Compare Medicare Advantage Plans in Lincoln County, ME
There are 28 Medicare Advantage plans available in Lincoln County, Maine for 2023. See Plans
Lincoln County MA Plans By The Numbers
- 4 to 5-Star Plan Availability: 61%
- Average premium: $15.62/month
- Average out-of-pocket limit: $5,885/year
- Average Part D deductible: $157.61/year
- Plan types available: PPO, HMO, HMO-POS, PFFS, and SNP
- New or Unrated Plans: 1
4 and 5-Star Medicare Advantage Plans available in Lincoln County, ME
Here are the top-rated Medicare Advantage plans in Lincoln County.
3.5-Star and Below Medicare Advantage Plans available in Lincoln County, ME
These are the Medicare Advantage plans in Lincoln County rated 3.5 stars or lower by Medicare.
| Plan Name | Monthly Premium |
Part D Deductible | Out of Pocket Max | CMS Star Rating |
|---|---|---|---|---|
3.5 out of 5 |
Aetna Medicare Eagle Plan (PPO H5521-349) | $0 | N/A | $5,900 |
3.5 out of 5 |
Aetna Medicare Explorer Plan (PPO H5521-144) | $47 | $250 | $6,700 |
3.5 out of 5 |
Anthem l MaineHealth Advantage Choice (HMO-POS H9065-003) | $22 | $0 | $5,500 |
3.5 out of 5 |
Anthem l MaineHealth Advantage Extra (HMO H9065-006) | $0 | $275 | $4,900 |
3.5 out of 5 |
Anthem l MaineHealth Advantage Plus (HMO H9065-008) | $0 | $0 | $5,950 |
3.5 out of 5 |
Wellcare Giveback (HMO H9364-004) | $0 | $0 | $8,300 |
3.5 out of 5 |
Wellcare No Premium (HMO H9364-001) | $0 | $0 | $6,700 |
3.0 out of 5 |
Wellcare Advantage No Premium (PFFS H2816-040) | $0 | N/A | * |
2.5 out of 5 |
Wellcare Assist Open (PPO H2775-114) | $8 | $505 | $4,500 |
2.5 out of 5 |
Wellcare No Premium Open (PPO H2775-109) | $0 | $0 | $5,000 |
0.0 out of 5 |
Anthem l MaineHealth Advantage Access (PPO H9219-001) | $0 | $400 | $5,800 |
NOTE: Plans with a 0.0 rating are new and have not yet been rated by Medicare.
Lincoln County, ME
Medicare Advantage Information
Medicare Advantage (MA) plans are the private health plan alternative to Original Medicare. Lincoln County residents have a total of 28 MA plans available. Plans are provided by Medicare-approved, private companies. Also known as Medicare Part C, MA plans offer additional benefits that are not available through Original Medicare.
Some Medicare Advantage plans include prescription medication coverage (Part D). These plans, also known as Medicare Advantage Prescription drug plans (or MAPDs), offer comprehensive coverage for people who need to lower their out-of-pocket costs.
4 Plan Types Available
Medicare Advantage offers a variety of plan types. This is one of its many benefits. HMO and PPO are two of the most popular types of plans. But there are others. Although not all plans are available in every area, people on Medicare in Lincoln County can choose from 4 plan options.
| Plan Type | Description |
|---|---|
| HMO | Health Maintenance Organization (HMO) members usually receive services through the plan’s local network of providers. Referrals are typically required to see a specialist and other providers. However, plans allow out-of-network care for emergencies and out-of-area dialysis. Prescription drug coverage is often included in HMO plans, and many plans include some coverage for dental, vison, and hearing. |
| PPO | Preferred Provider Organization (PPO) members can usually use in-network and out-of-network providers for care, including hospitalization. However, visits to non-network providers could cost significantly more. PPO plans often include prescription drug coverage and other benefits, and referrals are typically not required for specialist visits. |
| PFFS | Private fee-for-service plans set the amount a healthcare facility or doctor will be paid. Members can seek care from any provider within or outside their network that accepts the plan's terms. Some PFFS plans include prescription drug coverage. Members may also be eligible for coverage through standalone Medicare drug plans (Part D). |
| HMO-POS | An HMO-POS (point-of-sale) plan offers the same features as an HMO plan. There is however one major difference. HMO-POS plans allow members to access healthcare providers outside of the plan's network to receive some or all of their services. In most cases, to go out of the plan's network a member will need to get a referral from their physician. Plus, there are separate deductibles for in-network and out-of-network services. |
| SNP |
Special Needs Plans (SNPs) are highly specialized and you must be qualified to join. For this reason, All Medicare organizes Medicare Advantage Special Needs plans for Lincoln County, Maine residents in their own directory. |
Some Medicare Advantage Plans Do Not Include Part D
Some people may also be eligible for a standalone Medicare prescription drug plan. A standalone prescription drug plan, also known as a PDP (or Medicare Part D) plan, provides coverage for prescription drugs. These plans work with both Original Medicare and Medicare Advantage plans without Part D.
Medicare Advantage vs. Medicare Supplement Insurance
Medicare Advantage is only one option. Many people in a Lincoln County think that Medicare Advantage plans can be too expensive or restrictive. Some of these people choose to keep their Original Medicare benefits and get more coverage with Medicare Supplement Insurance (Medigap).
Our Medicare Supplement directory will help you learn more about Medigap plans. Compare plans and costs and get a list of the carriers that provide coverage in Maine. You can choose from a variety of plans, which are all standardized.
Medicare Advantage Plan Availability
The MA and MAPD plans listed on this page are available to individuals enrolled in both Medicare Part A and Part B who reside in Boothbay, Boothbay Harbor, Bristol, Damariscotta, Dresden, Edgecomb, Jefferson, Newcastle, Nobleboro, Waldoboro, Whitefield, Wiscasset, and all other areas of Lincoln County, Maine.
Individuals who are institutionalized, have a severe chronic illness, or have special financial needs are encouraged to look into the 2023 Medicare SNP Plans in Lincoln County, Maine.
The 2023 Medicare Part C plan information for Lincoln County, Maine was last updated by the All Medicare team on .