In Grand Rapids, Michigan, over 200,000 people are enrolled in Medicare. 57.98% of those beneficiaries are taking advantage of the Medicare Part C program. That’s 128,731 Medicare members receiving their health care through a Medicare Advantage plan.
Medicare plans in Grand Rapids, Michigan
We will discuss the information below about the different Michigan Medicare plans available to residents of Grand Rapids. The charts below are based on a 65-year-old male.
First, we’ll cover the cheapest Medicare Advantage plans. After that, we’ll discuss the average cost of Medicare Supplements. Then we’ll talk about the most affordable Part D Prescription plans. Finally, we’ll wrap up with Special Needs Plans and how to enroll in a Medicare plan.
Medicare Advantage plans
Kent County contains 39 Medicare Advantage Michigan plan options. 53.87 of Medicare Advantage enrollees are female, with 46.13% male. Grand Rapids has the highest percentage of Michigan Medicare beneficiaries enrolled in Medicare Part C.
There are several zero-premium Medicare Advantage options available.
Wellcare has the lowest maximum out-of-pocket cost shown. They are one of the top Medicare Advantage providers in the nation.
Priority Health is a familiar name in Michigan. They boast a 4-Star rating on their zero-premium HMO.
BCBS of MI rounds out the top three. The Blue Cross Blue Shield name is among the most recognizable in the United States. With a 5-star rating, no one may be better in Grand Rapids.
The average cost of Medicare Advantage plans in Grand Rapids, Michigan
| PLAN | PREMIUM | MOOP | Plan Type | Star Rating |
| Wellcare | $0 | $3,450 | HMO | 3 |
| Priority Health | $0 | $5,000 | HMOPOS | 4 |
| Blue Care | $0 | $4,500 | HMOPOS | 5 |
| Humana | $0 | $5,500 | LOCAL PPO | 4 |
| Aetna | $0 | $6,725 | LOCAL PPO | 4 |
Medicare Supplement plans
Medicare Supplement plans in Michigan are also called Medigap Plans. They work by filling in the gaps left by Medicare Parts A and B. With a Medicare Supplement, there are no networks or referrals needed. They don’t include drug coverage, so you’ll need a Prescription Drug plan.
When beneficiaries consider their Medicare Supplement options, most lean towards plans F, G, and N.
Plan N is one of the better coverage options with an affordable premium. You’ll be responsible for the Medicare Part B deductible and copays when you visit the doctor or emergency room.
The next step is Plan G. Plan G covers all of your costs left over by Medicare with one exception. You must satisfy the Part B deductible before the plan kicks in to cover the remainder of your Medicare Part B cost-share.
The top coverage plan is Plan F. It’s considered the full coverage plan. Simply put, if Medicare covers it, Plan F pays the rest.
Plans F and G have high deductible options for seniors who are savvier about their premiums. In addition, you can only enroll in Plan F if you were eligible for Medicare before 2020.
The average cost of Medicare Supplement plans in Grand Rapids, Michigan
| LETTER PLAN | LOWEST PREMIUM | HIGHEST PREMIUM |
| PLAN A | $77.60 | $397.90 |
| PLAN B | $133.42 | $331.00 |
| PLAN C | $144.57 | $395.87 |
| PLAN D | $120.33 | $378.25 |
| PLAN F | $128.63 | $397.00 |
| PLAN HDF | $31.00 | $93.62 |
| PLAN G | $115.75 | $379.71 |
| PLAN HDG | $31.00 | $86.95 |
| PLAN K | $50.15 | $126.25 |
| PLAN L | $72.67 | $243.16 |
| PLAN M | $127.76 | $266.85 |
| PLAN N | $85.64 | $377.48 |
Medicare Part D prescription drug plans
Medicare Part D in Michigan is a way to get your prescription coverage from Medicare. If you choose not to enroll when you’re first eligible, you may be penalized. Prescription Drug Plans can vary in benefits. Despite being administered by private insurance companies, they must follow the standard four-phase Medicare model.
SilverScript, and Aetna company, has been the top drug plan for many years. They specialize in drug coverage and currently have the lowest premium.
Wellcare comes in number two as far as monthly premium goes. They are a large company and offer many Medicare options. They specialize in Medicare Parts C and D.
Clear Spring comes in third. Their plan comes under $20 a month and greatly benefits many prescriptions. They are fairly new and are working on improving their star ratings.
The average cost of Medicare Part D plans in Grand Rapids, Michigan
| PLAN | PREMIUM | DEDUCTIBLE | STAR RATING |
| Aetna | $7.50 | $480 | 3 |
| Wellcare | $12.70 | $480 | 3 |
| Clear Spring | $17.00 | $480 | 2 |
| Elixir | $20.30 | $480 | 3 |
| Humana | $22.70 | $480 | 4 |
Special Needs plans
Medicare Part C has plan options for beneficiaries with chronic conditions, low income, and special needs. These plans can coordinate with Medicaid.
They can also lower costs for certain drugs and procedures for people with chronic conditions.
Wellcare has one of the best Dual Special Needs plans in the nation. Their plans boost additional benefits to help low-income members of Medicare.
Mclaren is a small insurance company that offers Medicare Part C plans in Michigan. They cater to residents in the state.
UnitedHealthcare is a giant in the Medicare Advantage market. Partnering with AARP, they are well respected and strive to care for their beneficiaries.
The average cost of Medicare Special Needs plans in Grand Rapids, Michigan
| PLAN | PREMIUM | MOOP | Plan Type | Eligibility |
| Wellcare | $0 | $3,450 | LOCAL PPO | Dual |
| Mclaren | $0 | $7,550 | HMO | Dual |
| UnitedHealthcare | $0 | $7,550 | HMO | Dual |
| Align Senior | $0 | $4,700 | HMO | Chronic or Disabling |
| Humana | $0 | $3,450 | LOCAL PPO | Dual |
How to sign up for Medicare plans in Grand Rapids, Michigan
Whether you’re looking for a Medicare Advantage, Drug Plan, or Medigap plan, we can help. We take the confusion out by educating you on Medicare and your options.
Review your needs and wants. Then we help you enroll in the plan of your choice. Give us a call, or fill out our online request form. Our agents specialize in Medicare and are standing by to help you.
