Medicare Advantage Plans in Wyoming
Medicare Advantage Plans in Wyoming, also known as Medicare Part C, are an alternative way to get Medicare health care benefits. Those eligible for Medicare coverage can purchase a Wyoming Medicare Advantage plan through a Medicare-affiliated private insurance company. Enrollees pay a monthly premium for a plan that bundles Medicare Part A (inpatient hospital insurance), and Medicare Part B (outpatient medical insurance) benefits into one plan. This monthly premium also covers extra benefits like Part D prescription drug benefits that the provider may include in the policy.
On the other hand, enrollees in Original Medicare must purchase additional coverage like Medicare Part D prescription drug plans separately. Each plan may have its monthly premium.
Top-rated Medicare Advantage Providers in Wyoming
- Laramie County Memorial Hospital: This regional insurer has enrolled about five percent of the market.
- Altius Health Plans: This small insurer offers an HMO that earned good quality ratings in Uinta County.
- Aetna: Aetna’s market share for the current year is 26 percent.
- Humana: There was no information published about Humana for the current year.
- Another notable carrier to look for is Cigna.
Popular Medicare Advantage Plan Types in Wyoming
Best for network freedom: Medicare Advantage PPOs
- PPOs offer more choices of network providers for Medicare beneficiaries.
- A PPO member doesn’t need a referral from a primary care physician to see a specialist.
- Monthly premiums are affordable and generally range between $0 and $100.00.
Best for low out-of-pocket costs: Medicare Advantage HMOs
- Most HMOs carry monthly premiums of $0.
- HMO enrollees require referrals to see specialists.
Best for people with low income or chronic health conditions: Medicare Advantage D-SNP
- D-SNPs, or Dual Eligible Special Needs Plans, benefit those with low income or chronic health issues such as end-stage renal disease.
- Dual eligible beneficiaries have health care coverage under both Medicare and Medicaid. D-SNPs assist members with health insurance expenses like copayments, coinsurance, premiums, and deductibles.
Wyoming Enrollment Facts:
Only 3% of the total Medicare population in Wyoming has coverage through a Medicare Advantage plan. The total number of people with Part C coverage is 3,526.
The enrollment numbers in Wyoming are low when compared to these national statistics:
- The total number of people enrolled in Medicare Advantage plans nationwide is expected to reach 29.5 million in 2022.
- The percentage of Medicare beneficiaries enrolled in Medicare Advantage nationwide is 42%.
How much does Medicare Advantage in Wyoming cost?
Those eligible for Medicare can find HMO plans with $0 monthly premiums. In some service areas in the United States, PPOs may also have zero premiums, although they are not common in Wyoming.
Medicare Advantage plans in Wyoming that have prescription drug coverage have an average monthly premium of $43.
You can get more information about plan costs by asking a licensed insurance agent for details in your service area.
How much do Advantage Plans cost in Alabama?
PPO Plan $0.00 to $43.00
HMO Plan $0.00
When can I enroll in a Medicare Advantage plan?
1. During your Initial Enrollment Period
When you turn 65:
- You can enroll in a Medicare Advantage plan if you receive Social Security retirement benefits when you turn 65.
The seven-month Initial Enrollment Period starts three months before the month of your 65th birthday. It includes the entire month of your birth date and ends three months after that.
If you are younger than 65 and:
- Have been receiving Social Security disability benefits for 24 months.
- You have end-stage renal disease or ALS.
Your Initial Enrollment Period starts three months before the 25th month of receiving disability benefits. It includes that entire month, and it ends three months after that.
2. During the Open Enrollment Period or Annual Election Period ( October 15 and ends on December 7)
You can purchase a new Medicare Advantage plan, switch to a different Medicare Advantage plan, go back to Original Medicare Part A and Part B, and enroll in a stand-alone Medicare Part D plan during this enrollment period.
The Open Enrollment Period begins on October 15 and ends on December 7 every year. Changes made to Medicare coverage during this period kick in on January 1.
3. During the Medicare Advantage Open Enrollment Period (January 1 to March 31)
This period runs from January 1 to March 31, and beneficiaries can either return to Original Medicare Part A and Part B or sign up for a different Medicare Advantage plan. Plan changes take effect on the first day of the month following the change.
4. During Special Enrollment Periods
If you qualify for special enrollment, you can purchase a Medicare Advantage plan or a Medicare Part D plan or make changes to your current health care plans.
Medicare may grant a special enrollment period to beneficiaries who are:
- Moving to a different service area
- Moving back to the U.S.
- Moving into or out of skilled nursing or long-term care
- Being released from prison
- No longer eligible for Medicaid services
- Becoming dual eligible for both Medicare benefits and Medicaid Services.
- Losing Medicare Advantage coverage
- Switching coverage from Original Medicare Part A and Part B plus Medigap over to Medicare Advantage coverage
5. During the five-star Special Enrollment Period
When a Medicare Advantage plan has a five-star rating in your service area, you can switch to the upgraded plan during this special enrollment period.
6. During the Special Enrollment Period for Medicare “Extra Help” programs
Beneficiaries who are in an Extra Help program or have Medicaid can make changes to their coverage during one of the following enrollment periods:
- January – March
- April – June
- July – September
Medicare Advantage Highlights:
Here are some more details about Medicare Advantage plans:
- All Medicare Advantage insurance plans must provide, at minimum, the same coverage as Medicare Part A and Medicare Part B benefits.
- Medicare Part C members must also continue paying their monthly Part B premiums to meet eligibility requirements for Medicare Advantage coverage.
- Part B premiums are $164.90 in 2023.
- The Part B deductible is $226.
- Plans in Wyoming are a popular alternative to Original Medicare coverage. The plan provider is responsible for claims, all customer services, and administration of Medicare benefits.
- Medicare Advantage health plans use network providers for health care services and healthcare providers.
- Include prescription drug coverage in addition to the Medicare benefits.
- Some Advantage plans provide extra benefits. These include vision, dental, and hearing care coverage and wellness club memberships.
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. Call us today, or request a quote online to learn more about plan options.
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