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Q1Group 2018 MA/MAPD Analysis: More $0 premium 2018 Medicare Advantage plans that include prescription drug coverage (MAPDs) with a $0 initial deductible

Annual Medicare plan changes · published Oct 4, 2017

As can be seen in the table below, there are more 2018 Medicare Advantage plans that offer prescription drug coverage (MAPDs) with a $0 initial deductible and a $0 monthly premium ($0/$0 plans) as compared to 2017 MAPDs.

As might be expected, the highest concentration of these $0/$0 Medicare Advantage plans are in Florida and California.  However, 37 states across the country will be offering Medicare Advantage plans at least one Medicare Advantage plan that includes prescription drug coverage with a $0 deductible and has a $0 monthly premium plan. 

As an example, Miami-Dade County, Florida offers 27 Medicare Advantage plans (MAPDs) with a $0 deductible and $0 monthly premium, 21 of these plans have some Gap (or Donut Hole) Coverage and 12 of those Medicare Advantage plans have a MOOP of $3,400 or less.

2018 Medicare Advantage plans (MAPDs)
with No Initial Deductible ($0) and No Monthly Premium ($0)
Medicare Advantage Plan Type
(MAPD)
Gap (Donut Hole) Coverage 2018 Plans 2017 Plans Change
'17 to '18
2016 Plans 2015 Plans
Local HMO No Gap Coverage 171 121 50 174 190
Local HMO Yes 313 309 4 287 326
Local PPO No Gap Coverage 6 2 4 13 20
Local PPO Yes 26 28 -2 8 14
Medicare-Medicaid Plan No Gap Coverage 0 0 0 0 32
Medicare-Medicaid Plan Yes 54 62 -8 68 0
PFFS No Gap Coverage 0 0 0 0 0
Regional PPO No Gap Coverage 0 0 0 0 0

Total Plans 570 522 48 550 582

As a reminder: Look beyond the $0 premium and $0 deductible!
Be sure to determine whether these $0 premium Medicare Advantage plans have an acceptable annual Medicare Part A and Part B Maximum Out-of-Pocket limit (or MOOP) or whether there are any restrictions on the physicians or health care providers that you can visit or whether the formulary (drug list) most affordably covers your prescriptions (and includes your local pharmacies).   When in doubt, contact a Medicare representative at 1-800-633-4227.

You can use our MA-Finder to preview all $0 Premium 2018 Medicare Advantage plans with prescription drug coverage available in your area (just enter your ZIP code after clicking on the link or go to MA-Finder.com to start.)