confusa la scelta dei piani Medicare, mentre il 36% non è a conoscenza dei cambiamenti significativi di costi e benefici attesi per il 2026. Solo il 51% pianifica di rivedere le opzioni di copertura in questo AEP, in calo rispetto al 63% dello scorso anno. Inoltre, il 33% dei beneficiari non comprende le differenze tra i tipi di piano Medicare, e il 50% ha dichiarato interesse nell’utilizzare l’assistenza basata sull’IA per la selezione del piano.

Tra i risultati notevoli vi è confusione sulla copertura dei farmaci GLP-1, sui costi dei vaccini e sui Special Needs Plans, con il 25% dei beneficiari diabetici non consapevoli dei Chronic Special Needs Plans (C-SNPs).

eHealth (NASDAQ:EHTH) publicó los resultados de una encuesta a más de 1.500 beneficiarios de Medicare, revelando una confusión significativa y lagunas de conocimiento antes del Período de Inscripción Anual (AEP) que se realizará del 15 de octubre al 7 de diciembre de 2025.

La encuesta destaca que el 75% de los beneficiarios encuentra confusa la elección de planes de Medicare, mientras que el 36% no está al tanto de cambios significativos en costos y beneficios previstos para 2026. Solo el 51% planea revisar sus opciones de cobertura en este AEP, frente al 63% del año pasado. Además, el 33% de los beneficiarios no comprende las diferencias entre los tipos de planes de Medicare, y el 50% mostró interés en usar asistencia con IA para la selección de planes.

Entre los hallazgos notables hay confusión sobre la cobertura de fármacos GLP-1, costos de vacunas y Special Needs Plans, con el 25% de los beneficiarios diabéticos desconociendo los Chronic Special Needs Plans (C-SNPs).

eHealth (NASDAQ:EHTH)가 메디케어 수혜자 1,500명을 넘어서는 설문 조사 결과를 발표했고, 2025년 10월 15일~12월 7일에 진행되는 연례 등록 기간(AEP) 전에 상당한 혼란과 지식 격차가 드러났습니다.

설문에 따르면 75%의 수혜자가 메디케어 플랜 선택을 혼란스럽다고 느끼고, 36%는 2026년 예상되는 비용 및 혜택의 큰 변화에 대해 잘 모릅니다. 이번 AEP에서 검토 계획이 있는 사람은 51%로, 작년의 63%에서 감소했습니다. 또한 33%의 수혜자가 메디케어 플랜 종류 간 차이를 이해하지 못하고, 50%는 플랜 선택에 AI 도움을 이용하는 데 관심을 보였습니다.

주목할 만한 결과로는 GLP-1 약물 보장 범위, 백신 비용, 특수 필요 계획(SNP) 등에 대한 혼란이 있으며, 당뇨병 수혜자의 25%는 Chronic Special Needs Plans(C-SNPs)를 알지 못합니다.

eHealth (NASDAQ:EHTH) a publié les résultats d’une enquête auprès de plus de 1 500 bénéficiaires de Medicare, révélant une confusion significative et des lacunes de connaissance avant la Période Ouverte d’Inscription Annuelle (AEP) qui se déroulera du 15 octobre au 7 décembre 2025.

L’enquête souligne que 75% des bénéficiaires trouvent le choix des plans Medicare confus, tandis que 36% ignorent les changements importants de coûts et d’avantages attendus pour 2026. Seulement 51% prévoient d’examiner leurs options de couverture lors de cet AEP, en baisse par rapport à 63% l’an dernier. De plus, 33% des bénéficiaires ne comprennent pas les différences entre les types de plans Medicare, et 50% ont exprimé leur intérêt pour une aide IA lors de la sélection du plan.

Parmi les conclusions notables figure la confusion autour de la couverture des médicaments GLP-1, des coûts des vaccins et des Special Needs Plans, avec 25% des bénéficiaires diabétiques ignorant les Chronic Special Needs Plans (C-SNPs).

eHealth (NASDAQ:EHTH) veröffentlichte Ergebnisse einer Umfrage unter über 1.500 Medicare-Berechtigten, die vor der jährlichen Enrollment-Periode (AEP) signifikante Verwirrung und Wissenslücken aufzeigt, die vom 15. Oktober bis 7. Dezember 2025 läuft.

