Change in the
Number of All Medicare Advantage plans (both MA & MAPD) |
||||||
Number of Medicare Advantage plans (MA & MAPD)** | ||||||
Health Plan Type | 2022 | 2021 | Change '21 to '22 | 2020 | 2019 | |
Cost | 64 | 70 | -6 | -9% | 80 | 72 |
Local HMO | 3,277 | 3,072 | 205 | 7% | 2,777 | 2,400 |
Local PPO | 1,546 | 1,281 | 265 | 21% | 1,035 | 873 |
Regional PPO | 62 | 64 | -2 | -3% | 64 | 63 |
All PPOs | 1,608 | 1,345 | 263 | 20% | 1,099 | 936 |
PFFS | 30 | 33 | -3 | -9% | 41 | 44 |
MSA | 11 | 5 | 6 | 120% | 6 | 6 |
MMP | 43 | 43 | 0 | 0% | 44 | 50 |
Total MA & MAPD plans | 5,033 | 4,568 | 465 | 10% | 4,047 | 3,508 |
A brief review of
Medicare Advantage plans
Medicare Advantage plans come in
two general forms (with or without drug coverage),
-- MAs or Medicare Advantage plans that
do not include prescription drug coverage
and
-- MAPDs or Medicare
Advantage plan that includes prescription drug coverage (MAPD).
What is included in a Medicare Advantage plan?
A Medicare Advantage plan (MA or MAPD) includes
your Medicare Part A (in-patient and hospitalization coverage), Medicare Part B
(out-patient and physician coverage), may include additional or supplemental healthcare
benefits (basic dental, optical, hearing, and/or fitness coverage) - and supplemental non-health related benefits (food delivery and general transportation). A
MAPD also includes your Medicare Part D drug coverage. If you enroll
in some types of Medicare Advantage (MAs) that do not include drug coverage,
you may not be permitted to
also join a stand-alone Medicare Part D plan (PDP) (so be sure to check
before you join).
You can join a Medicare Advantage plan even with pre-existing health issues.
Starting in 2021, you can join a Medicare Advantage plan without any pre-existing health questions - so even if you are a Medicare beneficiary suffering from End-Stage Renal Disease (ESRD), you can join a Medicare Advantage plan. This "guaranteed issue" rule also applies to employer/union Medicare plans (EGHP), but, depending on your state, may not include Medicare Advantage Dual-Eligible Special Needs Plans (D-SNPs) and Medicare-Medicaid Plans (MMPs). You can click here for more details about joining a Medicare Advantage plan with ESRD.
Change in the Number of MAPD plans | |||||||
Number of Medicare Advantage plans with Drug Coverage | |||||||
Health Plan Type | 2022 | Change '21 to '22 |
2021 | Change '20 to '21 |
2020 | Change '19 to '20 |
2019 |
Cost | 13 | -1 | 14 | -2 | 16 | -2 | 18 |
Local HMO | 3,085 | 192 | 2,893 | 261 | 2,632 | 364 | 2,268 |
Local PPO | 1,398 | 228 | 1,170 | 199 | 971 | 154 | 817 |
Regional PPO | 43 | -2 | 45 | -1 | 46 | 0 | 46 |
PFFS | 19 | -2 | 21 | -5 | 26 | -3 | 29 |
MMP | 43 | 0 | 43 | -1 | 44 | -6 | 50 |
Total MAPD Plans | 4,601 | 415 | 4,186 | 451 | 3,735 | 507 | 3,228 |
Change in the
Number of Medicare Advantage plans without Drug Coverage (MAs) |
|||||||
Number of MA
Plans |
|||||||
Health Plan Type | 2022 | Change '21 to '22 |
2021 | Change '20 to '21 |
2020 | Change '19 to '20 |
2019 |
Cost | 51 | -5 | 56 | -8 | 64 | 10 | 54 |
Local HMO | 192 | 13 | 179 | 34 | 145 | 13 | 132 |
Local PPO | 148 | 37 | 111 | 47 | 64 | 8 | 56 |
Regional PPO | 19 | 0 | 19 | 1 | 18 | 1 | 17 |
MSA | 11 | 6 | 5 | -1 | 6 | 0 | 6 |
PFFS | 11 | -1 | 12 | -3 | 15 | 0 | 15 |
Total MA Plans w/o Rx Cov. | 432 | 50 | 382 | 70 | 312 | 32 | 280 |