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Massachusetts MedicareAdvantage Plans

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Medicare Advantage Plans in Essex County, Massachusetts

Below are Medicare Advantage plans available to residents of Essex county, Massachusetts. 8 carriers offer 20 plans throughout the county of Essex. Residents may choose plans from carriers such as Elder Service Plan Of The North Shore, Senior Whole Health and Commonwealth Care Alliance Inc.. This data has been made available by the Centers for Medicare & Medicaid Services (CMS) and is for informational purposes only. Some data may be inaccurate or incomplete. Please note that plans can vary by city, county, and state and all plans listed may not be available in all areas. To speak to an advisor and find the Medicare Advantage plan in Essex county that is right for you complete the form at the top of the page.

Medicare Advantage Health Plans in the county of Essex

Carrier Plan Title Plan Type
Elder Service Plan Of The North Shore Elder Service Plan of the Northshore (PACE) (H2222-002) National PACE
    Elder Service Plan Of The North Shore Elder Service Plan of the Northshore (PACE) (H2222-003) National PACE
      Senior Whole Health Senior Whole Health (HMO SNP) (H2224-001) HMO

        Premium and Other Important Information

        • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
        • $0 annual deductible.*
        • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
        • $6700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
        • $0 monthly plan premium*

        Doctor Office Visits

        • Authorization rules may apply.
        • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
        • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
        • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
        Commonwealth Care Alliance Inc. Senior Care Options Program (HMO SNP) (H2225-001) HMO

          Premium and Other Important Information

          • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
          • Commonwealth Care Alliance Inc. will reduce your monthly Medicare Part B premium by up to $ 0.50.
          • $0 annual deductible.*
          • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
          • $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
          • $0 monthly plan premium*

          Doctor Office Visits

          • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
          • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
          • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
          UnitedHealthcare Community Plan UnitedHealthcare Senior Care Options (HMO SNP) (H2226-001) HMO

            Premium and Other Important Information

            • * Depending on your level of Medicaid eligibility you may not have any cost-sharing responsibility for original Medicare services
            • $0 annual deductible.*
            • ** Please consult with your plan about cost sharing when receiving services from out-of-network providers.
            • $6 700 out-of-pocket limit for Medicare-covered services. However in this plan you will have no cost sharing responsibility for Medicare-covered services based on your level of Medicaid eligibility.
            • $0 monthly plan premium*

            Doctor Office Visits

            • $0 copay for each primary care doctor visit for Medicare-covered benefits.*
            • $0 copay for the cost of each in-area network urgent care Medicare-covered visit.*
            • $0 copay for each specialist doctor visit for Medicare-covered benefits.*
            UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO SNP) (H2228-001) Local Preferred Provider Organization

              Premium and Other Important Information

              • $5 000 out-of-pocket limit for Medicare-covered services.
              • $10 000 out-of-pocket limit for Medicare-covered services.
              • $32 monthly plan premium in addition to your monthly Medicare Part B premium.
              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
              • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

              Doctor Office Visits

              • $0 copay for each primary care doctor visit for Medicare-covered benefits.
              • 20% of the cost for each in-area network urgent care Medicare-covered visit
              • 0% to 20% of the cost for each specialist visit for Medicare-covered benefits.
              • 30% of the cost for each primary care doctor visit
              • 30% of the cost for each specialist visit
              Blue Cross Blue Shield of Massachusetts Medicare PPO Blue PlusRx (PPO) (H2230-002) Local Preferred Provider Organization

                Premium and Other Important Information

                • $250 annual deductible. Contact the plan for services that apply.
                • $3 400 out-of-pocket limit for Medicare-covered services.
                • $5 100 out-of-pocket limit for Medicare-covered services.
                • $134 monthly plan premium in addition to your monthly Medicare Part B premium.
                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co
                • Some physicians providers and suppliers that are out of a plan's network (i.e. out-of-network) accept "assignment" from Medicare and will only charge up to a Medicare-approved amount. If you choose to see an out-of-network physician who does NOT accept

