2023 Medicare Advantage Plans In Decatur, IL

From October 15-December 7, you have the opportunity to enroll in Medicare health and drug plans. If you enroll in a plan during this Annual Open Enrollment Period, that plan will begin on January 1, 2023.

Medicare Advantage is expanding rapidly across the country, and we’re also seeing it here in Decatur. Three years ago, there were only four Medicare Advantage plans available. In 2022, there were 21 plans, and for 2023, there are 31 plan options.

In addition, there was only one $0 premium PPO plans in 2022, and for 2023, there are several!

Here’s everything you need to know about the 2023 Medicare Advantage plan options in Decatur, IL.

Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Should I Switch to Medicare Advantage?

Before we get into the available Medicare Advantage options in Decatur, IL for 2023, you might be wondering if you should consider switching from your Medicare Supplement plan.

Consider Plan Choices

For 2023, we have 31 Medicare Advantage plans in Decatur. That's more plan options than ever before!

In the past, Medicare Advantage plan options in Decatur were limited, especially compared to metro areas such as Chicago. But now, we really do have plenty of competitive plan options to compare.

If you're in need of a $0 plan that comes with more out-of-pocket risk, we have plenty of companies to consider, which is very exciting.

Consider the Network

One of the most common concerns about Medicare Advantage plans are the network restrictions.

Medicare Advantage plans are network-based, meaning you need to see physicians that accept the plan. HMOs are the strictest, PPOs offer more flexibility, and the MSA technically does not have a network.

As with any medical insurance product you have, always make sure your provider accepts it!

You Still Pay the Part B Premium

If you choose a Medicare Advantage plan, you should know you are still required to pay the Medicare Part B premium of $164.90 in 2023.

Some clients see the $0 premium feature of many Medicare Advantage plans and get excited, and while the Medicare Advantage plan may be $0 premium, you still have to pay your Medicare Part B premium.

Even though you are forfeiting your Original Medicare benefits in favor of a private Medicare Advantage plan, you still must pay that premium.

You may also see advertisements for Medicare Advantage plans with a Part B giveback, but we do not have any plans that meet that criteria in Macon County.

Most Competitive 2023 Medicare Advantage Plans In Macon County, Illinois

There are 31 Medicare Advantage plans to analyze and consider for 2023. After running several comparisons, a few plans stick out as the most attractive. Keep in mind our agents can run a customized plan comparison for you based on your prescriptions, providers, preferred pharmacy, and current health.

Disclaimer: We do not offer every plan available in your area. Any information we provide is limited to those plans we do offer in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

Aetna Medicare Value (PPO)

One of the top plan picks for 2022 was the Aetna Medicare Value (PPO), and that recommendation still stands for 2023. This plan has the highest number of enrollments in Macon County, and for good reason.

It's $0 premium and has the benefit of a national provider network. This means you’d have more flexibility to travel or go to another state for part of the year.  

In addition to a $0 premium, this plan also has a $0 health and drug deductible and a $4,650 in-network out-of-pocket maximum. The in and out-of-network maximum is $7,000, which did not change from 2022.

Some brief plan highlights:

• $0 copay for in-network primary doctor visits
• $40 copay for in-network specialist visits
• $40 copay for urgent care
• $110 copay for ER (up from $90 in 2022)
• Extra benefits included (plan limits apply): hearing, dental, vision, fitness benefits, over-the-counter drugs, telehealth, worldwide emergency coverage, and meals for a short duration.

One attractive part of this plan’s drug component is preferred generics and generics have a $0 copay. If you take a generic drug (and it’s in this plan’s formulary), you may pay nothing for your prescriptions.  

However, the best way to find out if your prescriptions are affordable under this plan is to have your agent run a plan comparison. Schedule an appointment with us if you do not have an agent!

Lasso Healthcare Growth (MSA)

Lasso Healthcare is the only company offering MSA Medicare Advantage plans in Macon County for 2023. In fact, this is the first company to sell an MSA in Decatur, IL ever!

