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Massachusetts
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Hampden County

Compare Medicare Advantage Plans in Hampden County, MA

There are 50 Medicare Advantage plans available in Hampden County, Massachusetts for 2023.   See Plans

Hampden County MA Plans By The Numbers

  • 4 to 5-Star Plan Availability: 66%
  • Average premium: $44.43/month
  • Average out-of-pocket limit: $5,501/year
  • Average Part D deductible: $183.85/year
  • Plan types available: HMO, PPO, HMO-POS, MSA, and SNP
  • New or Unrated Plans: 10

4 and 5-Star Medicare Advantage Plans available in Hampden County, MA

Here are the top-rated Medicare Advantage plans in Hampden County.

4 and 5-Star 2023 Medicare Advantage Plans available in Hampden County, MA
CMS Star Rating Plan Name Monthly
Premium
Part D Deductible Out of Pocket Max
☆☆☆☆☆
5.0 out of 5
Tufts Medicare Preferred HMO Basic Rx (HMO H2256-026) $48 $225 $3,650
☆☆☆☆☆
5.0 out of 5
Tufts Medicare Preferred HMO Prime Rx (HMO H2256-015) $117 $0 $3,650
☆☆☆☆☆
5.0 out of 5
Tufts Medicare Preferred HMO Prime Rx Plus (HMO H2256-001) $137 $0 $3,650
☆☆☆☆☆
5.0 out of 5
Tufts Medicare Preferred HMO Saver Rx (HMO H2256-028) $0 $250 $7,550
☆☆☆☆☆
5.0 out of 5
Tufts Medicare Preferred HMO Smart Saver Rx (HMO H2256-046) $0 $100 $5,900
☆☆☆☆☆
5.0 out of 5
Tufts Medicare Preferred HMO Value Rx (HMO H2256-018) $97 $0 $3,650
☆☆☆☆☆
4.5 out of 5
Fallon Medicare Plus Blue HMO (HMO H9001-031) $115 $0 $3,400
☆☆☆☆☆
4.5 out of 5
Fallon Medicare Plus Green HMO (HMO H9001-030) $66 $250 $5,200
☆☆☆☆☆
4.5 out of 5
Fallon Medicare Plus Orange HMO (HMO H9001-038) $0 $200 $7,550
☆☆☆☆☆
4.5 out of 5
Fallon Medicare Plus Saver No Rx HMO (HMO H9001-039) $35 N/A $7,550
☆☆☆☆☆
4.5 out of 5
Fallon Medicare Plus Super Saver HMO (HMO H9001-040) $52 $505 $7,550
☆☆☆☆☆
4.5 out of 5
Humana Honor (PPO H5216-059) $0 N/A $4,500
☆☆☆☆☆
4.5 out of 5
HumanaChoice H5216-138 (PPO H5216-138) $0 $275 $4,800
☆☆☆☆☆
4.5 out of 5
HumanaChoice H5216-249 (PPO H5216-249) $0 $295 $5,600
☆☆☆☆☆
4.5 out of 5
HumanaChoice H5216-250 (PPO H5216-250) $19 $250 $5,400
☆☆☆☆☆
4.0 out of 5
AARP Medicare Advantage Plan 1 (HMO-POS H1944-005) $0 $195 $5,700
☆☆☆☆☆
4.0 out of 5
AARP Medicare Advantage Plan 2 (HMO-POS H1944-006) $47 $175 $4,900
☆☆☆☆☆
4.0 out of 5
Health New England Baystate Health Preferred (HMO H8578-018) $0 $270 $6,500
☆☆☆☆☆
4.0 out of 5
Health New England Medicare Basic No Rx (HMO H8578-009) $0 N/A $4,900
☆☆☆☆☆
4.0 out of 5
Health New England Medicare Choice (HMO H8578-017) $46 $350 $5,900
☆☆☆☆☆
4.0 out of 5
Health New England Medicare Plus (HMO H8578-004) $113 $250 $4,900
☆☆☆☆☆
4.0 out of 5
Health New England Medicare Premium (HMO H8578-001) $168 $250 $4,400
☆☆☆☆☆
4.0 out of 5
Health New England Medicare Premium No Rx (HMO H8578-003) $79 N/A $4,400
☆☆☆☆☆
4.0 out of 5
Health New England Medicare Value (HMO H8578-012) $0 $380 $6,700
☆☆☆☆☆
4.0 out of 5
Medicare HMO Blue FlexRx (HMO-POS H2261-023) $95 $260 $3,900
☆☆☆☆☆
4.0 out of 5
Medicare HMO Blue PlusRx (HMO H2261-005) $258 $200 $3,400
☆☆☆☆☆
4.0 out of 5
Medicare HMO Blue SaverRx (HMO H2261-024) $0 $300 $5,600
☆☆☆☆☆
4.0 out of 5
Medicare HMO Blue ValueRx (HMO H2261-022) $35 $320 $3,450
☆☆☆☆☆
4.0 out of 5
Medicare PPO Blue PlusRx (PPO H2230-002) $254 $200 $3,400
☆☆☆☆☆
4.0 out of 5
Medicare PPO Blue SaverRx (PPO H2230-017) $0 $0 $5,600
☆☆☆☆☆
4.0 out of 5
Medicare PPO Blue ValueRx (PPO H2230-018) $75 $0 $4,900

3.5-Star and Below Medicare Advantage Plans available in Hampden County, MA

These are the Medicare Advantage plans in Hampden County rated 3.5 stars or lower by Medicare.

