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Medicare Advantage Plans in Maine

Find top-rated carriers, popular plan types, price comparisons, and enrollment periods for a Maine Medicare Advantage plan.

Also referred to as Medicare Part C, Medicare Advantage plans in Maine are designed to add to the benefits that you receive from Original Medicare, which includes inpatient hospital stays, outpatient care and medical supplies. When you choose a Medicare Advantage plan, the insurance provider you select will take care of all administration services, claims and customer service. In order to join a Medicare Advantage plan, Medicare beneficiaries must pay their Part B premium.

The essential components of a Medicare Advantage plan include:

  • These plans have been increasing in popularity over the past decade
  • An insurance company provides your benefits
  • The plan you sign up for and the benefits you obtain from the plan are associated with a network of hospitals, doctors and other medical facilities
  • When a plan is designated as a “MAPD” plan, this refers to Medicare Advantage Prescription Drug plans that can provide coverage for prescription drugs
Find Plans in Your Area

Top rated Medicare Advantage providers in Maine

  • Aetna: A handful of Aetna’s Medicare HMOs have earned the highest star ratings for quality in the state in past years.
  • Martin’s Point: This isn’t a national insurer, but they account for 46 percent of the state’s enrollment in Medicare Advantage plans. The insurer has provided some HMO-POS and HMO-SNP plans with high star ratings.
  • Other notable companies to look for in your area are Humana and Cigna.

Popular Medicare Advantage plan types in Maine

Best Network Freedom: Medicare Advantage PPO

  • The monthly premiums for a PPO plan can be anywhere from $0-$100 each month
  • Primary PPO benefits include no need for referrals and access to a large network

Best for Lowest Out-of-Pocket: Medicare Advantage HMO Plan

  • Your HMO monthly premiums should be around $0
  • Your out of pocket costs will be lower since you’re using a referral network

Best for Low Income or Health Conditions: Medicare Advantage D-SNP

  • If you are currently suffering from chronic health problems or have limited income, D-SNP (dual eligible special needs plan) is a plan specifically designed to accommodate these issues
  • Possible to have Medicaid and Medicare at once, which reduces out-of-pocket expenses for deductibles, coinsurance, monthly premiums and copays

Maine Enrollment Facts:

Number of people enrolled in a Maine Medicare Advantage plan – 100,278

Number of members for each type of Medicare Advantage plan –

  • Local HMO – 57,612
  • Local PPO – 37,748
  • Regional PPO – 1,017

Percentage of Medicare Advantage members in Maine – 30%

Number of members enrolled in Medicare Advantage throughout the U.S. – 19,838,319

How much does Medicare Advantage in Maine cost?

You’ll discover that the majority of states offer HMO plans with monthly premiums of $0. Although rare, PPO plans may also have $0 monthly premiums. The average premium for Maine Medicare Advantage plans is $25.41.

How much do Advantage Plans cost in Idaho?
Plan Type Premium Range
PPO Plan$0.00 to $25.42
HMO Plan$0.00

When can I enroll in a Medicare Advantage plan?

There are six enrollment periods you could have access to if you want to enroll in a Medicare Advantage plan in Maine.

Initial Enrollment Period

  • This enrollment period is available for seven months, which begins three months before your birthday month and concludes three months following your birthday month
  • You can enroll into Medicare Part C after enrolling into Part B
  • This enrollment period is specifically open for new Original Medicare beneficiaries, during which you can choose a Medicare Advantage plan.

Annual Election Period (AEP)

Runs from October 15 until December 7

This is the Annual Election Period, during which people enrolled in one plan can sign up for another plan. You can switch back to Original Medicare from your current Medicare Advantage plan, add prescription drug coverage to Original Medicare via a Part D plan, or switch from one Medicare Advantage plan to another. Keep in mind that Original Medicare includes Medicare Part A and Part B.

Medicare Advantage Open Enrollment Period

Runs from January 1 to March 31.

You can choose this time to switch from one Maine Medicare Advantage plan to another. If you happen to switch from Medicare Advantage back to Original Medicare, you could add to your Medicare coverage with a Part D plan.

Special Enrollment Periods – Special Circumstances

The circumstance determines when you can enroll.

The primary special circumstances include:

  • Losing coverage with an employer plan or Medicaid
  • The plan you’re enrolled in ending its current contract with Medicare
  • Moving to a new area in Maine that offers other coverage options

5-Star Special Enrollment Period

Runs from December 8 until November 30.

You can change your Medicare Cost Plan, Medicare Advantage Plan, or Part D plan to another health insurance plan that has a five-star rating. Performance assessments and member feedback play a role in the rating that these health plans receive.

Special Enrollment Periods if You Get “Extra Help”

The reason you qualify for this program will determine when you can enroll. Qualifying for this enrollment period is possible if you are:

  • Eligible for both Medicaid and Medicare
  • Currently enrolled in or about to lose eligibility to a SPAP plan
  • Eligible for drug plan assistance

The special enrollment period typically occurs from January-March, April-June, and July-September.

Maine State Links

Related Topics

Ready to Learn More?

We help educate Medicare beneficiaries on their Medicare Advantage options and help them go through the process of reviewing and comparing plans. We work with most of the nation’s top-rated Medicare Advantage carriers. Give us a call today, or request a quote online to learn more about plan options.