A preliminary analysis of the 2018 Medicare Advantage
plan (MA and MAPD) landscape data recently released by the Centers for Medicare
and Medicaid Services (CMS) shows that, in general, Medicare beneficiaries may notice
changes in Medicare plan availability (
more
plans in some areas), continued low monthly premiums,
higher out-of-pocket spending limits (
MOOP), and
fewer Medicare Advantage plans offering
some Donut Hole coverage.
First, a brief review of Medicare Advantage plans: A Medicare Advantage plan includes
your Medicare Part A (in-patient and hospitalization coverage), Medicare Part B (out-patient and physician coverage), and may include additional healthcare benefits (such as vision, dental, or fitness coverage). A Medicare Advantage plan may include Medicare prescription drug coverage
(
MAPD) or can be offered without drug coverage (
MA
). Usually
you cannot join a Medicare Advantage
(MA) plan and then add a stand-alone
Medicare Part D plan (
PDP). A Medicare Advantage plan
is not a Medicare Supplement
(Medigap plan) and cannot be used with a Medicare Supplement.
Here are
a few 2018 Medicare plan highlights with links to additional information:
- The total number
of 2018 Medicare Advantage plans will increase to new levels. Across the country,
there will be 12% more Medicare Advantage plans offered in 2018. Overall, there will be 3,001 Medicare Advantage
plans (MAs and MAPDs) available in 2018, as compared to 2,687 Medicare Advantage
plans offered in 2017. You can click here to read more
about the number (and type) of Medicare Advantage plans available in 2018.
- Most 2018
Medicare Advantage plans offer prescription drug coverage (MAPDs). As in past years, around 91% of 2018 Medicare
Advantage plans will include prescription drug coverage (MAPDs). You can click here to read
more about the changes in Medicare Advantage plans that offer prescription drug
coverage.
- Most
Medicare Advantage plans are HMOs. The majority (around 72%) of 2018 Medicare
Advantage plans will be Local HMOs (Health Maintenance Organizations). However, we will see a 21% increase in 2018
Medicare Advantage plans that are Local PPOs (Preferred Provider
Organizations). You can click here to read
more about the different types of Medicare Advantage plans offered in 2018.
- Even with
more Medicare Advantage plans offered in 2018, many counties will see significant
changes in their Medicare Advantage plan landscape. When viewed in
detail, many 2017 Medicare Advantage plans will be terminated in 2018 or merged
into other 2018 plans. The counties with
the largest number of 2018 Medicare Advantage plans that will no longer be available
are found in: Florida, New York, and
Ohio. You can see more 2018 Medicare plan changes
using our 2017/2018 Medicare Advantage plan compare tool: MA-Compare.com/2018. You can click here to read more
about changes Medicare Advantage plan availability across the country.
- Unfortunately,
still no Medicare Advantage plans for Alaska. As in prior years, no Medicare Advantage
plans (MAs or MAPDs) are offered in the state of Alaska.
- Monthly 2018
Medicare Advantage plan premiums will remain low.
As in past years,
73% of all 2018 Medicare Advantage plans will have premiums under $50, with around 36% of the 2018 Medicare Advantage plan having a $0 premium. You can click here to read more
about changes in Medicare Advantage plan premiums and see a chart of how Medicare
Advantage plan premiums have changed since 2014.
- More 2018
Medicare Advantage Special Needs Plans (SNPs).
About 17% of the
2017 Medicare Advantage Special Needs Plans (SNPs) will be discontinued in 2018. The good news is, with the introduction of so many new 2018 SNPs, there
is a resulting 9% overall increase in the 2018 SNP landscape. You can click here to learn more
about the 2018 Medicare Advantage Special Needs Plans and how they SNP landscape
has changed since 2014.
- A few more 2018 MAPDs have a $0 Rx deductible and $0 premium. 19% of all 2018
Medicare Advantage plans will include prescription drug coverage with a $0 premium
and $0 deductible. You can click here to read more
about the 2018 $0/$0 Medicare Advantage plans (MAPDs).
- A few 2018 Medicare Advantage plans will offer some variation
of the standard Initial Coverage Limit (ICL) of
$3,750. (A higher ICL
means that you can buy more medications before reaching the Donut Hole.) You can click here to
read more about Medicare Advantage plans offering a variation in the standard
Initial Coverage Limit.
- Fewer 2018 MAPDs
will offer Donut Hole coverage. 34% of MAPD plans
will offer some level of additional drug coverage should you reach the 2018 Donut
Hole -- as compared to 46% of MAPDs
in 2017. However, all MAPD plans will
honor the 2018 Donut Hole discount
that will increase to 65% for brand-name drugs (you pay 35%) and 56%
for generic medications (you pay 44%).
- More 2018 Medicare
Advantage plans will have a higher Medicare Part A and Part B Maximum Out-of-Pocket
(MOOP) Limit. The number of Medicare Advantage plans having
the statutory maximum MOOP of $6,700 will increase to 30% of all 2018 Medicare Advantage
(up from 28% in 2017). You can click here to learn more
about the Maximum Out-of-Pocket Limits for 2018 Medicare Advantage plans and how
MOOPs have changed since 2014.
Need an example
in your area?
To get you started with
an overview of the 2018 Medicare Advantage plans in your area, just click on your
state and then click on your county name:
AL
AR
AZ
CA
CO
CT
DC
DE
FL
GA
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MI
MN
MO
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VA
VT
WA
WI
WV
WY
.
We now have the 2018 Medicare Advantage plan information online in our 2018 Medicare
Advantage plan finder (
MA-Finder) that can be found directly at:
MA-Finder.com/2018. The MA-Finder currently displays the plan premium, prescription deductible,
Gap or Donut Hole coverage availability, and Medicare Part A and Part B Maximum
Out-of-Pocket limit (MOOP), drug tier cost-sharing, heath coverage information. Formulary information is coming soon.
You can also use our 2017/2018 MA-Compare tool to see how your 2017 Medicare Advantage
plan is changing in 2018. Our Medicare Advantage
comparison tool can be found directly at:
MA-Compare.com/2018.
No need to
rush.
The annual Medicare Open Enrollment Period for 2018 Medicare Part D plans and Medicare
Advantage plans begins on Sunday, October 15th and continues through Thursday, December
7th, with 2018 Medicare plan coverage beginning on Monday, January 1, 2018. For more information, Medicare beneficiaries can
telephone Medicare at 1-800-633-4227 to speak with a Medicare representative.