Find 2019 Medicare Plans in Delaware - DE Medicare Insurance Overview

Compare every Medicare plan in your area

Delaware Medicare Insurance

Medicare in Delaware

Medicare offers healthcare coverage to Delaware residents age 65 or older, or to those Delaware residents that suffer from certain medical disabilities. In 2016, 181,000 people are enrolled in Medicare in Delaware, accounting for 19.3% of the population in Delaware. In 2009 about $10,421 was spent per Medicare enrollee in Delaware, slightly higher than the national average of $10,365 by 0.54%. Between 2015 to 2030 the number of seniors in Delaware is expected to rise by an estimated 59.95% according to calculations based off of the 2000 Census. Therefore the number of eligible Medicare beneficiaries in Delaware is also expected to increase.

Local Medicare Resources

Medicare beneficiaries and their caregivers can receive free, one-on-one, and unbiased health insurance counseling through ELDERinfo, Delaware’s State Health Insurance Assistance Program (SHIP). Additionally, Delaware’s Senior Medicare Patrol (SMP) is a program designed to help educate and empower individuals on how to identify, avoid, and report Medicare fraud, waste, and/or abuse.

Types of Medicare Coverage

Individuals that qualify for Medicare can sign up for Medicare Part A (hospital services) and Part B (medical services) through the Federal government. Part A is generally paid for by paycheck deductions from their working years (or their spouse's) but most Medicare beneficiaries pay for Part B through monthly premiums unless they qualify for financial assistance. If you are eligible for Original Medicare (Parts A & B) or if you are already enrolled in it, you also have the option to enroll in a Medicare Advantage Plan (Medicare Part C) instead of Original Medicare or add a stand alone prescription drug plan (Part D) to your current Original Medicare coverage. 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. Medicare Advantage and Medicare Part D insurance plans are sold by private insurance companies that have a contract with Medicare. Many Medicare beneficiaries will elect to enroll in a Medicare Advantage plan that includes prescription drug coverage or purchase a stand alone prescription drug plan to go with their Original Medicare coverage. Medicare Advantage plans require you to stay in network but some plans will also cover out-of-network care at a higher cost. Additional benefits of Medicare Advantage plans such as dental, vision, or hearing coverage can help reduce out-of-pocket expenses for seniors with certain medical needs.

Delaware 2017 Medicare Advantage Plans at a glance

Using CMS data HealthPocket found that:

  • The average total monthly premium for a 2017 Medicare Advantage plan with a drug component in Delaware is $59.31, 5.07% less than the national average of $62.48. 23.08% of 2017 Medicare Part C insurance plans in Delaware 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 Delaware the average annual drug deductible for Medicare Part C insurance plans with drug components is $104.62. 69.23% of 2017 Medicare Part C insurance plans with a drug component in Delaware have a $0 annual drug deductible.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Delaware is $6,700.0. No 2017 Medicare Advantage plans in Delaware 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 Delaware was 3.9 stars in 2017.
  • Among Delaware's 2017 Medicare Advantage plans with CMS star ratings:
    • 84.62% earned a score of 4 stars
    • 15.38% earned a score of 3.5 stars

Sources:

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

See More ▼Collapse ▲

Delaware Medicare Insurance Companies

There are 13 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Delaware. Of these, the companies that offer the largest variety of plans to choose from are Humana, Aetna, and Cigna-HealthSpring. In Delaware,Humana has the largest selection of Medicare Advantage plans while Humana offers the most Medicare Part D plans. The following are all medicare insurance providers in Delaware:

Humana

6 Plans

Aetna

6 Plans

WellCare

3 Plans

UNITEDHEALTHCARE INS. CO. & UHC INS. CO. OF NY

2 Plans

OMAHA HEALTH INSURANCE COMPANY

2 Plans

MERIT HEALTH INSURANCE COMPANY

1 Plans

Lasso Healthcare

1 Plans

2019 Featured Medicare Plans in Delaware

There are 35 medicare plans in Delaware. The following are the 10 highest rated medicare plans in Delaware based on their CMS rating for the plan's overall quality.

