More than 1.3 million individuals in Arizona are enrolled in Medicare, and the state’s Medicare plan options are expanding along with the program’s popularity. If you’re shopping for Medicare plans in Arizona, you’ve probably already encountered a great deal of information. This is because you have a lot of options.

Understanding how the various Medicare components operate is the first step in choosing the coverage that right meets your needs.

Medicare in Arizona: Details

Medicare coverage patterns in Arizona during the 2022 fiscal year, as published by the Centers for Medicare & Medicaid Services (CMS):

  • There were 1,388,745 people living in Arizona, and of those 1,388,745 people, 1,388,745 were enrolled in Medicare.
  • Monthly premiums for Medicare Advantage in Arizona dropped from $11.74 in 2021 to $11.64 in 2022.
  • In 2022, Arizona residents can choose from 155 Medicare Advantage plans, up from 120 in 2021.
  • Medicare recipients in Arizona may select from various Medicare Advantage plans, including those with zero monthly premiums.
  • In 2022, Medicare beneficiaries in Arizona can choose from 27 different Part D plans, down from 32 the year before.
  • A lower monthly premium than what was paid in 2021 is available to all Arizona residents who enroll in a stand-alone Part D plan.
  • In the year 2022, Arizona residents can choose from 12 unique Medigap policies.

Arizona Medicare Advantage Plans for 2022

Medicare-eligible Arizona residents (who are either U.S. citizens or permanent residents) have a few different plans from which to choose. Suppose you’re younger than 65 and receiving SSDI because of a disability (for at least 24 months). In that case, you qualify if you have amyotrophic lateral sclerosis (ALS) or an end-stage renal disease (ESRD). Let’s have a look at the right Medicare plans in Arizona.

Original Medicare:

Coverage under Original Medicare is split between Part A & B. Part A of Medicare is what pays for inpatient hospital treatment, hospice care, outpatient hospital care, and skilled nursing facility care. Visits to the doctor, care received outside of a hospital, treatment received in the event of an emergency, testing performed in a laboratory, preventative care measures, and medical supplies are all covered under Part B. This type of insurance may also cover some medications that are unsafe to take by themselves.

Medicare Advantage (Part C or M.A.):

Medicare Advantage is a private insurance-based alternate to Original Medicare. In addition to covering your prescriptions, many plans also pay for things like gym memberships, dental care, vision care, hearing aids, and even transportation to and from your doctor’s appointments.

Medigap:

Medicare Supplement Insurance, or Medigap, refers to standardized plans offered by private insurance firms to people who have Medicare but still need additional coverage. These plans will cover costs not covered by Original Medicare.

Medicare Part D:

Additional coverage for prescription drugs is provided by Medicare Part D, which can be added to either Original Medicare or Medicare Advantage. Medicare controls the plans supplied by commercial insurance firms.

Right Medicare Plans in Arizona

Original Medicare in Arizona: 

Part A premium Part B premium Standard
Usually free $170.10 per month
·         Covers 80% of the majority of medical expenses.

·         You are responsible for the remaining 20% of costs, with no annual cap on out-of-pocket expenses.

·         You can purchase Medicare Supplement Insurance to assist cover your portion of expenditures.

·         Can use any doctor or hospital in the United States that accepts Medicare.

·         You can enroll in a separate Drug plan if you need drug coverage (Part D).

Right Medicare Advantage Plans in Arizona

Right Medicare advantage plans in Arizona for you may depend on your specific requirements. The Aetna Medicare Freedom plan is the right rated Medicare Advantage plan in Arizona, according to NewMedicare. Also, this plan offers PPO coverage, medication coverage, six core features, and the CMS top-rated Medicare advantage plans in Arizona.

The premiums for a PPO plan are often greater than those for an HMO plan. You’ll have more freedom, as you’ll be able to choose a doctor or hospital. With this coverage, you won’t need a referral to see a specialist.

Moreover, the right Medicare Advantage Plan in Arizona is the one that works for you in terms of price, provider network, and other factors. In 2022, Arizona residents can choose from one of 155 health insurance policies. Arizonans are increasingly opting for Medicare Advantage.

Furthermore, in 2022, the monthly price for some Arizona Medicare Advantage plans will be as low as zero dollars. You must keep your Original Medicare (Parts A and B) enrollment and pay your Part B premium to be eligible for the right Medicare Advantage plan in Arizona. Any premium your Medicare Advantage plan requires will also need to be covered.

Right HMO Medicare Advantage Plans in Arizona 2022

According to NewMedicare’s analysis, the Cigna Alliance Medicare plan is the right option for someone seeking HMO Medicare Advantage plans in Arizona in 2022, with prescription coverage, six core benefits, and a high star rating from the CMS. However, your requirements may dictate a different strategy.

Compared to other options, an HMO plan is the most affordable choice. Unfortunately, it limits your options for medical care to those already part of the plan’s network. In addition, you’ll need a referral to see a specialist.

Medicare Advantage PPO Plans in Arizona 

If your doctor accepts Medicare and your PPO’s terms, you can see them whenever you like. Of course, you’re free to see doctors who aren’t part of our network, but you should expect to pay more.

