Transforming Medicare Education for Better Health and Financial Outcomes

Transforming Medicare Education for Better Health and Financial Outcomes
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Medicare is a cornerstone of healthcare for older adults, yet its complexities can create confusion and financial uncertainty. From understanding coverage gaps to evaluating supplemental insurance options, older adults often struggle to make the right choices for their health and budget. Without the proper education, many may delay care, face unexpected medical expenses, or enroll in plans that don’t meet their needs.

For organizations like AAAs, MCOs, and Medicare Advantage providers, ensuring older adults have access to financial and healthcare literacy is a strategic priority. By offering accessible, trusted Medicare education, these organizations can improve member engagement, satisfaction, and health outcomes while also reducing costly missteps in care.

Challenges Older Adults Face in Navigating Medicare

Older adults frequently encounter barriers when trying to understand their Medicare options, including:

  1. Confusion About Coverage Options – Medicare Parts A, B, C, and D, as well as Medigap and Medicare Advantage, can be difficult to compare and evaluate.
  2. Unexpected Out-of-Pocket Costs – Without a clear understanding of deductibles, copays, and out-of-pocket maximums, older adults may experience financial strain.
  3. Enrollment Timing and Penalties – Missing key enrollment deadlines can result in lifelong penalties or gaps in coverage.
  4. Lack of Personalized Guidance – Many older adults lack access to unbiased, easy-to-understand resources that help them make informed decisions.

The Strategic Value of Medicare Education for Organizations

For AAAs, MCOs, and Medicare Advantage providers, offering Medicare and financial literacy programs is not just about member education—it aligns with key organizational priorities:

  • Enhancing Member Engagement – Well-informed members are more likely to engage with their benefits and make proactive healthcare choices.
  • Improving Satisfaction and Retention – Organizations that provide trusted education build stronger relationships with their members, leading to higher satisfaction scores.
  • Reducing Costly Healthcare Decisions – Helping members understand coverage options and preventative care can reduce unnecessary emergency visits and hospitalizations.
  • Advancing Health Equity – Medicare education ensures that diverse populations, including low-income and rural communities, have equal access to essential healthcare knowledge.

How GetSetUp Supports Medicare and Financial Literacy

GetSetUp offers a scalable, interactive learning platform designed to empower older adults with Medicare knowledge, financial wellness strategies, and digital skills to navigate online healthcare resources. Our programs include:

  • Medicare 101 and Coverage Options – Sessions like Comparing Medigap and Medicare Advantage Plans break down the complexities of Medicare, Medigap, and Advantage plans in an easy-to-understand way.
  • Smart Financial Planning for Healthcare – Classes such as Medicare Costs Explained: Simple and Clear assist older adults in budgeting for medical expenses and avoiding common financial pitfalls.
  • Navigating Online Healthcare Portals – Training members to confidently use online resources for managing claims, finding providers, and accessing benefits.
  • Live, Interactive Learning – Peer-driven education fosters engagement, community, and confidence in making healthcare decisions.

These programs integrate seamlessly into existing health and wellness initiatives, helping organizations provide targeted, high-impact Medicare education.

How to Get Started with GetSetUp

Implementing GetSetUp's programs to enhance the well-being of your members is a streamlined process:

Step 1: Select Programs Aligned with Member Needs: Identify and prioritize the programs that address your members' specific challenges and goals:

  • Digital and Health Literacy: Enhance members' understanding of technology and health information.
  • Fall Prevention: Provide strategies to reduce the risk of falls among older adults.
  • Chronic Disease Management: Support self-management of chronic conditions.
  • Independence and Self-Management: Promote skills that enable autonomous living.
  • Caregiving Support: Offer resources for those caring for loved ones.
  • Health Equity Programming: Ensure inclusive health education for all demographics.
  • Social Connectedness: Foster community to combat social isolation.
  • Mental Enrichment: Provide opportunities for cognitive stimulation and growth.

Step 2: Determine Integration Level : Choose how to incorporate GetSetUp into your existing infrastructure:

  • Hosted by GetSetUp: Utilize a dedicated URL and landing page managed by GetSetUp.
  • Embedded Integration: Seamlessly embed classes within your health plan's member portal for a cohesive user experience. Digital Health Platform for Active Agers

Step 3: Customize the Program for Your Organization: Tailor the offerings to reflect your organization's identity and meet member preferences:

  • Class Selection: Choose specific classes and determine the frequency to align with member interests.
  • Curated Series: Develop targeted class series that support your organization's priorities.
  • Engagement Tools: Implement notifications and reminders to encourage participation and discovery.
  • Feedback Mechanisms: Incorporate surveys to gather member insights and assess satisfaction.
  • Multilingual Options: Offer classes in multiple languages to cater to diverse member populations.
  • Brand Integration: Apply your organization's branding, including colors and design elements, for a consistent look and feel.

Step 4: Experience a Live Demonstration: Collaborate with GetSetUp to create a mock-up of the customized platform:

  1. Review and Test: Assess the tailored platform to ensure it meets your expectations and member needs.
  2. Provide Feedback: Share insights to refine the platform for optimal engagement.

Bring GetSetUp to your organization

We partner with Medicare Advantage plans, dual eligible plans,  healthcare providers, Departments of Health & Human Services, Government aging services and more.

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