Medicare Plans in
York County, ME

20 Medicare Advantage Plans Found in York County. See Plans

York County, ME
Medicare Information

For York County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 20 MA plans are available in York 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 York County’s Medicare beneficiaries, Medicare Advantage plans offer an alternative to Original Medicare. Currently, 20 MA plans are available in York 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 York 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 York County

Average Cost of Medicare Advantage Plans in York County, Maine
Average Monthly Premium $39.48
Average in-network out-of-pocket spending limit $5,792.50
Average drug deductible in 2022 (weighted) $308.50
Percentage of plans rated 4 stars or higher 65.0%
Average Cost of Medicare Advantage Plans in York County, Maine
Average Monthly Premium
$39.48
Average in-network out-of-pocket spending limit
$5,792.50
Average drug deductible in 2021 (weighted)
$308.50
Percentage of plans rated 4 stars or higher
65.0%

Learn More About Medicare Advantage
Prescription Drug Plans

York 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 York County, ME

The following table includes cost information and other plan details for Aetna Inc. Medicare Advantage plans available in Maine in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Value Plan (HMO) H3597: 001 $0 $0 $5,900 Yes
4.5 out of 5
Aetna Medicare Eagle Plan (PPO) H5521: 349 $0 N/A $6,700 No
4 out of 5
Aetna Medicare Explorer Plan (PPO) H5521: 142 $49 $250 $7,550 Yes
4 out of 5

Anthem l MaineHealth

Anthem l MaineHealth Medicare Advantage Plans in York County, ME

The following table includes cost information and other plan details for Anthem l MaineHealth Medicare Advantage plans available in Maine in 2022.

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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 Choice (HMO-POS) H9065: 002 $0 $0 $5,500 Yes
Plan too new to be measured
Anthem l MaineHealth Advantage Access (PPO) H9219: 001 $0 $400 $5,800 Yes
Plan too new to be measured
Anthem l MaineHealth Advantage Extra (HMO) H9065: 005 $20 $275 $4,900 Yes
Plan too new to be measured
Humana Inc.

Humana Inc. Medicare Advantage Plans in York County, ME

The following table includes cost information and other plan details for Humana Inc. Medicare Advantage plans available in Maine in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Humana Honor (PPO) H5216: 059 $0 N/A $4,500 No
4 out of 5
HumanaChoice H5216-138 (PPO) H5216: 138 $0 $275 $4,800 Yes
4 out of 5
HumanaChoice H5216-175 (PPO) H5216: 175 $0 $250 $4,800 Yes
4 out of 5
Humana Gold Plus H5619-001 (HMO) H5619: 001 $0 $400 $6,700 Yes
4 out of 5
Humana Gold Plus H5619-066 (HMO) H5619: 066 $0 $355 $7,550 Yes
4 out of 5
HumanaChoice H5216-177 (PPO) H5216: 177 $40 $0 $4,800 Yes
4 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Advantage Plans in York County, ME

The following table includes cost information and other plan details for UnitedHealthcare Medicare Advantage plans available in Maine in 2022.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage Choice Plan 1 (PPO) H2001: 001 $0 $250 $5,900 Yes
4.5 out of 5
AARP Medicare Advantage Choice Plan 3 (PPO) H2001: 019 $0 $0 $6,700 Yes
4.5 out of 5
AARP Medicare Advantage Patriot (PPO) H2001: 021 $0 N/A $4,500 No
4.5 out of 5
AARP Medicare Advantage Choice Plan 2 (PPO) H2001: 010 $59 $150 $5,500 Yes
4.5 out of 5
WellCare Health Plans, Inc.

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

The following table includes cost information and other plan details for WellCare Health Plans, Inc. Medicare Advantage plans available in Maine in 2022.

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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
3.5 out of 5
Wellcare No Premium (HMO) H9364: 001 $0 $0 $6,700 Yes
Plan too new to be measured
Wellcare Giveback (HMO) H9364: 004 $0 $0 $7,550 Yes
Plan too new to be measured
Wellcare Assist Open (PPO) H2775: 114 $30 $480 $4,500 Yes
3.5 out of 5