Medicare Plans in
Berrien County, MI

39 Medicare Advantage Plans Found in Berrien County. See Plans

Berrien County, MI
Medicare Information

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For Berrien County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 39 private Medicare plans are available in Berrien County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.


For Berrien County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 39 private Medicare plans are available in Berrien 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.

Part D plans, also referred to as PDPs, cover retail prescription drugs.

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 some of the Medicare plans in Berrien County, Michigan, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

Average Cost of Medicare
Plans in Berrien County

Average Cost of Medicare Advantage Plans in Berrien County, Michigan
Average Monthly Premium $88.76
Average in-network out-of-pocket spending limit $5,596.45
Average drug deductible in 2024 (weighted) $322.27
Percentage of plans rated 4 stars or higher 100.0%
Average Cost of Medicare Advantage Plans in Berrien County, Michigan
Average Monthly Premium
$88.76
Average in-network out-of-pocket spending limit
$5,596.45
Average drug deductible in 2021 (weighted)
$322.27
Percentage of plans rated 4 stars or higher
100.0%

Learn More About Medicare
Prescription Drug Plans

Berrien County Medicare beneficiaries who are interested in a private Medicare 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.

Some beneficiaries 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.

Have Medicare questions?

Talk to a licensed agent today to find a plan that fits your needs.

Medicare Advantage Plans

Aetna Inc.

Aetna Inc. Medicare Plans in Berrien County, MI

The following table includes cost information and other plan details for Aetna Inc. private Medicare plans available in Michigan in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Aetna Medicare Eagle (PPO) H5521: 286 $0 N/A $4,390 No
4 out of 5
Aetna Medicare SmartFit (PPO) H5521: 407 $0 $250 $4,400 Yes
4 out of 5
Aetna Medicare Value (PPO) H5521: 219 $0 $0 $4,900 Yes
4 out of 5
Aetna Medicare Premier (PPO) H5521: 194 $14 $0 $3,900 Yes
4 out of 5
Blue Cross Blue Shield of Michigan

Blue Cross Blue Shield of Michigan Medicare Plans in Berrien County, MI

The following table includes cost information and other plan details for Blue Cross Blue Shield of Michigan private Medicare plans available in Michigan in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
BCN Advantage Elements (HMO-POS) H5883: 001 $0 N/A $4,500 No
4 out of 5
Medicare Plus Blue + Meijer (PPO) H9572: 007 $0 $0 $5,200 Yes
4 out of 5
Medicare Plus Blue PPO Essential (PPO) H9572: 004 $0 $0 $5,200 Yes
4 out of 5
BCN Advantage HMO-POS Prime Value (HMO-POS) H5883: 014 $0 $0 $4,500 Yes
4 out of 5
Medicare Plus Blue PPO Part B Credit (PPO) H9572: 006 $0 $350 $6,550 Yes
4 out of 5
Medicare Plus Blue PPO Vitality (PPO) H9572: 002 $68 $0 $5,000 Yes
4 out of 5
BCN Advantage HMO-POS Classic (HMO-POS) H5883: 002 $110 $0 $3,800 Yes
4 out of 5
Medicare Plus Blue PPO Signature (PPO) H9572: 001 $117 $0 $4,700 Yes
4 out of 5
BCN Advantage HMO-POS Prestige (HMO-POS) H5883: 003 $240 $0 $3,400 Yes
4 out of 5
Medicare Plus Blue PPO Assure (PPO) H9572: 003 $246 $0 $3,425 Yes
4 out of 5
Humana Inc.

Humana Inc. Medicare Plans in Berrien County, MI

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Michigan in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
HumanaChoice H5216-306 (PPO) H5216: 306 $0 $545 $7,550 Yes
4.5 out of 5
HumanaChoice - Diabetes and Heart (PPO C-SNP) H5216: 375 $0 $150 $5,900 Yes
4.5 out of 5
HumanaChoice SNP-DE H5216-385 (PPO D-SNP) H5216: 385 $0 $0 $8,850 Yes
4.5 out of 5
HumanaChoice R3887-001 (Regional PPO) R3887: 001 $0 N/A $4,200 No
4 out of 5
Humana USAA Honor with Rx (PPO) H5216: 305 $0 $350 $8,850 Yes
4.5 out of 5
HumanaChoice SNP-DE H5216-388 (PPO D-SNP) H5216: 388 $0 $0 $8,850 Yes
4.5 out of 5
HumanaChoice H5216-384 (PPO) H5216: 384 $0 $0 $5,300 Yes
4.5 out of 5
Humana USAA Honor (PPO) H5216: 190 $0 N/A $5,500 No
4.5 out of 5
HumanaChoice H5216-380 (PPO) H5216: 380 $19 $0 $5,900 Yes
4.5 out of 5
Humana Value Plus H5216-382 (PPO) H5216: 382 $28 $260 $8,850 Yes
4.5 out of 5
Humana Gold Choice H8145-006 (PFFS) H8145: 006 $40 $545 N/A Yes
4 out of 5
HumanaChoice H5216-011 (PPO) H5216: 011 $84 $0 $5,900 Yes
4.5 out of 5
HumanaChoice R3887-002 (Regional PPO) R3887: 002 $105 $545 $4,500 Yes
4 out of 5

Priority Health

Priority Health Medicare Plans in Berrien County, MI

The following table includes cost information and other plan details for Priority Health private Medicare plans available in Michigan in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
PriorityMedicare Vital (PPO) H4875: 022 $0 $350 $5,100 Yes
4.5 out of 5
PriorityMedicare D-SNP (HMO D-SNP) H8379: 001 $0 $0 $8,500 Yes
4 out of 5
PriorityMedicare Edge (PPO) H4875: 020 $0 $0 $5,300 Yes
4.5 out of 5
PriorityMedicare Key (HMO-POS) H2320: 022 $0 $0 $5,000 Yes
4.5 out of 5
PriorityMedicare Ideal (PPO) H4875: 018 $19 $125 $5,800 Yes
4.5 out of 5
PriorityMedicare Value (HMO-POS) H2320: 029 $31 $75 $4,900 Yes
4.5 out of 5
PriorityMedicare Merit (PPO) H4875: 016 $73 $0 $4,100 Yes
4.5 out of 5
PriorityMedicare (HMO-POS) H2320: 028 $79 $0 $4,500 Yes
4.5 out of 5
PriorityMedicare Select (PPO) H4875: 017 $147 $0 $3,500 Yes
4.5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Plans in Berrien County, MI

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Michigan in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
UHC Dual Complete MI-S001 (PPO D-SNP) H0271: 028 $0 $0 $8,850 Yes
4 out of 5
UHC Dual Complete MI-S002 (HMO-POS D-SNP) H2247: 001 $0 $0 $8,850 Yes
4 out of 5
UHC Dual Complete MI-V001 (HMO-POS D-SNP) H2247: 003 $0 $0 $4,250 Yes
4 out of 5