Massachusetts Medicare Advantage Companies for 2022 (Full List of Plans)
There are a lot of Medicare Advantage companies in Massachusetts to choose from, and each has a different selection of plans available. Massachusetts Medicare Advantage plans vary by county and even sometimes by ZIP code. You may be able to get Medicare Advantage coverage in Massachusetts without paying anything more than your original Medicare Part B cost.
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Written by
D. Gilson, PhD
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Reviewed by
Leslie Kasperowicz
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UPDATED: Jun 17, 2022
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The Highlights
- Standalone Medicare Part D Plans in Massachusetts can help cover prescription drugs
- There are 13 Medicare Advantage companies in Massachusetts
- You can choose from Massachusetts PPO and HMO Medicare Advantage plans
If you’re shopping for a Medicare Advantage plan in Massachusetts, there are a lot of options to choose from. 13 companies offer Medicare Advantage (Part C) coverage in Massachusetts. Plans vary by county and include HMO, PPO, and POS options.
Finding the best Medicare company can be a challenge. To choose the right MA Medicare company and plan for your needs, compare rates as well as out-of-pocket costs to find the best combination of cost and coverage.
Ready to compare Medicare plans from top companies in Massachusetts? Enter your ZIP code for fast, free Massachusetts Medicare quotes today.
Table of Contents
The Complete List of Medicare Advantage Companies in Massachusetts
You have a lot of companies to choose from for Part C Medicare Advantage in MA. Take a look at the complete listing of health insurance companies that offer Medicare Advantage plans in Massachusetts, which counties the plans are offered in, and how many plans each company offers.
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Medicare Advantage Companies in Massachusetts
| Company | Number of Plans | Counties |
|---|---|---|
| Aetna Medicare | 4 | Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex |
| BMC HealthNet | 1 | Barnstable, Bristol, Suffolk, Plymouth, Hampden |
| Blue Cross Blue Shield of Massachusetts | 7 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex |
| Commonwealth Care Alliance | 1 | Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex |
| Erickson Advantage | 2 | Plymouth, Essex |
| Fallon Health | 9 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex |
| Harvard Pilgrim Health Care of New England, Inc | 3 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex |
| Health New England Medicare Advantage Plans | 7 | Franklin, Hampshire, Berkshire, Hampden |
| Humana | 4 | Bristol, Worcester |
| Lasso Healthcare | 2 | Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex |
| Senior Whole Health | 2 | Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Hampden, Middlesex |
| Tufts Health Plan | 9 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex |
| UnitedHealthcare | 11 | Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex |
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Medicare Advantage Plans by Company in Massachusetts
To compare Medicare Advantage plans by company in Massachusetts, we’ve gathered a list of all the plans available from each MA Medicare company.
Take a look at the MA Medicare plans by company here, and bear in mind that plan availability and details vary by county.
Tufts Health Plan Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Tufts Medicare Preferred HMO Saver Rx (HMO) | H2256-028 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $0.00 |
| Tufts Medicare Preferred HMO Prime Rx (HMO) | H2256-015 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $180.00 |
| Tufts Medicare Preferred HMO Value No Rx (HMO) | H2256-019 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex | Local HMO * | $0.00 |
| Tufts Medicare Preferred HMO Basic Rx (HMO) | H2256-026 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $46.00 |
| Tufts Medicare Preferred HMO Value Rx (HMO) | H2256-018 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $150.00 |
| Tufts Medicare Preferred HMO Prime No Rx (HMO) | H2256-016 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex | Local HMO * | $0.00 |
| Tufts Medicare Preferred HMO Prime Rx Plus (HMO) | H2256-001 | Barnstable, Bristol, Norfolk, Suffolk, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $214.00 |
| Tufts Health Plan Senior Care Options (HMO D-SNP) | H2256-029 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Tufts Medicare Preferred HMO Basic No Rx (HMO) | H2256-042 | Suffolk, Worcester, Essex | Local HMO * | $0.00 |
