Find 2019 Medicare Plans in Massachusetts - MA Medicare Insurance Overview

Compare every Medicare plan in your area

Massachusetts Medicare Insurance

Medicare in Massachusetts

Medicare offers healthcare coverage to Massachusetts residents age 65 or older, or to those Massachusetts residents that suffer from certain medical disabilities. In 2016, 1,123,000 people are enrolled in Medicare in Massachusetts, accounting for 16.7% of the population in Massachusetts. In 2009 about $11,277 was spent per Medicare enrollee in Massachusetts, approximately 8.8% higher than the national average of $10,365. Between 2015 to 2030 the senior population in Massachusetts is expected to increase by an estimated 42.68% according to calculations based off of the 2000 Census. Therefore the number of eligible Medicare beneficiaries in the state is also predicted to grow.

Local Medicare Resources

Medicare beneficiaries and their caregivers in Massachusetts can receive free, one-on-one, and unbiased health insurance counseling through a program called SHINE (Serving Health Information Needs of Elders). Massachusetts Senior Medicare Patrol (MA SMP) is another program which aims to help educate and empower individuals, especially those who are isolated, underserved, or have limited English, on how to identify, prevent, and report cases of healthcare 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 (Part C) instead of Original Medicare or add a standalone 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 (MAPD) or purchase a standalone 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.

Massachusetts 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 Massachusetts is $93.29, 49.31% greater than the national average of $62.48. 15.06% of 2017 Medicare Part C insurance plans in Massachusetts 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 Massachusetts the average annual drug deductible for Medicare Part C insurance plans with drug components is $222.98. 22.54% of 2017 Medicare Part C insurance plans with a drug component in Massachusetts have a $0 annual drug deductible.
  • The average total monthly premium for a 2017 Medicare Advantage plan without a drug component in Massachusetts is $80.63. 4.35% of 2017 Medicare Part C insurance plans without a drug component in Massachusetts have a $0 monthly premium.
  • The average medical out-of-pocket limit for 2017 Medicare Part C insurance plans in Massachusetts is $4,454.44. 51.74% of 2017 Medicare Advantage plans in Massachusetts 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 Massachusetts was 4.6 stars in 2017.
  • Among Massachusetts's 2017 Medicare Advantage plans with CMS star ratings:
    • 42.08% earned a score of 5 stars
    • 52.51% earned a score of 4 or 4.5 stars
    • 5.41% of plans are “Not enough data available” or “Too new to be measured”.
  • Sources:

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

    See More ▼Collapse ▲

    Massachusetts Medicare Insurance Companies

    There are 18 Medicare insurance providers that offer affordable and comprehensive Medicare insurance in Massachusetts. Of these, the companies that offer the largest variety of plans to choose from are Tufts Health Plan, UnitedHealthcare, and Fallon Community Health Plan. In Massachusetts,Tufts Health Plan 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 Massachusetts:

    Health New England Medicare Advantage Plans

    6 Plans

    Aetna

    5 Plans

    WellCare

    3 Plans

    Humana

    3 Plans

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

    2 Plans

    OMAHA HEALTH INSURANCE COMPANY

    2 Plans

    2019 Featured Medicare Plans in Massachusetts

    There are 70 medicare plans in Massachusetts. The following are the 10 highest rated medicare plans in Massachusetts based on their CMS rating for the plan's overall quality.

    Monthly CostPlan NameCMS Rating
    from $0Tufts Health Plan - Tufts Medicare Preferred HMO Saver Rx (HMO) - Barnstable County
    Remove X
    Details
    from $28Tufts Health Plan - Tufts Medicare Preferred HMO Basic No Rx (HMO) - Essex County
    Remove X
    Details
    from $37Anthem BCBS - Blue MedicareRx Value Plus (PDP)
    Remove X
    Details
    from $55Tufts Health Plan - Tufts Medicare Preferred HMO Basic Rx (HMO) - Essex County
    Remove X
    Details
    from $103Tufts Health Plan - Tufts Medicare Preferred HMO Value No Rx (HMO) - Barnstable County
    Remove X
    Details
    from $127Anthem BCBS - Blue MedicareRx Premier (PDP)
    Remove X
    Details
    from $133Tufts Health Plan - Tufts Medicare Preferred HMO Prime No Rx (HMO) - Barnstable County
    Remove X
    Details
    from $151Tufts Health Plan - Tufts Medicare Preferred HMO Value Rx (HMO) - Essex County
    Remove X
    Details
    from $188Tufts Health Plan - Tufts Medicare Preferred HMO Prime Rx (HMO) - Essex County
    Remove X
    Details
    from $220Tufts Health Plan - Tufts Medicare Preferred HMO Prime Rx Plus (HMO) - Essex County
    Remove X
    Details
    See all Medicare plans in Massachusetts

