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Tue, October 16, 2012
Mon, October 15, 2012 How Much Does Medicare Advantage Cost? -- eHealth Publishes Analysis of 2013 Medicare Advantage Plan Costs and Benefits
October 15, 2012 15:00 ET
How Much Does Medicare Advantage Cost? -- eHealth Publishes Analysis of 2013 Medicare Advantage Plan Costs and Benefits
MOUNTAIN VIEW, CA--(Marketwire - Oct 15, 2012) - Today eHealth, Inc., America's first and largest health insurance exchange, published an analysis conducted by PlanPrescriber.com ([ http://www.planprescriber.com ]) of the public use Medicare Advantage "landscape source files" for the years 2011, 2012 and 2013. The analysis found that the average monthly premium will be $60.09, and the average annual out-of-pocket maximum will be $4,415 for all available Medicare Advantage plans in 2013. The data is published in PlanPrescriber's "2013 Medicare Advantage Plan Landscape Data Summary" and is available in the eHealth [ media center ]. PlanPrescriber is a wholly-owned subsidiary of eHealth, Inc. (
These files are provided by the Centers for Medicare and Medicaid Services (CMS) and available online at: [ http://www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn/index.html?redirect=/PrescriptionDrugCovGenIn/ ]
PlanPrescriber's analysis of CMS's landscape source files examines three key attributes of [ Medicare Advantage ] plans and tracks how each has changed over the past three years, following the implementation of the Patient Protection and Affordable Care Act (ACA). PlanPrescriber's analysis summarizes the basic information provided in this landscape report, including monthly premiums, maximum out of pocket (MOOP) limits and prescription drug benefits available for Medicare Advantage plans in 49 states, the District of Columbia and Puerto Rico.
Summary of Medicare Advantage Plan Costs and Benefits
According to PlanPrescriber's analysis, in 2013 there are a total of 43,306 Medicare Advantage plans available throughout the United States; a decrease from the 43,329 plans available nationwide in 2012. Plans are made available on a county-by-county basis, which means the same plan is often counted numerous times throughout the same state1.
Data Highlights
- Average Premiums: In 2013, the average monthly premium for all available Medicare Advantage plans is $60.09, up from $57.56 in 2012 and $48.33 in 2011.
- Average MOOP: In 2013, the average out-of-pocket maximum for a Medicare Advantage plan was $4,516, unchanged from the limit of $4,516 in 2012 and up from $4,376 in 2011.
- Enhanced Drug Benefits: In 2013 the average monthly premium for a Medicare Advantage plan with an enhanced drug benefit was $68.05, up from $65.78 in 2012 and $59.86 in 2011.
- Plans with $0 Monthly Premiums: Among the 43,306 plans available in 2013, 13,741 plans (32 percent) will be offered at a cost of $0 above what a Medicare beneficiary already pays for Medicare Part B. By comparison, 14,297 plans (33 percent) were available with a $0 monthly premium in 2012 and 13,821 plans (35 percent) were available in 2011.
The table below provides national and state-level data on the data found in the report from 2013.
National and State-Level Medicare Advantage Plan 2013 Data
| National 2013 | Average Premium 2013 | Plans with $0 Premium 2013 | Average Premium (excluding $0 premium plans) | Average MOOP 2013 | Avg. Premium Plans with Enhanced Drug Benefits* |
| 43,306 Plans | $60.09 | 13,741 (32%) | $88 | $4,415 | $68 |
| State Level Data | |||||
| Alabama | $46.63 | 47% | $88.43 | $4,187 | $55.38 |
