Best Medicare Companies in Stoughton, Massachusetts (2024)
Unlock a wealth of information on Medicare companies in Stoughton, Massachusetts. Explore comprehensive insurance insights and a variety of coverage options tailored to your needs. Gain valuable knowledge to make informed decisions about your healthcare coverage in Stoughton, Massachusetts and ensure you choose the right Medicare plan for you and your loved ones.
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Brandon Frady
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Brandon Frady has been a licensed insurance agent and insurance office manager since 2018. He has experience in ventures from retail to finance, working positions from cashier to management, but it wasn’t until Brandon started working in the insurance industry that he truly felt at home in his career. In his day-to-day interactions, he aims to live out his business philosophy in how he treats hi...
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UPDATED: Sep 15, 2024
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UPDATED: Sep 15, 2024
It’s all about you. We want to help you make the right coverage choices.
Advertiser Disclosure: We strive to help you make confident insurance decisions. Comparison shopping should be easy. We are not affiliated with any one insurance company and cannot guarantee quotes from any single insurance company.
Our insurance industry partnerships don’t influence our content. Our opinions are our own. To compare quotes from many different insurance companies please enter your ZIP code above to use the free quote tool. The more quotes you compare, the more chances to save.
On This Page
- Health insurance companies like Aetna Medicare and Fallon Health offer Medicare Advantage plans in Stoughton
- Stoughton Medicare supplement can only be added to original Medicare
- There are offering Medicare plans in Stoughton, Massachusetts
Welcome to our comprehensive guide on Medicare Companies in Stoughton, Massachusetts. If you’re searching for reliable information and guidance on Medicare coverage options in Stoughton, you’ve come to the right place. In this article, we will cover essential topics such as available Medicare plans, coverage options, costs, and provider networks specific to Stoughton, Massachusetts.
Our goal is to empower you with the knowledge needed to make informed decisions about your healthcare coverage. To compare rates from the best insurance providers in your area, simply enter your ZIP code below. Take control of your healthcare choices and ensure you have the coverage that suits your needs.
Medicare Advantage by Company in Stoughton, Massachusetts
There are Medicare Advantage companies in Stoughton, MA, offering a range of options including HMO and PPO plans. There are even some plans available at no additional cost beyond your Stoughton Medicare Part B premium. Take a look at the Medicare Advantage companies in Stoughton, Massachusetts, to compare plans and coverage.
Medicare Advantage Companies in Stoughton, Massachusetts
| Plan Name | Monthly Prem. (Parts C & D) | Deductible | Additional Gap Coverage | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|---|---|
| AARP Medicare Advantage Choice (Regional PPO) – R7444-001-0 | $49.00 | $295 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $6,700 |
| AARP Medicare Advantage Patriot (PPO) – H3442-005-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| AARP Medicare Advantage Plan 1 (HMO) – H1944-005-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $5,700 |
| AARP Medicare Advantage Plan 2 (HMO) – H1944-006-0 | $49.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $4,900 |
| AARP Medicare Advantage Walgreens (PPO) – H3442-004-0 | $0.00 | $195 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $6,700 |
| Aetna Medicare Eagle Plan (PPO) – H5521-296-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Aetna Medicare Explorer Plan (PPO) – H5521-159-0 | $0.00 | $150 . Tier 1, 2 and 3 exempt | Yes, some additional gap coverage. | Preferred Generic: $5.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,700 |
| Aetna Medicare Explorer Premier Plan (PPO) – H5521-221-0 | $99.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Aetna Medicare Value Plan (HMO) – H5793-018-0 | $0.00 | $250 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| Commonwealth Care Alliance (Medicare-Medicaid Plan) – H0137-001-0 | $0.00 | $0 | All Generics, All Brands | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0%, Tier 5: 0% | n/a |
| Fallon Medicare Plus Blue HMO (HMO) – H9001-031-17 | $180.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 33%, Select Care Drugs: $0.00 | $3,400 |
| Fallon Medicare Plus Green HMO (HMO) – H9001-030-17 | $89.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $6,700 |
| Fallon Medicare Plus Orange HMO (HMO) – H9001-034-17 | $0.00 | $300 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $7.00, Preferred Brand: $37.00, Non-Preferred Brand: $86.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $7,550 |
