2022 Montana Medicare Plans

Montana Medicare insurance is a federally funded program available to all states. It is designed to provide affordable and adequate health insurance coverage for qualified beneficiaries over 65. Workers with disabilities may also qualify. While Medicare is a federal program, the state of Montana also offers various types of support and assistance for Medicare beneficiaries in the state. 

 

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Montana Medicare Insurance Trends

The Centers for Medicare & Medicaid Services (CMS) reported the following information on 2022 Medicare trends in Montana:

  • Currently, 243,242 residents of Montana have Medicare.
  • On average, Medicare Advantage’s monthly premiums decreased in Montana from $37.48 in 2021 to $28.45 in 2022.
  • There were 27 Medicare Advantage plans in Montana in 2022.
  • All Montana Medicare beneficiaries can purchase a Medicare Advantage plan, including those with $0 premiums.

Medicare Offered in Montana

Medicare is a federal health insurance program that offers coverage to those aged 65 or older, have usually lived in the US for ten years and meet specific medical requirements. It also covers people with disabilities under 18-years old and individuals receiving benefits from Social Security Disability Insurance (SSDI) but not retirement pensions. The Montana Department of Public Health & Human Services has offices all around the state where residents can apply for this benefit if they qualify.

Original Medicare

In many ways, Medicare offers adequate coverage for a reasonable cost. Qualified beneficiaries can obtain Original Medicare directly from Medicare, which comprises Medicare Part A and Part B.

Medicare Part A usually is premium-free, and it covers hospital services, including inpatient care. Medicare Part B requires a premium depending on the beneficiary’s income. Both Medicare Part A and Part B involve out-of-pocket expenses such as deductibles, copays, and coinsurance.

Medicare Advantage

Instead of obtaining Original Medicare, qualified beneficiaries may instead opt to purchase Medicare Advantage Plans. These include coverage that Original Medicare provides and the coverage that a supplemental plan may offer. This type of Medicare plan is also known as Medicare Part C. The extra benefits can be coverage of additional health services or coverage for prescription medication.

Montana Medicare Advantage options typically include plans from the following private insurance companies:

  • Blue Cross Blue Shield of Montana 
  • Humana
  • Lasso Healthcare
  • PacificSource Medicare
  • UnitedHealthcare

 

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Medicare Supplement Plans

Some beneficiaries feel that Original Medicare does not offer enough coverage. They choose to purchase optional supplemental plans to add more benefits to Part A and Part B. These may be plans covering extra health services that are not covered by Medicare Part A and Part B.

A more common type of supplemental plan covers the cost of Medicare prescription drugs. This is called Medicare Part D and can be added to Part A and Part B. Other plans may instead cover the costs of deductibles, coinsurance, and copays involved with Original Medicare.

All these plans can be purchased from private carriers, which Medicare has approved. These will entail the payment of a separate premium as well.

Medigap insurers in Montana have the choice to use attained-age rating (rates increase as an enrollee gets older), issue-aged ratings (rates are based on the age a person was when they enrolled), or community rates, which do not vary by someone’s age. 

Some companies offering Medigap plans in Montana typically include:

  • AARP – UnitedHealthcare
  • Blue Cross Blue Shield of Montana
  • Colonial Penn
  • Everence Association Inc.
  • Garden State
  • Humana
  • Lumico
  • Mutual of Omaha
  • Oxford
  • State Farm
  • WMI Mutual

Montana Medicare Enrollment

Montana residents are eligible for Medicare if they are a U.S. citizen and above 65 years old or are under 65 but are permanently disabled, have end-stage renal disease, or Amyotrophic Lateral Sclerosis. Use Medicare’s online eligibility tool if you are unsure if you qualify. 

Requirements

  • You are 65 or older, and you or your spouse worked and paid Medicare taxes for at least 40 quarters.
  • You are under age 65 and collect benefits from Social Security or the Railroad Retirement Board for at least 24 consecutive months.
  • You have ESRD or ALS. 

Enrollment Period Dates

Initial Enrollment Period

This is a seven-month window that allows you to sign up for a plan

  • Begins 3 months before the month you turn 65
  • Ends 3 months after the month you turn 65

Medicare Open Enrollment Period

This is when you can sign up for a plan, switch a plan or leave a plan

  • Begins Starts October 15th
  • Ends December 7th

Special Enrollment Period

Special enrollment periods allow you to enroll outside the regular enrollment periods under specific circumstances. 

General Enrollment Period

This is when you can sign up for Medicare Part A and/or Part B if you didn’t sign up when first eligible or if you’re not qualified for a Special Enrollment Period.

  • Starts January 1st
  • Ends March 31st

Medicare Advantage Open Enrollment Period

This is when you can switch or leave a Medicare Advantage Plan

  • Starts January 1st
  • Ends March 31st

Montana Enrollment Tips & Advice

When it comes to Medicare, the options are often overwhelming. However, with a bit of time and research, you can feel confident in your decision!

The Montana Human & Community Services Division offers numerous programs and services. These include the Medicare Savings Programs (MSP) that offer eligible Medicare beneficiaries assistance in paying for Medicare costs. These programs come with several requirements, including income limits, as these programs are meant only for low-income applicants.

Additional resources: 

How Do I Enroll in a Medicare Plan?

Have you been looking for a Medicare plan in Montana but not sure where to start? There are so many choices, and they all come with their own pros and cons. Contact the Coverage Haven licensed insurance professionals today to find the best coverage that suits your needs and budget.

 

Speak to a
Licensed Agent
1 (855) 710-0541
TTY: 711
OR
Get Your FREE
Medicare Quote