Best Medicare Advantage Plans in New Hampshire for 2020
All of the best Medicare Advantage plans in New Hampshire for 2020 are available for all people who are eligible for Medicare and enrolled in Medicare Part A and Medicare Part B. It’s not the only option; after all, you can sign up for a Medicare Supplement plan, or you might be dual-eligible for Medicaid and Medicare. It may pay for you to look into Medicare Advantage plans in New Hampshire if you’d like to save on your out-of-pocket expenses from Original Medicare, such as the copayments (co-pays), coinsurance and deductibles that you would otherwise be responsible for.
Luckily, shopping for Medicare Advantage plans in New Hampshire for 2020 is incredibly easy. If you’re enrolled in Medicare Part A and Part B or will be soon, use this quick guide and our website to learn more about Medicare Advantage plans and to compare plans and rates.
Overview of the Best Medicare Advantage Plans in New Hampshire for 2020
A Medicare Advantage plan in New Hampshire, if you choose to enroll, will serve as a replacement for your Original Medicare coverage. You won’t rely on Medicare Part A and Part B anymore or show your Medicare insurance card when you go to the doctor or hospital. Instead, the private insurance company that you sign up with will give you an insurance card for your new Medicare Advantage plan.
Insurance companies that offer Medicare Advantage plans are subsidized by the federal Medicare program. Because of this, they must provide all of their beneficiaries with certain benefits and coverage levels. Beyond these requirements, though, insurance companies have a lot of leeway. This means there is a big difference between the different policies that you can sign up for.
After you read this guide, you should have a better understanding of what a Medicare Advantage plan is and what your different options are. Then, you can look for additional information here on our site and compare options from companies like UnitedHealthcare, Anthem Blue Cross and more.
Best Medicare Advantage Plans in New Hampshire: When Can You Enroll?
Unlike with Medicare Supplement plans (Medigap), Medicare beneficiaries cannot sign up for a Medicare Advantage plan in New Hampshire at any time of the year. Instead, you’ll need to sign up during one of the Medicare Advantage Enrollment Periods below:
- Medicare Initial Coverage Election Period ICEP: As a new beneficiary of Medicare Part A and Part B, you’ll be able to sign up for a Medicare Advantage policy.
- Medicare Annual Election Period AEP: The AEP runs from October 15 to December 7 of each year. During this time, you have the opportunity to sign up for, disenroll or change your Medicare Advantage policy.
- Medicare Advantage Disenrollment Period MADP: You could once switch from a Medicare Advantage plan back to Original Medicare (Medicare Part A and Part B) during the MADP. This has been discontinued, though, but there are other times when you can switch back to Original Medicare (Medicare Part A and Medicare Part B) if you want to.
- Medicare Advantage Open Enrollment Period MA OEP: After just starting in 2019, this period will run from January 1 to March 31st every year. Again, this is a time when you can change your MA policy.
- Medicare Special Election Periods SEP: You might not think that you can change your policy outside of a Medicare Enrollment Period, but in some cases, you can. This is called an SEP, and it applies if you move, lose your coverage or find yourself in another similar situation.
Best Types of Medicare Advantage Plans in New Hampshire for 2020
If you think it’s best to enroll in Medicare Advantage (Medicare Part C) in New Hampshire instead of sticking with Original Medicare, it’s also best to compare your 2020 options. In addition to comparing rates, you’ll also want to check out the pros and cons below:
PPO Preferred Provider Organization Plans (PPO) in New Hampshire
- Has provider network service areas
- Still allows you to see a doctor or hospital outside of your provider network
- Allows you to pay less for seeing a doctor, hospital or other healthcare provider within your company’s network
- Referrals are not necessary
HMO Health Maintenance Organization Plans (HMO) in New Hampshire
- These are the Medicare Part C policies in New Hampshire with the lowest monthly premiums
- These policies sometimes have a $0 premium
- Requires you to see in-network providers (except when it’s an emergency)
- Requires you to get a referral from a primary care doctor (PCP) to see a specialist
Private Fee-for-Service PFFS in New Hampshire
- These private plans determine what your plan does and does not pay and what type of cost-sharing you have to do as a beneficiary
- There are no network restrictions
Special Needs Plans SNPs in New Hampshire
- Individuals with end stage renal disease ESRD or other institutional conditions or chronic health conditions can sign up for Special Needs Plans
- Medicare Part D prescription drug plans have to be included with these policies
Enrollment Figures for New Hampshire Medicare Advantage Plans
- The five largest counties in New Hampshire are Hillsborough, Rockingham, York, Merrimack and Strafford.
