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Medicare in Delaware

By the numbers

Delaware has just over 150,000 Medicare beneficiaries and 88% of them have creditable prescription drug coverage.

  • Percentage with stand-alone Prescription Drug Plans (PDPs): 48%
  • Percentage in Medicare Advantage Prescription Drug plans (MAPDs): 3%
  • Percentage in employer plans with retiree drug subsidies: 24%
  • Percentage with other prescription drug coverage: 14%

Medicare Advantage Organizations and Prescription Drug Plan Sponsors must have a contract with Medicare in order to sell Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Plan. Depending on the terms of the contract between the plan and Medicare, not every plan is available statewide or in all service areas. Each year, the plan must renew their contract with Medicare, so the availability of a plan in a specific service area is subject to change as a result of the annual contract renewal.

Medicare resources in Delaware

Delaware has Medicare resources available for beneficiaries who would like to know more about Medicare or who struggle to pay their out-of-pocket health care expenses.

Delaware Medicare Savings Programs: There are programs that provide savings and discounts for beneficiaries with an income that is below a limit set by the government each year. But even if your income is above the government set limit, you may still qualify for a savings program.

Delaware State Health Insurance and Assistance Programs (SHIP): ELDERinfo is the organization in Delaware that provides health insurance counseling for residents with Medicare. The advice the counselors gives is free and unbiased. ELDERinfo is sponsored in part by a grant from the Centers for Medicare & Medicaid Services (CMS).

How healthy is the state of Delaware?

Delaware is the forty-fifth most populous state in the U.S. and is ranked as the 30th healthiest state to live. Delaware's strength as a healthy state is helped by its low incidence of infectious disease as well as its low rate of preventable hospitalizations. Two challenges facing Delaware are its high prevalence of binge drinking as well as its low use of prenatal care.

All data provided by the Kaiser Family Foundation.

eHealth Medicare is operated by eHealthInsurance Services, Inc., a licensed health insurance agency certified to sell Medicare products.
Medicare has neither reviewed nor endorsed this information.

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