Compare by State – Medicare Plans in Massachusetts

Massachusetts Medicare Plans

Massachusetts residents turning 65 become eligible for Medicare. While the plans are great, some people require Medicare Supplements and Advantage plans to cover additional expenses left behind and offer increased flexibility.

The Medicare Supplements plan will cover the deductibles, copays, coinsurance, and more than Original Medicare which can save you thousands of dollars. Additionally, you will have the freedom to see any doctor that accepts Medicare.

Medicare Advantage plans offer similar coverage to Original Medicare, but offer extras, like prescription drug coverage, and don’t always cost you an additional premium.

Massachusetts Medicare Plans do not limit out-of-pocket costs unless paired with a Medicare Supplement plan, also known as Medigap plans. While these are typically standardized by federal law, Massachusetts is one of three states that doesn’t do this. Therefore, the plans to choose from are not standardized from insurer to insurer. With that said, state law does provide consumer protection so that premiums can’t vary based on age and prohibits pre-existing condition waiting periods.

Massachusetts Medicare Plans Open Enrollment

Medicare beneficiaries in Massachusetts are eligible for Medicare at age 65. Initial enrollment begins three months before your birth month and lasts three months after. During initial enrollment, you can also apply for Medicare Supplements.

Initial enrollment begins three months before your birth month and lasts three months after. This is also the time you can apply for Medicare Supplements. While you can enroll in a supplement at any time, initial enrollment is the best time to do so because you cannot be turned down due to health conditions considering you won’t have to answer health questions on your application. If you miss this window, you’ll likely have to answer health questions to apply, which means you could be turned down by other Massachusetts Medicare supplement plans.

In Massachusetts, there is another Medigap guaranteed-issue, open enrollment period that spans from February 1 to March 31.

Massachusetts Medicare Advantage

The state of Massachusetts offers up to 44 Medicare Advantage plans available, depending on what county you live in. When you enroll in a Medicare Advantage plan, you will get your care from the plan’s network of providers. These means that the private plans will pay instead of Medicare.

Massachusetts Medicare Part D

While Original Medicare and Medicare Supplement plans don’t offer coverage for prescription drugs, there is an option to enroll in Medicare Part D in the state of Massachusetts. If this is enticing for you, there are 26 Part D plans available.

Massachusetts Medigap Plans

Contrary to popular belief, your Part A & Part B benefits do not cover all of your medical expenses during retirement. Medigap plans to help people pay for things like deductibles and coinsurances.

Medicare Supplements in Massachusetts cover some, or even all, of the deductibles and coinsurance left over by Original Medicare.

This can save you thousands in out-of-pocket expenses, putting a cap on those costs, and this plan doesn’t limit you to a network of doctors that accept Medicare only.

There are 10 plans lettered A through N that offer standardized coverage. This means all plans lettered the same have to offer the same coverage and the only difference is price. So, be sure to shop your coverage.

Medicare Advantage for Massachusetts Residents Under the Age of 65 with Disabilities 

While Medicare is generally reserved for those turning 65, there are cases in which someone may be eligible for Medicare under the age of 65. This includes individuals with disabilities who have received Social Security Disability Income for 24 months or have End Stage Renal Disease (ESRD) or Amyotropic Lateral Sclerosis (ALS, also known as Lou Gehrig’s disease).

It is important to note that there is a five-month waiting period after a beneficiary is determined to be disabled before they can begin to collect Social Security Disability Income. People who meet all the criteria for Social Security Disability Income are generally automatically enrolled in Medicare Part A and Part B. For the people who meet the standards, but do not qualify for Social Security Income, have an option to purchase Medicare by paying a Part A premium monthly as well as a monthly Part B premium.

An exception to the 5-month waiting people does apply for those people with ESRD and ALS. These individuals do not have to collect benefits for 24 months in order to become eligible for Medicare.

The requirements for Medicare eligibility for people with ESRD and ALS are:

  • ESRD – Generally 3 months after a course of regular dialysis begins or after a kidney transplant
  • ALS – Immediately upon collecting Social Security Disability benefits

Regrettably, those with disabilities often have lower incomes, require more health care, and find it more difficult to pay for and obtain care compared to Medicare beneficiaries over 65 years of age. Take our Medicare quiz now to see if you qualify for incredible Medicare benefits, even if you are under the age of 65.

Every state is different, and so obtaining Medicare benefits in Massachusetts can be complicated or confusing. If you are disabled or under the age of 65 wondering if you qualify, it is best to contact us directly to see if you are eligible.

What Medicare Advantage benefits am I eligible for under the age of 65 in Massachusetts?

At 100 Insure, we can help you discover benefits you might be eligible for including:

  • Premiums starting at $0 per month
  • Coverage for copays and deductibles
  • Prescription drugs
  • Dental
  • Vision
  • Hearing
  • And transportation to the doctor and pharmacy

That’s right. Our company has helped qualified people under the age of 65 in Massachusetts receive benefits like:

  • Massage services
  • Meals after a hospital
  • Food for their service dog
  • A gym membership
  • Money for vitamins and groceries
  • Home improvements
  • In home care & aides
  • And pest control services

Contact us today to see if you qualify.

Medicare Coverage for Working People in Massachusetts with Disabilities

Medicare eligibility for working people with disabilities falls into three distinct time frames.

  • Trial work period – extends 9 months after a disabled individual obtains a job
  • Second period – This period is for 93 months after the end of the trial work period.
  • Third period – An indefinite period following those 93 months.

Keep in mind that Medicare eligibility during each of these periods applies only while the individual continues to meet the medical standard for being considered disabled under Social Security rules.

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