GoHealth’s PlanFit Technology Empowers Medicare Advantage Consumers

As of 2023, the health policy nonprofit KFF estimated there were 43 different Medicare Advantage plans available to the average Medicare-eligible person. 

Each of those plans offers its own combination of benefits and coverage, giving you the flexibility to consider what features matter most to you. But it can also be challenging to understand the differences and find the right path forward. 

Choosing your MA plan is a big decision that can affect your physical, mental, and financial well-being. That’s why GoHealth developed PlanFit technology, making it easier to go over your options with a licensed insurance agent and select the one that matches your needs. Here’s how our approach puts you in control: 

Enabling Better Choices 

When you work with an agent to enroll in Medicare Advantage (MA), you need to feel assured that you’re making sound decisions for your health and financial security. You can build that confidence by directly comparing the plans that are available to you.  

GoHealth’s PlanFit technology makes that process far more straightforward. PlanFit is a proprietary solution that streamlines the work of licensed insurance agents, giving them visibility into a marketplace of MA options so you can focus on the factors that will have the biggest impact in your life.  

For example, PlanFit accounts for your preferences in categories such as: 

• Coverage 
• Benefits 
• Monthly premiums (including $0 premiums) 
• In-network doctors and pharmacies 

The PlanFit platform bases recommendations on analytics from millions of interactions with Medicare consumers, allowing agents to zero in on the plan features that really matter to people. Rather than feeling pressured to sign up with any single carrier, you come to understand the full range of choices and prioritize what’s best for you. GoHealth Senior Director of Machine Learning Andrew Kang has seen how the platform makes a meaningful difference for consumers. 

“What is most compelling about our experience for our consumers is the thoroughness and quality of care they can expect to receive end-to-end from our licensed benefit consultants to our PlanFit technology regardless of whether we recommend they stay in their existing plan or switch to a better one,” Kang said. 

When GoHealth rolled out PlanFit for the annual enrollment period, the result was more satisfied customers. Consumers were most likely to pick the plans that the tool ranked #1. And those who chose the top-ranked plan were 10% more likely to stick with their new coverage for at least 90 days. 

Time for a Change? 

The insights that PlanFit technology offers are particularly valuable when you’re thinking about making a switch. Your coverage, benefits, and networks are subject to change on a yearly basis, and your personal needs may evolve as well. It’s wise to re-evaluate regularly whether you’re still on the ideal MA plan for your current situation. 

That’s why GoHealth encourages Medicare consumers to make a PlanFit CheckUp part of their annual routine, much like visiting the doctor’s office for an exam. A CheckUp is a deep dive into your coverage, investigating the benefits you’re receiving and anything valuable you’re missing out on. 

Crucially, GoHealth representatives are incentivized to always give you accurate, helpful advice, not to try to sell you on a new plan unnecessarily. PlanFit CheckUps are focused on exactly what you need from your Medicare.  

“There’s no pressure on the customer to change policies during a PlanFit CheckUp, and there’s no pressure on agents to make a sale,” explained GoHealth licensed insurance agent Michael Howard. “We’re just here to give people the best guidance we can so they know they’re well covered and can head into the next year with confidence.” 

About GoHealth 

GoHealth is a leading health insurance marketplace and Medicare-focused digital health company. Enrolling in a health insurance plan can be confusing for customers, and the seemingly small differences between plans can lead to significant out-of-pocket costs or lack of access to critical medicines and even providers. GoHealth combines cutting-edge technology, data science, and deep industry expertise to build trusted relationships with consumers and match them with the healthcare policy and carrier that is right for them. Since its inception, GoHealth has enrolled millions of people in Medicare plans and individual and family plans. For more information, visit GoHealth.com.