Springfield is home to 206,072 Medicare beneficiaries. Springfield is known as the birthplace of Route 66 and is the Queen City of the Ozarks. With a beautiful mix of half-urban and half-cowboy, the city has plenty of charm.
Springfield, Missouri Supplemental Medicare Plans
Below, we’ll be covering the cheapest Medicare Advantage plans and most affordable Medicare Supplement plans. Then we’ll be talking about the average cost of Medicare Part D plans and Special Needs plans that are available. Finally, we’ll answer some common questions regarding Missouri Medicare plans in Springfield and how to get help with your options.
The information shown in the charts below depicts a 70-year-old man.
Cheapest Medicare Advantage Plans in Springfield, Missouri
In Springfield, there are 95,214 residents enrolled in Medicare Advantage Plans. That’s roughly 47% of all people participating in Medicare. Medicare Part C plans are all-in-one insurance coverage and another way to receive your Medicare benefits. Residents of Springfield have 37 MA plans in Missouri to choose from.
Wellcare appears to be tied with Anthem for the most affordable Medicare Advantage plan. It also boasts a $0 premium but has a maximum out-of-pocket of only $3,400. Wellcare has become a common name when it comes to Medicare products.
Anthem has one of the least expensive plans in Springfield with a $0 premium and a maximum out of the pocket of only $3,400. Anthem is affiliated with Blue Cross Blue Shield, one of the most recognizable names in insurance.
Humana’s HMO comes in second with an out-of-pocket maximum of $3,450. In addition to the $0 premium, it has a 4-star rating. Humana has been a staple in the Medicare Advantage realm for quite some time.
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Affordable Medicare Supplement Plans in Springfield, Missouri
Medicare Supplements in Missouri are standardized by the federal government. This means that no matter who you are insured by, or where you live, the benefits must be the same.
Medigap plans supplement Original Medicare to fill in the gaps. You’ll still enjoy the freedom to choose any providers as you do with Orginal Medicare, but with added protection from the potentially high costs.
These plans have 10 plan options available and don’t include drug coverage. The top plans available are Plans G, F, and N. Both Plans F and G have high deductible options. They have the designation of HDF and HDG respectively.
Plan N is the most affordable Medigap option. With Low copays when you visit the doctor or emergency room. You are also responsible for the Medicare Part B deductible and excess charges. Plan N is growing rapidly in popularity.
Plan G is the top plan for beneficiaries that are new to Medicare. Other than your premium, the only cost you’re responsible for is the Part B deductible.
Plan F is the longstanding king of Medicare Supplement plans. It’s the most comprehensive and expensive option available. With this plan, your out-of-pocket is only your monthly premium.
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Average Medicare Part D in Springfield Missouri
Missouri Part D plans provide beneficiaries with Medicare prescription coverage. They are administered by private healthcare companies such as Aetna and Humana. They follow the Medicare model and must provide coverage at least as good as what is outlined by the Centers for Medicare and Medicaid Services.
These plans have four coverage phases they move through as you pick up your scripts throughout the year.
Phases of Prescription Drug Coverage
- Deductible Phase
- Initial Coverage Phase
- Coverage Gap Phase
- Catastrophic Phase
Not all plans require a deductible. The Coverage Gap Phase is also called the Donut Hole.
SIlverScript by Aetna has been the long-running champion of prescription drug plans. Over the years it has established itself as a top-tier Medicare Drug plan company. They have the lowest premium of all Medicare Drug plans in Springfield.
Wellcare is really putting up some great plans. They have sprung to the top of the Medicare drug plan market over the past few years and don’t appear to be looking back.
Humana comes in at number three. They’re also very strong in the Medicare market. Not only do they have affordable plans, but they also have great benefits.
Medicare Special Needs Plans
There are some Medicare Part C plans designed to assist specific demographics of Medicare Beneficiaries. These Special Needs Plans are available to provide extra assistance to those with special needs such as chronic health conditions, low income, and living in an institutionalized setting.
There are three types of Special Needs Plans.
D-SNP – Dual Special needs plans as designed to help beneficiaries enrolled in both Medicare and Medicaid.
C-SNP – Chronic Special Needs Plans are available to beneficiaries that have chronic health conditions such as diabetes, COPD, and chronic heart conditions.
I-SNP – Institutionalize Special Needs Plans help beneficiaries that live in an institutionalized setting.
Humana and Wellcare both have low maximum out-of-pocket on their Dual SNP HMOs. On these style plans, there are many additional benefits that are given to beneficiaries that qualify.
UnitedHealthcare has a Dual SNP PPO. These are not always available, but they give additional freedoms to choose providers.
Aetna and Anthem round out the chart. Both have HMO offerings in their D-SNP plans in Springfield.
What Medicare Advantage plans are available in Springfield Missouri?
What are the most popular Medicare Supplements in Springfield, Missouri?
Plans F, G, and N are the most popular options. Plan F is not available for people new to Medicare. Plan G is the most popular among new Medicare members.
Does Medicare cover dental in Springfield, Missouri?
Medicare doesn’t typically offer dental coverage. You can however get dental coverage included in many Medicare Advantage plans. Speak with a licensed broker that specializes in Medicare for more details on which plans include dental.
How to Sign Up for Supplemental Medicare in Springfield, Missouri
Medicare can be a confusing topic, but we can help make it simple. Medicare is only as difficult as the person explaining it makes it. Our licensed experts can assist in all aspects of Medicare. From education on the basic to the plan options available. We can hold your hand through the entire process to ensure your needs are met. We’re here to help! Fill out our online request form, or give us a call.