| Fallon Medicare Plus Saver No Rx HMO (HMO) – H9001-029-17 | $49.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $7,550 |
| Fallon Medicare Plus Super Saver HMO (HMO) – H9001-032-17 | $51.00 | $445 . Tier Yes exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $9.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | $7,550 |
| Harvard Pilgrim Stride Basic Rx (HMO) – H1660-014-0 | $0.00 | $445 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 25% | $4,500 |
| Harvard Pilgrim Stride Value Rx (HMO) – H1660-016-2 | $67.00 | $350 . Tier 1 and 2 exempt | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 26% | $3,400 |
| Harvard Pilgrim Stride Value Rx Plus (HMO) – H1660-017-2 | $168.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $0.00, Generic: $10.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 33% | $3,400 |
| Lasso Healthcare Growth (MSA) – H1924-001-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | $0.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | n/a |
| Medicare HMO Blue FlexRx (HMO-POS) – H2261-023-1 | $96.00 | $260 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 28% | $3,900 |
| Medicare HMO Blue PlusRx (HMO) – H2261-005-0 | $267.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 29% | $3,400 |
| Medicare HMO Blue SaverRx (HMO) – H2261-024-0 | $0.00 | $320 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $8.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $7,550 |
| Medicare HMO Blue ValueRx (HMO) – H2261-022-1 | $36.00 | $320 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $6.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $4,900 |
| Medicare PPO Blue PlusRx (PPO) – H2230-002-0 | $263.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $1.00, Generic: $5.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 29% | $3,400 |
| Medicare PPO Blue SaverRx (PPO) – H2230-017-0 | $0.00 | $405 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $10.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 25%, Select Care Drugs: $0.00 | $7,550 |
| Medicare PPO Blue ValueRx (PPO) – H2230-018-1 | $76.00 | $320 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $2.00, Generic: $6.00, Preferred Brand: $42.00, Non-Preferred Brand: $95.00, Specialty Tier: 27%, Select Care Drugs: $0.00 | $4,900 |
| NaviCare (HMO D-SNP) – H9001-019-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00 | n/a |
| Senior Care Options Program (HMO D-SNP) – H2225-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: 25%, Generic: 25%, Preferred Brand: 25%, Non-Preferred Brand: 25%, Specialty Tier: 25% | n/a |
| Senior Whole Health (HMO D-SNP) – H2224-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15% | n/a |
| Senior Whole Health NHC (HMO D-SNP) – H2224-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: 15% | n/a |
| Tufts Health Plan Senior Care Options (HMO D-SNP) – H2256-029-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00, Tier 6: $0.00 | n/a |
| Tufts Medicare Preferred HMO Basic Rx (HMO) – H2256-026-2 | $46.00 | $225 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29%, Vaccines: $0.00 | $3,450 |
| Tufts Medicare Preferred HMO Prime No Rx (HMO) – H2256-016-2 | $133.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| Tufts Medicare Preferred HMO Prime Rx (HMO) – H2256-015-2 | $180.00 | $0 | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,450 |
| Tufts Medicare Preferred HMO Prime Rx Plus (HMO) – H2256-001-2 | $214.00 | $0 | Yes, some additional gap coverage. | Preferred Generic: $2.00, Generic: $4.00, Preferred Brand: $30.00, Non-Preferred Drug: $80.00, Specialty Tier: 33%, Vaccines: $0.00 | $3,450 |
| Tufts Medicare Preferred HMO Saver Rx (HMO) – H2256-028-0 | $0.00 | $250 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28%, Vaccines: $0.00 | $7,550 |
| Tufts Medicare Preferred HMO Value No Rx (HMO) – H2256-019-7 | $103.00 | No Rx Coverage | No Rx Coverage | This Plan does NOT include Prescription Drug coverage. | $3,450 |
| Tufts Medicare Preferred HMO Value Rx (HMO) – H2256-018-7 | $150.00 | $200 . Tier 1 and 2 exempt | No additional gap coverage, only the Donut Hole Discount | Preferred Generic: $4.00, Generic: $8.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 29%, Vaccines: $0.00 | $3,450 |
| UnitedHealthcare Senior Care Options (HMO D-SNP) – H2226-001-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
| UnitedHealthcare Senior Care Options NHC (HMO D-SNP) – H2226-003-0 | $0.00 for people who qualify for both Medicare and Medicaid. | $0 for people who qualify for both Medicare and Medicaid. | No additional gap coverage, only the Donut Hole Discount | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
Medicare Part D by Company in Stoughton, Massachusetts
Stoughton Medicare Part D companies offer plans that cover prescription medications, with deductible and copay options that vary along with the monthly cost. Whether you have original Medicare or a Stoughton, Massachusetts, Medicare Advantage plan, you can buy standalone Part D coverage from a local company.
