Best Medicare Companies in West Enfield, Maine (2024)
Embark on a journey of knowledge with extensive insurance information for Medicare companies in West Enfield, Maine. Delve into an array of coverage options, eligibility requirements, enrollment procedures, provider networks, prescription drug plans, and ancillary benefits to empower your decision-making process and secure your healthcare needs with utmost confidence and peace of mind.
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Kalyn Johnson
Insurance Claims Support & Sr. Adjuster
Kalyn grew up in an insurance family with a grandfather, aunt, and uncle leading successful careers as insurance agents. She soon found she has similar interests and followed in their footsteps. After spending about ten years working in the insurance industry as both an appraiser dispatcher and a senior property claims adjuster, she decided to combine her years of insurance experience with another...
Insurance Claims Support & Sr. Adjuster
UPDATED: Sep 16, 2024
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UPDATED: Sep 16, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Original Medicare doesn’t cover prescription drugs, but you can buy a standalone West Enfield, Maine, Medicare Part D plan for coverage
- West Enfield, Maine, Medicare supplement plans follow the Maine standards for coverage
- Health insurance companies like Humana and Martin’s Point Generations Advantage offer Medicare Advantage plans in West Enfield
Welcome to our comprehensive guide on Medicare companies in West Enfield, Maine. In this article, we will provide you with valuable insights into the world of Medicare insurance, covering key topics such as coverage options, eligibility criteria, enrollment procedures, provider networks, prescription drug plans, and ancillary benefits.
Whether you’re a resident of West Enfield or considering relocating to this charming town, understanding the available Medicare companies and their offerings is essential to ensure you make informed decisions regarding your healthcare coverage.
To help you find the best insurance providers tailored to your specific needs, we invite you to enter your ZIP code below. Compare rates and unlock peace of mind with the ideal Medicare coverage for you and your loved ones.
Medicare Advantage by Company in West Enfield, Maine
There are Medicare Advantage companies in West Enfield, ME, offering a range of options including HMO and PPO plans. There are even some plans available at no additional cost beyond your West Enfield Medicare Part B premium. Take a look at the Medicare Advantage companies in West Enfield, Maine, to compare plans and coverage.
Medicare Advantage Companies in West Enfield, Maine
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (Regional PPO) – R5329-001-0 | $64.00 | $295 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $7,550 |
| AARP Medicare Advantage Choice Plan 1 (PPO) – H2001-018-0 | $19.00 | $195 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $5,900 |
| Aetna Medicare Assure Plan (HMO-POS D-SNP) – H3597-011-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | n/a |
| Aetna Medicare Explorer Plan (PPO) – H5521-144-0 | $59.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $7,550 |
| Aetna Medicare Value Plan (HMO) – H3597-009-0 | $49.00 | $150 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $7,550 |
| Anthem l MaineHealth Advantage Access (PPO) – H9219-002-0 | $46.00 | $400 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | $5,800 |
| Anthem l MaineHealth Advantage Choice (HMO-POS) – H9065-004-0 | $81.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $37.00, Non-Preferred Drug: $95.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $5,500 |
| Anthem l MaineHealth Advantage Dual Plus (HMO D-SNP) – H9065-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | n/a |
| Anthem l MaineHealth Advantage Extra (HMO) – H9065-007-0 | $22.50 | $275 . Tier 1 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $95.00, Specialty Tier: 28%, Select Care Drugs: $0.00 | $5,600 |
| Humana Gold Plus H5619-066 (HMO) – H5619-066-0 | $0.00 | $355 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% | $7,550 |
| Humana Gold Plus H5619-137 (HMO) – H5619-137-0 | $29.00 | $400 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $6,700 |
| Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP) – H5619-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $19.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | n/a |
| Humana Honor (PPO) – H5216-059-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
| HumanaChoice H5216-175 (PPO) – H5216-175-0 | $0.00 | $250 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,500 |
| HumanaChoice H5216-177 (PPO) – H5216-177-0 | $39.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,500 |
| Martin’s Point Generations Advantage Alliance (HMO) – H5591-003-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,000 |
| Martin’s Point Generations Advantage Flex (Regional PPO) – R0802-001-0 | $53.00 | $275 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 28% | $5,500 |
| Martin’s Point Generations Advantage Prime (HMO-POS) – H5591-001-0 | $89.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $6,850 |
| Martin’s Point Generations Advantage Select (PPO) – H1365-002-0 | $99.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 33% | $7,300 |
| Martin’s Point Generations Advantage Value Plus (HMO) – H5591-009-0 | $29.00 | $275 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $40.00, Non-Preferred Drug: $95.00, Specialty Tier: 28% | $7,550 |
| UnitedHealthcare Dual Complete (PPO D-SNP) – H0271-020-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
| UnitedHealthcare Nursing Home Plan (PPO I-SNP) – H0710-015-0 | $29.10 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25%, Tier 2: 25%, Tier 3: 25%, Tier 4: 25%, Tier 5: 25% | n/a |
| WellCare Access (HMO D-SNP) – H9364-002-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: 47%, Specialty Tier: 25% | n/a |
| WellCare Liberty (HMO D-SNP) – H9364-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | n/a |
| WellCare Today’s Options Advantage Plus 550B (PPO) – H2775-109-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $37.00, Non-Preferred Drug: $90.00, Specialty Tier: 33% | $4,000 |
| WellCare Today’s Options Premier 200 (PFFS) – H2816-039-0 | $55.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| WellCare Today’s Options Premier 300 (PFFS) – H2816-040-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| WellCare Value (HMO) – H9364-001-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: 42%, Specialty Tier: 33% | $6,700 |
Medicare Part D by Company in West Enfield, Maine
West Enfield Medicare Part D companies offer plans that cover prescription medications, with deductible and copay options that vary along with the monthly cost. Whether you have original Medicare or a West Enfield, Maine, Medicare Advantage plan, you can buy standalone Part D coverage from a local company.
