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Medicare and Other Senior Health Plans in Massachusetts (MA)

In the state of Massachusetts, there are three Medicare options to choose from. There's Medicare Plan A, Plan B and Plan D*. Those eligible for these plans must be over the age of 65 and receiving Social Security benefits. These plans can also be used with supplemental health insurance plans. With the Plan A Medicare option, you are given basic coverage for your hospital visits and stays. Only 80% of your inpatient stays are covered with this option, so you'd be left to pay the remaining balance (determined by the number of days of your stay, it could be fully covered).

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Part A insurance is usually referred to as Hospital Insurance. With the Part B plan (also known as Medical Insurance), you receive benefits for medical supplies and outpatient expenses. Eighty percent of the expenses are covered by the Part B option.

Another option you can add to your original Medicare plan is Part D; this covers prescription drug costs. With the Part D plan, you are given the policy from an independent insurance agency. There are also ten Medigap plans available in Massachusetts, which can be used to help cover the additional 20% of medical costs not covered by the other Medicare plans. There are co-payments and deductibles for the Part D Medicare program.

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Providers for Medicare plans available in Massachusetts1

AARP
Advantra
Aetna
Blue Cross
Commonwealth Care Alliance
Evercare
Fallon Community Health Plan
Harvard Pilgrim Health Care
Fresenius Medical Care Health Plan
Health Net
Humana
UniCare
SecureHorizons
Senior Whole Health
HealthMarkets Care Assured
Today’s Options
Tufts Health Plan

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* You may be able to get extra help to pay for your prescription drug premiums and costs. To see if you qualify for getting extra help, call:

1-800-MEDICARE (1-800-633-4227). TTY/TDD users should call 1-877-486-2048, 24 hours a day/7 days a week;

The Social Security Administration at 1-800-772-1213 between 7 a.m. and 7 p.m., Monday through Friday. TTY/TDD users should call, 1-800-325-0778; or Your State Medicaid Office


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