Colorado Medicare: Medicare Advantage Plans in Colorado (CO)

Medicare Advantage Plans in Colorado

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How Do Medicare Advantage Plans in Colorado Work?

For Colorado residents approaching age 65, it’s time to start thinking about your Medicare Insurance healthcare coverage. Medicare, the federally administered program, is the main source of health insurance coverage for Colorado residents 65 years of age and older. It’s important to know what to expect from a Medicare Advantage (MA) plan and learn about options for healthcare coverage.

Medicare Advantage plans are also called Medicare Part C. Medicare Advantage/Part C offers Colorado residents a way to receive both Medicare Part A (hospital insurance) and/or Medicare Part B (medical/doctor’s office insurance). These plans are sold by private insurance companies throughout Colorado, are approved by Medicare and offer at least the same coverage as Medicare Parts A and B, often with additional benefits.

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Medicare Advantage Plan Eligibility in Colorado

Knowing if you’re eligible for a Part C/MA plan is the same as being eligible for Medicare Part A and Medicare Part B. If you’re eligible for Parts A and B, you’re also good for Part C, assuming you reside in a county/zip code where MA plans are sold. Copayments, coinsurance and deductibles vary depending on which Medicare Advantage plan you enroll in.

Colorado residents cannot be enrolled in a Medicare Advantage Plan and a Medicare Supplement Insurance plan at the same time. A Medicare Supplement plan (Medigap) may help cover some of the gaps in coverage such as copayments, coinsurance and deductibles that aren’t covered by Medicare Parts A and B.

How Do I Know If My Prescription is Covered by a Medicare Advantage Plan in Colorado?

Any resident of Colorado looking for prescription drug coverage should consider a Medicare Part C plan, since some Medicare Advantage plans may have a Medicare Prescription Drug plan. A Medicare Advantage Plan with prescription drug coverage is called a MAPD plan.

Which Medicare Advantage Plans in Colorado are the Most Popular?

Finding the right Medicare Advantage plan in Colorado is as unique as the person the plan is for. Among Colorado residents who are enrolled in a Medicare Advantage plan, 72% choose an HMO/HMOPOS with 28% in a Local PPO, as reported by the Centers for Medicare & Medicare Services (CMS.gov). Knowing how much Medicare plan coverage you need will help you determine the right Medicare Advantage Plan in Colorado for your needs.

You can become more informed about Medicare Advantage plans available in Colorado by contacting a SelectQuote licensed insurance agent to guide you through enrollment. Acting as your advocate, our licensed insurance agents help you weigh the Medicare Advantage plan options in your area, understand costs and answer questions throughout the process. SelectQuote individually shops more than 20 national insurance companies to help find a plan that’s right for you.

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When is the Colorado Medicare Advantage Plan Enrollment Period?

Enrollment in a Medicare Advantage plan occurs during specified enrollment periods. Medicare enrollment in Colorado opens for residents prior to turning age 65 or earlier in special disability cases. The Initial Enrollment Period (IEP) runs for seven months.

IEP begins three months before turning age 65, including the birthday month, and ends 3 months after the birthday month. It is also the time allotted for enrollment in Medicare Parts A, B, C and D.For example, if you’re a Coloradan with a May birthday, your IEP runs from February through August.

You may also enroll in a Medicare Advantage plan during the Medicare Annual Enrollment Period, which occurs annually each fall. Medicare’s AEP runs from October 15 through December 7 each year. The key dates for AEP are as follows:

Oct. 15 – Annual Enrollment Period Begins

Dec. 7 – Annual Enrollment Period Ends

Jan. 1 – First Date Coverage can start

During the Annual Enrollment every year, Colorado residents can:

Switch from Medicare Parts A and B (Original Medicare) to a Medicare Advantage (Part C) plan
Change from one Medicare Advantage Plan to another
Switch from one Prescription Drug (Part D) plan to another
Add a Prescription Drug (Part D) plan if you didn’t enroll when first eligible for Medicare

In addition to the AEP, Colorado residents who are enrolled in a Medicare Advantage plan can make a one-time plan change during the Open Enrollment (OEP), which occurs each year from January 1 through March 31. There are also Medicare Special Enrollment Periods (SEP) which are times where you may be able to enroll in Medicare or make changes to your existing Medicare Advantage coverage because of certain events and life changes, such as moving or losing employer coverage.

Is a Colorado Medicare Advantage Plan Right for You?

When you’re ready to enroll, SelectQuote can help ensure you are getting all the available benefits you deserve, plus help you stay up to date with the annual updates to Medicare plans insurance companies make. As an independent and trusted third-party company, SelectQuote is here to help Colorado residents find the right Medicare Advantage Plan to meet your needs.

To ensure you are getting all the benefits you are entitled to receive, call or complete your online form today. Let SelectQuote’s personal licensed sales agents simplify the Medicare maze by comparing rates and independently shopping insurance companies to help you find an affordable option that meets your unique needs.

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