Die Umfrage zeigt, dass 75% der Berechtigten die Wahl von Medicare-Plänen verwirrend finden, während 36% nicht über erhebliche Kosten- und Leistungsänderungen für 2026 informiert sind. Nur 51% planen, ihre Versorgungsoptionen in diesem AEP zu überprüfen, gegenüber 63% im letzten Jahr. Zusätzlich verstehen 33% der Berechtigten die Unterschiede zwischen den Planarten nicht, und 50% äußerten Interesse an KI-Unterstützung bei der Planauswahl.

Zu den auffälligen Befunden gehört Verwirrung über GLP-1-Medikamentenabdeckung, Impfkosten und Special Needs Plans, wobei 25% der Diabetiker-Bezieher nicht über Chronic Special Needs Plans (C-SNPs) informiert sind.

eHealth (NASDAQ:EHTH) أصدرت نتائج استطلاع شمل أكثر من 1,500 مستفيد من برنامج ميديكير، كاشفة عن ارتباك واسع وفجوات في المعرفة قبل فترة التسجيل السنوية (AEP) التي ستجري من 15 أكتوبر حتى 7 ديسمبر 2025.

يسلط الاستطلاع الضوء على أن 75% من المستفيدين يجدون اختيار خطط ميديكير محيرًا، في حين أن 36% غير على علم بالتغييرات الكبيرة في التكاليف والمزايا المتوقعة لعام 2026. فقط 51% يخططون لمراجعة خيارات التغطية في هذا AEP، وهو انخفاض من 63% في العام الماضي. بالإضافة إلى ذلك، 33% من المستفيدين لا يفهمون الفروق بين أنواع خطط ميديكير، و50% أعربوا عن اهتمامهم باستخدام المساعدة القائمة على الذكاء الاصطناعي لاختيار الخطة.

من النتائج الملحوظة وجود ارتباك حول تغطية أدوية GLP-1، وتكاليف اللقاحات، وخطط الاحتياجات الخاصة (SNP)، مع عدم وعي 25% من المستفيدين المصابين بالسكري بـ Chronic Special Needs Plans (C-SNPs).

eHealth (NASDAQ:EHTH) 发布了对超过1500名医保受益人的调查结果,显示在年度登记期(AEP)开始前存在显著的困惑和知识缺口,AEP 时间为 2025年10月15日至12月7日

调查显示,75% 的受益人认为选择 Medicare 计划令人困惑,36% 的人不知道2026年的重大成本和福利变化。只有 51% 的人计划在本次 AEP 期间审查覆盖选项,低于去年的 63%。此外,33% 的受益人不了解不同 Medicare 计划类型之间的差异,50% 表示有意在计划选择中使用 AI 助手。

值得注意的发现还包括对 GLP-1 药物覆盖、疫苗成本和特殊需要计划(SNP)的困惑,其中有 25% 的糖尿病受益人不了解 Chronic Special Needs Plans (C-SNPs)。

Positive
  • 50% of beneficiaries show openness to AI assistance for Medicare plan selection
  • 47% of Medicare Advantage and Part D enrollees have received their Annual Notice of Change letters
  • Growing interest in GLP-1 drugs with 21% willing to pay $500+ monthly for access
Negative
  • 75% of Medicare beneficiaries find plan selection confusing
  • 36% of enrollees unaware of significant upcoming plan changes for 2026
  • Declining engagement with only 51% planning to review coverage options, down from 63% last year
  • 33% lack understanding of different Medicare plan types
  • 29% unaware of no-cost vaccine coverage under Medicare

More than a third of Medicare Advantage and Part D plan enrollees are unaware that significant plan changes are expected this Annual Enrollment Period

AUSTIN, Texas, Oct. 1, 2025 /PRNewswire/ -- eHealth, Inc. (Nasdaq: EHTH), a leading health insurance marketplace, today released findings from a new survey showing most Medicare beneficiaries find it confusing to shop for a plan during the Annual Enrollment Period (AEP), with about one-third of Medicare Advantage enrollees largely unaware of significant changes expected for the coming year.  