BMC HealthNet Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| BMC HealthNet Plan Senior Care Options (HMO D-SNP) | H9585-001 | Barnstable, Bristol, Suffolk, Plymouth, Hampden | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Fallon Health Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Fallon Medicare Plus Super Saver HMO (HMO) | H9001-032 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex | Local HMO | $60.00 |
| Fallon Medicare Plus Orange HMO (HMO) | H9001-034 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex | Local HMO | $29.00 |
| NaviCare (HMO D-SNP) | H9001-019 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Fallon Medicare Plus Saver No Rx HMO (HMO) | H9001-029 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex | Local HMO * | $96.00 |
| Fallon Medicare Plus Blue HMO (HMO) | H9001-031 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex | Local HMO | $227.00 |
| Fallon Medicare Plus Green HMO (HMO) | H9001-030 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Berkshire, Essex, Hampden, Middlesex | Local HMO | $114.00 |
| Fallon Medicare Plus Central Green HMO (HMO) | H9001-036 | Worcester | Local HMO | $34.00 |
| Fallon Medicare Plus Central Orange HMO (HMO) | H9001-037 | Worcester | Local HMO | $0.00 |
| Fallon Medicare Plus Central Blue HMO (HMO) | H9001-035 | Worcester | Local HMO | $129.00 |
UnitedHealthcare Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| AARP Medicare Advantage Choice (Regional PPO) | R7444-001 | Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex | Regional PPO | $49.00 |
| AARP Medicare Advantage Plan 1 (HMO) | H1944-005 | Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $0.00 |
| AARP Medicare Advantage Plan 2 (HMO) | H1944-006 | Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $49.00 |
| UnitedHealthcare Senior Care Options (HMO D-SNP) | H2226-001 | Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| AARP Medicare Advantage Walgreens (PPO) | H3442-004 | Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local PPO | $0.00 |
| AARP Medicare Advantage Patriot (PPO) | H3442-005 | Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local PPO * | $0.00 |
| UnitedHealthcare Senior Care Options NHC (HMO D-SNP) | H2226-003 | Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Erickson Advantage Signature with Drugs (HMO-POS) | H5652-001 | Plymouth, Essex | Local HMO | $199.00 |
| Erickson Advantage Liberty without Drugs (HMO-POS) | H5652-002 | Plymouth, Essex | Local HMO * | $0.00 |
| Erickson Advantage Liberty with Drugs (HMO-POS) | H5652-008 | Plymouth, Essex | Local HMO | $0.00 |
| Erickson Advantage Freedom (HMO-POS) | H5652-006 | Plymouth, Essex | Local HMO | $70.00 |
Harvard Pilgrim Health Care of New England, Inc Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Harvard Pilgrim Stride Basic Rx (HMO) | H6750-006 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex | Local HMO | $0.00 |
| Harvard Pilgrim Stride Value Rx Plus (HMO) | H6750-008 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex | Local HMO | $168.00 |
| Harvard Pilgrim Stride Value Rx (HMO) | H6750-007 | Barnstable, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Middlesex | Local HMO | $67.00 |
Lasso Healthcare Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Lasso Healthcare Growth (MSA) | H1924-001 | Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex | MSA * | MSAs do not have a monthly premium. |
| Lasso Healthcare Growth Plus (MSA) | H1924-004 | Barnstable, Nantucket, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Dukes, Hampshire, Berkshire, Essex, Hampden, Middlesex | MSA * | MSAs do not have a monthly premium. |
Blue Cross Blue Shield of Massachusetts Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Medicare PPO Blue ValueRx (PPO) | H2230-018 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local PPO | $76.00 |
| Medicare HMO Blue FlexRx (HMO-POS) | H2261-023 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $96.00 |
| Medicare PPO Blue PlusRx (PPO) | H2230-002 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local PPO | $263.00 |
| Medicare PPO Blue SaverRx (PPO) | H2230-017 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local PPO | $0.00 |
| Medicare HMO Blue ValueRx (HMO) | H2261-022 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $36.00 |
| Medicare HMO Blue SaverRx (HMO) | H2261-024 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $0.00 |
| Medicare HMO Blue PlusRx (HMO) | H2261-005 | Barnstable, Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $267.00 |
Health New England Medicare Advantage Plans Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Health New England Medicare Premium No Rx (HMO) | H8578-003 | Franklin, Hampshire, Berkshire, Hampden | Local HMO * | $0.00 |
| Health New England Medicare Plus (HMO) | H8578-004 | Franklin, Hampshire, Berkshire, Hampden | Local HMO | $109.00 |
| Health New England Medicare Value (HMO) | H8578-012 | Franklin, Hampshire, Berkshire, Hampden | Local HMO | $0.00 |
| Health New England Medicare Premium (HMO) | H8578-001 | Franklin, Hampshire, Berkshire, Hampden | Local HMO | $166.00 |
