Medicare Advantage plans make up a huge portion of coverage that is chosen by Colorado Medicare beneficiaries. Over 400,000 Coloradans that are on Medicare elect to enroll in Medicare Part C. In Denver, over 50% of Medicare-eligible people are on Medicare Advantage.

How Medicare Advantage Plans Work in Colorado

Medicare Advantage plans are also called Medicare Part C. Essentially they take over from Medicare and administer your Medicare benefits.

These plans are required to have coverage at least as good as Original Medicare. Oftentimes, these plans include drug coverage and additional benefits that Medicare doesn’t offer.

They are administered by private companies such as Humana, or Wellcare, and they are in charge of your health care. These network-based plans are affordable all-in-one options and usually have a lower cost than other supplemental options.

Since they are controlled by private health care companies, the benefits can vary significantly. It’s important to review the benefits thoroughly to ensure you enroll in the plan that’s best for you.

The majority of Colorado is rural and this limits the amount of Medicare Advantage options available statewide. In the more populated counties, there are a plethora of Medicare Advantage options available. In Boulder, for example, there are 34 plan options to choose from.

Medicare Advantage Plans Offers in Colorado

Unlike Medicare Supplements and Original Medicare, Medicare Advantage plans are not standardized. This means that the plan’s benefits and copays can vary depending on the company you choose and the area you live in.

The information shown in the charts below is based on one zip code in Colorado and not all options shown are available in all areas of the State. The coverage could be different depending on the zip code.

Below we will show you the Colorado Medicare Advantage options with a zero-dollar premium. After that, we’ll go over plans with a zero-dollar drug deductible. Next, we’ll talk about plans that have 5-star ratings and plans that will reduce how much you pay for your Medicare Part B premium.

Finally, we’ll discuss some of the common additional benefits of Medicare Part C plans and how to enroll in a Colorado Medicare Advantage plan.

Medicare Advantage Plans with a Zero Dollar Premium in Colorado

Zero-dollar premiums are something that is common with Medicare Advantage plans. It’s important to remember that everything is give and take. If you have a plan with a zero premium, chances are the copays and costs when using the plan could be a little higher.

Humana is one of the most common names in Medicare Part C. They have plans in nearly every city nationwide. They’re one of the leaders of zero-premium plans in the nation.

UnitedHealthcare is another huge name when it comes to Medicare. They’re backed by AARP and one of the largest Medicare insurers in the country.

Aetna is owned by CVS. They are one of the most well-known insurers in Medicare. With CVS as their parent company, they have plenty of financial backing and insight from the pharmacy networks.

PLAN PREMIUM MOOP PLAN TYPE STAR RATINGS
Humana $0 $4,400 LOCAL PPO 4
UnitedHealthcare $0 $4,900 HMO 4
Aetna $0 $4,900 HMOPOS 3
Bright Health $0 $3,500 HMO 3
Kaiser Permanente $0 $4,200 HMO 5

Medicare Advantage Plans with a Zero Dollar Drug Deductible in Colorado

When it comes to drug deductibles they come in all shapes and sizes. Some plans have them, and some don’t. Others even have deductibles that only apply to certain drug tiers.

It’s no surprise to see that the top three coming in as Humana, Unitedhealthcare, and Aetna. They have some of the largest market shares of Medicare beneficiaries enrolled in their plans nationwide.

Bright Health is a smaller Medicare Advantage company, and they are relatively new. But they have some solid plans in Colorado.

Kaiser is a well-known company. They focus more on group healthcare but have Medicare Advantage plans in certain states. They have a very tight network.

PLAN PREMIUM MOOP PLAN TYPE STAR RATINGS
Humana $0 $4,900 HMO 4
UnitedHealthcare $0 $4,400 HMO 4
Aetna $0 $4,900 HMOPOS 3
Bright Health $0 $3,500 HMO 3
Kaiser Permanente $0 $4,200 HMO 5

Plans with a 5-Star Rating in Colorado

Star ratings determine how strong a particular plan is. If you have a 5-star rated plan in your area, you can move to that plan outside of the normal enrollment periods. They have a special enrollment period that runs from December 8th to October 14th annually.

Kaiser is the only company with a 5-star rating in this zip code.

PLAN PREMIUM MOOP PLAN TYPE STAR RATINGS
Kaiser Permanente $0 $4,200 HMO 5

Plans with a Part B Reduction in Colorado

As I mentioned before. Medicare Advantage plans vary depending on the zip code. Plans that reduce your Medicare Part B premium are called giveback plans.

The way they work is they lower the amount deducted from your social security by an amount outlined by the plan you choose. The amount is not standard between plans so it will vary as well.

Bright Health has a 3-star rated giveback plan. Their plan gives the most back in the area shown.

Aetna gives the second-highest giveback in this area. Their plan gives back $55 a month, but it has the highest maximum-out-of-pocket shown.

UnitedHealthcare and Humana both have givebacks that reduce your Medicare Part B cost by $50 a month. UHC’s plan has the lowest maximum-out-of-pocket in this area at only $3400.

PLAN PREMIUM MOOP PART B REDUCTION STAR RATINGS
Humana $0 $4,400 $50.00 4
UnitedHealthcare $0 $3,400 $50.00 4
Aetna $0 $5,000 $55.00 3
Bright Health $0 $5,400 $75.00 3
Cigna $0 $5,900 $30.00 3

Ancillary/DVH

One of the largest benefits of a Medicare Advantage is the additional benefits that are available that aren’t covered by Medicare. Many Medicare Part C plans include dental, vision, and hearing coverage.

In addition, some have available gym memberships, over-the-counter allowances, food allowances, and some even help with utilities. These benefits will vary so make sure you review the plan benefits if you’re looking for a particular plan extra.

Colorado Cities with Supplemental Medicare Estimated Premiums

Supplemental Medicare has different projected premiums that depend on many factors. The following are for the most populated areas in Colorado so you can compare:

FAQs

Does Medicare have a Medicare Advantage plan?

Yes! Colorado has Medicare Part C plans but is a very rural state. Medicare Advantage plans are not available in all areas.

Is Humana Medicare available in Colorado?

Humana offers both Medicare Advantage and Medicare Supplement plans in Colorado. Plan offering and pricing can be different depending on where you live. Contact a licensed broker to review the options in your area.

Is Medicare free in Colorado?

Most people will receive Medicare Part A without a premium. Medicare Part B will require a premium for most people. There are programs for low-income beneficiaries that can pay for their part B premium, In addition, some Medicare Advantage plans can lower your Part B premium,

How to Get Help Enrolling in a Colorado Advantage Plan

We understand that Medicare can be a little confusing. Fortunately, we’re here to help. We have licensed brokers that are experts in all things Medicare.

Not only can we help you with your enrollment process. We’ll also educate you on all of your options. Go through your needs and wants. We work for you.

Our goal is to help ensure you have the best plan for your individual needs. We’re only one call away, or you can fill out our online request form.

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by Lindsay Malzone, Lindsay Malzone is the Medicare expert for Medigap.com. She's been contributing to many well-known publications as an industry expert since 2017. Her passion is educating Medicare beneficiaries on all their supplemental Medicare options so they can make an informed decision on their healthcare coverage.