MA Bulletin 2022-04
Guide to Medicare; Issued March 16, 2022
1
A Massachusetts Consumer's
Guide to Medicare
Massachusetts SHINE Program
Updated January 2022
Medicare Guide
Disclaimer: This guide covers the basics around applying for Medicare. Information for this
guide was obtained via the Social Security Administration, Centers for Medicare and Medicaid
Services, and state Division of Insurance websites, as well as the Medicare & You Handbook. It
does not include every detail of the application process or eligibility requirements and residents
are encouraged to contact SHINE (Serving Health Insurance Needs of Everyone) for more
information or assistance. The Commonwealth’s SHINE program is an educational resource that
is designed to inform Massachusetts residents about the complexities of Medicare.
SHINE Counselors are highly trained, dedicated volunteers who are re-certified annually. They
will be glad to make an appointment with you to further explain and clarify your Medicare
options. SHINE Counselors will also screen you for eligibility programs that may reduce your
Medicare costs. These programs are offered through Prescription Advantage and MassHealth.
For more information:
SHINE
For additional information and a directory of SHINE Regional Offices:
1-800-243-4636
SHINEMA.org
Medicare
1-800-633-4227
www.medicare.gov/
Social Security Administration
1-800-772-1213
www.ssa.gov
MassHealth
1-800-841-2900 (Medicaid)
www.mass.gov/masshealth
Prescription Advantage
1-800-243-4636
www.prescriptionadvantagema.org
2
What is Medicare?
Medicare is the federal health insurance program for people 65 & older and some under 65 with
disabilities to help with their hospital and medical coverage. The program helps with the cost of health
care but it is not comprehensive; it does not cover all medical expenses or the cost of long- term care.
Different parts of Medicare help cover specific services:
Part A – Hospital Insurance
Part B – Medical Insurance
Part D – Prescription Drug Coverage
Medicare provides numerous preventive services at no cost to beneficiaries. A complete list of these services is
available at this link: Medicare Part B Preventive Services
Who is Eligible for Medicare?
You are eligible for Medicare if you are:
o 65 years old or older and a U.S. citizen or lawfully permitted resident for 5 years
o Under age 65 with disabilities. These individuals must have received 24 months of Social Security
Disability Insurance (SSDI) benefit payments or have End Stage Renal Disease (ESRD) or
Amyotrophic Lateral Sclerosis (ALS).
o Most people are eligible for premium-free Part A if they have paid Medicare taxes long enough through
their own or a spouse’s or ex-spouse’s work record.
How do I Enroll in Medicare?
Social Security handles enrollment in Parts A and B, and will review your records to see if you qualify for
Medicare. They will determine if you qualify for premium-free Part A, and what your monthly premium for Part B
will be, based on your income. See Your Part B Medicare Costs. You can enroll by physically going to a local
Social Security Office, or by making an appointment to enroll over the phone or online at www.ssa.gov.
If you already receive benefits from Social Security, you’ll get Medicare Part A and Part B automatically when
you’re first eligible and don’t need to sign up. You should be on the lookout in the mail for an Enrollment Kit from
Social Security and follow the instructions.
If you, your spouse or your loved one is turning 65 in the next 3 months and not already receiving benefits
from Social Security, you will not get Medicare automatically. It is your responsibility to contact Social
Security if you want to enroll.
TIP: Social Security highly recommends that you create a personalized MySocialSecurity account to enroll in
Medicare online.
3
4
Do I Have to Enroll in Medicare if I am Still Working?
If you are working and covered by your employer’s group health plan (or by a spouse’s plan), you may
want to delay enrollment in Part B and enroll only in Part A. You should check with your employer benefits
manager on whether or not you need to enroll in Part B. The number of employees in your employer group
plan may determine if you need to enroll in Medicare as your primary insurance. You can also delay
enrollment in Part A unless you are already collecting Social Security benefits.
If you have a Health Savings Account (HSA) as part of a high deductible employer insurance plan, you
may want to delay Part A because you cannot contribute to the HSA once your Part A coverage begins. You
may use money that is already present in the account after you enroll in Medicare to help pay for deductibles,
premiums, copayments, or coinsurance. If you contribute to your HSA after your Medicare Part A coverage
starts, you may have to pay a tax penalty. You should stop HSA contributions six months prior to retiring.
