Best Medicare Companies in Utica, Michigan (2025)
Discover the top Medicare companies in Utica, Michigan for comprehensive insurance insights and a wide range of coverage options. Explore reputable providers, understand the intricacies of Medicare plans, and make informed decisions about your healthcare coverage in Utica, Michigan. Gain valuable insights to navigate the world of Medicare insurance effortlessly and confidently, ensuring you choose the best coverage for your needs and budget.
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Table of Contents
Table of Contents
Ty Stewart
Licensed Insurance Agent
Ty Stewart is the founder and CEO of SimpleLifeInsure.com. He started researching and studying about life insurance when he got his first policy for his own family. He has been featured as a life insurance expert speaker at agent conventions and in top publications. As an independent licensed life insurance agent, he has helped clients nationwide to secure affordable coverage while making the...
Written by
Ty Stewart
Ty Stewart
Zach Fagiano
Licensed Insurance Broker
Zach Fagiano has been in the insurance industry for over 10 years, specializing in property and casualty and risk management consulting. He started out specializing in small businesses and moved up to large commercial real estate risks. During that time, he acquired property & casualty, life & health, and surplus lines brokers licenses. He’s now the Senior Vice President overseeing globa...
Reviewed by
Zach Fagiano
Zach Fagiano
Updated January 2025
The Rundown
- Utica, Michigan, Medicare supplement plans follow the Michigan standards for coverage
- Original Medicare doesn’t cover prescription drugs, but you can buy a standalone Utica, Michigan, Medicare Part D plan for coverage
- Health insurance companies like Humana and Humana offer Medicare Advantage plans in Utica
Welcome to our comprehensive guide on Medicare Companies in Utica, Michigan. If you’re searching for reliable information and guidance on Medicare coverage options in Utica, you’re in the right place. In this article, we will cover key topics such as available Medicare plans, provider networks, costs, and coverage benefits specific to Utica, Michigan.
Our goal is to empower you to make informed decisions about your healthcare coverage. To find the best insurance providers in your area and compare rates tailored to your needs, simply enter your ZIP code below. Take control of your healthcare choices and ensure you have the coverage that suits your requirements.
Medicare Advantage by Company in Utica, Michigan
There are Medicare Advantage companies in Utica, MI, offering a range of options including HMO and PPO plans. There are even some plans available at no additional cost beyond your Utica Medicare Part B premium. Take a look at the Medicare Advantage companies in Utica, Michigan, to compare plans and coverage.
Medicare Advantage Companies in Utica, Michigan
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| Aetna Better Health Premier Plan (Medicare-Medicaid Plan) – H8026-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | n/a |
| Aetna Medicare Assure Premier (HMO D-SNP) – H3192-007-0 | $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: 25%, Non-Preferred Drug: 35%, Specialty Tier: 29% | n/a |
| Aetna Medicare Eagle (PPO) – H5521-286-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,900 |
| Aetna Medicare Premier (HMO) – H3192-003-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,250 |
| Aetna Medicare Premier Plus (PPO) – H5521-217-0 | $34.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,100 |
| Aetna Medicare Value (PPO) – H5521-214-0 | $0.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,950 |
| Align Connect (HMO C-SNP) – H6832-002-0 | $0.00 | $445 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $15.00, Preferred Brand: $45.00, Non-Preferred Brand: $95.00, Specialty Tier: 25% | n/a |
| Align Thrive (HMO I-SNP) – H6832-001-0 | $30.10 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% | n/a |
