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Medicare in Massachusetts

By the numbers

Between 1991 and 2009, growth for Medicare spending in Massachusetts increased by just 7%, which is lower than the national average of 8%. Massachusetts spent about $11,000 per beneficiary in 2009. Following are some statistics on Medicare plans in Massachusetts in 2012:

  • Total number of beneficiaries in Massachusetts: 1,104,483
  • Total number of beneficiaries with creditable prescription drug coverage: 910,159
  • Total number of beneficiaries enrolled in a Medicare Advantage plan: 196,939
  • Number of Medicare Advantage plans available in Massachusetts: 49

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 Massachusetts

Massachusetts Medicare Savings Programs: Beneficiaries with income that falls below the limit that is set by the federal government each year may be able to get financial assistance to cover things like their Medicare premiums and deductibles.

Massachusetts State Health Insurance Counseling and Assistance Program (SHIP): The SHINE Program (Serving Health Information Needs of Elders) is a Massachusetts health insurance assistance program that provides free health insurance information to residents with Medicare and their caregivers. The program is partially funded by the Centers for Medicare & Medicaid Services.

How healthy is the state of Massachusetts?

Massachusetts is the fourteenth most populous state in the U.S. and ranked as the 5th healthiest state in the nation. Massachusetts' strength as a healthy state is helped by its lower prevalence of obesity than most other states as well as readily available primary care physicians. Two challenges facing Massachusetts are its high prevalence of binge drinking as well as its high rate of preventable hospitalizations.

All data provided by Henry J. Kaiser Family Foundation.

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Medicare has neither reviewed nor endorsed this information.