When Do I Enroll in Medicare?
Medicare has specific enrollment periods:
To enroll outside of these 4 periods, you must
qualify for a Special Enrollment Period
1. Initial Enrollment Period (Parts A, B, C & D)
2. General Enrollment Period (Parts A & B)
3. Fall Open Enrollment Period (Parts C & D)
4. Medicare Advantage Open Enrollment Period
(Part C & D- must be enrolled in MA plan on Jan 1st)
Initial Enrollment Period
3 months
2 months
1 month
The month
1 month
2 months
3 months
before the
before the
before the
you turn 65*
after the
after the
after the
month you
month you
month you
month you
month you
turn 65
turn 65
turn 65
turn 65
turn 65
turn 65
If you wait until the last 4 months of your Initial Enrollment
Period to enroll, your Part B coverage will be delayed for up to
3 months from the date you enrolled.
Enroll early to avoid a delay in coverage. To
get Part A and Part B the month you turn 65,
you must enroll during the first 3 months
before the month you turn 65.
*IF your birthday falls on the first day of the month, your coverage would be effective the month preceding
your birthday month.
If you do not enroll during your Initial Enrollment Period, you may be subject to late enrollment
PENALTIES (with some exceptions), and a possible delay in your coverage.
month you
Penalties for Late Enrollment
o Part A Late Enrollment Penalty
If you enroll late, and aren’t eligible for premium-free Part A, your monthly premium
may go up 10% for twice the number of years you signed up late.
o Part B Late Enrollment Penalty
If enrolling late, Part B penalty is a surcharge added to your monthly Part B premium for
life. The Part B late enrollment penalty is calculated as 10% of the current Part B premium for
every 12 month period you were not enrolled and did not have active employer coverage.
o Part D Enrollment Penalty
If you do not have Part D coverage, even if you take no prescription drugs you can incur a
lifetime penalty. The Part D penalty is calculated as 1% of the national base beneficiary
premium for each month you were not enrolled in a Part D plan and did not have creditable
coverage.
o Once you are eligible for Medicare, as long as you are working and covered by your employer’s group
health plan (or by a spouse’s plan), you will not be assessed a Part B Late Enrollment penalty. You will
need to provide an Employment Letter to Social Security. COBRA does not provide coverage from the
Part B penalty.
o After you enroll in Medicare, if you have creditable drug coverage from any source, including
employer, VA coverage, or COBRA coverage, you will not be assessed a Part D late enrollment penalty.
If you lose this creditable coverage, you will have up to two months to enroll in a Medicare drug plan to
avoid any penalties.
How Can I Protect Myself from Penalties for Not Having Coverage?
5
6
Two Options for Medicare Coverage
Once you have enrolled in Medicare Parts A and B via Social Security, you have two options:
1) Original Medicare with an optional Medigap and/or standalone drug plan OR
2) Medicare Advantage plan (also known as Medicare Part C).
Medicare Advantage Plans
Medicare Advantage (also known as Medicare Part C) is an “all in one” alternative to Original Medicare (Parts
A and B). These bundled plans are offered by private insurance companies that contract with Medicare to
provide beneficiaries with all of their Medicare benefits that include Part A, Part B, and usually Part D.
Out-of-pocket costs can vary. Some plans may have lower out-of-pocket costs than others for certain services.
With Medicare Advantage, you can choose between an HMO, PPO or an HMO-POS plan. You must use
doctors and/or other types of providers who are in the plan’s network if your Medicare Advantage Plan is an
HMO (Healthcare Maintenance Organization). You may also need to get a referral to see a specialist. For PPO
and HMO-POS plans, you may have the option of choosing out of network doctors but you will usually pay
higher co-pays. Ask your primary doctor or other providers you use if they participate in any Medicare
Advantage plans.
Emergency services will be covered anywhere within the United States. If you are traveling outside your region
(zip code/county), check with your plan for coverage information.
Most plans offer extra benefits that Original Medicare doesn’t cover, like routine/limited vision, hearing,
and dental. Check with your plan for coverage information.