                Doctor Office Visits

                • Authorization rules may apply.
                • $0 to $30 copay for each primary care doctor visit for Medicare-covered benefits.
                • $15 to $30 copay for each in-area network urgent care Medicare-covered visit
                • $0 to $30 copay for each specialist visit for Medicare-covered benefits.
                • $40 copay for each primary care doctor visit
                • $40 copay for each specialist visit
                Tufts Health Plan Medicare Preferred Tufts Medicare Preferred HMO Prime Rx Plus (HMO) (H2256-001) HMO

                  Premium and Other Important Information

                  • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                  • $184.4 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $160.4 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $112.4 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $170.4 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • $140.4 monthly plan premium in addition to your monthly Medicare Part B premium.
                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                  Doctor Office Visits

                  • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                  • $10 to $15 copay for each in-area network urgent care Medicare-covered visit
                  • $15 copay for each specialist visit for Medicare-covered benefits.
                  Tufts Health Plan Medicare Preferred Tufts Medicare Preferred HMO Prime Rx (HMO) (H2256-015) HMO

                    Premium and Other Important Information

                    • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                    • $153.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $129.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $81.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $139.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • $109.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                    Doctor Office Visits

                    • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                    • $10 to $15 copay for each in-area network urgent care Medicare-covered visit
                    • $15 copay for each specialist visit for Medicare-covered benefits.
                    Tufts Health Plan Medicare Preferred Tufts Medicare Preferred HMO Prime (HMO) (H2256-016) HMO

                      Premium and Other Important Information

                      • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                      • $126.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $102.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $54.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $112.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • $82.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                      Doctor Office Visits

                      • $10 copay for each primary care doctor visit for Medicare-covered benefits.
                      • $10 to $15 copay for each in-area network urgent care Medicare-covered visit
                      • $15 copay for each specialist visit for Medicare-covered benefits.
                      Tufts Health Plan Medicare Preferred Tufts Medicare Preferred HMO Value Rx (HMO) (H2256-018) HMO

                        Premium and Other Important Information

                        • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                        • $120.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • $99.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • $51.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • $79.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                        Doctor Office Visits

                        • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                        • $15 to $20 copay for each in-area network urgent care Medicare-covered visit
                        • $20 copay for each specialist visit for Medicare-covered benefits.
                        Tufts Health Plan Medicare Preferred Tufts Medicare Preferred HMO Value (HMO) (H2256-019) HMO

                          Premium and Other Important Information

                          • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                          • $93.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • $72.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • $24.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • $52.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                          Doctor Office Visits

                          • $15 copay for each primary care doctor visit for Medicare-covered benefits.
                          • $15 to $20 copay for each in-area network urgent care Medicare-covered visit
                          • $20 copay for each specialist visit for Medicare-covered benefits.
                          Tufts Health Plan Medicare Preferred Tufts Medicare Preferred HMO Basic Rx (HMO) (H2256-026) HMO

                            Premium and Other Important Information

                            • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                            • $47.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • $27.9 monthly plan premium in addition to your monthly Medicare Part B premium.
                            • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                            Doctor Office Visits

                            • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                            • $20 to $30 copay for each in-area network urgent care Medicare-covered visit
                            • $30 copay for each specialist visit for Medicare-covered benefits.
                            Tufts Health Plan Medicare Preferred Tufts Medicare Preferred HMO Basic (HMO) (H2256-027) HMO

                              Premium and Other Important Information

                              • $3 400 out-of-pocket limit for Medicare-covered services and select Non-Medicare Supplemental Services. Contact plan for details regarding Non-Medicare Supplemental Services covered under this limit.
                              • $20.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • $0.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                              • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                              Doctor Office Visits