    Massachusetts Featured Medicare Plans for Managing High Blood Pressure

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

    Monthly CostPlan NameCMS Rating
    from $0Aetna - Aetna Medicare Value Plan (HMO) - Bristol County
    Remove X
    Details
    from $227Fallon Community Health Plan - Fallon Senior Plan Plus Enhanced Rx (HMO) - Barnstable County
    Remove X
    Details
    from $218Fallon Community Health Plan - Fallon Senior Plan Standard Enhanced Rx (HMO) - Franklin County
    Remove X
    Details
    from $126Fallon Community Health Plan - Fallon Senior Plan Plus Enhanced Rx (HMO-POS) - Hampden County
    Remove X
    Details
    from $112Fallon Community Health Plan - Fallon Senior Plan Saver Enhanced Rx (HMO) - Barnstable County
    Remove X
    Details

    Massachusetts Featured Medicare Plans for Managing Diabetes

    The following are the 5 highest rated medicare plans in Massachusetts 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 $292Blue Cross Blue Shield of Massachusetts - Medicare HMO Blue PlusRx (HMO) - Barnstable County
    Remove X
    Details
    from $195UnitedHealthcare - Erickson Advantage Signature with Drugs (HMO-POS) - Essex County
    Remove X
    Details
    from $160UnitedHealthcare - Erickson Advantage Signature without Drugs (HMO-POS) - Essex County
    Remove X
    Details
    from $96Blue Cross Blue Shield of Massachusetts - Medicare HMO Blue FlexRx (HMO-POS) - Barnstable County
    Remove X
    Details
    from $48UnitedHealthcare - Erickson Advantage Freedom (HMO-POS) - Essex County
    Remove X
    Details

    Massachusetts Featured Medicare Plans for Managing Rheumatoid Arthritis

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

    Monthly CostPlan NameCMS Rating
    from $57Aetna - Aetna Medicare Freedom Complete (PPO) - Bristol County
    Remove X
    Details
    from $0Aetna - Aetna Medicare Freedom Plan (PPO) - Bristol County
    Remove X
    Details
    from $220Tufts Health Plan - Tufts Medicare Preferred HMO Prime Rx Plus (HMO) - Essex County
    Remove X
    Details
    from $188Tufts Health Plan - Tufts Medicare Preferred HMO Prime Rx (HMO) - Essex County
    Remove X
    Details
    from $151Tufts Health Plan - Tufts Medicare Preferred HMO Value Rx (HMO) - Essex County
    Remove X
    Details

    Massachusetts Featured Medicare Plans for Managing Osteoporosis

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

    Monthly CostPlan NameCMS Rating
    from $227Fallon Community Health Plan - Fallon Senior Plan Plus Enhanced Rx (HMO) - Barnstable County
    Remove X
    Details
    from $218Fallon Community Health Plan - Fallon Senior Plan Standard Enhanced Rx (HMO) - Franklin County
    Remove X
    Details
    from $126Fallon Community Health Plan - Fallon Senior Plan Plus Enhanced Rx (HMO-POS) - Hampden County
    Remove X
    Details
    from $112Fallon Community Health Plan - Fallon Senior Plan Saver Enhanced Rx (HMO) - Barnstable County
    Remove X
    Details
    from $103Fallon Community Health Plan - Fallon Senior Plan Saver Enhanced Rx (HMO-POS) - Franklin County
    Remove X
    Details

    Most Popular Medicare Doctors in Massachusetts

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

    NameSpecialtyLocation
    DermatologyBOSTON, MA
    Allergy & ImmunologyPLYMOUTH, MA
    SurgeryBOSTON, MA
    Thoracic Surgery (Cardiothoracic Vascular Surgery)BOSTON, MA
    SurgeryWEST SPRINGFIELD, MA
    DermatologyWORCESTER, MA
    OphthalmologyQUINCY, MA
    OphthalmologyREADING, MA
    RadiologyWORCESTER, MA
    DermatologyHYANNIS, MA
    See all doctors accepting Medicare in Massachusetts

    Browse Medicare Plans by Cities

    1. Boston, MA
    2. Worcester, MA
    3. Springfield, MA
    4. Lowell, MA
    5. Cambridge, MA
    6. Brockton, MA
    See all cities in Massachusetts

    Related Articles

    Related Search

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