You may pay a premium for the plan in addition to the monthly premium for Part B. Some plans have no
monthly premium. Make sure to check your maximum out-of-pocket cost before committing to any plan.
To be eligible for a plan, you must:
o Have both Medicare Part A & Part B
o Reside in the plan’s geographic service area
o Not be diagnosed with End-Stage Renal Disease (ESRD) - Restriction ends 12/31/20
When can I enroll or disenroll in a Medicare Advantage Plan?
o Initial Enrollment Period
o Special Enrollment Period
o Fall Open Enrollment (October 15 - December 7)
o Medicare Advantage Open Enrollment Period (January 1 - March 31)
✓Note: You must already have a Medicare Advantage Plan as of January 1st to make any changes.
Things to consider before choosing Medicare Advantage:
o Do your medical providers accept the plan or are you willing to change providers?
PLEASE call your provider to confirm plan acceptance!
o How much are the premium, copays, and coinsurance?
o What is the plan’s maximum out-of-pocket cost for the year?
o Do you need to get referrals to see a specialist?
o Are your prescription drugs on the plan’s formulary and what is the cost and are there any restrictions?
(See Page 11 for a List of Medicare Advantage Plans Currently Offered in Massachusetts)
Pro
s:
pocket costs
Can I go anywhere to receive
care?
s
ituation.
POS?
the HMO network.
Do I need a referral to see a specialist?
see a specialist.
Can I go anywhere to receive care?
p
ocket costs.
Do I need a referral to see a specialist?
s
ee a specialist.
Important things to consider when choosing a Medicare Advantage Plan:
any restriction
s?
7
8
Medicare Medical Savings Accounts
Medicare Medical Savings Accounts are being offered in Massachusetts as of January 1, 2021. These are consumerdirected plans that pair high deductible coverage with a Medical Savings Account. There are two plan levels, both with a
$0 premium but with different deposit and deductible amounts. Although these plans are considered Medicare
Advantage plans, there are some important distinctions:
o MSA plans do not include Part D drug coverage. Individuals who sign up for an MSA would need to join a
separate Part D plan to have drug coverage and copays on prescription drugs will not count towards your MSA
deductible.
o There are no networks, but individuals must use providers that accept their MSA plan
Important things to consider when choosing a Medical Savings Account:
o Are you able to meet the high deductible amount if needed?
o After your deductible is met, you will have no co-pays for any Medicare Part A or B covered service
o Unused balances in your MSA can be rolled over from year to year
o Money withdrawn from your MSA is tax-free as long as it is used for healthcare costs
(See pages 11-12 for a List of Medicare Advantage Plans and MSA Plans Currently Offered in Massachusetts)
Medigap Plans
Medigap plans, also known as supplements, provide extra coverage beyond Medicare by filling some of the gaps in
Medicare coverage. Medigap plans do not provide prescription drug coverage. In Massachusetts, there are 8 private
insurance companies that offer supplement plans across the state.
Massachusetts offers continuous open enrollment, which allows you to enroll, change or drop your plan any month for
an effective date the 1st of the following month.
(See Page 13 for a List of Medigap Plans Currently Offered in Massachusetts)
Part D Prescription Drug Plans:
Even if you do not take any prescription medications, you MUST have a Part D plan to avoid a lifetime penalty
unless you have other creditable coverage.
If you have Medicare Advantage, most include your Part D coverage. If you do not have Medicare Advantage, you can get
a Medicare Part D Standalone Prescription Drug Plan (PDP). People with higher incomes will pay more than the
standard premium for either type of plan. See: Your Part D Premium Costs
Medicare Part D standalone prescription drug plan carriers:
o Aetna Silverscript
o Blue Medicare Rx
o Cigna
o Elixir
Choosing a Part D Plan:
These are the things to consider when choosing a Part D plan
o What is the Total Cost (premiums and co-pays)?
o Are your prescription drugs covered?
o Does the plan have a deductible?
o Are there any restrictions?
o What pharmacies are preferred?
o For consumers who are prescribed certain insulin medications, the Senior Savings Model may offer a
fixed, lower co-pay during all coverage phases if the drug is on a plan’s formulary.
o Humana
o Mutual of Omaha
o United Healthcare
o WellCare
On-Line Tool to Compare Options:
You can view available Part D drug plans and Medicare Advantage plans using Medicare Plan Finder.