Standalone Medicare Part D Plans in Stoughton, Massachusetts
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 177 – 0 by Aetna Medicare |
Monthly Premium: $7.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $19.00 Tier 3: $46.00 Tier 4: 49% Tier 5: 25% |
| Elixir RxPlus (PDP) S7694 – 125 – 0 by Elixir Insurance |
Monthly Premium: $14.30 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $43.00 Tier 4: 45% Tier 5: 25% |
| WellCare Wellness Rx (PDP) S4802 – 171 – 0 by WellCare |
Monthly Premium: $14.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $40.00 Tier 4: 46% Tier 5: 25% |
| WellCare Value Script (PDP) S4802 – 137 – 0 by WellCare |
Monthly Premium: $16.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $8.00 Tier 3: $43.00 Tier 4: 47% Tier 5: 25% |
| Humana Walmart Value Rx Plan (PDP) S5884 – 182 – 0 by Humana |
Monthly Premium: $17.20 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: 17% Tier 4: 35% Tier 5: 25% |
| Cigna Secure-Essential Rx (PDP) S5617 – 281 – 0 by Cigna |
Monthly Premium: $24.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 18% Tier 4: 49% Tier 5: 25% |
| Mutual of Omaha Rx Premier (PDP) S7126 – 072 – 0 by Mutual of Omaha Rx |
Monthly Premium: $25.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 23% Tier 4: 45% Tier 5: 25% |
| WellCare Medicare Rx Select (PDP) S5810 – 276 – 0 by WellCare |
Monthly Premium: $26.40 Annual Deductible: $400 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $3.00 Tier 3: $47.00 Tier 4: 42% Tier 5: 25% |
| Express Scripts Medicare – Saver (PDP) S5660 – 219 – 0 by Express Scripts Medicare |
Monthly Premium: $27.40 Annual Deductible: $285 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $35.00 Tier 4: 50% Tier 5: 28% |
| WellCare Classic (PDP) S4802 – 076 – 0 by WellCare |
Monthly Premium: $31.00 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $30.00 Tier 4: 34% Tier 5: 25% |
| AARP MedicareRx Saver Plus (PDP) S5921 – 348 – 0 by UnitedHealthcare |
Monthly Premium: $31.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $5.00 Tier 3: $31.00 Tier 4: 40% Tier 5: 25% |
| Express Scripts Medicare – Value (PDP) S5660 – 105 – 0 by Express Scripts Medicare |
Monthly Premium: $32.80 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $30.00 Tier 4: 50% Tier 5: 25% |
| SilverScript Choice (PDP) S5601 – 004 – 0 by Aetna Medicare |
Monthly Premium: $32.90 Annual Deductible: $225 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $5.00 Tier 3: $35.00 Tier 4: 41% Tier 5: 29% |
| Elixir RxSecure (PDP) S7694 – 002 – 0 by Elixir Insurance |
Monthly Premium: $34.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: 15% Tier 4: 32% Tier 5: 25% |
| Humana Basic Rx Plan (PDP) S5884 – 102 – 0 by Humana |
Monthly Premium: $35.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $1.00 Tier 3: 20% Tier 4: 35% Tier 5: 25% |
| WellCare Medicare Rx Saver (PDP) S5810 – 036 – 0 by WellCare |
Monthly Premium: $35.70 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $42.00 Tier 4: 37% Tier 5: 25% |
| Cigna Secure Rx (PDP) S5617 – 008 – 0 by Cigna |
Monthly Premium: $36.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: Yes ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $3.00 Tier 3: $41.00 Tier 4: 50% Tier 5: 25% |
| AARP MedicareRx Walgreens (PDP) S5921 – 385 – 0 by UnitedHealthcare |
Monthly Premium: $37.90 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $6.00 Tier 3: $40.00 Tier 4: 40% Tier 5: 25% |
| Cigna Secure-Extra Rx (PDP) S5617 – 247 – 0 by Cigna |
Monthly Premium: $40.90 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $4.00 Tier 2: $10.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| Blue MedicareRx Value Plus (PDP) S2893 – 001 – 0 by Anthem Blue Cross and Blue Shield |
Monthly Premium: $50.50 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $6.00 Tier 3: $36.00 Tier 4: 40% Tier 5: 25% |
| Humana Premier Rx Plan (PDP) S5884 – 149 – 0 by Humana |
Monthly Premium: $65.40 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $45.00 Tier 4: 49% Tier 5: 25% |