Standalone Medicare Part D Plans in West Enfield, Maine
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 176 – 0 by Aetna Medicare |
Monthly Premium: $7.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 124 – 0 by Elixir Insurance |
Monthly Premium: $14.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 170 – 0 by WellCare |
Monthly Premium: $15.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 181 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 19% Tier 4: 35% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 136 – 0 by WellCare |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $7.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Anthem MediBlue Rx Enhanced (PDP) S5596 – 066 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $19.60 Annual Deductible: $350 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 38% Tier 5: 26% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 071 – 0 by Mutual of Omaha Rx |
Monthly Premium: $23.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 44% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 280 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 49% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 296 – 0 by WellCare |
Monthly Premium: $24.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 104 – 0 by Express Scripts Medicare |
Monthly Premium: $25.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $24.00 Tier 4: 50% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 218 – 0 by Express Scripts Medicare |
Monthly Premium: $25.80 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| SilverScript Choice (PDP) S5601 – 002 – 0 by Aetna Medicare |
Monthly Premium: $26.30 Annual Deductible: $305 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 44% Tier 5: 27% |
| WellCare Classic (PDP) S4802 – 075 – 0 by WellCare |
Monthly Premium: $26.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 33% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 378 – 0 by UnitedHealthcare |
Monthly Premium: $27.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $33.00 Tier 4: 40% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 101 – 0 by Humana |
Monthly Premium: $27.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| Elixir RxSecure (PDP) S7694 – 001 – 0 by Elixir Insurance |
Monthly Premium: $28.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 32% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 003 – 0 by Cigna |
Monthly Premium: $29.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $33.00 Tier 4: 50% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 035 – 0 by WellCare |
Monthly Premium: $35.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $36.00 Tier 4: 41% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 384 – 0 by UnitedHealthcare |
Monthly Premium: $36.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 246 – 0 by Cigna |
Monthly Premium: $53.90 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Anthem MediBlue Rx Standard (PDP) S5596 – 046 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $57.80 Annual Deductible: $395 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $2.00 Tier 3: $36.00 Tier 4: 31% Tier 5: 25% |
| Anthem MediBlue Rx Plus (PDP) S5596 – 001 – 0 by Anthem MediBlue Rx (PDP) |
Monthly Premium: $60.70 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 33% |
| Express Scripts Medicare – Choice (PDP) S5660 – 172 – 0 by Express Scripts Medicare |
Monthly Premium: $65.40 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| SilverScript Plus (PDP) S5601 – 003 – 0 by Aetna Medicare |
Monthly Premium: $66.80 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| Humana Premier Rx Plan (PDP) S5884 – 148 – 0 by Humana |
Monthly Premium: $68.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 125 – 0 by WellCare |
Monthly Premium: $75.60 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 50% Tier 5: 33% |
| AARP MedicareRx Preferred (PDP) S5820 – 001 – 0 by UnitedHealthcare |
Monthly Premium: $81.80 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 001 – 0 by Mutual of Omaha Rx |
Monthly Premium: $99.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 36% Tier 5: 25% |
Medicare Supplement By Company in West Enfield, Maine
West Enfield, Maine, Medicare supplement plans are designed to fill in the gaps left by original Medicare. That’s why they’re also known as Medigap plans. Compare West Enfield, ME, Medigap companies, and the plans they offer here.
Medicare Supplement Companies in West Enfield, Maine
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Anthem Blue Cross Blue Shield – Maine | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Colonial Penn Life Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
| Globe Life and Accident Insurance Company (Direct to Consumer) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Harvard Pilgrim Health Care Inc. | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan M, Medigap Plan N |
| Humana (Humana Insurance Company) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Humana (Humana Insurance Company) (Household) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| Humana Healthy Living (Humana Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan K, Medigap Plan N |
| Humana Healthy Living (Humana Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan K, Medigap Plan N |
| Loyal American Life Insurance Company (CIGNA) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| State Farm Mutual Automobile Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Transamerica Life Insurance Company (Direct) | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan M, Medigap Plan N |
| USAA Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United American Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| United of Omaha Life Insurance | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan M |
Medicare Supplement Coverage by Plan in West Enfield, Maine
Medicare supplement plans in West Enfield, ME, are standardized, so you’ll get the same coverage regardless of which company you choose. Find out what the standard Medigap plans in Maine cover here.
