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Medicare Advantage, also known as Medicare Part C, is a popular type of health insurance for American adults 65 and older. But choosing the right plan can be complicated — nationwide, insurance providers will offer a total of 4,064 different Medicare Advantage plans in 2023 alone, and finding the right insurance plan is personalized to the individual [1]Medicare Advantage 2022 Spotlight: First Look. KFF. Accessed on 9/20/2022. . Just by providing your zip code and demographic information you can see a list of programs you qualify for, and even then you're probably comparing the details of about 39 programs.
While the best way to navigate this overwhelming task is to seek the assistance of an independent, agnostic health insurance agent, you can also start by approaching the health insurance companies that typically provide the best Medicare Advantage plans, based on factors such as: The size of the provider's network and additional benefits and coverage.
To determine the best Medicare Advantage providers, the health system team evaluated U.S. insurance companies that offer plans nationwide by how many states they provide coverage, the types of benefits they offer, and how the Centers for Medicare and Medicaid Services (CMS) classified their plans. , how agencies like AM rated it best in terms of its financial health, how agencies like JD Power ranked it in terms of consumer feedback, and more. Read on to see which vendors made the list.
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Blue Cross Blue Shield is a large social insurance provider with several Medicare Advantage plans in its portfolio. Because eligibility for coverage is largely based on your location, Blue Cross Blue Shield manages a collection of state carriers to better serve its policyholders. Consider the reputation of your local Blue Cross Blue Shield when searching for your ideal Medicare Advantage plan, as experiences vary from state to state.
Blue Cross Blue Shield offers Preferred Provider Organization (PPO) plans, Health Maintenance Organization (HMO) plans, Private Fee-for-Service (PFFS) plans, Special Needs Plans (SNP), and Cost Contract, along with Medical Savings Accounts and a Point-of-Service Option which can be combined with their health insurance plans. It also provides plans with monthly premiums, physician reimbursements and specialist payments starting at $0 per month.
If you're interested in comprehensive coverage, consider the Humana plans you qualify for. The national health care provider serves older adults nationwide and offers plans with monthly premiums, physician reimbursements and specialist payments starting at $0 per month. Depending on the plan you choose, Humana may provide additional health benefits, including dental, vision and hearing coverage, as well as gym memberships and transportation coverage to help you get to medical appointments.
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Humana offers Health Maintenance Organization (HMO) plans, Preferred Provider Organization (PPO) plans, Private Fee-for-Service (PFFS) plans, and Special Needs Plans (SNPs). ) to meet a variety of healthcare needs and budgets.
Anthem Inc., which changed its name to Elevance Health Inc. In 2022, it is part of the Blue Cross Blue Shield network. It offers a variety of Medicare Advantage plans in 14 states, as well as educational resources such as free Medicare events where customers can learn more about their Medicare Advantage plan options. Anthem's Medicare Advantage plan offerings include HMO plans, PPO plans, and SNPs.
Depending on the specific plan you choose and your location, Anthem Medicare Advantage may include Part D drug coverage with a $0 monthly premium. Anthem also offers a number of additional Medicare Advantage benefits through its Essential Extras benefits, including (but not limited to) $500 per year for assistive safety devices, health and fitness trackers, a monthly healthy eating allowance and 60 one-way trips. Medical appointments and/or visits to pharmacies.
If network size is a priority for you, consider any UnitedHealthcare plan you may be eligible for, as it has more than 1.3 million doctors and professionals and 6,500 hospitals and care facilities in its national network. Premiums, doctor's fees and specialist payments can also start as low as $0, depending on the plan, and additional benefits may also be available, including dental, vision, hearing and lifestyle coverage.
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UnitedHealthcare is one of the largest providers of insulin copays for $35 or less, which can be a significant advantage for people managing diabetes. Their plans also cover virtual care with $0 copays for network providers. In addition, UnitedHealthcare's partnership with AARP will increase its ability to provide expert support to the older demographic seeking Medicare Advantage coverage.
Cigna doesn't cast that much of a net with its national coverage, but people who live in the areas it serves can certainly take advantage of its strong coverage options and trusted reputation. Some of their plans come with dental and vision coverage, and in many areas additional benefits are also available for hearing coverage, lifestyle coverage, and transportation coverage. Cigna also prioritizes the availability and use of telemedicine to make it easier for its customers to access the care they need. And at no additional cost, the company provides additional benefits, from behavioral and emotional support services to medical treatment management to health and lifestyle discounts.
Cigna has plans with monthly premiums and physician payments starting at $0 per month and specialist payments as low as $5 per month. Depending on your specific eligibility, you can choose from an HMO, PPO or SNP plan to get coverage that best suits your circumstances.
Rounding out our list of top providers, Aetna, a CVS Health company, makes it easy to get the coverage you need, plus extra benefits like home prescription delivery, 24-hour nurse hotline access, a SilverSneakers fitness subscription, and more. Depending on the plan, monthly premiums can be as low as $0, while physician fees start at $35 and specialist payments start at $50. Aetna offers HMO, HMO, PPO and Special Needs Plans (D-SNP) to meet a wide variety of coverage and budget requirements.
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Many plans include additional benefits such as dental, vision, hearing, lifestyle and transportation coverage, as well as coverage for certain over-the-counter health items, such as cold medicine. Additional coverage may also include a meal plan that provides food prepared after you've been in the hospital or skilled nursing facility to support your recovery.
To determine the best Medicare Advantage providers, the health system team evaluated all insurance companies offering plans nationwide in terms of:
We only focused on providing general summaries of the companies and their reputations. To provide accurate recommendations for a specific plan, it is important to consider the zip code and demographic details of the person seeking insurance coverage. To do this, we recommend using the Medicare.gov plan search tool or seeking the expertise of an independent, agnostic insurance agent.
Medicare Advantage is an alternative choice of all-in-one plan for receiving Medicare benefits. You may also hear it called Medicare Part C. This plan is combined with Medicare Part A and Part B and usually includes Part D, which provides coverage for prescription drugs.
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Medicare pays private insurance companies to administer the benefits of the Medicare Advantage plans they sell. These plans work in the same way as original Medicare (Part A and Part B), plus the benefits that the private insurer chooses to include in a given plan.
According to
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