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Medicare in Massachusetts

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By the numbers

Interested in learning more about Medicare coverage in Massachusetts? Below are some statistics on Medicare enrollment and coverage in Massachusetts in 2018:

  • Total number of Medicare beneficiaries in Massachusetts: 1,313,191
  • Total number of Massachusetts beneficiaries enrolled in Medicare Part C (Medicare Advantage) or other Medicare health plans: 319,012
  • Total number of beneficiaries enrolled in Medicare prescription drug coverage (Medicare Part D): 1,007,984
  • Medicare beneficiaries with Medicare Advantage plans that include prescription drug coverage: 289,189
  • Massachusetts beneficiaries with stand-alone Medicare Prescription Drug Plans: 718,795

Medicare Advantage plans and Prescription Drug Plan sponsors must have a contract with Medicare in order to offer Medicare insurance plans (such as a Medicare HMO or a Medicare Part D Prescription Drug 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.

Source: Statistical data from the Centers for Medicare & Medicaid Services (CMS), “Medicare Enrollment Dashboard,” from the CMS Office of Enterprise Data & Analytics, February 2019.

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