| Health New England Medicare Basic No Rx (HMO) | H8578-009 | Franklin, Hampshire, Berkshire, Hampden | Local HMO * | $0.00 |
| Health New England Medicare Choice (HMO) | H8578-017 | Franklin, Hampshire, Berkshire, Hampden | Local HMO | $45.00 |
| Health New England Medicare Select (HMO-POS) | H8578-016 | Franklin, Hampshire, Berkshire, Hampden | Local HMO | $75.00 |
Commonwealth Care Alliance Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Senior Care Options Program (HMO D-SNP) | H2225-001 | Franklin, Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Humana Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| HumanaChoice H5216-249 (PPO) | H5216-249 | Bristol, Worcester | Local PPO | $0.00 |
| HumanaChoice H5216-138 (PPO) | H5216-138 | Bristol, Worcester | Local PPO | $0.00 |
| HumanaChoice H5216-250 (PPO) | H5216-250 | Bristol, Worcester | Local PPO | $20.00 |
| Humana Honor (PPO) | H5216-059 | Bristol, Worcester | Local PPO * | $0.00 |
Aetna Medicare Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Aetna Medicare Value Plan (HMO) | H5793-018 | Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local HMO | $0.00 |
| Aetna Medicare Explorer Plan (PPO) | H5521-159 | Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local PPO | $0.00 |
| Aetna Medicare Explorer Premier Plan (PPO) | H5521-221 | Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local PPO | $99.00 |
| Aetna Medicare Eagle Plan (PPO) | H5521-296 | Bristol, Norfolk, Suffolk, Worcester, Plymouth, Hampshire, Essex, Hampden, Middlesex | Local PPO * | $0.00 |
Senior Whole Health Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Senior Whole Health NHC (HMO D-SNP) | H2224-003 | Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Hampden, Middlesex | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
| Senior Whole Health (HMO D-SNP) | H2224-001 | Bristol, Norfolk, Suffolk, Worcester, Plymouth, Essex, Hampden, Middlesex | Local HMO | $0.00 for people who qualify for both Medicare and Medicaid. |
Erickson Advantage Medicare Plans in Massachusetts
| Plan Name | Base Plan ID | Counties | Plan Type | Monthly Premium |
|---|---|---|---|---|
| Erickson Advantage Champion (HMO-POS C-SNP) | H5652-004 | Plymouth, Essex | Local HMO | $199.00 |
| Erickson Advantage Guardian (HMO-POS I-SNP) | H5652-003 | Plymouth, Essex | Local HMO | $28.80 |
Massachusetts Medicare Advantage Plans With No Additional Cost
If you choose to buy Medicare Advantage in Massachusetts, you will still have to pay your original Medicare Part B premium. Several MA Medicare companies offer Advantage plans that don’t have any additional cost beyond your original Medicare costs. Take a look at the options.
Massachusetts Medicare Advantage Plans With No Additional Cost
| Plan Name | County | Preferred Pharmacy Copay/ Coinsurance 30-Day Supply | MOOP for Part A & B Benefits |
|---|---|---|---|
| Lasso Healthcare Growth (MSA) – H1924-001-0 | Nantucket, Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Dukes, Norfolk, Bristol, Berkshire, Barnstable, Franklin | This Plan does NOT include Prescription Drug coverage. | n/a |
| Lasso Healthcare Growth Plus (MSA) – H1924-004-0 | Nantucket, Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Dukes, Norfolk, Bristol, Berkshire, Barnstable, Franklin | This Plan does NOT include Prescription Drug coverage. | n/a |
| AARP Medicare Advantage Patriot (PPO) – H3442-005-0 | Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Franklin | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| AARP Medicare Advantage Plan 1 (HMO) – H1944-005-0 | Barnstable | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $5,700 |
| AARP Medicare Advantage Walgreens (PPO) – H3442-004-0 | Middlesex, Suffolk | 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 | Berkshire, Barnstable | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Aetna Medicare Explorer Plan (PPO) – H5521-160-0 | Plymouth, Essex, Middlesex, Suffolk, Norfolk, Bristol | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 33% | $6,700 |
| Aetna Medicare Value Plan (HMO) – H5793-014-0 | Plymouth, Essex, Middlesex, Suffolk, Norfolk, Bristol | Preferred Generic: $0.00, Generic: $0.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| Commonwealth Care Alliance (Medicare-Medicaid Plan) – H0137-001-0 | Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Berkshire, Barnstable, Franklin | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0%, Tier 5: 0% | n/a |
| Fallon Medicare Plus Central Orange HMO (HMO) – H9001-037-0 | Berkshire, Barnstable | 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 Orange HMO (HMO) – H9001-034-15 | Hampshire, Hampden, Berkshire, Franklin | 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 |
| Harvard Pilgrim Stride Basic Rx (HMO) – H1660-014-0 | Hampshire, Hampden, Berkshire, Franklin | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 25% | $4,500 |