Go to www.medicare.gov and click on “Find 2022 Health & Drug Plans” – or talk with a SHINE
counselor.
TIP: Medicare also highly recommends that you create a personalized MyMedicare.gov account.
Page 7 of 14
Create an Account for a Personalized
Medicare Plan Finder Experience
When you create an account, you can:
• Build a better drug list. We’ll make suggestions based on prescriptions you filled within the last
12 months.
• Modify your drug list and save changes.
• Compare benefits and costs in your current plan to other plans available in your area.
• See prices based on any help you get with drug costs.
Create your new account
If you want access to personalized information and features, you’ll need to create an
account. Visit Medicare.gov/plan-compare and click “Log in or create account.”
Have the following information ready (for yourself or the person you’re helping):
1. Medicare Number – You can find this on your red, white, and blue Medicare card. If
you’re new to Medicare and don’t have your Medicare card yet, you can get your
Medicare number on the letter you get from Social Security after you enroll.
2. Last name
3. Date of birth
4. Current address with ZIP code or city
5. Part A or Part B coverage start date (find this on your Medicare card)
Once you add this information and select “Next,” you can create a username and password
and use your new Medicare account. You can write your username and a password hint below.
Just remember to keep this sheet in a safe place to protect your privacy.
My Username:
My Password Hint:
Forgot your username or password?
If you have an existing account, but forgot the username or password, click “Trouble
signing in?” under the Username box on the log in page. You’ll need this information:
1. Medicare number
2. Last name
3. Date of birth
CMS Product No. 12064
10
Your Medicare Options
REQUIRED
MEDICARE
Enrolled in Medicare Part A & Part B and continue to pay monthly premiums
OPTION #1
Original Medicare
+
•
Optional Medigap plan
•
3 different types of Medigap plans
1. Core
2. Supplement 1A
3. Supplement 1*
(*Only if Medicare eligible prior to 2020)
•
Free to choose any doctor or hospital
that accepts Medicare
•
No referrals needed to see specialists
•
Does NOT include drug coverage
•
When changing Medigap plans, need
to call plan to disenroll
+
OPTIONAL PART D
Stand Alone Prescription Drug Plan
•
Multiple plans to choose from
•
Automatic disenrollment
from Prescription Drug Plan
when changing Part D plans
OPTION #2
Medicare Advantage Plan (Part C)
• Optional “Replacement”
• Must maintain Part A & Part B and must
pay Part B premium
• 5 types of MA plans
1. HMO (Health Maintenance
Organization) - May use network
providers only
2. HMO-POS (HMO with Point Of
Service)-HMO with limited out of
network coverage
3. PPO (Preferred Provider Organization)-
Can go out of network for extra $$
4. SNP (Special Needs Plans)
HMOs for institutionalized individuals or
dual eligible
5. MSA (Medicare Medical Savings Accounts)
Consumer directed high deductible plan
• Usually includes prescription drug coverage.
