Over 65,000 people in Provo, Utah, are Original Medicare Part A and B beneficiaries. Among them, 37,447 are fee-for-service enrollees, while nearly 28,000 have a Medicare Advantage plan, good for a 42.6% participation rate that’s on par with the national average.
In the sections below, we’ll look at what Medicare Advantage can do for your healthcare benefits and explore other Provo, Utah, Medicare options.
Medicare plans in Provo, Utah
Medicare Advantage, Medicare Supplement plans, and Medicare Part D are three ways for Provo, Utah, beneficiaries with Original Medicare to cover the health and well-being services that Original Medicare doesn’t include.
Unlike Original Medicare, these supplemental Medicare options don’t have standardized prices, so your rates for each will vary based on your provider, age, gender, and location.
The prices in the charts below are for the average 65-year-old male Provo, Utah, Medicare enrollee.
Medicare Advantage plans
Provo, Utah, is home to 29 different Medicare Advantage plans, giving the city’s Original Medicare enrollees one of Utah’s most comprehensive selections of MA options. Each plan offers unique coverage benefits and prices, but they’re all valuable to anyone seeking assistance with vision, dental, and other similar services.
SelectHealth’s Provo, Utah, Medicare Advantage coverage is among the state’s best, with a perfect five-star coverage effectiveness rating. It also offers a competitively priced $0 premium and $5,400 maximum out-of-pocket cost (MOOP).
Humana’s Medicare Advantage plan is another highly rated, well-priced option for Provo enrollees. It has a four-star rating, a $0 premium, and a $5,000 MOOP. Additionally, it’s a Local PPO plan, unlike SelectHealth’s HMO coverage.
Cigna has a popular Medicare Advantage plan as well. Though it doesn’t have a coverage rating, it offers an affordable $0 premium and $5,200 MOOP.
The average costs of Medicare Advantage plans in Provo, Utah
PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
SelectHealth | $0 | $5,400 | HMO | 5 |
Aetna | $0 | $5,000 | LOCAL PPO | 4 |
$0 | $5,900 | HMO | 4 | |
Humana | $0 | $5,000 | LOCAL PPO | 4 |
Cigna | $0 | $5,200 | HMO | N/A |
Medicare Supplement plans
Medicare Supplement plans in Provo, Utah, help to lighten the load on your Medicare budget by covering inpatient and outpatient costs that Original Medicare doesn’t offer. Insurance companies commonly call them “Medigap” plans since they fill in the gaps in your essential health coverage.
Although private insurance companies provide Medigap plans, the federal government standardizes plan benefits, preventing them from changing with different carriers or locations.
Plan F is one of Provo, Utah’s most popular Medigap options because it offers the most coverage. However, Plan F has the highest premiums because of its extensive monthly benefits, ranging from $126 to $430.37.
High-Deductible Plan F (HDF) is a sought-after alternative to standard Plan F with the same benefits but a higher deductible and lower premiums. Monthly prices for HDF range from $30 to $66.39.
Plan N is a popular, cost-effective solution for Provo, Utah, Medicare enrollees who want Medigap’s baseline coverage without the extra benefits. Plan N premiums vary from $82.20 to $304.90 per month.
The average costs of Medicare Supplement plans in Provo, Utah
LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
PLAN A | $80.00 | $282.73 |
PLAN B | $137.50 | $344.50 |
PLAN C | $160.74 | $409.75 |
PLAN D | $106.00 | $239.09 |
PLAN F | $126.00 | $430.37 |
PLAN HDF | $30.00 | $66.39 |
PLAN G | $106.34 | $404.79 |
PLAN HDG | $30.00 | $50.24 |
PLAN K | $46.95 | $118.37 |
PLAN L | $72.83 | $216.72 |
PLAN M | $87.72 | $244.46 |
PLAN N | $82.20 | $304.90 |
Medicare Part D prescription drug plans
Medicare Part D plans cover costs for most prescription drugs. They are the only supplemental Medicare options in Provo, Utah, with medication coverage, aside from a selection of specialized Medicare Advantage plans.
Aetna’s Medicare Part D plan in Provo, Utah, has the most affordable monthly premium at $6.90. It also has a three-star rating and a competitive $480 deductible.
Humana’s Part D coverage has a four-star rating, making it one of the most extensive plans in Provo. It has a $22.70 premium and a $480 deductible.
Part D coverage has the most affordable deductible in Provo at $310 and a four-star rating. Premiums for Part D plan cost $29.40.
The average costs of Medicare Part D plans in Provo, Utah
PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
Aetna | $6.90 | $480 | 3 |
Wellcare | $11.30 | $480 | 32 |
Clear Spring | $16.10 | $480 | 2 |
Humana | $22.70 | $480 | 4 |
$29.40 | $310 | 4 |
Special Needs plans
Medicare Special Needs Plans (SNPs) are a subset of Medicare Advantage with unique coverage benefits for people needing specialized medical care. SNPs are not available at every provider, but Provo has a few well-regarded options.
Humana’s SNP is a competitively priced, Local PPO plan with a $0 premium and $3,450 MOOP. SelectHealth’s SNP also has a $0 premium and $3,450 MOOP but is an HMO plan, unlike Humana’s Local PPO coverage.
Health Choice offers a popular SNP with a $42.90 premium and a $6,700 MOOP.
The average costs of Medicare Special Needs plans in Provo, Utah
PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
$0 | $7,550 | LOCAL PPO | Dual | |
Molina Healthcare | $0 | $7,550 | HMO | Dual |
SelectHealth | $0 | $3,450 | HMO | Dual |
Humana | $0 | $3,450 | LOCAL PPO | Dual |
Health Choice | $42.90 | $6,700 | HMO | Dual |
How to sign up for Medicare plans in Provo
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