Best Medicare Advantage Plans in Exeter New Hampshire

 In Medicare Advantage

When it comes to healthcare, residents of Exeter, New Hampshire, have unique needs that deserve tailored solutions. Medicare Advantage plans offer localized, convenient options that may provide better coverage and cost savings for seniors in Exeter. Let’s explore why Medicare Advantage is becoming a popular choice in Exeter.

Defining Medicare Advantage

Also referred to as Part C, Medicare Advantage is a form of Medicare that provides an alternative to Original Medicare and includes the coverage of Part A (hospital insurance), Part B (medical insurance) and even Part D (medication insurance).

Private insurance companies approved by Medicare provide these plans, and they may also offer additional services like vision, dental, and even hearing aids.


Comparing Medicare Advantage and Medicare Supplement

Medicare Advantage (Part C)

  • Coverage: Combines Medicare Part A (hospital insurance), Part B (medical insurance), and sometimes Part D (prescription drug coverage).
  • Additional Benefits: Many plans include extra perks such as gym memberships, wellness programs, and transportation assistance for medical appointments.
  • Network: Depending on the plan (HMO OR PPO) you can work in our out of network.
  • Costs: Typically has lower premiums than Medigap plans but may include copayments, coinsurance, and deductibles. Some plans have $0 premiums but higher out-of-pocket costs.
  • Out-of-Pocket Limits: Most plans have an annual out-of-pocket limit, which can help protect against high medical expenses.
  • Prescription Drug Coverage: Many plans include Part D prescription drug coverage.

Medicare Supplement (Medigap)

  • Definition: Medigap plans are designed to fill the gaps in Original Medicare by covering costs such as deductibles, coinsurance, and copayments.
  • Coverage: Works alongside Original Medicare (Part A and Part B) but does not provide additional benefits like vision, dental, or hearing services.
  • Network: Allows you to see any doctor or hospital in the U.S. that accepts Medicare, and offers coverage out of the country.
  • Costs: Typically has higher premiums than Medicare Advantage plans but lower out-of-pocket costs. Premiums can vary based on age, location, and the specific plan chosen.
  • Out-of-Pocket Limits: Most Medigap plans only require you to pay a small deductible, everything else is covered.
  • Prescription Drug Coverage: Does not include Part D prescription drug coverage, so you must enroll in a separate Part D plan.

Medicare Advantage in Exeter New Hampshire

Top 5 Medicare Advantage Plans in Exeter

Aetna Medicare Explorer (PPO) $0 Per Month Medicare Star Rating – 4.5
Aetna Medicare Value Plus (PPO) $33 Per Month Medicare Star Rating – 4.5
AARP Medicare Advantage UHC NH-0002 (HMO-POS) $0 Per Month Medicare Star Rating – 4
Martins Point Generations Advantage Prime (HMO-POS) $0 Per Month Medicare Star Rating – 4
Humana Choice Giveback (PPO) $0 Per Month Medicare Star Rating – 3.5

Types of Medicare Advantage Plans in Exeter

(HMO)

An HMO (Health Maintenance Organization) plan is a variety of health insurance that provides numerous health care services through a selected network of providers. Some of its key elements include the following:

In-Network Care: The HMO plan does not allow for out of network care to be sought with the option for visiting doctors, hospitals and specialists within the plan, excluding emergencies.

Primary Care Physician (PCP): A primary care physician (PCP) will be selected who oversees your care and offers referrals to specialists.

Lower Costs: Out of all the different types of health insurance plans, the HMO plan has the most affordable premiums, copayments, and deductibles.

No Coverage for Out-of-Network Care: In most situations, the HMO plan does not offer out of network care, aside from emergencies This can lead to increased costs as patients may have to self-fund a large portion of such care.

(PPO)

A PPO (Preferred Provider Organization) plan is a type of health insurance that gives you more choices regarding the healthcare providers and services covered by your plan. Below are its salient features:

Flexibility of the Network

In-Network and Out-of-Network: With a PPO plan, you can get care from both in-network and out-of-network providers. In any case, you would ordinarily pay less if you used doctors, hospitals, and other health care practitioners that are part of the plan’s network.

No Referral Needed: Unlike HMO plans that allow, PPO plans do not need you to select a primary care physician (PCP) or refer specialists to enable you to consult them.

Deductibles and Coinsurance: PPOs involve a deductible, which the patient is required to pay before the plan covers any of their medical expenses. When the deductible has been met, the plan begins to pay a proportion of the cost for medical treatment (coinsurance).

(SNP)

A SNP (Special Needs Plan) is a type of Medicare Advantage plan designed specifically for individuals with special health care needs. Here are the key features:

1. Target Population

  • SNPs cater to specific groups, including:
    • Individuals with chronic conditions (e.g., diabetes, heart disease).
    • People living in institutions (e.g., nursing homes).
    • Those eligible for both Medicare and Medicaid.

2. Tailored Benefits

  • SNPs offer benefits tailored to the needs of their members, which may include:
    • Specialized care coordination.
    • Additional services like transportation and wellness programs.

3. Provider Networks

  • These plans often have a network of providers experienced in treating the specific needs of their members, ensuring accessible and appropriate care.

4. Care Management

  • SNPs typically provide enhanced care management services, which may include:
    • Personalized care plans.
    • Regular health assessments.

5. Eligibility Criteria

  • To enroll in a SNP, individuals must show proof of their special needs status, such as documented chronic illnesses or Medicaid eligibility.

Where to sign up for a Medicare Advantage plan in Exeter, New Hampshire

If you want to select the best Medicare Advantage plan, The Cronin Agency will assist you in choosing one in Exeter, New Hampshire. Our experienced staff works tirelessly to educate you on the entire enrollment process and assist you in selecting the plan that meets your healthcare requirements along with your budget.

With the understanding of local providers and plan benefits, we can help you with the intricate details of Medicare Advantage to ensure that personalized help is available at all times. Here at the Cronin Agency, we look forward to helping you with your healthcare needs, so stop by today.

Please feel free to call us at (603) 969-7147 or email us at info@croninagency.com

Sources

https://www.medicare.gov/basics/costs

https://www.healthcare.gov/glossary/original-medicare

https://www.cms.gov

https://www.medicare.gov/publications/10050-medicare-and-you.pdf

https://www.insurance.nh.gov/consumers/medicare-and-seniors

https://www.exeternh.gov

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    Medicare Advantage in New Hampshire