- There were 295,698 Medicare beneficiaries in New Hampshire in 2018.
- 35,081 of Medicare beneficiaries in New Hampshire were enrolled in Medicare Advantage through a private health insurance agency in 2018.
- Many who are not covered by Advantage Medicare plans sign up for Medicare Supplement insurance health plans to help with out-of-pocket costs.
How Do Medicare Advantage Plans in New Hampshire Cover Prescription Drugs?
It’s best to have one of the Medicare prescription drug plans to help with prescription drug costs. Medicare Part D plans will often be included with Medicare Advantage plans in New Hampshire for 2020. Check out the formulary and prescription drug tiers for these Medicare Advantage prescription drug plans to make sure you’re getting the best prescription drug coverage. You also have the option to sign up for a stand-alone plan if you would prefer it.
Network Restrictions for Medicare Advantage Plan in New Hampshire?
Be aware of these potential network restrictions:
- In-Network vs. Out-of-Network Within Coverage Area: HMO Medicare Advantage plans and PPO Medicare Advantage plans both cover out-of-network care in emergency situations. An HMO will not pay for out-of-network care in other situations, while a PPO will. If you use an out-of-network provider with a PPO, though, your out-of-pocket expenses will be higher
- Traveling With Plan: With both health maintenance organization HMO plans or preferred provider organization PPO plans, emergency care is covered throughout the United States when you’re traveling. With a PPO, you can take advantage of out-of-network help even outside of emergency situations, although your costs will be higher.
- Moving Across State Lines: Medicare Part A and Part B offer the same benefits in all 50 states, but Advantage policies are different. With Medicare Part C in New Hampshire, you will need to change policies if you move.
Added Benefits of Medicare Advantage Plan in New Hampshire
These perks are sometimes included in MA policies:
- Hearing care, routine vision and dental care
- Wellness programs
- Silver Sneakers or other similar gym membership
- Recommendations for diet and nutrition
- Allowance for over-the-counter medication costs
- Healthy living seminars and classes
- Transportation to and from medical appointments
- Payment of some or all of the Medicare Part B premium
Here are a few changes for 2020:
- Starting in 2020, insurance companies that provide Medicare Advantage plans in New Hampshire will be able to add some supplemental non-health related benefits to certain beneficiaries, such as providing help with making structural changes to the home when needed. This is designed to help those who might need help with widening doorways or installing ramps for their homes.
- The Centers for Medicare and Medicaid Services approved a 2.53% payment increase to Medicare insurers that offer Medicare Advantage plans in New Hampshire.
Which Companies offer the Best Medicare Advantage Plans in New Hampshire?
While the “best Medicare Part C plans” in New Hampshire depends on your specific needs, these are some of the insurers you may want to consider when you compare Medicare Advantage plans for 2020:
- Martin’s Point: Martin’s Point has earned good quality star ratings for its HMO and HMO-POS plans in some counties.
- Humana: Humana’s share of the Medicare Advantage plan market is about 12 percent.
- Harvard Pilgrim Health Care, Inc.: This smaller and more regional insurer has about 14 percent of the state’s total enrollment.
- Anthem Blue Cross: The New Hampshire Blue Cross affiliate has offered a PPO with high-quality star ratings.
- Other national companies to look for in your area: Aetna and Cigna.
How can you use Medicare’s quality ratings? These plans come from private insurance companies; Medicare oversees and approves them. They use information that they gather during a year to also assign quality ratings. The highest score is a 5-star rating, but there were no 5-star Medicare Advantage plans in New Hampshire published currently.
New Hampshire Medicare Resources
Check out these resources for extra help and information:
- New Hampshire Medicare Learning Center
- Medicare Savings Program Eligibility for New Hampshire Residents
- CMS: Centers for Medicare and Medicaid Services
If you want to save money on healthcare in doctor’s offices, hospitals, skilled nursing facilities and more, signing up for an Advantage policy or Medigap policy is smart. Call and talk to one of our licensed insurance agents to find a 2020 policy through a company with top star ratings today.