• Cannot have separate Part D plan (except
MSAs)
• Cannot live outside service area for more than
6 consecutive months
• Covers some extra benefits
• Usually need referrals to see specialists
• May have co-pays and deductibles
• Automatic disenrollment when changing
Medicare Advantage Plans
Insurer Name
Plans Available
Range of
Premiums
Counties Offered In
Aetna
1-855-335-1407
aetnamedicare.com
HMO, PPO,
PPO no RX
All plans are $0
Bristol, Essex, Hampden,
Hampshire, Middlesex, Norfolk,
Plymouth, Suffolk, Worcester
Blue Cross Blue Shield of
Massachusetts
1-800-678-2265
medicare.bluecrossma.com
HMO, PPO,
HMO-POS
$0-$268
Barnstable, Bristol, Essex,
Franklin, Hampden, Hampshire,
Middlesex, Norfolk, Plymouth,
Suffolk, Worcester
NEW! Commonwealth Care
Alliance
1-888-537-5816
commonwealthcarealliance.org/
ma/become-amember/medicare-plansoverview/
PPO
$0-$36.30
Bristol, Essex, Franklin,
Hampden, Hampshire,
Middlesex, Norfolk,
Plymouth, Suffolk, Worcester
NEW! eternalHealth
617-665-7430
eternalhealth.com/medicareadvantage/plans/
HMO, PPO
$0-$120
Middlesex, Suffolk, Worcester
Fallon Community
Health Plan
1-800-868-5200
fchp.org/findinsurance/medicare.aspx
HMO, HMO
no RX
$0-$255
Barnstable, Berkshire, Bristol,
Essex, Franklin, Hampden,
Hampshire, Middlesex, Norfolk,
Plymouth, Suffolk, Worcester
Health New England
1-877-443-3314
healthnewengland.org/medica
re/plans
HMO, HMO
no RX, PPO
$0-$170
Berkshire, Franklin,
Hampden, Hampshire
Humana
1-800-833-2364
humana.com/medicare
PPO, PPO no RX
$0-$20
Bristol, Hampden, Worcester
Updated: 10/8/2021
11
Insurer Name
Plans Available
Range of
Premiums
Counties Offered In
NEW! MassAdvantage
HMO Members:
1-844-918-011
PPO Members:
1-844-915-0234
massadvantage.com/
HMO, PPO
$0-$102
Worcester
NEW! Senior Whole Health
(Molina Healthcare)
1-888-566-3526
molinahealthcare.com/memb
ers/ma/en-us/Pages/home
HMO
$0
Suffolk
Tufts
1-617-972-9400
tuftshealthplan.com/visitor/pl
ans-benefits/explore-ourplans/medicare-plans
HMO, HMO no
RX
$0-$248
Barnstable, Berkshire, Bristol,
Essex, Hampden, Hampshire,
Middlesex, Norfolk,
Plymouth, Suffolk, Worcester
UnitedHealthcare AARP
1-888-915-0037
uhcmedicaresolutions.com
HMO, PPO, RPPO
$0-$55
Barnstable, Berkshire, Bristol,
Dukes, Essex, Franklin,
Hampden, Hampshire,
Middlesex, Nantucket, Norfolk,
Plymouth, Suffolk, Worcester
NEW! Wellcare
1-877-357-3107
wellcaremedicareadvantage.com/
HMO, PPO
$0-$60
Berkshire, Bristol, Essex,
Hampden, Hampshire,
Middlesex, Norfolk,
Plymouth, Suffolk, Worcester
Insurer Name
Plans Available
Range of
Premiums
Counties Offered In
Lasso Healthcare
Growth MSA
$0 premium
$2,000 deposit
$5,000
deductible
Lasso Healthcare
GrownPlus MSA
$0 premium
$3,000 deposit
$8,000
deductible
Lasso Healthcare
1-800-918-2795
Lassohealthcare.com
Barnstable, Berkshire, Bristol,
Dukes, Essex, Franklin,
Hampden, Hampshire,
Middlesex, Norfolk,
Plymouth, Suffolk, Worcester
Updated: 10/8/2021
12
Medicare Supplement Plans
Offered in Massachusetts
2022
Updated 01/01/2022
Comparison of Plans
Core
Supplement 1*
Supplement 1A
Basic Benefits Included In All Plans:
Hospitalization Part A Co-payments
Days 61 - 90: $371 per day
Days 91-150: $742 per day
365 Additional Lifetime Hospital days - Paid in full
Part B Coinsurance
Coverage of coinsurance, in most cases, 20% of
approved amount
Parts A and B Blood First 3 pints
X
X
X
X
X
X
X
X
X
X
X
X
X
X
X
Additional Benefits
Part A Deductible for Hospital Days 1 - 60
$1484 per benefit period
X
X
Skilled Nursing Facility Coinsurance
Days 21-100 - $185.50 per day
X
X
Part B Annual Deductible - $203
X
Foreign Travel - For Medicare-covered services
needed while traveling abroad.
