Medicare Advantage Plans in Kansas

While Medicare Advantage plans in Kansas are considered replacements for Original Medicare, you won’t lose any coverage. You’ll still be able to keep the coverage available with Medicare Part A and Medicare Part B plans, which extend to inpatient health care services and outpatient care.

The key aspects of Medicare Advantage plans include:

  • Insurance carriers provide benefits
  • The insurance company you partner with is responsible for customer service, claims, administration, and every additional facet of your plan
  • Must pay Part B premiums to qualify for Medicare Advantage plans
  • Becoming increasingly popular with each passing year
  • Your plans and benefits will be tied to a specific network of doctors, hospitals, and facilities
  • “MAPD” plans may offer additional benefits in the form of prescription medication coverage
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Top-rated Medicare Advantage Providers in Kansas

  • Humana: In Kansas, Humana has one-third of the MA market. They were one of the first companies to promote PPOs and an alternative to HMOs.
  • Aetna: With a 45 percent share of the MA market, Aetna has been very active in Kansas in the past.
  • Other Companies offering Medicare Advantage plans: At this time, other insurers only have enrolled about eight percent of the total market. Coventry is one example of a small insurer with good star ratings for performance in Kansas.

Popular Medicare Advantage Plan Types in Kansas

There are several types of Medicare Advantage plans in 2022 you can select from when considering all your coverage options. These plans include Medicare Advantage PPO, Medicare Advantage HMO, and Medicare Advantage D-SNIP. Each plan has its own distinct benefits.

Best Network Freedom: Medicare Advantage PPO

  • A PPO plan provides members with an extensive network of doctors, hospitals, and other healthcare providers to select from
  • Access to out-of-network healthcare options is possible at a higher cost
  • Referrals aren’t needed to visit a specialist
  • Average monthly premium for the PPO plan extends from $0-$100

Best for Lowest Out-of-Pocket: Medicare Advantage HMO Plan

  • HMO plan members must visit network providers, which helps to reduce out-of-pocket costs
  • It’s possible to receive out-of-network care in the event of an emergency
  • Monthly premiums are usually set at $0
  • Medicare beneficiaries are required to use a primary care physician
  • Can seek specialist services with referral

Best for Low Income or Health Conditions: Medicare Advantage D-SNIP

  • Ideal for individuals who bring in less income or suffer from chronic health issues
  • It’s possible to reduce out-of-pocket costs for premiums and copayments by obtaining both Medicaid and Medicare

Iowa Enrollment Facts

The number of people currently enrolled in a Medicare Advantage plan in Kansas is 82,514. When separating the total number by plan type, you get:

  • Local HMO – 34,926
  • Local PPO – 42,497
  • Regional PPO – 1,117

The percentage of people eligible for Medicare in Kansas who opt for a Medicare Advantage plan is 42%.

The number of people enrolled in a Medicare Advantage plan nationwide is 26.4 million in 2021.

The percentage of people enrolled in a Medicare Advantage plan nationwide is 42%.

How much does Medicare Advantage in Kansas cost?

Most states offer HMO plans with a premium of $0 per month. It’s also possible for PPO plans to come with a premium of $0 per month. However, most PPO plans require a monthly premium payment of some kind. Since plan availability differs from county to county, the premium you pay depends on your plans.

The average premium in Kansas is among the lowest in the U.S., at $18.53.

How much do Advantage Plans cost in Kansas?

PPO Plan $0.00 to $18.53

HMO Plan $0.00

When can I enroll in a Medicare Advantage plan?

Initial Enrollment Period

  • This is a seven-month period that begins with the three months before your 65th birthday and ends with the three months following your birthday
  • If you turn 65 in June, your initial enrollment period will extend from the beginning of March until the end of September
  • This enrollment period is only available to people who have yet to obtain Medicare
  • Allows you to enroll in Medicare Part A and Part B
  • You can apply for Medicare Part C once you’ve been enrolled in Part B

Open Enrollment Period

  • This period begins on October 15 and ends on December 7
  • While the enrollment period is ongoing, it’s possible to change, leave, or join a plan
  • If your request has been sent in before December 7, your coverage will begin on January 1

Medicare Advantage Open Enrollment Period

  • Begins on January 1 and extends to March 31
  • This period allows you to change from one Medicare Advantage plan to another or to revert to Original Medicare

Special Enrollment Periods – Special Circumstances

This enrollment period is only available under special circumstances. These circumstances include:

  • You must leave your current Medicare Advantage plan because the plan is no longer available
  • You lose coverage from employer insurance plans or Medicaid
  • You move from one destination to another, the latter of which offers different Medicare Advantage plans

5-Star Special Enrollment Period

  • Begins on December 8 and Ends on November 30 of the following year
  • While this enrollment period is ongoing, you can change your Part D plan, Medicare Cost plan, or Medicare Advantage plan
  • It’s possible to join a plan that has been given a five-star rating

Special Enrollment Periods if You Get “Extra Help”

If your income is low or you don’t have enough resources, you may be eligible for the Extra Help program. In addition, if you’re currently eligible for Medicaid and Medicare, you can change your Medicare Advantage or Part D plan from January 1 to September 31.

If you’re eligible to receive payment assistance for prescription drug coverage, you can change your Part D plan between January 1 to September 31. If you lose eligibility or are enrolled in an SPAP plan, you can enroll in a Medicare Advantage or Medicare drug plan once every calendar year.

Ready to Learn More?

We help educate Medicare beneficiaries on their Medicare Advantage options and help them go through the process of reviewing and comparing plans. We work with most of the nation’s top-rated Medicare Advantage carriers. Give us a call today, or request a quote online to learn more about plan options.

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