The survey of more than 1,500 Medicare beneficiaries offers timely insights as millions of Americans will soon make coverage decisions during this year's AEP, which runs from Oct. 15 through Dec. 7, 2025. Key findings from eHealth's survey include:

  • 75% of Medicare beneficiaries said choosing a Medicare plan is confusing.
  • 51% of Medicare beneficiaries intend to review their coverage options this AEP, compared to 63% who said they did so last year.
  • 36% of Medicare Advantage and Part D plan enrollees said they are unaware that significant cost and benefit changes are expected for 2026.
  • 33% of Medicare beneficiaries agree they don't have a good understanding of how Medicare Advantage, Medicare Supplement, and Part D plans differ.
  • 33% of Medicare beneficiaries incorrectly believe Medicare covers GLP-1 drugs for weight loss.
  • 29% of Medicare beneficiaries are unaware that Medicare covers recommended vaccines with no out-of-pocket costs.

"This is not the year for Medicare beneficiaries to go on autopilot, as significant changes are expected for Medicare Advantage, Medicare Supplement, and Part D plans," said Derrick Duke, CEO of eHealth. "As this survey shows, many Medicare beneficiaries find the process of comparing their options to be confusing, especially this year with so many health insurers making changes to supplemental benefits and eliminating some plans entirely. Comparing plans is crucial because it can help Medicare beneficiaries save on out-of-pocket expenses and retain access to quality care."

Other key findings from the survey include:

On Annual Notice of Change (ANOC) letters 

  • 47% of Medicare Advantage and Part D plan enrollees report having received their ANOC letters, which detail key plan changes for the coming year.
  • 24% of Medicare Advantage and Part D plan enrollees said they don't ever recall having received an ANOC letter while enrolled in one of these plans.

On working with AI agents

  • 50% of Medicare beneficiaries said they would be interested in working with an artificial intelligence (AI) agent by phone if it helps them get more efficient assistance when shopping for Medicare plans.

On Chronic Special Needs Plans (C-SNPs) 

  • 25% of Medicare beneficiaries with diabetes are unaware of C-SNPs, which are designed specifically for people with certain chronic conditions and are becoming increasingly popular.

On coverage for GLP-1 drugs

  • 50% of Medicare beneficiaries said they would be interested in taking GLP-1 drugs for weight loss if they were covered by Medicare; among these, 21% would willingly pay an extra $500 or more per month for access to GLP-1 drugs.

Read the full report

About the survey 
Findings are based on a nationwide survey of more than 1,500 Medicare beneficiaries conducted on Sept. 15 and 16 through a national survey vendor. The sampling error was plus or minus 3%.

About eHealth (NASDAQ: EHTH)  
We're Matchmakers. For over 25 years, eHealth has helped millions of Americans find the healthcare coverage that fits their needs at a price they can afford. Consumers can visit our health insurance marketplace at eHealth.com, or call us to speak with a licensed insurance agent at 1-800-EHEALTH (1-800-343-2584), TTY 711. As a leading independent licensed insurance agency and advisor, eHealth offers access to over 180 health insurers, including national and regional companies.  

For more information, visit ehealth.com or follow us on LinkedIn, Facebook, Instagram, and X. Open positions can be found on our career page.  

eHealth media inquiries: pr@ehealth.com

 

Cision View original content to download multimedia:https://www.prnewswire.com/news-releases/survey-75-of-medicare-beneficiaries-say-selecting-a-plan-is-confusing-302572267.html

SOURCE eHealth, Inc.

FAQ

What percentage of Medicare beneficiaries find choosing a plan confusing in 2025?

According to eHealth's survey, 75% of Medicare beneficiaries reported finding the process of choosing a Medicare plan confusing.

When is the Medicare Annual Enrollment Period (AEP) for 2025?

The Medicare Annual Enrollment Period (AEP) runs from October 15 through December 7, 2025.

How many Medicare beneficiaries plan to review their coverage options during the 2025 AEP?

51% of Medicare beneficiaries intend to review their coverage options during this AEP, down from 63% who did so last year.

What percentage of Medicare Advantage enrollees are unaware of 2026 plan changes?

36% of Medicare Advantage and Part D plan enrollees are unaware that significant cost and benefit changes are expected for 2026.

How many Medicare beneficiaries would consider using AI assistance for plan selection?

50% of Medicare beneficiaries expressed interest in working with an artificial intelligence (AI) agent by phone for more efficient assistance when shopping for Medicare plans.

What percentage of diabetic Medicare beneficiaries are unaware of C-SNPs?

25% of Medicare beneficiaries with diabetes are unaware of Chronic Special Needs Plans (C-SNPs), which are specifically designed for people with certain chronic conditions.
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