X
X
Inpatient Days in Mental Health Hospitals In
addition to Medicare's coverage of 190 lifetime
days and less any days previously covered by plan
in same benefit period
60 days per
calendar year
120 days per
benefit period
120 days per
benefit period
IMPORTANT NOTICE:
Medicare Supplement premium rates are required to be in effect for not
less than 12 months. Effective dates shown for each Carrier are based
on the most recent filing on record with the Division of Insurance.
13
Medicare Supplement Plans
Offered in Massachusetts
2022
Updated 01/01/2022
Medigap Carriers
Please note that some rates may
change during 2022
Medicare
Supplement Core
Medicare
Supplement 1*
Medicare
Supplement 1A
Blue Cross & Blue Shield of MA
(Medex)
1-800-678-2265 sales/apps
1-800-258-2226 member services
711 (TDD)
www.bluecrossma.com
(continuous open enrollment)
$113.58
Effective 01/01/2022
$226.29
Effective 01/01/2022
$190.55
Effective 01/01/2022
Optional Preventive Care Benefits
Rider
$ 2.52
Effective 01/01/2022
$ 2.52
Effective 01/01/2022
$ 2.52
Effective 01/01/2022
Fallon Health & Life Assurance
Company
1-866-330-6380 sales/apps
1-800-868-5200 member services
TRS 711
www.fallonhealth.org/medsupp
(continuous open enrollment)
$138.00
Effective 01/01/2022
$229.00
Effective 01/01/2022
$185.00
Effective 01/01/2022
HNE Insurance Company
1-877-443-3314
711 (TTY)
www.healthnewengland.org
(continuous open enrollment)
$126.00
Effective 01/01/2022
$227.00
Effective 01/01/2022
$185.00
Effective 01/01/2022
HNE Insurance Company
If you received communication that your former
employer has a contracted relationship with below
marketplaces please call:
•
AON Hewitt: 800-350-1470 or visit
retiree.aon.com
•
Towers Watson: 866-322-2824 or visit
my.viabenefits.com
(continuous open enrollment)
$120.00
Effective 01/01/2022
$207.00
Effective 01/01/2022
$185.00
Effective 01/01/2022
14
Medicare Supplement Plans
Offered in Massachusetts
2022
Updated 01/01/2022
Medigap Carriers
Please note that some rates may
change during 2022
Medicare
Supplement Core
Medicare
Supplement 1*
Medicare
Supplement 1A
HPHC Insurance Company, Inc.
1-877-909-4742 sales/apps
1-877-907-4742 member services
711 (TTY)
www.hpforlife.org
(continuous open enrollment)
$136.00
Effective 01/01/2022
$242.00
Effective 01/01/2022
$195.00
Effective 01/01/2022
Humana Insurance Company
1-800-872-7294 sales/apps
1-800-866-0581 member services
1-800-833-3301 (TDD)
www.humana.com
(continuous open enrollment)
$192.44
Effective 07/01/2021
$318.49
Effective 07/01/2021
$308.19
Effective 07/01/2021
Humana Insurance Company
HEALTHY LIVING (including dental and vision
benefits)
1-800-872-7294 sales/applications
1-800-866-0581 member services
1-800-833-3301 (TDD)
www.humana.com
(continuous open enrollment)
$205.79
Effective 07/01/2021
$331.84
Effective 07/01/2021
$321.54
Effective 07/01/2021
15
Medicare Supplement Plans
Offered in Massachusetts
2022
Updated 01/01/2022
Medigap Carriers
Please note that some rates may
change during 2022
Medicare
Supplement Core
Medicare
Supplement 1*
Medicare
Supplement 1A
Transamerica Life Insurance
Company
1-800-458-5736
(Group Medicare Supplement insurance
sponsored exclusively for eligible members of
the American Medical Association.)
