Medicare Plans in
Kennebec County, ME

47 Medicare Advantage Plans Found in Kennebec County. See Plans

Kennebec County, ME
Medicare Information

For Kennebec County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 47 MA plans are available in Kennebec County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

For Kennebec County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 47 MA plans are available in Kennebec County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare. MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about Medicare Advantage plans in Kennebec County, Maine, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare Advantage
Plans in Kennebec County

Average Cost of Medicare Advantage Plans in Kennebec County, Maine
Average Monthly Premium $52.91
Average in-network out-of-pocket spending limit $5,993.75
Average drug deductible in 2023 (weighted) $379.55
Percentage of plans rated 4 stars or higher 34.0%
Average Cost of Medicare Advantage Plans in Kennebec County, Maine
Average Monthly Premium
$52.91
Average in-network out-of-pocket spending limit
$5,993.75
Average drug deductible in 2021 (weighted)
$379.55
Percentage of plans rated 4 stars or higher
34.0%

Learn More About Medicare Advantage
Prescription Drug Plans

Kennebec County Medicare beneficiaries who are interested in a Part C policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

In addition to these primary types of plans, some members may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Advantage Plans in Kennebec County, ME

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Maine in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Eagle Plan (PPO) H5521: 349 $0 N/A $5,900 No
3.5 out of 5
Aetna Medicare Value Plan (HMO) H3597: 007 $0 $0 $5,900 Yes
4 out of 5
Aetna Medicare Assure Plan (HMO-POS D-SNP) H3597: 011 $0 $0 $8,300 Yes
4 out of 5
SilverScript Choice (PDP) S5601: 002 $29 $505 N/A Yes
3.5 out of 5
Aetna Medicare Explorer Plan (PPO) H5521: 144 $47 $250 $6,700 Yes
3.5 out of 5
SilverScript Plus (PDP) S5601: 003 $70 $0 N/A Yes
3.5 out of 5

Anthem l MaineHealth

Anthem l MaineHealth Medicare Advantage Plans in Kennebec County, ME

The following table includes cost information and other plan details for Anthem l MaineHealth Medicare Advantage plans available in Maine in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Anthem l MaineHealth Advantage Dual Plus (HMO D-SNP) H9065: 001 $0 $0 $8,300 Yes
3.5 out of 5
Anthem l MaineHealth Advantage Extra (HMO) H9065: 006 $0 $275 $4,900 Yes
3.5 out of 5
Anthem l MaineHealth Advantage Plus (HMO) H9065: 008 $0 $0 $5,950 Yes
3.5 out of 5
Anthem l MaineHealth Advantage Access (PPO) H9219: 001 $0 $400 $5,800 Yes
Not enough data available
Anthem l MaineHealth Advantage Choice (HMO-POS) H9065: 003 $22 $0 $5,500 Yes
3.5 out of 5
Anthem MediBlue Rx Plus (PDP) S5596: 001 $69 $0 N/A Yes
3.5 out of 5
Anthem MediBlue Rx Standard (PDP) S5596: 046 $83 $505 N/A Yes
3.5 out of 5
Cigna

Cigna Medicare Advantage Plans in Kennebec County, ME

The following table includes cost information and other plan details for Cigna Medicare Advantage plans available in Maine in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Cigna Extra Rx (PDP) S5617: 246 $72 $100 N/A Yes
3 out of 5
Humana Inc.

Humana Inc. Medicare Advantage Plans in Kennebec County, ME

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Maine in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
HumanaChoice H5216-138 (PPO) H5216: 138 $0 $275 $4,800 Yes
4.5 out of 5
HumanaChoice H5216-175 (PPO) H5216: 175 $0 $250 $4,800 Yes
4.5 out of 5
HumanaChoice SNP-DE H5216-291 (PPO D-SNP) H5216: 291 $0 $0 $0 Yes
4.5 out of 5
Humana Honor (PPO) H5216: 059 $0 N/A $4,500 No
4.5 out of 5
Humana Gold Plus SNP-DE H5619-003 (HMO D-SNP) H5619: 003 $0 $0 $0 Yes
4 out of 5
Humana Gold Plus H5619-066 (HMO) H5619: 066 $0 $355 $8,300 Yes
4 out of 5
Humana Gold Plus H5619-137 (HMO) H5619: 137 $26 $400 $6,400 Yes
4 out of 5
Humana Walmart Value Rx Plan (PDP) S5884: 181 $37 $505 N/A Yes
3 out of 5
HumanaChoice H5216-177 (PPO) H5216: 177 $39 $0 $4,800 Yes
4.5 out of 5
Humana Premier Rx Plan (PDP) S5884: 148 $93 $300 N/A Yes
3 out of 5

Mutual of Omaha

Mutual of Omaha Medicare Advantage Plans in Kennebec County, ME

The following table includes cost information and other plan details for Mutual of Omaha Medicare Advantage plans available in Maine in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Mutual of Omaha Rx Essential (PDP) S7126: 104 $20 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Premier (PDP) S7126: 071 $86 $505 N/A Yes
2 out of 5
Mutual of Omaha Rx Plus (PDP) S7126: 001 $101 $505 N/A Yes
2 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in Kennebec County, ME

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Maine in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UnitedHealthcare Dual Complete (PPO D-SNP) H0271: 006 $0 $0 $0 Yes
4 out of 5
UnitedHealthcare Northern Light Health Flex (HMO-POS) H1944: 034 $0 $0 $5,900 Yes
4 out of 5
AARP Medicare Advantage Choice Plan 1 (PPO) H2001: 001 $0 $195 $5,900 Yes
5 out of 5
AARP Medicare Advantage Choice Plan 3 (PPO) H2001: 019 $0 $0 $6,700 Yes
5 out of 5
AARP Medicare Advantage Patriot (PPO) H2001: 021 $0 N/A $4,500 No
5 out of 5
AARP MedicareRx Walgreens (PDP) S5921: 384 $28 $350 N/A Yes
3 out of 5
AARP MedicareRx Saver Plus (PDP) S5921: 378 $43 $505 N/A Yes
3 out of 5
AARP Medicare Advantage Choice Plan 2 (PPO) H2001: 010 $57 $150 $5,500 Yes
5 out of 5
AARP MedicareRx Preferred (PDP) S5820: 001 $105 $0 N/A Yes
3.5 out of 5
WellCare Health Plans, Inc.

WellCare Health Plans, Inc. Medicare Advantage Plans in Kennebec County, ME

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Maine in 2023.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare No Premium Open (PPO) H2775: 109 $0 $0 $5,000 Yes
2.5 out of 5
Wellcare Dual Access Open (PPO D-SNP) H2775: 115 $0 $0 $0 Yes
2.5 out of 5
Wellcare No Premium (HMO) H9364: 001 $0 $0 $6,700 Yes
3.5 out of 5
Wellcare Dual Access (HMO D-SNP) H9364: 002 $0 $0 $0 Yes
3.5 out of 5
Wellcare Dual Liberty (HMO D-SNP) H9364: 003 $0 $0 $0 Yes
3.5 out of 5
Wellcare Giveback (HMO) H9364: 004 $0 $0 $8,300 Yes
3.5 out of 5
Wellcare Assist Open (PPO) H2775: 114 $8 $505 $4,500 Yes
2.5 out of 5
Wellcare Value Script (PDP) S4802: 136 $11 $505 N/A Yes
3 out of 5
Wellcare Classic (PDP) S4802: 075 $29 $505 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 237 $71 $0 N/A Yes
3 out of 5
Wellcare Medicare Rx Value Plus (PDP) S4802: 204 $71 $0 N/A Yes
3 out of 5