| SilverScript Plus (PDP) S5601 – 005 – 0 by Aetna Medicare |
Monthly Premium: $72.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: $47.00 Tier 4: 45% Tier 5: 33% |
| WellCare Medicare Rx Value Plus (PDP) S5768 – 126 – 0 by WellCare |
Monthly Premium: $74.40 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $1.00 Tier 2: $4.00 Tier 3: $47.00 Tier 4: 47% Tier 5: 33% |
| Express Scripts Medicare – Choice (PDP) S5660 – 206 – 0 by Express Scripts Medicare |
Monthly Premium: $76.40 Annual Deductible: $100 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $2.00 Tier 2: $7.00 Tier 3: $42.00 Tier 4: 50% Tier 5: 31% |
| AARP MedicareRx Preferred (PDP) S5820 – 002 – 0 by UnitedHealthcare |
Monthly Premium: $86.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $5.00 Tier 2: $10.00 Tier 3: $45.00 Tier 4: 40% Tier 5: 33% |
| Mutual of Omaha Rx Plus (PDP) S7126 – 002 – 0 by Mutual of Omaha Rx |
Monthly Premium: $87.10 Annual Deductible: $445 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: No |
Tier 1: $0.00 Tier 2: $2.00 Tier 3: 20% Tier 4: 39% Tier 5: 25% |
| Blue MedicareRx Premier (PDP) S2893 – 003 – 0 by Anthem Blue Cross and Blue Shield |
Monthly Premium: $135.00 Annual Deductible: $0 Zero Premium If Full LIS Benefits: No ICL: $4,130 Additional Gap Coverage: Yes |
Tier 1: $1.00 Tier 2: $7.00 Tier 3: $30.00 Tier 4: 35% Tier 5: 33% |
Medicare Supplement By Company in Stoughton, Massachusetts
Stoughton, Massachusetts, Medicare supplement plans are designed to fill in the gaps left by original Medicare. That’s why they’re also known as Medigap plans. Compare Stoughton, MA, Medigap companies, and the plans they offer here.
Medicare Supplement Companies in Stoughton, Massachusetts
| Company | Plans |
|---|---|
| AARP – UnitedHealthcare Insurance Company (Standard 15% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| AARP – UnitedHealthcare Insurance Company (Standard 15% Disc/Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| AARP – UnitedHealthcare Insurance Company (Standard) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| AARP – UnitedHealthcare Insurance Company (Standard/Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Blue Cross and Blue Shield of Massachusetts | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Fallon Health and Life Assurance Company Inc. | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Harvard Pilgrim Health Care Inc. | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Harvard Pilgrim Health Care Inc. (10% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Harvard Pilgrim Health Care Inc. (15% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Harvard Pilgrim Health Care Inc. (5% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Health New England | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana (Humana Insurance Company) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana (Humana Insurance Company) (15% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana (Humana Insurance Company) (15% Disc/Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana (Humana Insurance Company) (Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana Healthy Living (Humana Insurance Company) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana Healthy Living (Humana Insurance Company) (15% Disc) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana Healthy Living (Humana Insurance Company) (15% Disc/Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Humana Healthy Living (Humana Insurance Company) (Household) | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
| Tufts Insurance Company | Medigap Core Plan, Medigap Supplement 1 Plan, Medigap Supplement 1A Plan |
Medicare Supplement Coverage by Plan in Stoughton, Massachusetts
Medicare supplement plans in Stoughton, MA, are standardized, so you’ll get the same coverage regardless of which company you choose. Find out what the standard Medigap plans in Massachusetts cover here.