| AmeriHealth Caritas VIP Care Plus (Medicare-Medicaid Plan) – H0192-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | n/a |
| BCN Advantage Community Value (HMO-POS) – H5883-012-2 | $20.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: 50%, Specialty Tier: 33% | $4,500 |
| BCN Advantage HMO ConnectedCare (HMO) – H5883-007-0 | $57.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,800 |
| BCN Advantage HMO-POS Classic (HMO-POS) – H5883-002-7 | $129.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00, Generic: $7.00, Preferred Brand: $38.00, Non-Preferred Drug: 45%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,800 |
| BCN Advantage HMO-POS Elements (HMO-POS) – H5883-001-5 | $30.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,500 |
| BCN Advantage HMO-POS Prestige (HMO-POS) – H5883-003-5 | $264.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00, Generic: $7.00, Preferred Brand: $38.00, Non-Preferred Drug: 45%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,400 |
| BCN Advantage Prime Value (HMO-POS) – H5883-014-5 | $0.00 | $50 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $11.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 32%, Select Care Drugs: $0.00 | $4,500 |
| HAP Empowered Duals (HMO D-SNP) – H2354-025-0 | $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, Tier 6: $0.00 | n/a |
| HAP Empowered MI Health Link (Medicare-Medicaid Plan) – H9712-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0% | n/a |
| HAP Primary Choice Medicare (HMO) – H2354-024-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,300 |
| HAP Senior Plus (HMO) – H2354-015-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $5,000 |
| HAP Senior Plus Henry Ford Tiered Access (HMO) – H2354-018-0 | $95.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,500 |
| HAP Senior Plus Medical Only (HMO) – H2354-019-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $4,000 |
| HAP Senior Plus Option 1 (HMO-POS) – H2354-021-0 | $85.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,200 |
| HAP Senior Plus Option 1 (PPO) – H2322-011-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $6,000 |
| HAP Senior Plus Option 2 (HMO-POS) – H2354-022-0 | $190.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,000 |
| HAP Senior Plus Option 2 (PPO) – H2322-012-0 | $60.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $5,000 |
| HAP Senior Plus Option 3 (PPO) – H2322-008-0 | $160.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,500 |
| HAP Senior Plus Option 4 (PPO) – H2322-004-0 | $200.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,000 |
| Humana Gold Plus H8908-001 (HMO) – H8908-001-0 | $45.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,900 |
| Humana Gold Plus H8908-004 (HMO) – H8908-004-0 | $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: $100.00, Specialty Tier: 33% | $5,200 |
| Humana Gold Plus SNP-DE H8908-005 (HMO D-SNP) – H8908-005-0 | $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: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | n/a |
| Humana Honor (PPO) – H5216-190-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,500 |
| HumanaChoice H5216-011 (PPO) – H5216-011-0 | $99.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $6.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $5,900 |
| HumanaChoice H5216-133 (PPO) – H5216-133-0 | $21.00 | $150 . Tier 1, 2 and 3 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,400 |
| HumanaChoice R3887-001 (Regional PPO) – R3887-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $5,500 |
| HumanaChoice R3887-002 (Regional PPO) – R3887-002-0 | $111.00 | $380 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $7.00, Generic: $13.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 26% | $5,300 |
| Longevity Health Plan (HMO I-SNP) – H7557-001-0 | $30.10 | $445 | No additional gap coverage, only the Donut Hole Discount | Tier 1: 25% | n/a |
| Medicare Plus Blue PPO Assure (PPO) – H9572-003-6 | $299.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: 45%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,425 |