www.amainsure.com
(continuous open enrollment)
1-800-247-1771
(Group Medicare Supplement insurance
sponsored exclusively for eligible members of
the American Institute of Certified Public
Accountants (AICPA))
https://forms.cpai.com/personalinsurance/medicare-supp/
(continuous open enrollment)
$119.20
Effective 09/09/2021
$206.17
Effective 09/09/2021
$184.73
Effective 09/09/2021
Tufts Insurance Company
Sales: 1-888-508-1401
Customer Relations:
1-800-701-9000
711 (TTY)
www.thpmp.org/medsupp
(continuous open enrollment)
$129.00
Effective 01/01/2022
$228.50
Effective 01/01/2022
$195.50
Effective 01/01/2022
Optional Dental Rider
$48.00
Effective 01/01/2022
$48.00
Effective 01/01/2022
$48.00
Effective 01/01/2022
16
Medicare Supplement Plans
Offered in Massachusetts
2022
Updated 01/01/2022
*Only available if eligible for Medicare prior to 1/1/2020
*Moving from Supplement 1 to Supplement 1A may be subject to restrictions
NOTE: If new to Medicare, check with each plan to see what discounts they may offer.
NOTE: Medex ChoiceTM is no longer sold, but existing members may remain enrolled:
$167.96/month in 2022
In compliance with Medicare regulations, Medicare Medigap 2 cannot be sold after
December 31, 2005, but existing members may remain enrolled. Medex Gold premium is
$878.78/month in 2022
Harvard Pilgrim Medigap plans will continue to be offered in 2022, but enrollment must be
done by calling the plan directly.
In addition to the above-noted Medicare Supplemental plans, Massachusetts residents may enroll
in Medicare Advantage Plans as well as Part D Prescription Drug Plans with the Centers for
Medicare and Medicaid Services ("CMS"). For further information regarding these plans please
visit the following website: https://www.medicare.gov/find-a-plan/questions/home.aspx
Medigap Carriers
Please note that some rates may
change during 2022
Medicare
Supplement Core
Medicare
Supplement 1*
Medicare
Supplement 1A
UnitedHealthcare Insurance
Company
Only for members of AARP
www.aarpmedicaresupplement.com
1-800-523-5800
(continuous open enrollment)
$144.25
Effective 06/01/2021
$259.00
Effective 06/01/2021
$201.75
Effective 06/01/2021
17
2022 Medicare Part D Stand Alone Prescription Drug Plans
Massachusetts
This chart is for information purposes only and is not approved by CMS
Insurance Company Name
Plan Name /Plan ID #
Monthly Premium
Aetna Medicare
(1-833-526-2445)
aetnamedicare.com
SilverScript Smart Rx (S5601-177)
$7.40
SilverScript Choice (S5601-004)
$33.60
SilverScript Plus (S5601-005)
$72.50
Blue MedicareRx
(1-877-479-2227)
rxmedicareplans.com
Blue MedicareRx Value Plus (S2893-001)
$51.70
Blue MedicareRx Premier (S2893-003)
$136.20
Cigna
(1-800-735-1459)
cigna.com/medicare
Cigna Essential Rx (S5617-281)
$32.10
Cigna Secure Rx (S5617-008)
$33.50
Cigna Extra Rx (S5617-247)
$55.60
Elixir Insurance
(1-888-377-1439)
envisionrxplus.com
Elixir RxSecure (S7694-002)
$36.10
Elixir RxPlus (S7694-125)
$36.50
Humana
(1-800-706-0872)
Humana.com/
medicare
Humana Walmart Value Rx Plan (S5884-182)
$22.70
Humana Basic Rx Plan
(S5884-102)
$36.30
Humana Premier Rx Plan (S5884-149)
$75.00
Mutual of Omaha
(1-800-961-9006)
mutualofomaharx.com
Mutual of Omaha Rx Premier
(S7126-072)
$35.10
Mutual of Omaha Rx Plus (S7126-002)
$97.20
UnitedHealthcare
(1-800-753-8004)
aarpmedicareplans.com
AARP MedicareRx Saver Plus (S5921-348)
$35.00
AARP MedicareRx Walgreens (S5921-385)
$29.30
AARP MedicareRx Preferred (S5820-002)
$101.00
Wellcare
(1-888-293-5151)
wellcarepdp.com
Wellcare Value Script (S4802-137)
$13.00
Wellcare Classic (S4802-076)
$33.50
Wellcare Medicare Rx Value Plus (S4802-205)
$69.00
Pink highlighted basic plans have a premium below 2022 benchmark of $36.27 (or within $2.00 de minimis amount)
All plans are National except Blue Cross plans.
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