| Humana Honor (PPO) – H5216-059-0 | Berkshire, Barnstable | This Plan does NOT include Prescription Drug coverage. | $4,500 |
| HumanaChoice H5216-138 (PPO) – H5216-138-0 | Worcester, Bristol | Preferred Generic: $6.00, Generic: $16.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $7,550 |
| HumanaChoice H5216-249 (PPO) – H5216-249-0 | Berkshire, Barnstable | Preferred Generic: $2.00, Generic: $9.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| Medicare HMO Blue SaverRx (HMO) – H2261-024-0 | Barnstable | 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 PPO Blue SaverRx (PPO) – H2230-017-0 | Berkshire, Barnstable | 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 |
| Tufts Health Unify (Medicare-Medicaid Plan) – H7419-001-0 | Worcester, Middlesex, Suffolk | Tier 1: 0%, Tier 2: 0%, Tier 3: 0%, Tier 4: 0% | n/a |
| Tufts Medicare Preferred HMO Saver Rx (HMO) – H2256-028-0 | Hampshire, Hampden, Franklin | Preferred Generic: $0.00, Generic: $4.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28%, Vaccines: $0.00 | $7,550 |
| UnitedHealthcare Senior Care Options NHC (HMO D-SNP) – H2226-003-0 | Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Franklin | 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 (HMO D-SNP) – H2226-001-0 | Worcester, Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Franklin | Tier 1: $0.00, Tier 2: $0.00, Tier 3: $0.00, Tier 4: $0.00, Tier 5: $0.00 | n/a |
| NaviCare (HMO D-SNP) – H9001-019-0 | Hampshire, Hampden, Berkshire, Franklin | Tier 1: $0.00 | n/a |
| Senior Care Options Program (HMO D-SNP) – H2225-001-0 | Plymouth, Essex, Middlesex, Hampshire, Suffolk, Hampden, Norfolk, Bristol, Barnstable, Franklin | 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 | Plymouth, Middlesex, Norfolk, Bristol, Barnstable | Tier 1: 15% | n/a |
| Senior Whole Health NHC (HMO D-SNP) – H2224-003-0 | Hampshire, Hampden, Franklin | Tier 1: 15% | n/a |
| Tufts Health Plan Senior Care Options (HMO D-SNP) – H2256-029-0 | Hampshire, Hampden | 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 |
| Aetna Medicare Explorer Plan (PPO) – H5521-159-0 | Plymouth, Essex, Middlesex, Suffolk, Norfolk, Bristol | Preferred Generic: $5.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 30% | $6,700 |
| Aetna Medicare Value Plan (HMO) – H5793-018-0 | Plymouth, Essex, Middlesex, Suffolk, Norfolk, Bristol | Preferred Generic: $3.00, Generic: $7.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 28% | $6,700 |
| Erickson Advantage Liberty with Drugs (HMO-POS) – H5652-008-0 | Berkshire, Barnstable | Preferred Generic: $5.00, Generic: $20.00, Preferred Brand: $45.00, Non-Preferred Drug: $100.00, Specialty Tier: 25% | $6,700 |
| Erickson Advantage Liberty without Drugs (HMO-POS) – H5652-002-0 | Hampshire, Hampden, Berkshire, Franklin | This Plan does NOT include Prescription Drug coverage. | $6,700 |
| Fallon Medicare Plus Orange HMO (HMO) – H9001-034-17 | Hampshire, Hampden, Berkshire, Franklin | 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 |
| BMC HealthNet Plan Senior Care Options (HMO D-SNP) – H9585-001-0 | Hampshire, Hampden | Tier 1: $0.00 | n/a |
| AARP Medicare Advantage Plan 1 (HMO) – H1944-001-0 | Barnstable | Preferred Generic: $3.00, Generic: $12.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 27% | $5,700 |
| AARP Medicare Advantage Walgreens (PPO) – H3442-003-0 | Middlesex, Suffolk | Preferred Generic: $0.00, Generic: $5.00, Preferred Brand: $47.00, Non-Preferred Drug: $100.00, Specialty Tier: 29% | $6,700 |
| Fallon Medicare Plus Orange HMO (HMO) – H9001-034-16 | Berkshire, Barnstable | 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 |
| Health New England Medicare Basic No Rx (HMO) – H8578-009-0 | Hampshire, Hampden, Berkshire, Franklin | This Plan does NOT include Prescription Drug coverage. | $4,900 |
| Health New England Medicare Value (HMO) – H8578-012-0 | Hampshire, Hampden, Berkshire, Franklin | Preferred Generic: $4.00, Generic: $10.00, Preferred Brand: $45.00, Non-Preferred Drug: $95.00, Specialty Tier: 26% | $6,700 |
| Harvard Pilgrim Stride Basic Rx (HMO) – H6750-006-0 | Barnstable | Preferred Generic: $0.00, Generic: $15.00, Preferred Brand: $47.00, Non-Preferred Brand: $100.00, Specialty Tier: 25% | $4,500 |
Standalone Medicare Part D Plans in Massachusetts
If you need to purchase Part D Medicare coverage in Massachusetts as a standalone policy, these plans are available. Remember that plans vary by county, and make sure to check that your MA Medicare Advantage plan doesn’t already include Part D prescription drug coverage.
Standalone Medicare Part D Plans in Massachusetts
| Plan | Details | Tiers |
|---|---|---|
| SilverScript SmartRx (PDP) S5601 – 177 – 0 by Aetna Medicare |
Monthly Premium: $7.20 Annual Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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 Deductable: $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% |
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