| Medicare Plus Blue PPO Essential (PPO) – H9572-004-6 | $0.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $11.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 31%, Select Care Drugs: $0.00 | $6,000 |
| Medicare Plus Blue PPO Signature (PPO) – H9572-001-6 | $135.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $1.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 48%, Specialty Tier: 33%, Select Care Drugs: $0.00 | $4,700 |
| Medicare Plus Blue PPO Vitality (PPO) – H9572-002-6 | $77.00 | $100 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $11.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 31%, Select Care Drugs: $0.00 | $5,000 |
| Michigan Complete Health (Medicare-Medicaid Plan) – H9487-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | n/a |
| Molina Dual Options (Medicare-Medicaid Plan) – H7844-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0% | n/a |
| Molina Medicare Complete Care (HMO D-SNP) – H5926-001-0 | $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: $42.00, Non-Preferred Drug: 33%, Specialty Tier: 25% | n/a |
| PriorityMedicare (HMO-POS) – H2320-028-5 | $120.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $8.00, Preferred Brand: $38.00, Non-Preferred Drug: 45%, Specialty Tier: 33% | $4,500 |
| PriorityMedicare D-SNP (HMO D-SNP) – H8379-001-0 | $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 |
| PriorityMedicare Edge (PPO) – H4875-020-3 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $38.00, Non-Preferred Drug: 40%, Specialty Tier: 33% | $5,300 |
| PriorityMedicare Ideal (PPO) – H4875-018-5 | $20.00 | $125 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $13.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 30% | $5,800 |
| PriorityMedicare Key (HMO-POS) – H2320-022-5 | $0.00 | $100 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $15.00, Preferred Brand: $42.00, Non-Preferred Drug: 45%, Specialty Tier: 31% | $5,500 |
| PriorityMedicare Merit (PPO) – H4875-016-3 | $90.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 33% | $4,100 |
| PriorityMedicare Select (PPO) – H4875-017-5 | $206.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Drug: 45%, Specialty Tier: 33% | $3,500 |
| PriorityMedicare Value (HMO-POS) – H2320-029-5 | $45.00 | $75 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Drug: 50%, Specialty Tier: 31% | $4,900 |
| PriorityMedicare Vital (PPO) – H4875-022-5 | $0.00 | $350 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $4.00, Preferred Brand: $42.00, Non-Preferred Drug: 45%, Specialty Tier: 26% | $6,000 |
| Reliance Cardinal Plan (HMO) – H9861-002-0 | $40.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $4,500 |
| Reliance Dual Care Plus (HMO D-SNP) – H9861-003-0 | $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 | Tier 1: $0.00 | n/a |
| Reliance Principle Plan (HMO) – H9861-001-0 | $0.00 | $125 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $5,900 |
| WellCare Dividend (HMO) – H5475-031-0 | $0.00 | $445 . Tier 1 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | $3,450 |
| WellCare Elite (HMO-POS) – H5475-003-0 | $47.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,450 |
| WellCare Elite Smile (HMO-POS) – H5475-024-0 | $14.10 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,450 |
| WellCare Essential (HMO-POS) – H5475-006-0 | $0.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $3,450 |
| WellCare Exclusive (HMO) – H5475-033-0 | $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: $100.00, Specialty Tier: 33% | $3,450 |
| WellCare Explore (HMO-POS) – H5475-026-0 | $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: $100.00, Specialty Tier: 33% | $3,450 |
| WellCare Extra Plus (HMO-POS D-SNP) – H5475-001-0 | $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: $20.00, Preferred Brand: $47.00, Non-Preferred Drug: 50%, Specialty Tier: 25% | n/a |
Medicare Part D by Company in Utica, Michigan
Utica 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 an Utica, Michigan, Medicare Advantage plan, you can buy standalone Part D coverage from a local company.
