Beginner´s Guide: Massachusetts Medicare Advantage Plans

Beginner´s Guide: Massachusetts 2019 Medicare Advantage Plans


You might have already heard that Massachusetts has its own standardization when it comes to Medicare supplement plans. While in 47 other states the Medicare supplement plans are divided into: A, B, C, D, F, G, K, L, M and N, Massachusetts has it different. A plan A in Iowa will offer the same benefits as a plan A in Colorado, but in Massachusetts, a plan A as you know it won´t exist at all. It might have been confusing to get the supplement plans A to N to begin with. So, it might be confusing to find out that in Massachusetts, other rules apply that you need to know. However, if you are planning on moving to Massachusetts, we have all the information you need to know to help you make your decisions easier!


What is A Medicare Supplement Plan in Massachusetts?

Similar to the other states, a Medicare supplement plan is offered in addition to a Medicare Part A or B. It is extra coverage of costs that would otherwise not be covered by Medicare Part A or B and that the patient would need to pay for out of their own pocket. This includes costs, such as copayments, deductibles and coinsurance. Additionally, some Medicare supplement plans offer travel insurance, for those who are planning to leave the United States and want to make sure that they are insured wherever they may need health care services. Pap-tests and mammograms are benefits mandated by the state for preventive care and are also included in some of these Medicare supplement plans.

There are two types of Medicare supplement plans available and are divided into:

  • Core plans
  • Supplement plans

Core plans cover for basic benefits, while the supplement plans cover what the core plans already cover and additional benefits, such as part A deductibles.

When is The Best Time to Enroll?

If you are moving from another state to Massachusetts, the good news is that moving in an area that no longer offers the Medicare supplement plan you are enrolled to, will guarantee you issued-rights. This means, that you won´t be a subject of medical underwriting and the health insurance company will need to offer you a Medicare supplement plan without looking at your medical records and previous conditions. This is important, because otherwise your premium rate could be a lot higher and the health insurance company might even deny you enrollment, if they believe that your condition will lead them to higher costs than what you are able to cover with your monthly premium rate. If already a citizen of Massachusetts, the best time to enroll is during your open-enrollment period. A period of six months, starting the day when you turn 65. During this time, you have guaranteed issue rights as well, and the health insurance company cannot deny you enrollment. The rates that you will need to pay will also only be based on the area you live in and not on your health condition.