Using PPO’s

  • The plan allows you to see any doctor or hospital on the Medicare network.
  • You can see a specialist without a referral.
  • Include prescription drug coverage frequently

Medicare Advantage PPO plans offer the most network flexibility

  • PPO plans offer a bigger healthcare provider network.
  • No referrals required
  • Monthly PPO plan premiums range from $0 to $100.00

Right Medicare Part D Plans in Arizona

The Medicare Part D program is provided by commercial insurance companies but is governed by Medicare. Part D (Medicare Prescription Drug Plan) is available both on its own and as a component of the Medicare Advantage program (MA-PD).

Monthly Arizona Medicare Part D premiums start at $7.50.

At the moment, Arizona is home to 27 individual PDPs. Also, the Senior Savings Model reduces the out-of-pocket cost of insulin for people enrolled in ten of the stand-alone plans, and sixty of the Medicare Advantage Plans with prescription medication coverage.

Who should get a Part D plan: PDPs are the right for everyone, even those who don’t take any prescriptions. When you become eligible, you must enroll or face a monthly fine.

Medicare Supplement Plans in Arizona

Medicare supplement plans in Arizona may be able to lower their out-of-pocket expenses by enrolling in a Medicare Supplement Plan. Part A & B of Original Medicare does not provide full medical care coverage. As a result, beneficiaries frequently wind up footing the bill for costly out-of-pocket expenses, including deductibles, copays, and coinsurances.

Medigap policies fill in the 20% coinsurance gap left by Original Medicare. Also, Medigap policyholders in Arizona have access to all healthcare providers and facilities that participate in Medicare Part A and Part B. No matter whether the insurance company handles your Medicare Supplement plan, there are no network restrictions.

Medicare supplement plans for disabled under 65 in Arizona are available. Arizona residents under 65 who are disabled can purchase a Medicare supplement plan. Disabled Medicare recipients under 65 in Arizona must be offered Medigap coverage, although the monthly rates are significantly higher.  Moreover, if you have a disability and are eligible for Medicare while being younger than 65, you might be eligible to purchase a Medicare Supplement Insurance policy. Also, Medicare Supplement Insurance is a type of insurance that can assist offset some of the costs of receiving medical care under Original Medicare.

What Is the Right Medicare Supplement Plan in Arizona?

Because of their extensive protections, the right Medicare Supplement plans in Arizona are:

  • F Plan
  • G Plan
  • N Plan

Plan F of the Medicare Supplement Insurance Program is the most comprehensive option available. As long as Medicare covers the surgery, you have nothing to worry about financially if you have Medigap Plan F. If you frequently find yourself in the hospital or emergency room, this plan is a great choice.

However, not all Medicare recipients are qualified to participate in Medicare Supplement Plan F. If you started receiving Medicare benefits before January 1, 2020, you will not be eligible for Medigap Plan F.

Those who do not qualify for Medicare Supplement Plan F have Medigap Plan G as their next right alternative. The only out-of-pocket expense is the Medicare Part B deductible.

Medicare Supplement Plan G in Arizona often has a cheaper monthly premium than Medicare Supplement Plan F, making Plan G the more cost-effective option.

Medicare Plans in Arizona

Moreover, Plan N of the Medicare Supplement Insurance Program could be a good fit if you’re seeking catastrophic coverage. All of the Medicare Part B deductible, copayments of $20 to $50 at the doctor’s office and the hospital, and any other costs not covered by Medigap Plan N are on you.

However, if your provider does not accept Medicare assignment, you may be charged for “excess costs” beyond the Medicare-approved amount. Although such fees are unusual, you may be required to pay for them if the state where you receive services authorises them.

Medicare recipients in Arizona can be charged more than the allowable amount, like in most states.

Medicare Cost in Arizona

Original Medicare:

Part A rates under the original Medicare program can be as high as $499 per month or as low as $0. Each Medicare benefit period includes a $1,556 hospital deductible for those with Medicare Part A. Also, the typical monthly premium for Medicare Part B is $170.10. Part B has a $233 deductible.

Medicare Advantage Plans:

As of 2022, the typical monthly premium for a Medicare Advantage Plan in Arizona is $11.64. The first payment for some policies is nothing.

Part D plans:

The cheapest Medicare Part D plan has a monthly payment of $7.50.

Medigap plans: 

Medigap plan G costs between $110 and $428 a year for a nonsmoking 65-year-old female in Phoenix.

Medicare in Arizona: By Numbers

Original Medicare beneficiaries Average plan cost Arizona’s annual spending on each recipient Spending per recipient compared to the average for the country
786,222 Part A: $0 to $499 per month*

 

Part B: $170.10 **

$9,614 9% less

Bottom Line

All in all, in Arizona, nearly 1,3 million persons were registered in Medicare during the preceding year. Arizona residents can choose from a number of private insurance firms that each provide their own unique Medicare Supplement and Medicare Advantage plans. In Arizona, the monthly premiums for Medicare Advantage plans in 2022 have fallen overall.

Reach Out Today at NewMedicare and get your quotes now!