Thousands of residents participate in Auburn, Maine Medicare. While some of these beneficiaries enroll in a Medigap plan to offset remaining healthcare costs, others enroll in a Medicare Advantage plan to receive additional benefits.
Medicare plans in Auburn, Maine
Auburn, Maine, residents on Original Medicare have many options for supplemental Medicare plans. The quotes below are based on the average 65-year-old female beneficiaries in Auburn.
Medicare Advantage plans
Over 3,890 senior citizens are eligible for Auburn, Maine Medicare. About 1,051, or 27%, of qualifying residents, have an Auburn, Maine, Medicare Advantage plan. Auburn residents will be pleased with the number of available Medicare Advantage plans in their area. Auburn is in Androscoggin County, Maine, and has 28 available resident plans.
Humana (Local PPO) is a Medicare Advantage plan that offers members coverage without a monthly premium. Humana has a four-star rating and a maximum out-of-pocket cost (MOOP) of $4,800.
UnitedHealthcare (Local PPO) is the most affordable Medicare Advantage plan for residents in Auburn, Maine, with no monthly premium. It boasts a five-star customer rating and a low MOOP of $4,500.
Amh Health (Local PPO) provides members coverage without a monthly premium. The MOOP for Amh Health is $5,800. A PPO, or a Preferred Provider Organization, is similar to an HMO except that it allows members to see providers outside their network.
The average cost of Medicare Advantage plans in Auburn, Maine
PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
Amh Health | $0 | $5,800 | LOCAL PPO | N/A |
Martin’s Point | $0 | $6,500 | HMO | 5 |
$0 | $4,500 | LOCAL PPO | 5 | |
Wellcare | $0 | $6,700 | PFFS | 4 |
Humana | $0 | $4,800 | LOCAL PPO | 4 |
Medicare Supplement plans
A Medicare Supplement plan provides Auburn, Maine, residents with coverage that fills gaps not covered in their Original Medicare package.
The government regulates Medigap plans, making plan benefits consistent from state to state and carrier to carrier; however, they will have different monthly premiums.
Plan G is favored across the country for its accessibility, has a low premium of $85.60, and can get as high as $316.54 monthly.
Plan HDG offers the same benefits as Plan G but allows for lower premiums at a higher deductible cost. The lowest available premium is $47, up to $370.74 per month.
Plan N is another option in Auburn, Maine, as a supplemental Medicare package. Plan N costs roughly $164.18 to $235.18 monthly and can require copays for certain office visits.
The average cost of Medicare Supplement plans in Auburn, Maine
LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
PLAN A | $161.93 | $307.19 |
PLAN B | $213.81 | $363.89 |
PLAN C | $244.00 | $315.10 |
PLAN D | $214.55 | $260.36 |
PLAN F | $222.19 | $396.98 |
PLAN HDF | $47.00 | $370.74 |
PLAN G | $85.60 | $316.54 |
PLAN HDG | $47.00 | $85.60 |
PLAN K | $78.50 | $151.82 |
PLAN L | $143.25 | $239.48 |
PLAN M | $185.61 | $326.95 |
PLAN N | $164.18 | $235.18 |
Medicare Part D prescription drug plans
Medicare Part D is the portion of Medicare that offers coverage for prescription medications. Other supplemental Medicare plans, such as Medigap and some Medicare Advantage, don’t provide members with prescription coverage. As a result, beneficiaries can enroll in an Auburn, Maine, stand-alone Part D plan to reduce prescription costs.
Cigna offers prescription coverage to Auburn, Maine, residents needing additional coverage for their Medicare plan. Cigna has a three-star rating with a monthly premium of $29.60. The deductible for this plan is $480.
Aetna also has a deductible of $480 and a three-star customer rating for plan effectiveness. The monthly premium is lower, at only $7.60 per month.
Humana has a Plan D program and a four-star customer rating. Humana requires a $480 deductible and a monthly premium of $22.70. A policy with Humana will allow members to purchase generic medications for $1 to $4.
The average cost of Medicare Part D plans in Auburn, Maine
PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
Aetna | $7.60 | $480 | 3 |
Wellcare | $11.90 | $480 | 3 |
Humana | $22.70 | $480 | 4 |
Elixir | $28.30 | $480 | 3 |
Cigna | $29.60 | $480 | 3 |
Special Needs plans
If residents in Auburn, Maine, require special services in their medical care, a Medicare Special Needs Plan (SNP) will provide them with additional coverage. SNPs are not available in all areas and have eligibility requirements.
Amh Health (HMO) provides members with special needs coverage without a monthly premium. This plan has a MOOP of $7,550 and requires enrollees to be dual-eligible, meaning they have both Medicare and Medicaid.
Humana (HMO) has a lower MOOP of $3,450 and dual eligibility. This plan also provides SNP coverage without a monthly premium.
UnitedHealthcare (Local PPO) requires dual eligibility for Auburn, Maine, residents needing a Medicare SNP. This plan has a MOOP of $7,550 and a $0 monthly premium.
The average cost of Medicare Special Needs plans in Auburn, Maine
PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
Humana | $0 | $3,450 | HMO | Dual |
Wellcare | $0 | $3,450 | LOCAL PPO | Dual |
$0 | $7,550 | LOCAL PPO | Dual | |
Amh Health | $0 | $7,550 | HMO | Dual |
Aetna | $0 | $7,550 | HMO-POS | Dual |
How to sign up for Medicare plans in Auburn
Residents looking for supplemental plans for their Auburn, Maine, Medicare can benefit from our free services. Our licensed insurance agents work with all national and local carriers, giving you abundant options.
Those agents will work with you to understand your unique medical needs to find the best plan for you.
To get started today, give us a call. Or take a moment to fill out our short and easy online rate form now.