                              • $20 copay for each primary care doctor visit for Medicare-covered benefits.
                              • $20 to $30 copay for each in-area network urgent care Medicare-covered visit
                              • $30 copay for each specialist visit for Medicare-covered benefits.
                              Blue Cross Blue Shield of Massachusetts Medicare HMO Blue PlusRx (HMO) (H2261-005) HMO

                                Premium and Other Important Information

                                • $3 400 out-of-pocket limit for Medicare-covered services.
                                • $181 monthly plan premium in addition to your monthly Medicare Part B premium.
                                • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                Doctor Office Visits

                                • Authorization rules may apply.
                                • $0 to $15 copay for each primary care doctor visit for Medicare-covered benefits.
                                • $15 to $30 copay for each in-area network urgent care Medicare-covered visit
                                • $0 to $30 copay for each specialist visit for Medicare-covered benefits.
                                Blue Cross Blue Shield of Massachusetts Medicare HMO Blue ValueRx (HMO) (H2261-019) HMO

                                  Premium and Other Important Information

                                  • $1 000 annual deductible. Contact the plan for services that apply.
                                  • $3 400 out-of-pocket limit for Medicare-covered services.
                                  • $87 monthly plan premium in addition to your monthly Medicare Part B premium.
                                  • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                  Doctor Office Visits

                                  • Authorization rules may apply.
                                  • $0 to $20 copay for each primary care doctor visit for Medicare-covered benefits.
                                  • $20 to $40 copay for each in-area network urgent care Medicare-covered visit
                                  • $0 to $40 copay for each specialist visit for Medicare-covered benefits.
                                  Erickson Advantage Erickson Advantage Signature with Drugs (HMO-POS) (H5652-001) HMO with POS Option

                                    Premium and Other Important Information

                                    • $5 000 out-of-pocket limit for Medicare-covered services.
                                    • $175 monthly plan premium in addition to your monthly Medicare Part B premium.
                                    • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                    Doctor Office Visits

                                    • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                    • $30 copay for each in-area network urgent care Medicare-covered visit
                                    • $30 copay for each specialist visit for Medicare-covered benefits.
                                    Erickson Advantage Erickson Advantage Signature without Drugs (HMO-POS) (H5652-002) HMO with POS Option

                                      Premium and Other Important Information

                                      • $5 000 out-of-pocket limit for Medicare-covered services.
                                      • $136.00 monthly plan premium in addition to your monthly Medicare Part B premium.
                                      • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay a higher premium because of their yearly income (over $85 000 for singles $170 000 for married couples). For more i

                                      Doctor Office Visits

                                      • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                      • $30 copay for each in-area network urgent care Medicare-covered visit
                                      • $30 copay for each specialist visit for Medicare-covered benefits.
                                      Erickson Advantage Erickson Advantage Guardian (HMO-POS SNP) (H5652-003) HMO with POS Option

                                        Premium and Other Important Information

                                        • $500 out-of-pocket limit for Medicare-covered services.
                                        • $31.1 monthly plan premium in addition to your monthly Medicare Part B premium.
                                        • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                        Doctor Office Visits

                                        • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                        • $20 copay for each in-area network urgent care Medicare-covered visit
                                        • $0 copay for each specialist visit for Medicare-covered benefits.
                                        Erickson Advantage Erickson Advantage Champion (HMO-POS SNP) (H5652-004) HMO with POS Option

                                          Premium and Other Important Information

                                          • $5 000 out-of-pocket limit for Medicare-covered services.
                                          • $175 monthly plan premium in addition to your monthly Medicare Part B premium.
                                          • Most people will pay the standard monthly Part B premium in addition to their MA plan premium. However some people will pay higher Part B and Part D premiums because of their yearly income (over $85 000 for singles $170 000 for married co

                                          Doctor Office Visits

                                          • $0 copay for each primary care doctor visit for Medicare-covered benefits.
                                          • $30 copay for each in-area network urgent care Medicare-covered visit
                                          • $30 copay for each specialist visit for Medicare-covered benefits.

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