| Arizona | $62.45 | 36% | $98.05 | $5,674 | $61.86 |
| Arkansas | $39.40 | 49% | $77.70 | $5,037 | $42.58 |
| California | $47.46 | 42% | $81.68 | $4,214 | $38.33 |
| Colorado | $63.85 | 15% | $75.07 | $5,299 | $94.66 |
| Connecticut | $48.64 | 37% | $76.73 | $5,331 | $59.68 |
| Delaware | $41.00 | 33% | $61.50 | $6,700 | $41.00 |
| Florida | $20.96 | 71% | $73.43 | $4,337 | $19.67 |
| Georgia | $46.27 | 35% | $70.77 | $5,451 | $39.61 |
| Hawaii | $46.61 | 46% | $86.92 | $4,177 | $38.63 |
| Idaho | $73.79 | 12% | $83.53 | $3,378 | $91.27 |
| Illinois | $62.30 | 23% | $80.79 | $3,985 | $64.05 |
| Indiana | $55.66 | 26% | $75.25 | $5,134 | $63.87 |
| Iowa | $30.40 | 54% | $65.86 | $3,878 | $31.54 |
| Kansas | $71.48 | 23% | $92.24 | $3,780 | $82.11 |
| Kentucky | $70.63 | 19% | $87.03 | $5,696 | $80.70 |
| Louisiana | $36.01 | 43% | $62.64 | $5,874 | $42.93 |
| Maine | $43.64 | 29% | $61.18 | $4,197 | $49.01 |
| Maryland | $59.29 | 19% | $72.85 | $4,985 | $72.56 |
| Massachusetts | $79.02 | 14% | $91.37 | $3,825 | $78.25 |
| Michigan | $80.46 | 13% | $92.08 | $4,551 | $114.88 |
| Minnesota | $107.52 | 3% | $111.01 | $3,580 | $129.84 |
| Mississippi | $51.45 | 29% | $72.77 | $4,897 | $64.16 |
| Missouri | $43.36 | 42% | $74.56 | $4,780 | $39.23 |
| Montana | $77.86 | 10% | $86.84 | $3,984 | $92.11 |
| Nebraska | $63.52 | 28% | $88.33 | $5,084 | $86.36 |
| Nevada | $71.57 | 20% | $89.47 | $3,526 | $74.18 |
| New Hampshire | $63.78 | 12% | $72.37 | $5,050 | $96.56 |
| New Jersey | $66.99 | 42% | $114.38 | $6,469 | $85.94 |
| New Mexico | $45.26 | 38% | $73.30 | $3,761 | $53.46 |
| New York | $52.65 | 36% | $79.35 | $4,265 | $64.30 |
| North Carolina | $39.97 | 35% | $61.18 | $4,127 | $47.35 |
| North Dakota | $105.52 | 14% | $122.29 | $3,485 | $153.21 |
| Ohio | $40.63 | 38% | $65.35 | $4,670 | $50.61 |
| Oklahoma | $65.97 | 22% | $84.41 | $3,785 | $73.09 |
| Oregon | $75.12 | 11% | $83.96 | $3,233 | $82.70 |
| Pennsylvania | $69.42 | 28% | $93.38 | $4,409 | $80.70 |
| Puerto Rico | $14.45 | 71% | $50.25 | $4,772 | $20.28 |
| Rhode Island | $64.00 | 50% | $128.00 | $4,406 | $85.33 |
| South Carolina | $31.40 | 47% | $59.10 | $5,663 | $31.87 |
| South Dakota | $111.99 | 9% | $123.30 | $3,636 | $142.04 |
| Tennessee | $44.10 | 42% | $75.96 | $4,101 | $54.27 |
| Texas | $78.71 | 31% | $113.66 | $4,584 | $87.51 |
| Utah | $50.15 | 44% | $88.82 | $4,217 | $47.16 |
| Vermont | $62.11 | 21% | $78.83 | $5,229 | $92.30 |
| Virginia | $50.62 | 25% | $67.72 | $4,683 | $63.04 |
| Washington | $94.94 | 14% | $110.47 | $3,432 | $106.70 |
| Washington D.C. | $33.93 | 43% | $59.38 | $4,500 | $42.44 |
| West Virginia | $77.96 | 18% | $95.53 | $4,139 | $103.74 |
| Wisconsin | $82.19 | 22% | $105.03 | $3,681 | $97.37 |
| Wyoming | $0 | 100% | $0 | $3,900 | NA |
About PlanPrescriber.com
PlanPrescriber ([ www.PlanPrescriber.com ]), a wholly-owned subsidiary of eHealth, Inc., is a leading provider of comparison tools and educational materials for Medicare Advantage, Medicare Part D Prescription Drug Plans, and Medicare Supplement insurance products. Medicare beneficiaries can take advantage of PlanPrescriber's no cost, no obligation online advisor tools by logging on to [ www.PlanPrescriber.com ]. PlanPrescriber is a tool designed to help Medicare recipients find a Medicare plan that covers their specific medical and prescription drug needs at the lowest possible out-of-pocket cost.
About eHealth
eHealth, Inc. (
For more health insurance news and information, visit the eHealthInsurance consumer blog: [ Get Smart - Get Covered ].