West Enfield, Maine Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $150-$363 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan B | Premiums range from $198-$424 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan C | Premiums range from $235-$471 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan D | Premiums range from $199-$272 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan F | Premiums range from $222-$480 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan F-high deductible | Premiums range from $47-$132 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G | Premiums range from $199-$473 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan G-high deductible | Premiums range from $47-$109 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services after you pay $2,370 deductible | $2,370 total plan deductible. After, you pay: $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Plan K | Premiums range from $73-$221 depending on your age, sex, health status, and when you buy. | 10% Generally your cost for approved Part B services up to $6,220. Then, you’ll pay $0 for the rest of the year. | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan L | Premiums range from $133-$283 depending on your age, sex, health status, and when you buy. | 5% Generally your cost for approved Part B services up to $3,110. Then, you’ll pay $0 for the rest of the year. | $371 (25% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Plan M | Premiums range from $172-$381 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $742 (50% of Part A deductible) Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
| Medigap Plan N | Premiums range from $158-$314 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services with some $20 and $50 copays | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: No Foreign travel emergency: Yes |
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Shop for Medicare Coverage in West Enfield, Maine
Finding the right coverage for Medicare in West Enfield, Maine, is a matter of looking at your choices and narrowing down the best fits for your needs and budget. Whether you want a PPO Medicare Advantage plan in West Enfield, ME, or you prefer to bolster original Medicare with a West Enfield Medicare supplement plan, shopping around is your best bet.
To compare West Enfield, Maine, Medicare rates, enter your ZIP code here for fast, free quotes.
Frequently Asked Questions
What are Medicare Companies?
Medicare Companies, also known as Medicare Advantage or Medicare Part C plans, are private health insurance companies that offer Medicare benefits to eligible individuals. They provide an alternative way to receive Medicare benefits, often with additional coverage options beyond Original Medicare.
How do I know if I’m eligible for a Medicare Company plan in West Enfield, Maine?
To be eligible for a Medicare Company plan, you must already be enrolled in Medicare Part A and Part B. You should also live within the service area of the specific Medicare Company you are considering.
How do I find Medicare Companies in West Enfield, Maine?
You can find Medicare Companies in West Enfield, Maine by using online resources, such as the official Medicare website or private health insurance comparison websites. You can also contact a licensed insurance broker who specializes in Medicare plans for assistance.
What types of Medicare Company plans are available in West Enfield, Maine?
The types of Medicare Company plans available can vary, but they generally include Health Maintenance Organization (HMO) plans, Preferred Provider Organization (PPO) plans, Special Needs Plans (SNPs), and Private Fee-for-Service (PFFS) plans. Each plan has different rules and coverage options.
What additional benefits do Medicare Company plans in West Enfield, Maine offer?
Medicare Company plans may offer additional benefits beyond what Original Medicare provides. These benefits can include prescription drug coverage, dental care, vision care, hearing aids, fitness programs, and more. The specific benefits vary depending on the plan and the insurance company.
How much do Medicare Company plans cost in West Enfield, Maine?
The cost of Medicare Company plans can vary depending on the specific plan and insurance company you choose. In addition to the premium, you may also have out-of-pocket costs such as deductibles, copayments, and coinsurance. It’s important to review the plan details and pricing before making a decision.
Can I switch Medicare Company plans in West Enfield, Maine?
Yes, you can switch Medicare Company plans during the annual Medicare Open Enrollment Period, which typically runs from October 15 to December 7 each year. Some special circumstances may also allow you to change plans outside of this period.
How do I enroll in a Medicare Company plan in West Enfield, Maine?
To enroll in a Medicare Company plan, you should contact the insurance company directly or work with a licensed insurance broker. They can guide you through the enrollment process and help you understand your options.
Can I use my Medicare Company plan outside of West Enfield, Maine?
Medicare Company plans often have network restrictions, so it’s important to check if the plan provides coverage outside of West Enfield, Maine. Some plans may offer coverage for emergency care or have agreements with providers in other areas, while others may have limited coverage when you’re outside the plan’s service area.
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Kalyn Johnson
Insurance Claims Support & Sr. Adjuster
Kalyn grew up in an insurance family with a grandfather, aunt, and uncle leading successful careers as insurance agents. She soon found she has similar interests and followed in their footsteps. After spending about ten years working in the insurance industry as both an appraiser dispatcher and a senior property claims adjuster, she decided to combine her years of insurance experience with another...
Insurance Claims Support & Sr. Adjuster
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