Compare Medicare Advantage plans and quote side-by-side to get the best rate here.

Medicare is the federal health insurance option for people over the age of 65 with disabilities or who have permanent kidney failure.

If you believe that you qualify for Medicare, it’s important to understand the different plan and enrollment options available to you. Prepare for Open Enrollment now with our guide to Medicare coverage.

Best Medicare Insurance Options

There are multiple independent companies offering Medicare Part C and Part D plan options. Explore a few of our favorite choices and get a quick quote before Medicare enrollment arrives below. 

get started securely through Blue Cross Blue Shield Medicare’s website
Best For
Wide network of doctors, hospitals and specialists across the U.S.
N/A
1 Minute Review

Blue Cross Blue Shield (BCBS) has more contracted providers than any other insurer. Its breadth is one of its strengths — if you’re traveling, you can find a BCBS provider relatively easily. It offers Medicare Advantage plans, Medicare Supplement plans and Medicare Part D prescription drug plans. 

BCBS is divided into regional companies, so you may not have all options available in your area. Customer service options may also vary depending on where you live and which regional company you’re working with. 

Best For
  • Top-ranked and reputable health insurance company
  • Wide network of doctors, hospitals and specialists across the U.S.
Pros
  • Offers Medicare Advantage, Medicare supplement and Medicare Part D plans
  • Available in all 50 states, Washington D.C. and Puerto Rico
  • Health and wellness discounts offered
Cons
  • Product offerings vary by region
get started Call Now securely through Aetna Inc’s website
Best For
Easy access to benefits and member support
N/A
1 Minute Review

Shop for Medicare Advantage and Supplement plans and more with Aetna. Benefit from a wide provider network and easy access to your benefits as well as hefty membership perks.

Best For
  • Easy access to benefits and member support
Pros
  • Preventative care planner
  • Easy access to tools and resources
  • Wide network access
Cons
  • Need a referral for certain procedures and specialists
Best For
Submiting and tracking claims
N/A
1 Minute Review

Sign up for a free Medicare event to learn how Anthem Medicare plans help cover costs that Original Medicare doesn’t. You can attend a virtual Medicare webinar. Or, if you prefer, come to a live seminar in your area where a Medicare licensed agent will be present to answer your questions.

 

Best For
Pros
Cons
get started Call Now securely through Cigna’s website
Best For
Easy access to benefits
N/A
1 Minute Review

Easily shop and compare Medicare Advantage Plans, Part D Prescription Plans and Medicare Supplement Insurance. Cigna provides end-to-end assistance and provides plenty of member benefits at no extra cost.

Best For
  • Easy access to benefits
Pros
  • Home delivery for prescriptions
  • Health management mobile apps
  • Easy ID card replacement
Cons
  • Can have high deductibles
Compare Plans securely through CoverRight’s website
Disclosure: Only available to consumers in the following US states: Alabama, Arizona, California, Colorado, Connecticut, Florida, Georgia, Illinois, Indiana, Iowa, Kansas, Kentucky, Louisiana, Maine, Maryland, Michigan, Mississippi, Missouri, Nevada, New Jersey, New Mexico, New York, North Carolina, Ohio, Oregon, Pennsylvania, South Carolina, Tennessee, Texas, Utah, Virginia, Washington (State), West Virginia.
Online Quote Option
Yes
Starting Rate
CoverRight is a free-to-use platform
1 Minute Review

CoverRight simplifies this process of finding the right Medicare or Medicare Supplement plan, also known as Medigap. They’re a consumer-first platform helping Medicare-eligible people pick the best plans.

After completing a simple online form or phone call, a dedicated agent will prepare personalized quotes that make sense for you, whether it’s a Medigap policy or a Medicare Advantage plan. CoverRight’s agents can help you determine which plan makes the most sense for your budget and health care needs. 

CoverRight has extensive customer service hours. It provides independent advice, and working with CoverRight is free. 

Best For
  • Medicare-eligible people
  • People who want assistance choosing the right plans
Pros
  • Easy application process
  • Assistance in finding the right insurance plan
  • Help in finding an insurance plan that covers your doctors and medications
  • Concierge-style service with your own dedicated agent
Cons
  • Not available in every state
Best For
Medicare Advantage Plans
N/A
1 Minute Review

Humana is a trusted provider of Medicare Advantage and Medicare Supplement plans alike. Save both time and money by shopping online — get a 6% discount if you enroll online.*

*Offer not available to California, Connecticut and Ohio residents.