Standalone Medicare Part D Plans in Utica, Michigan
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 188 – 0 by Aetna Medicare |
Monthly Premium: $6.90 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% |
| Clear Spring Health Premier Rx (PDP) S6946 – 039 – 0 by Clear Spring Health |
Monthly Premium: $13.60 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $40.00 Tier 4: 35% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 182 – 0 by WellCare |
Monthly Premium: $15.10 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% |
| Elixir RxPlus (PDP) S7694 – 131 – 0 by Elixir Insurance |
Monthly Premium: $15.60 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 Value Script (PDP) S4802 – 148 – 0 by WellCare |
Monthly Premium: $15.80 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% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 192 – 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: 18% Tier 4: 35% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 229 – 0 by Express Scripts Medicare |
Monthly Premium: $18.50 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% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 082 – 0 by Mutual of Omaha Rx |
Monthly Premium: $23.00 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: 23% Tier 4: 44% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 292 – 0 by Cigna |
Monthly Premium: $23.50 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: 46% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 026 – 0 by Aetna Medicare |
Monthly Premium: $26.20 Annual Deductible: $265 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: 40% Tier 5: 28% |
| WellCare Medicare Rx Select (PDP) S5810 – 287 – 0 by WellCare |
Monthly Premium: $26.30 Annual Deductible: $315 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: 27% |
| Cigna Secure Rx (PDP) S5617 – 221 – 0 by Cigna |
Monthly Premium: $26.90 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: $32.00 Tier 4: 50% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 358 – 0 by UnitedHealthcare |
Monthly Premium: $27.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $28.00 Tier 4: 40% Tier 5: 25% |
| Clear Spring Health Value Rx (PDP) S6946 – 010 – 0 by Clear Spring Health |
Monthly Premium: $27.50 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: $42.00 Tier 4: 33% Tier 5: 25% |
| WellCare Classic (PDP) S4802 – 084 – 0 by WellCare |
Monthly Premium: $27.70 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% |
| Humana Basic Rx Plan (PDP) S5884 – 136 – 0 by Humana |
Monthly Premium: $28.50 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 – 070 – 0 by Elixir Insurance |
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: $7.00 Tier 3: 15% Tier 4: 34% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 047 – 0 by WellCare |
Monthly Premium: $29.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $36.00 Tier 4: 36% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 115 – 0 by Express Scripts Medicare |
Monthly Premium: $30.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $25.00 Tier 4: 47% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 394 – 0 by UnitedHealthcare |
Monthly Premium: $31.20 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: 40% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 258 – 0 by Cigna |
Monthly Premium: $39.00 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% |
| Humana Premier Rx Plan (PDP) S5884 – 159 – 0 by Humana |
Monthly Premium: $58.50 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% |
| SilverScript Plus (PDP) S5601 – 027 – 0 by Aetna Medicare |
Monthly Premium: $65.10 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% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 136 – 0 by WellCare |
Monthly Premium: $69.60 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: 45% Tier 5: 33% |
| Express Scripts Medicare – Choice (PDP) S5660 – 183 – 0 by Express Scripts Medicare |
Monthly Premium: $71.20 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: 46% Tier 5: 31% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 012 – 0 by Mutual of Omaha Rx |
Monthly Premium: $77.90 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: 20% Tier 4: 38% Tier 5: 25% |
| AARP MedicareRx Preferred (PDP) S5820 – 012 – 0 by UnitedHealthcare |
Monthly Premium: $80.20 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% |
| Prescription Blue Select (PDP) S5584 – 001 – 0 by Blue Cross Blue Shield of Michigan |
Monthly Premium: $87.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: 25% Tier 2: Tier 3: Tier 4: Tier 5: |
| Prescription Blue Premium (PDP) S5584 – 002 – 0 by Blue Cross Blue Shield of Michigan |
Monthly Premium: $109.30 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $40.00 Tier 4: 45% Tier 5: 33% |
Medicare Supplement By Company in Utica, Michigan
Utica, Michigan, 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 Utica, MI, Medigap companies, and the plans they offer here.
