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Arizona Medicare Insurance

Medicare in Arizona

Medicare offers healthcare coverage to Arizona residents age 65 or older, or to those Arizona residents that suffer from certain medical disabilities. In 2015, 1,134,774 people are enrolled in Medicare in Arizona, accounting for 17% of the population in Arizona. In 2009 about $9,395 was spent per Medicare enrollee in Arizona, approximately 9.36% lower than the national average of $10,365. From 2015 to 2030 the senior population in Arizona is projected to more than double (estimated 100.73% increase) according to calculations based off of the 2000 Census. Thus the number of Medicare beneficiaries in Arizona is also expected to substantially increase.

Local Medicare Resources

Medicare beneficiaries and their caretakers can receive free, one-on-one, and unbiased health benefits counseling from Arizona’s State Health Insurance Assistance Program (SHIP). Furthermore, Arizona participates in a national Senior Medicare Patrol (SMP) program which aims to educate individuals on how to detect, avoid, and report cases of Medicare waste, fraud, and/or abuse.

Types of Medicare Coverage

When you are eligible for Medicare you may sign up for Original Medicare (Part A & Part B), which cover hospital services and medical services, respectively, or you may enroll in a Medicare Advantage Plan (Medicare Part C). If you enroll in Original Medicare you also have the option to purchase a separate or stand alone prescription drug plan (Part D). Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Original Medicare offers its beneficiaries flexibility in choosing their providers and you are not limited to a network. However, there is no limit on out-of-pocket medical expenses and you must always pay 20% coinsurance for medical service costs. For most Medicare beneficiaries, Part A is already paid through paycheck deductions during their working years (or their spouse's) but most Medicare beneficiaries pay premiums for Part B unless they qualify for financial assistance. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Many Medicare beneficiaries will elect to enroll in a Medicare Advantage plan that includes prescription drug coverage (MAPD) or purchase a stand alone prescription drug plan to go with their Original Medicare coverage. Most Medicare Advantage plans also include additional health benefits such as vision, dental, or hearing coverage and you have the option to purchase a Medicare Advantage plan with prescription drug coverage (MAPD) in almost all states.

Arizona 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan in Arizona is $60.28, 3.52% less than the national average of $62.48. 47.19% of 2017 Medicare Part C insurance plans in Arizona have a $0 monthly premium.
  • The maximum possible annual drug deductible in any 2017 Medicare Advantage plan with a drug component is $400, but in Arizona the average annual drug deductible for Medicare Part C insurance plans with drug components is $174.63. 27.94% of 2017 Medicare Part C insurance plans with a drug component in Arizona have a $0 annual drug deductible.
  • 95.24% of 2017 Medicare Part C insurance plans without a drug component in Arizona have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Arizona is $5,946.34. 10.11% of 2017 Medicare Advantage plans in Arizona had a medical out-of-pocket limit of $3,400 or less.

To assist seniors in choosing Medicare plans, CMS assigns star ratings to Medicare Part C and Part D plans each year based on preventive care, chronic condition management, customer service, member satisfaction, and drug pricing. Ratings range from 1 star (a poor plan) to 5 stars (an excellent plan).

  • The average overall CMS star rating assigned to Medicare Part C insurance plans in Arizona was 3.4 stars in 2017.
  • Among Arizona's 2017 Medicare Advantage plans with CMS star ratings:
    • 26.97% earned a score of 4 or 4.5 stars
    • 70.79% earned a score of 3 or 3.5 stars
    • 2.25% of plans are too new to be measured

Sources:

Data on Medicare eligibility, enrollment, and spending by state from Kaiser Family Foundation

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Arizona Medicare Insurance Companies

There are 19 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Arizona. Of these, the companies that offer the largest variety of plans to choose from are Humana, UnitedHealthcare, and Aetna. In Arizona,. The following are all medicare insurance providers in Arizona:

Humana

14 Plans

Aetna

6 Plans

Allwell

4 Plans

WellCare

3 Plans

HISC - Blue Cross Blue Shield of New Mexico

3 Plans

CareMore

3 Plans

Regence BlueShield of Idaho

2 Plans

EMI Health

2 Plans

Bright Health

2 Plans

Magellan Rx Medicare

1 Plans

Cigna

1 Plans

Allwell

1 Plans

2018 Best Medicare Plans in Arizona

There are 65 medicare plans in Arizona. The following are the 10 highest rated medicare plans in Arizona based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $0CareMore - CareMore Smart Value (HMO) - Pima County
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from $0Cigna - Cigna-HealthSpring Preferred (HMO) - Pima County
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from $0UnitedHealthcare - AARP MedicareComplete (HMO) - Pima County
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from $0CareMore - CareMore Classic (HMO) - Pima County
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from $0UnitedHealthcare - AARP MedicareComplete Plan 1 (HMO) - Maricopa County
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from $0UnitedHealthcare - AARP MedicareComplete Plan 2 (HMO) - Maricopa County
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from $12UnitedHealthcare - AARP MedicareComplete Plus (HMO-POS) - Graham County
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from $22ExpressScripts - Express Scripts Medicare - Saver (PDP)
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from $28SilverScript - SilverScript Choice (PDP)
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from $28Aetna - Aetna Medicare Platinum Plan (PPO) - Maricopa County
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Best Arizona Medicare Plans for Managing High Blood Pressure

The following are the 5 highest rated medicare plans in Arizona based on their CMS rating for the plan's ability for controlling high blood pressure.

Monthly CostPlan NameCMS Rating
from $28Humana - HumanaChoice R7220-002 (Regional PPO)
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from $0Cigna - Cigna-HealthSpring Preferred (HMO) - Pima County
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from $37Humana - Humana Gold Choice H8145-103 (PFFS) - Maricopa County
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from $20Aetna - Aetna Medicare Platinum Plan (HMO) - Maricopa County
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from $0Humana - Humana Gold Plus H2649-063 (HMO) - Maricopa County
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Best Arizona Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Arizona based on their CMS rating for the plan's ability for diabetes care including: eye exam, kidney disease monitoring, blood sugar controlled and cholesterol controlled.

Monthly CostPlan NameCMS Rating
from $34Aetna - Aetna Medicare Prime Plan (PPO) - Maricopa County
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from $28Aetna - Aetna Medicare Platinum Plan (PPO) - Maricopa County
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from $32CareMore - CareMore Care Access (HMO) - Pima County
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from $0CareMore - CareMore Classic (HMO) - Pima County
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from $0CareMore - CareMore Smart Value (HMO) - Pima County
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Best Arizona Medicare Plans for Managing Rheumatoid Arthritis

The following are the 5 highest rated medicare plans in Arizona based on their CMS rating for the plan's ability for rheumatoid arthritis management.

Monthly CostPlan NameCMS Rating
from $35Blue Cross Blue Shield of Arizona - Blue Medicare Advantage Plus (HMO) - Maricopa County
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from $20Aetna - Aetna Medicare Platinum Plan (HMO) - Maricopa County
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from $0Aetna - Aetna Medicare Prime Plan (HMO) - Maricopa County
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from $0Blue Cross Blue Shield of Arizona - Blue Medicare Advantage Classic (HMO) - Maricopa County
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from $34Aetna - Aetna Medicare Prime Plan (PPO) - Maricopa County
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Best Arizona Medicare Plans for Managing Osteoporosis

The following are the 5 highest rated medicare plans in Arizona based on their CMS rating for the plan's ability for osteoporosis management.

Monthly CostPlan NameCMS Rating
from $53Allwell - Allwell Medicare (HMO) - Cochise County
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from $50Allwell - Allwell Medicare Premier (HMO) - Pinal County
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from $0Allwell - Allwell Medicare Select (HMO) - Pima County
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from $0Allwell - Allwell Medicare Essentials II (HMO) - Pinal County
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from $28Humana - HumanaChoice R7220-002 (Regional PPO)
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Most Popular Medicare Doctors in Arizona

The following are the most popular medicare doctors in Arizona based on the provider utilization and payment data published by the U.S. Department of Health & Human Services.

NameSpecialtyLocation
SurgeryMESA, AZ
RadiologyMESA, AZ
OphthalmologyPHOENIX, AZ
OphthalmologyPHOENIX, AZ
Neurological SurgeryPHOENIX, AZ
DermatologySURPRISE, AZ
Internal MedicinePHOENIX, AZ
Thoracic Surgery (Cardiothoracic Vascular Surgery)SCOTTSDALE, AZ
Plastic SurgeryPHOENIX, AZ
RadiologyMESA, AZ
See all doctors accepting Medicare in Arizona

Browse Medicare Plans by Cities

  1. Phoenix, AZ
  2. Tucson, AZ
  3. Mesa, AZ
  4. Chandler, AZ
  5. Glendale, AZ
  6. Scottsdale, AZ
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