Stoughton, Massachusetts Standard Medicare Plan Coverage
| Plan Name | Monthly Cost | Copays Coinsurance | Deductibles | Plan Benefits |
|---|---|---|---|---|
| Medigap Core Plan | Premiums range from $108-$204 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $1,484 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: No
Part A deductible: No Part B deductible: No Part B excess charges: No Foreign travel emergency: No |
| Medigap Supplement 1 Plan | Premiums range from $206-$330 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $0 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: Yes Part B excess charges: Yes Foreign travel emergency: Yes |
| Medigap Supplement 1A Plan | Premiums range from $161-$320 depending on your age, sex, health status, and when you buy. | $0 Generally your cost for approved Part B services | $0 Hospital (Part A) deductible, $203 Medical (Part B) deductible |
Skilled nursing facility: Yes
Part A deductible: Yes Part B deductible: No Part B excess charges: Yes Foreign travel emergency: Yes |
Shop for Medicare Coverage in Stoughton, Massachusetts
Finding the right coverage for Medicare in Stoughton, Massachusetts, is a matter of looking at your choices and narrowing down the best fits for your needs and budget. Whether you want a PPO Medicare Advantage plan in Stoughton, MA, or you prefer to bolster original Medicare with a Stoughton Medicare supplement plan, shopping around is your best bet.
To compare Stoughton, Massachusetts, Medicare rates, enter your ZIP code here for fast, free quotes.
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Frequently Asked Questions
What types of Medicare plans are available from companies in Stoughton, Massachusetts?
Companies in Stoughton, Massachusetts may offer different types of Medicare plans, including Medicare Advantage plans, Medicare Supplement plans, and Prescription Drug plans (Part D).
Can I keep my current doctor if I enroll in a Medicare Advantage plan from a company in Stoughton, Massachusetts?
The ability to keep your current doctor will depend on the specific Medicare Advantage plan you enroll in and whether your doctor is in the plan’s network. Be sure to check the plan’s provider directory before enrolling to ensure that your doctor is included.
How do I enroll in a Medicare plan offered by a company in Stoughton, Massachusetts?
You can enroll in a Medicare plan offered by a company in Stoughton, Massachusetts during the Annual Enrollment Period (AEP), which runs from October 15 to December 7 each year. You can also enroll during the Initial Enrollment Period (IEP) when you first become eligible for Medicare or during a Special Enrollment Period (SEP) if you experience certain life events, such as moving to a new area.
Are there any programs that can help me pay for my Medicare premiums and out-of-pocket expenses in Stoughton, Massachusetts?
Yes, there are several programs that can help you pay for your Medicare premiums and out-of-pocket expenses in Stoughton, Massachusetts, including the Medicare Savings Program (MSP) and Extra Help (also known as the Low-Income Subsidy). Eligibility requirements for these programs vary based on income and assets.
Can I switch Medicare plans offered by companies in Stoughton, Massachusetts?
Yes, you can switch Medicare plans offered by companies in Stoughton, Massachusetts during the Annual Enrollment Period (AEP), which runs from October 15 to December 7 each year. You can also switch plans during a Special Enrollment Period (SEP) if you experience certain life events, such as moving to a new area or losing your current coverage.
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Brandon Frady
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Brandon Frady has been a licensed insurance agent and insurance office manager since 2018. He has experience in ventures from retail to finance, working positions from cashier to management, but it wasn’t until Brandon started working in the insurance industry that he truly felt at home in his career. In his day-to-day interactions, he aims to live out his business philosophy in how he treats hi...
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