Medicare Supplement Companies in Utica, Michigan
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Level 1) | 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 N |
| AARP – UnitedHealthcare Insurance Company (Level 1/Household) | 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 N |
| AARP – UnitedHealthcare Insurance Company (Level 2) | 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 N |
| AARP – UnitedHealthcare Insurance Company (Level 2/Household) | 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 N |
| AARP – UnitedHealthcare Insurance Company (Standard) | 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 N |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | 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 N |
| Accendo Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| American Benefit Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Assured Life Association | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Bankers Fidelity Assurance Company (Preferred) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Bankers Fidelity Assurance Company (Standard) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Blue Cross Blue Shield of Michigan (Conversion) | Medigap Plan A, Medigap Plan C, Medigap Plan D |
| Blue Cross Blue Shield of Michigan (Guaranteed Issue) | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Blue Cross Blue Shield of Michigan (Non-Guaranteed Issue) | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Capitol Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Central States Health and Life Co. of Omaha | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company (Standard II w/ 15% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company (Standard II w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company (Standard II) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company (Standard III w/ 15% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company (Standard III w/ 6% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company (Standard III) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company (w/ 15% HHD) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Cigna National Health Insurance Company (w/ 6% HHD) | 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 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 M, Medigap Plan N |
| Colonial Penn Life Insurance Company (Substandard) | Medigap Plan A, Medigap Plan B, 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 M, Medigap Plan N |
| Continental Life Insurance Company of Brentwood, Tennessee (Aetna) | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Elips Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Everence Association Inc. | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan L, Medigap Plan N |
| Federal Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| GPM Health and Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Garden State Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, 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 |
| Great Southern Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Great Southern Life Insurance Company (Class 1) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Guarantee Trust Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Health Alliance Plan of Michigan (Preferred) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Health Alliance Plan of Michigan (Standard) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Humana Achieve (CompBenefits Insurance Company) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Humana Achieve (CompBenefits Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, 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 L |
| Humana Healthy Living (Humana Insurance Company) (Household) | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan K, Medigap Plan L |
| Independence American Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Manhattan Life Assurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| McLaren Health Plan Inc (Guaranteed Issue) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| McLaren Health Plan Inc (Tier 1) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| McLaren Health Plan Inc (Tier 2) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| McLaren Health Plan Inc (Tier 3) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Medico Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Nassau Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Guardian Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| National Health Insurance Company (Household) | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan N |
| Oxford Life Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Pan-American Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Paramount Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Pekin Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Philadelphia American Life Insurance Company | Medigap Plan A, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Priority Health Insurance Company (Preferred) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Priority Health Insurance Company (Tier 1) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Priority Health Insurance Company (Tier 2) | Medigap Plan A, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Prosperity Life Group (Preferred) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Prosperity Life Group (Standard) | Medigap Plan A, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Royal Arcanum | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Shenandoah Life Insurance Company | 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 C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| Union Security 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 Commercial Travelers of America | Medigap Plan A, Medigap Plan B, Medigap Plan C, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan N |
| United Insurance Company of America | Medigap Plan A, Medigap Plan D, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| United States Fire Insurance Company | Medigap Plan A, Medigap Plan B, Medigap Plan F, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan K, Medigap Plan L, Medigap Plan N |
| United World Life Insurance Company | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan F-high deductible, Medigap Plan G, Medigap Plan G-high deductible, Medigap Plan N |
| Wisconsin Physicians Service Insurance Corporation | Medigap Plan A, Medigap Plan C, Medigap Plan F, Medigap Plan G, Medigap Plan K, Medigap Plan L, Medigap Plan N |
Medicare Supplement Coverage by Plan in Utica, Michigan
Medicare supplement plans in Utica, MI, are standardized, so you’ll get the same coverage regardless of which company you choose. Find out what the standard Medigap plans in Michigan cover here.
Utica, Michigan Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Plan A | Premiums range from $63-$1,480 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 $108-$940 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 $130-$996 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 $111-$915 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 $128-$1,118 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 $32-$327 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 $104-$1,131 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 $32-$218 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 $41-$398 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 $77-$806 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 $130-$939 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 $81-$751 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 Utica, Michigan
Finding the right coverage for Medicare in Utica, Michigan, 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 Utica, MI, or you prefer to bolster original Medicare with an Utica Medicare supplement plan, shopping around is your best bet.
To compare Utica, Michigan, Medicare rates, enter your ZIP code here for fast, free quotes.
Frequently Asked Questions
How do I find out if my doctor accepts Medicare plans from companies in Utica, Michigan in 2023?