Best For
  • Medicare Advantage Plans
Pros
  • Medicare Parts A + B and Medigap plans available
  • 6% discount if you enroll online
  • Shop plans by ZIP code
Cons
  • Discount not available CA, CT and OH
get started securely through Mutual of Omaha’s website

How Open Enrollment for Medicare Works

Medicare Open Enrollment is a period of time during which you can enroll in a Medicare Part C or Part D plan. You can’t sign up for Medicare Parts A or B during this period — in most cases, you’ll be automatically enrolled in Medicare once you meet qualification standards.

However, you can use this period to re-evaluate your current coverage and:

  • Join or drop a Part D plan if you already have Medicare Parts A and B.
  • Switch from one Medicare Advantage plan to another.
  • Sign up for a new Medicare Advantage plan.
  • Switch from one Part D plan to another. 

You can access your Medicare enrollment options and search for plans in your area by visiting Medicare.gov.  

Medicare Open Enrollment Periods

Medicare’s Open Enrollment period is held annually from October 15 to December 7. During Open Enrollment, you can make changes to your health insurance beginning on the 1st day of the next calendar year. For example, if you sign onto a new Part D prescription drug plan on November 15, your coverage will begin on January 1. 

The Average Cost of Medicare

The price you’ll pay for your Medicare plan and your deductibles, copays and coinsurance will vary depending on a wide range of factors, including which plans you have and the services you use.  

Medicare Part A

Most people will pay $0 per month in premiums for Medicare Part A coverage because they paid into Social Security through federal taxes while they were working. If you don’t qualify for premium-free Medicare Part A, you may pay up to $428 per month for coverage depending on how many quarters you paid into Medicare taxes.

Deductibles and coinsurance for hospital services under Medicare Part A are as follows:

  • $1,408 deductible for each benefit period
  • Hospital stays up to 60 days: $0 coinsurance beyond your deductible
  • Hospital stays between 61 and 90 days: $352 coinsurance per day of each benefit period
  • Hospital stays beyond 90 days: $704 coinsurance per each “lifetime reserve day,” up to 60 days over your lifetime. After your lifetime reserve days have been exhausted, you are responsible for 100% of your inpatient medical care costs. 

Medicare Part B

If you earned $87,000 or less in the previous year, you’ll pay the standard Part B premium of $144.60 per month. Beyond that, your premium will be as follows:

Filed an individual tax returnFiled a joint tax returnYou’ll pay
Above $87,000 up to $109,000Above $174,000 up to $218,000$202.40 per month
Above $109,000 up to $136,000Above $218,000 up to $272,000$289.20 per month
Above $136,000 up to $163,000Above $272,000 up to $326,000$376.00 per month
Above $163,000 and less than $500,000Above $326,000 and less than $750,000$462.70 per month
$500,000 or above$750,000 and above$491.60 per month

The Part B deductible is currently set at $198 per year.

Medicare Part C and D

Because Medicare Parts C and D are offered by independent companies, prices per plan aren’t standardized by the federal government. Your premium, deductible and coinsurance prices can vary depending on where you live, which companies are offering plans near you and which prescription drugs you take. 

You can explore a comprehensive list of Medicare Part C and D options available to you through Medicare.gov’s search tool.  

Medicare Types

There are 4 parts to Medicare: Part A, Part B, Part C (also called “Medicare Advantage”) and Part D. Each part covers a different aspect of healthcare, and premiums for each part may vary widely depending on your income. Medicare Part A and Part B together are sometimes referred to as “Original Medicare” and are the most common choice for Medicare coverage. 

Medicare Part A

Medicare Part A covers hospital inpatient stays, limited stays in skilled nursing facilities and mobility devices (like walkers and wheelchairs). If you are physically incapable of visiting a hospital, your Medicare Part A will also cover limited home healthcare services.

Medicare Part A only covers hospital inpatient stays — you aren’t necessarily an inpatient because you arrived at a hospital and received treatment. To be considered an inpatient, you must be formally admitted to the hospital with a doctor’s order. 

If you visit a hospital and receive an x-ray, test or emergency care, you’re still considered to be an outpatient visitor — regardless if you spend the night in the hospital or go home after receiving treatment. In these instances, Medicare Part B would cover the cost of your treatment. 