3.5-Star and Below 2023 Medicare Advantage Plans available in Hampden County, MA
Plan Name Monthly
Premium
Part D Deductible Out of Pocket Max CMS Star Rating
☆☆☆☆☆
3.5 out of 5
AARP Medicare Advantage Choice (PPO R7444-001) $53 $295 $7,550
☆☆☆☆☆
3.5 out of 5
Aetna Medicare Eagle Plan (PPO H5521-296) $0 N/A $6,700
☆☆☆☆☆
3.5 out of 5
Aetna Medicare Explorer Plan (PPO H5521-160) $0 $0 $6,700
☆☆☆☆☆
3.5 out of 5
Aetna Medicare Value Plan (HMO-POS H5793-014) $0 $195 $6,700
☆☆☆☆☆
3.0 out of 5
AARP Medicare Advantage Choice (PPO H3442-004) $0 $0 $6,700
☆☆☆☆☆
3.0 out of 5
AARP Medicare Advantage Patriot (PPO H3442-005) $0 N/A $6,700
☆☆☆☆☆
0.0 out of 5
CCA Medicare Preferred (PPO H9414-001) $0 $0 $6,500
☆☆☆☆☆
0.0 out of 5
CCA Medicare Value (PPO H9414-002) $20 $200 $5,000
☆☆☆☆☆
0.0 out of 5
Health New England Medicare Compass (PPO H2737-001) $0 $380 $6,700
☆☆☆☆☆
0.0 out of 5
Health New England Medicare Compass Premier (PPO H2737-002) $99 $250 $4,900
☆☆☆☆☆
0.0 out of 5
Lasso Healthcare Growth (MSA H1924-001) $0 N/A *
☆☆☆☆☆
0.0 out of 5
Lasso Healthcare Growth Plus (MSA H1924-004) $0 N/A *
☆☆☆☆☆
0.0 out of 5
Wellcare Giveback Open (PPO H9761-002) $0 $350 $7,550
☆☆☆☆☆
0.0 out of 5
Wellcare No Premium (HMO H6193-001) $0 $0 $6,500
☆☆☆☆☆
0.0 out of 5
Wellcare No Premium Open (PPO H9761-001) $0 $0 $6,500
☆☆☆☆☆
0.0 out of 5
Wellcare Premium Enhanced Open (PPO H9761-004) $60 $0 $4,700

NOTE: Plans with a 0.0 rating are new and have not yet been rated by Medicare.

Hampden County, MA
Medicare Advantage Information

Medicare Advantage (MA) plans are a private insurance option for those who have Original Medicare. Hampden County has plan_count} MA plans available for 2023 (except Special Needs Plans). Medicare-approved companies must follow the Medicare rules to be eligible for coverage. MA plans (also known as Medicare Part C) may offer additional benefits that are not offered by Original Medicare.

Some Medicare Advantage plans offer prescription medication coverage (i.e. a Part D plan). These plans are also known as Medicare Advantage Prescription Drug Plans or MAPDs and offer comprehensive coverage to people who wish to lower their healthcare costs.

4 Medicare Plan Types to Choose

Medicare Advantage was created to give beneficiaries an alternative. HMO and PPO plans remain the most popular, but Medicare has created seven types of private health plans that offer more flexibility to carriers. These 4 plan types can be found in Hampden County:

Plan TypeDescription
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.

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.

MSA

Medicare Medical Savings Account (MSA) plans are private companies that the Medicare program pays to manage a beneficiary's Medicare benefits. As with all types of Medicare Advantage plans, MSA plans must offer the same basic benefits included in Medicare Part A and Part B. However, benefits may have different rules, restrictions, and costs. Unlike other Medicare Advantage plans, MSAs have a high deductible health plan (HDHP) and a government-funded bank account for paying your medical costs.

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 Hampden County, Massachusetts residents in their own directory.

Medicare Advantage without Part D

Some beneficiaries may also qualify to join a Medicare Part D plan, also known as a PDP. Massachusetts Part D plans can be used with Original Medicare or Medicare Advantage plans that do not include Part D benefits.

Medicare Supplements vs. Medicare Advantage

Medicare Advantage is one way to get full coverage healthcare. However, many people in the Hampden County area feel that Medicare Advantage plans have too many disadvantages. For these people, Original Medicare and a Medicare Supplement, also known as Medigap, are a better way to go.

If you don't know about Medicare Supplements and how they protect you from the high out-of-pocket costs in Original Medicare, take a look at our Medicare Supplement directory. You can compare plans, and costs, and even get a list of carriers in Massachusetts. All Medicare Supplements are standardized, so you can easily choose a plan based on coverage and price.

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 Agawam, Blandford, Brimfield, Chester, Chicopee, East Longmeadow, Feeding Hills, Granville, Hampden, Holland, Holyoke, Indian Orchard, Longmeadow, Ludlow, Monson, Palmer, Russell, Southwick, Springfield, Three Rivers, Wales, West Springfield, Westfield, Wilbraham, and all other areas of Hampden County, Massachusetts.

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 Hampden County, Massachusetts.

The 2023 Medicare Part C plan information for Hampden County, Massachusetts was last updated by the All Medicare team on January 3, 2023.

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