To find out if your doctor accepts Medicare plans from companies in Utica, Michigan in 2023, you can take the following four steps:
- Check the plan’s provider directory: Each Medicare plan offered by companies in Utica, Michigan will have a provider directory that lists the doctors, hospitals, and other healthcare providers that are in their network. You can usually find this information on the plan’s website or by calling their customer service number.
- Contact your doctor’s office directly: You can also call your doctor’s office and ask if they accept Medicare plans from companies in Utica, Michigan in 2023. They should be able to tell you which plans they accept and whether they are in-network or out-of-network for those plans.
- Use Medicare’s “Physician Compare” tool: Medicare’s Physician Compare tool allows you to search for doctors who accept Medicare in your area. You can search by location, specialty, and other criteria, and the tool will show you which doctors accept Medicare and which plans they accept.
- Consult a licensed insurance agent or Medicare counselor: If you need additional assistance finding a doctor who accepts Medicare plans from companies in Utica, Michigan in 2023, you can contact a licensed insurance agent or Medicare counselor. They can help you compare plans and find a doctor who meets your healthcare needs.
Are there any restrictions on the coverage offered by Medicare Companies in Utica, Michigan in 2023?
Yes, there are certain restrictions on the coverage offered by Medicare Companies in Utica, Michigan in 2023. Here are the five key points to consider:
- Network restrictions: Medicare Advantage plans offered by companies in Utica, Michigan may have provider networks that limit your choice of doctors and hospitals. You may be required to use doctors and hospitals that are in the plan’s network, or pay higher costs for out-of-network care.
- Prior authorization requirements: Medicare Advantage plans may require prior authorization for certain medical services, such as surgery or imaging tests. This means that the plan must approve the service before it is performed, and failure to obtain prior authorization may result in the plan denying coverage.
- Formulary restrictions: Medicare Prescription Drug plans offered by companies in Utica, Michigan may have formularies (lists of covered drugs) that limit your choice of medications. Some drugs may not be covered by the plan, or may require a higher copayment or coinsurance.
- Cost-sharing requirements: All Medicare plans offered by companies in Utica, Michigan in 2023 will have some cost-sharing requirements, such as copayments, coinsurance, and deductibles. You may be required to pay these costs out-of-pocket when you receive medical care.
- Benefit restrictions: While Medicare Advantage plans must offer at least the same benefits as Original Medicare (Part A and Part B), they may have different cost-sharing requirements and may not cover certain services, such as acupuncture or cosmetic surgery.
It’s important to carefully review the coverage and cost-sharing requirements of each Medicare plan offered by companies in Utica, Michigan in 2023, and choose the one that best meets your healthcare needs and budget. You can compare plans using the Medicare Plan Finder tool on the official Medicare website, or contact a licensed insurance agent or Medicare counselor for assistance.
What happens if my Medicare Company in Utica, Michigan goes bankrupt in 2023?
If your Medicare Company in Utica, Michigan goes bankrupt in 2023, there are several things that may happen depending on the type of Medicare plan you have. Here are the three key points to consider:
- Medicare Advantage plans: If your Medicare Advantage plan is offered by a company that goes bankrupt, you will be automatically enrolled in Original Medicare (Part A and Part B). You will have the option to enroll in a new Medicare Advantage plan or a standalone Prescription Drug plan (Part D) during the Annual Enrollment Period (AEP) or the Special Enrollment Period (SEP), if one is available.
- Medicare Prescription Drug plans: If your standalone Medicare Prescription Drug plan is offered by a company that goes bankrupt, you will receive a Special Enrollment Period (SEP) to enroll in a new plan. If you do not enroll in a new plan during the SEP, you will be automatically enrolled in a plan by the Centers for Medicare & Medicaid Services (CMS).