Medicare Part B

Medicare Part B is also a portion of Original Medicare and covers expenses for outpatient medical needs. Medicare Part B is most often combined with Medicare Part A. Medicare Part B covers a very wide range of medical services and procedures, including:

  • Ambulance and emergency room services administered without a formal hospital admission
  • Annual physicals and screenings for diseases like depression and cancer
  • Both inpatient and outpatient mental health services
  • Medical equipment required to track or monitor a chronic condition (like blood sugar screening devices
  • Vaccinations
  • A select number of vision services and prescription drugs

These are just a few examples of the many services covered by Medicare Part B. As a general rule, any medically-necessary doctors’ services that you receive without being admitted to a hospital. 

Medicare Part C

Medicare Part C (sometimes called “Medicare Advantage”) are supplemental plans that offer additional coverages and services to your Medicare benefits. In order to qualify for a Medicare Part C plan, you must already have Medicare Part A and Medicare Part B.

Medicare Part C covers additional services not included in the Original Medicare, such as:

  • Dental coverage
  • Select over-the-counter drugs
  • Prescription drugs
  • Vision coverage and eyeglasses
  • Telehealth services
  • Hearing coverage and hearing aids

Medicare Part C plans are administered by independent Medicare-approved health insurance companies. This means that the specific benefits you’ll receive from your Part C plan, and your expenses may vary depending on which plan provider you choose. 

Though many Part C plans are available with a $0 monthly premium, you’ll typically need to pay a co-pay each time you visit a doctor or see a specialist. You’ll also be subject to a deductible and an out-of-pocket maximum just like a standard independent health insurance plan. Also like independent health insurance plans, companies offering Medicare Part C plans in your area will vary depending on your ZIP code.   

Medicare Part D

Medicare Part D is prescription drug coverage. Though Medicare Part B covers drugs administered in a doctor’s office (like infusions and injected steroids), it typically does not cover other types of prescriptions drugs you’d get from a pharmacy. 

If you have Medicare Part C, you typically won’t need an additional prescription drug plan because drugs are usually included in your Part C benefits.

Medicare Part D plan providers each offer their own individual list of generic and brand-name drugs they will cover. These inclusion lists must meet minimum Medicare standards, but they may not include every prescription drug on the market. If you’re already taking a specific prescription drug, you’ll want to be sure that your Part D plan covers it before you enroll.

As a general rule, Part D plan providers are required to cover at least 2 of the most common drugs per category. Part D plan providers must also cover all drugs in the following categories:

  • HIV/AIDS treatments
  • Antidepressants
  • Antipsychotic medications
  • Anticonvulsive treatments for seizure disorders
  • Immunosuppressant drugs
  • Anticancer drugs (unless the drug is already covered by Part B)

Some drugs (like those used for weight loss or over-the-counter drugs) are specifically excluded from Part D coverage. 

What Does Medicare Typically Cover?

Medicare Part A and B cover almost every medical service you might need. Some examples of services that are covered by Original Medicare include:

  • Treatments and care needed to manage chronic conditions
  • Hospital inpatient stays
  • Ambulance services and emergency medical services
  • Clinical laboratory tests ordered by your doctor  
  • Hospice care
  • Obesity screenings and behavioral therapy
  • Organ transplants and other types of hospital surgeries

This is only a small selection of the many services covered by Medicare Parts A and B. You can view a complete list of Medicare coverages and limitations on select services through Medicare.gov.

What Does Medicare Not Cover?

Though Original Medicare covers most medical treatments and services, it won’t cover everything. Some of the things excluded from Medicare Parts A and B include:

  • Prescription drugs. Prescription drugs you take outside of a hospital aren’t covered by Medicare Parts A or B. If you need prescription drug coverage, you should sign onto a Medicare Part D plan during Open Enrollment.
  • Cosmetic surgery. Though Medicare will cover the cost of medically necessary reconstructive surgeries following an accident, it won’t cover cosmetic procedures.
  • Most dental care. Original Medicare doesn’t cover the cost of cleanings, dental x-rays, fillings, dentures or tooth extractions. Select Part C plans may include coverage for dental care.
  • Select home health services. Medicare does cover some forms of home health services, including physical therapy, occupational therapy and part-time skilled nursing services. However, long-term in-home care isn’t covered. Medicare also doesn’t cover services like meal deliveries, homemaker services or 24-7 care services.
  • Eye exams related to prescription glasses. Though Medicare does cover eye exams related to diseases like glaucoma, it doesn’t cover eye exams necessary for prescription glasses. Select Medicare Part C plans may include this coverage.

Balance Costs and Care

Enrolling in a Medicare Part C or Part D plan can help you manage your medical expenses and pay less for the services you need to stay healthy. However, plans for these services can vary widely between providers. If you aren’t sure where to begin your search, start with a quick, free quote from Benzinga by entering your ZIP code above.