There are thousands of Lewiston, Maine, Medicare beneficiaries. Medicare helps seniors live productive lives and supports their income by providing coverage for some healthcare costs.
Best Lewiston Maine Medicare plans
Original Medicare in Lewiston, Maine, covers most of your healthcare costs. However, supplementing your Medicare will help you cover the expenses it won’t cover. We based the following quotes on a 70-year-old female living in Lewiston, Maine.
Cheapest Medicare Advantage plans in Lewiston, Maine
A Medicare Advantage plan combines Original Medicare and other coverage into a unified plan. Advantage plans add benefits to your Part A & B coverage. There are 28 different Medicare Advantage plans available in Lewiston, Maine.
Martin’s Point is one of the plans available in the area. It has a five-star rating and a $0 monthly premium. The maximum out-of-pocket (MOOP) cost is $6,500.
Amh Health’s Local PPO plan is newer than others in the area. It has a $5,800 MOOP and a $0 monthly premium.
UnitedHealthcare has the most popular plan in the area. This Local PPO plan has a five-star rating and a $0 monthly premium. The MOOP is much lower than the others, falling at $4,500.
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| Amh Health | $0 | $5,800 | LOCAL PPO | N/A |
| Martin’s Point | $0 | $6,500 | HMO | 5 |
| UnitedHealthcare | $0 | $4,500 | LOCAL PPO | 5 |
| Wellcare | $0 | $6,700 | PFFS | 4 |
| Humana | $0 | $6,700 | HMO | 4 |
Affordable Medicare Supplement plans in Lewiston, Maine
Original Medicare doesn’t always cover certain healthcare costs. A Medicare Supplement — or Medigap — the plan helps pay for your treatment when Parts A or B doesn’t cover it. Medigap plans’ benefits are standard nationwide and with different carriers, but the cost varies by region.
Plan G is one of the most popular plans in the area. It covers all Original Medicare expenses except for the Part B deductible. The premiums for Plan G fall between $85.60 and $316.54 per month.
Plan N is another affordable Lewiston, Maine Medicare Supplement option for beneficiaries. It covers all Part A expenses and has most of the other benefits of Plan G. Its premiums range from $164.18 to $235.18 per month.
Plan K has much lower rates than either Plans G or N. The monthly premiums range from $78.50 to $151.82. Plan K is a cost-sharing plan, so it only covers half the costs that Plan N covers.
| 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 |
Average Medicare Part D prescription drug plans
Medigap plans don’t cover prescription drugs; only some Medicare Advantage plans do. You can enroll in a Lewiston, Maine, stand-alone Part D plan to receive coverage for your prescription drugs.
Elixir offers a plan in the area with a monthly premium of $28.30. The deductible for this plan is $480, and the costs of generic medication range between $6 and $16 with this plan. This plan has a three-star rating for overall effectiveness.
A Cigna plan is also available in the area. It has a monthly premium of $29.60 and a standard deductible of $480. Generic drugs cost about $7 on average with this plan. In addition, this plan has a three-star rating.
Aetna offers the cheapest plan in the area. It has a monthly premium of $7.60 and a standard deductible of $480. It also has a three-star rating, which is typical for the plans in the area.
| 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 |
Medicare Special Needs plans
Medicare Special Needs Plans (SNPs) are a specific type offered to beneficiaries. They are only open to individuals who meet certain criteria, such as those with a chronic or disabling condition. SNPs are not available everywhere in the U.S., but Lewiston, Maine, has some options.
Aetna offers an HMOPOS plan in Lewiston. It is open to anyone who qualifies for Medicare and Medicaid and has a $0 monthly premium. The maximum out-of-pocket (MOOP) cost for this plan is $7,550.
UnitedHealthcare offers a Local PPO plan with a $0 monthly premium and a MOOP of $7,550. This plan is also available to dual-eligible individuals with Medicare and Medicaid enrollment.
Humana has the cheapest plan available in Lewiston, Maine, and is open to dual-eligible enrollees. This plan has a $0 monthly premium and boasts a much lower MOOP of $3,450.
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| Humana | $0 | $3,450 | HMO | Dual |
| Wellcare | $0 | $3,450 | HMO | Dual |
| UnitedHealthcare | $0 | $7,550 | LOCAL PPO | Dual |
| Amh Health | $0 | $7,550 | HMO | Dual |
| Aetna | $0 | $7,550 | HMOPOS | Dual |
FAQs
How old do you have to be to get Medicare in Lewiston, ME?
To qualify for Medicare, you must be at least 65 years old. However, you may qualify for Medicare before turning 65 if you are fully disabled, have End-Stage Renal Disease (ESRD), or have Lou Gehrig’s disease.
Who is eligible for a Medicare Advantage plan in Lewiston, ME?
Anyone who qualifies for Original Medicare qualifies for an Advantage plan. You must have at least Medicare Part A and B to enroll in a Medicare Advantage plan.
Do Medigap premiums increase with age in Lewiston, ME?
For citizens of Lewiston, Maine, Medicare premiums do not change as you age. However, the older you are when you sign up, the higher your premium is.
What happens if I refuse Medicare Part D in Lewiston, ME?
You can refuse to enroll in Medicare Part D. However, doing so will subject you to late penalties if you decide to enroll later.
What does Medicare Part D in Lewiston, ME, cover?
Medicare Part D plans cover prescription drugs that you take at home. However, not all Medicare Part D plans cover the same list of prescriptions.
When exploring Part D plans, it is crucial to check the different formularies and find a plan that offers coverage for your specific medications.
How to sign up for Medicare plans in Lewiston
Lewiston, Maine, Medicare beneficiaries have many different available supplemental plans. Unfortunately, navigating these options alone is not always easy. That’s why we’re here to help you.
Our team of licensed agents can help you explore your options and narrow down your plans. Their time is free to you, and so is their comprehensive knowledge of Medicare.
So give us a call today. Or, if it’s easier, fill out our simple online rate form to be connected with the best rates in your area.