Monthly CostPlan NameCMS Rating
from $0Humana - HumanaChoice H5216-127 (PPO) - Kent County
Remove X
Details
from $0Aetna - Aetna Medicare Silver (PPO) - Kent County
Remove X
Details
from $0Humana - Humana Gold Plus H6622-010 (HMO) - Kent County
Remove X
Details
from $69Humana - HumanaChoice H5216-028 (PPO) - Kent County
Remove X
Details
from $87Aetna - Aetna Medicare Premier Plan (PPO) - Kent County
Remove X
Details
from $0Aetna - Aetna Medicare Choice Plan (HMO) - Kent County
Remove X
Details
from $24Medco Medicare - Express Scripts Medicare - Saver (PDP)
Remove X
Details
from $29Medco Medicare - Express Scripts Medicare - Value (PDP)
Remove X
Details
from $29Humana - Humana Walmart Rx Plan (PDP)
Remove X
Details
from $29Humana - Humana Preferred Rx Plan (PDP)
Remove X
Details
See all Medicare plans in Delaware

Delaware Featured Medicare Plans for Managing High Blood Pressure

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

Monthly CostPlan NameCMS Rating
from $59Aetna - Aetna Medicare Standard Plan (HMO) - Kent County
Remove X
Details
from $0Aetna - Aetna Medicare Choice Plan (HMO) - Kent County
Remove X
Details
from $36Cigna-HealthSpring - Cigna-HealthSpring Preferred (HMO) - Kent County
Remove X
Details
from $18Cigna-HealthSpring - Cigna-HealthSpring PreventiveCare (HMO) - Kent County
Remove X
Details
from $87Aetna - Aetna Medicare Premier Plan (PPO) - Kent County
Remove X
Details

Delaware Featured Medicare Plans for Managing Diabetes

The following are the 5 highest rated medicare plans in Delaware 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 $59Aetna - Aetna Medicare Standard Plan (HMO) - Kent County
Remove X
Details
from $0Aetna - Aetna Medicare Choice Plan (HMO) - Kent County
Remove X
Details
from $0Humana - Humana Gold Plus H6622-010 (HMO) - Kent County
Remove X
Details
from $87Aetna - Aetna Medicare Premier Plan (PPO) - Kent County
Remove X
Details
from $69Humana - HumanaChoice H5216-028 (PPO) - Kent County
Remove X
Details

Delaware Featured Medicare Plans for Managing Rheumatoid Arthritis

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

Monthly CostPlan NameCMS Rating
from $87Aetna - Aetna Medicare Premier Plan (PPO) - Kent County
Remove X
Details
from $0Aetna - Aetna Medicare Silver (PPO) - Kent County
Remove X
Details
from $59Aetna - Aetna Medicare Standard Plan (HMO) - Kent County
Remove X
Details
from $0Aetna - Aetna Medicare Choice Plan (HMO) - Kent County
Remove X
Details
from $69Humana - HumanaChoice H5216-028 (PPO) - Kent County
Remove X
Details

Delaware Featured Medicare Plans for Managing Osteoporosis

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

Monthly CostPlan NameCMS Rating
from $87Aetna - Aetna Medicare Premier Plan (PPO) - Kent County
Remove X
Details
from $0Humana - Humana Gold Plus H6622-010 (HMO) - Kent County
Remove X
Details
from $0Aetna - Aetna Medicare Silver (PPO) - Kent County
Remove X
Details
from $36Cigna-HealthSpring - Cigna-HealthSpring Preferred (HMO) - Kent County
Remove X
Details
from $18Cigna-HealthSpring - Cigna-HealthSpring PreventiveCare (HMO) - Kent County
Remove X
Details

Most Popular Medicare Doctors in Delaware

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

NameSpecialtyLocation
DermatologyNEWARK, DE
Internal MedicineNEWARK, DE
Internal MedicineNEWARK, DE
Internal MedicineNEWARK, DE
Internal MedicineNEWARK, DE
Thoracic Surgery (Cardiothoracic Vascular Surgery)NEWARK, DE
Internal MedicineNEWARK, DE
OphthalmologyWILMINGTON, DE
SurgeryNEWARK, DE
Plastic SurgeryNEWARK, DE
See all doctors accepting Medicare in Delaware

Browse Medicare Plans by Cities

  1. Wilmington, DE
  2. Dover, DE
  3. Newark, DE
  4. Middletown, DE
  5. Smyrna, DE
  6. Milford, DE
See all cities in Delaware

Related Articles

Related Search

{"globalPhoneNumber":"8009316467","helpInfo":{"phone":"8009316467","analyticsInfo":{"pageType":"content","productLine":"medicare","phone":"8009316467"}}}