- Medicare Supplement (Medigap) plans: If your Medigap plan is offered by a company that goes bankrupt, you will not lose your coverage. However, you may need to switch to a new Medigap plan offered by a different company in Utica, Michigan. If you switch to a new Medigap plan, you may be subject to medical underwriting and may not be able to get the same level of coverage or premium rate as your previous plan.
It’s important to note that bankruptcies of Medicare companies are rare, and there are safeguards in place to protect Medicare beneficiaries. If you have questions or concerns about your Medicare coverage in the event of a bankruptcy, you can contact the Medicare program or a licensed insurance agent or Medicare counselor for assistance.
Can I still get coverage from Medicare Companies in Utica, Michigan in 2023 if I have pre-existing conditions?
Yes, you can still get coverage from Medicare Companies in Utica, Michigan in 2023 if you have pre-existing conditions. Here are the four key points to consider:
- Original Medicare: Original Medicare (Part A and Part B) does not have any restrictions based on pre-existing conditions. If you are eligible for Medicare, you can enroll in Original Medicare and receive coverage for all medically necessary services.
- Medicare Advantage plans: Medicare Advantage plans offered by companies in Utica, Michigan cannot deny you coverage based on pre-existing conditions. This is because they must follow the same rules as Original Medicare and cannot deny coverage or charge higher premiums based on your health status.
- Medicare Supplement (Medigap) plans: Medicare Supplement plans also cannot deny you coverage based on pre-existing conditions if you enroll during your Medigap Open Enrollment Period. However, if you apply for a Medigap plan outside of your Medigap Open Enrollment Period, the insurance company may use medical underwriting to determine your eligibility for coverage and may charge you a higher premium based on your health status.
- Medicare Prescription Drug plans: Medicare Prescription Drug plans offered by companies in Utica, Michigan cannot deny you coverage based on pre-existing conditions. However, if you join a plan outside of your Initial Enrollment Period or a Special Enrollment Period, you may be subject to a late enrollment penalty if you went without creditable prescription drug coverage for 63 or more consecutive days.
In summary, Medicare Companies in Utica, Michigan in 2023 cannot deny you coverage or charge you higher premiums based on pre-existing conditions. However, it’s important to carefully review the coverage and cost-sharing requirements of each Medicare plan to ensure that it meets your healthcare needs and budget.
Can I opt out of Medicare and choose a private insurance plan in Utica, Michigan in 2023?
Yes, you can opt out of Medicare and choose a private insurance plan in Utica, Michigan in 2023. However, there are some important things to consider before making this decision. Here are five key points to keep in mind:
- Medicare eligibility: To opt out of Medicare, you must first be eligible for Medicare. Most people become eligible for Medicare when they turn 65 years old or have a qualifying disability.
- Private insurance options: There are several types of private insurance options available in Utica, Michigan, including individual health insurance plans, employer-sponsored plans, and plans purchased through the Health Insurance Marketplace. You can explore these options and choose a plan that meets your healthcare needs and budget.
- Cost: Private insurance plans can be more expensive than Medicare, especially if you are eligible for premium-free Part A. It’s important to carefully consider the cost of premiums, deductibles, coinsurance, and copayments when comparing Medicare and private insurance plans.
- Coverage: Medicare provides comprehensive coverage for a wide range of healthcare services, including hospital stays, doctor visits, and prescription drugs. Private insurance plans may offer different levels of coverage, so it’s important to carefully review the plan details to ensure that it meets your healthcare needs.
- Enrollment: If you choose to opt out of Medicare and enroll in a private insurance plan, you may not be able to enroll in Medicare again until the next Annual Enrollment Period (AEP) or a Special Enrollment Period (SEP), and you may be subject to late enrollment penalties.
In summary, you can opt out of Medicare and choose a private insurance plan in Utica, Michigan in 2023. However, it’s important to carefully consider the cost and coverage of each option to ensure that you are making the best decision for your healthcare needs and budget. You may also want to consult with a licensed insurance agent or healthcare provider to help you navigate the enrollment process and make an informed decision.
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