$0 Premium Medicare Advantage Plans

• by Christian Worstell
• November 18, 2021
• Reviewed by John Krahnert

One of the first things people may want to know when shopping for health insurance coverage the cost of the plan. But what if there were affordable Medicare Advantage plans that offered $0 premiums?

There are over 3,800 Medicare Advantage plans for sale in the U.S. in 2022, and many of those have $0 premiums.¹ Here we’ll take a detailed look at these plans and help you make the most informed decision regarding your Medicare coverage.

How can a Medicare Advantage plan have a $0 premium?

Medicare Advantage plans with $0 premiums may still include some other cost requirements, similar to those that can be found with plans that do have premium costs. These costs may include:

• Deductibles
  Medicare Part A, Part B, Part C and Part D plans can each have a deductible, which is the amount you must pay out of pocket before Medicare or your plan pays its share. Deductibles typically apply on an annual basis and reset with each new plan year.
  
  This is not the case with Medicare Part A, however. The Part A deductible must be met during each benefit period, which starts the day you’re admitted for inpatient hospital care and ends when you stopped receiving inpatient care for 60 consecutive days.
 
• Copayments or coinsurance
  $0 premium Medicare Advantage plans may feature certain cost-sharing measures such as copayments (a flat fee) or coinsurance (a percentage of the cost of services or equipment). A copayment or coinsurance is the amount that you must pay for medical services, doctor visits, medical equipment or prescription drugs after your deductible is met.
  
  For example, if you are enrolled in a Medicare Advantage plan with 20 percent coinsurance charges, you will pay 20 percent of the total cost of medical services you receive after you have met your plan’s deductible. Your plan will cover the remaining 80 percent of the costs.
  
  By contrast, a $30 copay requires you to pay $30 for each service you receive after your deductible is met, regardless of the total bill amount for the covered services.
 
• Out-of-pocket maximums
  A plan’s out-of-pocket maximum is the total amount you can expect to pay during a plan year. Medicare Advantage plans will pay 100 percent of the remaining costs for covered services for the remainder of the year once this maximum is reached. By law, Medicare Advantage plans had to have an out-of-pocket maximum of no more than $7,750 in 2022.
 
• Out-of-network costs
  Medicare Advantage plans can be structured in a number of different ways, including Medicare HMO and Medicare PPO plan types, among others. Some of these types of Medicare Advantage plans include a network of preferred health care providers. With some of these plans, it may cost more money to receive approved medical care outside of the plan’s network. In some cases, out-of-network care may not be covered at all.
 
• Part B premium
  Anyone who wants to enroll in a Medicare Advantage plan, whether it’s a $0 premium Medicare Advantage plan or not, must remain enrolled in both Part A and Part B of Medicare. Most people do not pay a premium for Part A, but the standard Part B premium for 2022 is $170.10 per month. If you are enrolled in a $0 Medicare Advantage plan, you must continue to pay your Medicare Part B premiums (and Part A premiums, if you do not receive premium-free Part A).

How many Medicare Advantage plans have $0 premiums?

Nearly 9 out every 10 Medicare Advantage plans include prescription drug coverage. These plans are called Medicare Advantage Prescription Drug plans (MA-PDs). 98 percent of Medicare Advantage beneficiaries have access to an MA-PD that features $0 monthly premiums.²

What do $0 premium Medicare Advantage plans cover?

By law, Medicare Advantage plans must provide the same basic coverage as Part A and Part B of Medicare (though you still receive coverage for hospice care through Medicare Part A).

Some Medicare Advantage plans may then offer additional benefits that are unique to each plan. Some popular additional benefits include coverage for prescription drugs, vision, hearing and dental treatment.

Like any Medicare Advantage plan, a $0 premium plan may offer different benefits than other available plans.

Read additional medicare costs guides to learn more about Medicare costs and how they will affect you.

Where can I get a $0 Medicare Advantage plan?

Every state except Alaska has Medicare Advantage plans for sale in 2022. Not every area within each state will necessarily have a $0 premium plan for sale, as costs and availability vary all across the U.S.

If you’re interested in comparing Medicare Advantage plans where you live, contact a licensed insurance agent to review available plans and to learn more about what each plan may have to offer.

¹ $0 premium plans may not be available in all areas.
² Freed M. et al. (Nov. 2, 2021). Medicare Advantage 2022 Spotlight: First Look. Kaiser Family Foundation. Retrieved from www.kff.org/issue-brief/medicare-advantage-2022-spotlight-first-look.

About the author

Christian Worstell is a senior Medicare and health insurance writer with MedicareAdvantage.com. He is also a licensed health insurance agent. Christian is well-known in the insurance industry for the thousands of educational articles he’s written, helping Americans better understand their health insurance and Medicare coverage.

Christian’s work as a Medicare expert has appeared in several top-tier and trade news outlets including Forbes, MarketWatch, WebMD and Yahoo! Finance.

Christian has written hundreds of articles for MedicareAvantage.com that teach Medicare beneficiaries the best practices for navigating Medicare. His articles are read by thousands of older Americans each month. By better understanding their health care coverage, readers may hopefully learn how to limit their out-of-pocket Medicare spending and access quality medical care.

Christian’s passion for his role stems from his desire to make a difference in the senior community. He strongly believes that the more beneficiaries know about their Medicare coverage, the better their overall health and wellness is as a result.

A current resident of Raleigh, Christian is a graduate of Shippensburg University with a bachelor’s degree in journalism.

If you’re a member of the media looking to connect with Christian, please don’t hesitate to email our public relations team at Mike@tzhealthmedia.com.

 

 

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