The MSA is the only Medicare Advantage plan that actually gives money to the member to use for qualified medical expenses. It’s an exciting option gaining a lot of traction as it goes into its fourth year here.

There are two 2023 MSA plan options from Lasso Healthcare, Growth and Growth Plus. These are the same plan options that were offered in 2022.

With both plans, you receive your annual deposit at the beginning of the year that you can use to pay for qualified medical expenses. If you don’t use all of that money, it rolls over to the following year.

This plan doesn’t include drug coverage, but you are allowed to purchase a separate Medicare Part D drug plan. This plan also does not include many “extra” benefits.

Unlike other Medicare Advantage plans, the MSA has no provider network and is currently accepted by thousands of providers across the U.S. However, physicians can choose to reject the plan if they wish, so as always, be sure to check with your providers before you enroll in the plan.

Humana Choice (PPO)

Humana has an incredible $0 premium PPO plan in Macon County for 2023. It has a $3,900 in-network out-of-pocket maximum (OOPM), which is one of the lowest OOPMs from any company for 2023.

The Humana Choice PPO has a $0 health and drug deductible, an excellent star rating, and a $0 copay for in-network primary doctor visits.

Here are some other plan highlights:

• $40 copay for in-network specialist visits
• $35 copay for urgent care
• $110 copay for ER
• Extra benefits included (plan limits apply): hearing, dental, vision, some acupuncture, fitness benefits, telehealth, worldwide emergency, and meals for a short duration.

This plan also has a $0 copay for preferred generics and a $5 copay for generics. If your prescriptions are compatible with this plan, it may be your lowest cost option in 2023.

Blue Cross Medicare Advantage Health Choice (PPO)

Blue Cross and Blue Shield of IL, NM has a $0 premium PPO product in Macon County for 2023. It has a $0 health deductible and a $505 drug deductible.

The in-network out-of-pocket maximum is $6,900 while the out-of-network maximum is $11,300.

Here are some highlights of the plan:

• $0 in-network primary doctor visit ($30 copay for out-of-network)
• $45 in-network copay for specialist visits
• $40 copay for urgent care visits
• $90 copay for ER
• Extra benefits included (plan limits apply): hearing, dental, vision, fitness benefits, telehealth, and worldwide emergency.

While this plan is not quite as competitive as some of the other options in 2023, many consumers enjoy the Blue Cross brand and have a comfort level there. If that may be you, we can certainly help you.

Wellcare No Premium Open (PPO)

Wellcare also has a $0 PPO option in Macon County for 2023. This plan has a $3,450 out-of-pocket maximum and a $0 health and drug deductible.

This plan looks very benefit-rich, but please note it has a Star Rating of 2 for 2023, which is on a 5-star scale. We have gotten some feedback in the past about Wellcare's service, which is just something to keep in mind when comparing plans.

Here are some other plan highlights:

• $0 copay for in-network primary doctor visits
• $30 copay for in-network specialist visits
• $0 copay for urgent care
• $125 copay for ER
• Extra benefits included (plan limits apply): hearing, dental, vision, some personal emergency response system benefits, fitness benefits, some transportation services, over-the-counter drug benefits, meals for a short duration, telehealth, and worldwide emergency.

This PPO also has a $0 copay for preferred generics and a $10 copay for generics. Always make sure you input your current prescriptions when running a plan comparison! We can quickly see if a plan is compatible or favorable for your specific medication costs.

Other 2023 Medicare Advantage Plan Options In Macon County

There are several other plan options available in Macon County for 2023, including HMOs and PPOs. However, HMOs can be difficult to recommend because of the strict provider networks.

If you are interested in an HMO plan, please double check that your doctors, specialists, hospital of choice, and pharmacy are accepted by the plan.

As always, our licensed agents can run a comparison for you that takes into account your prescriptions and providers. We will ensure your plan is compatible with your needs.

Conclusion

While we highly recommend a Medicare Supplement to many of our clients, there are many fantastic plan options worth considering on the Medicare Advantage side for 2023 (in our opinion).

For more information, give us a call at 217-423-8000 today!