Looking for Medicare Advantage Plans in Maricopa County? Enter your ZIP below to compare affordable or $0 premium plans in your area.
Maricopa County, AZ, is home to nearly 4.5 million residents. It’s also home to a rich Medicare Advantage market.
More than 303,000 residents of Maricopa County were enrolled in a Medicare Advantage plan in 2019, which represented about 42% of all Medicare beneficiaries across the county.
57% of all Medicare Advantage beneficiaries in the state of Arizona reside in Maricopa County.1
Learn more about Medicare Advantage in Arizona.
|Number of unique plans||23|
|Weighted average premium||$5|
|Average annual deductible||$73.16|
|Average (in-network) out-of-pocket maximum||$3,848|
|Number of $0 premium plans||15|
|Number of plans rated four stars or higher||8|
Maricopa County was home to 23 different Medicare Advantage plans in 2019. While the number of unique plans in any county can change slightly every year, the table above presents a good idea of what you can expect to see in 2020.
Of the 23 available plans in 2019, 15 featured $0 premiums, and the weighted average premium across all plans was just $5.
There were 8 available plans rated four stars or higher based on Medicare Star Ratings.2 Plans rated four stars or higher are considered top-rated Medicare plans.
Premiums, deductibles and other costs may vary. The numbers reported in the table above are taken from the Centers for Medicare and Medicaid Services (CMS). A licensed insurance agent will be able to help you review and compare costs for specific plans available in Maricopa County or wherever you may live.
Medicare Advantage plans can come in several different forms.
Nearly all Medicare Advantage enrollees in Arizona belonged to an HMO plan in 2019.
HMO (Health Maintenance Organization) plans utilize a network of participating doctors and other health care providers. Care is typically not covered by the plan when received outside of the network.
PPO (Preferred Provider Organization) plans are also available in Arizona. These plans offer some more flexibility when choosing a doctor and allow for some coverage outside of the plan’s intended network.
Medical Savings Accounts were also found to be available in Arizona in 2019.
In the state of Arizona, the breakdown of plan types in 2019 was as follows:
|Plan type||Percentage of Arizona enrollees (2019)|
There are different Medicare enrollment periods in the year during which you may able to sign up for a Medicare Advantage plan in Phoenix and Maricopa County, depending on your eligibility.
When you first become eligible for Medicare, you will typically be granted an Initial Enrollment Period (IEP). This period begins three months before you turn 65 years old, includes the month of your birthday and continues for an additional three months.
The Annual Enrollment Period (AEP, also called the Medicare Open Enrollment Period for Medicare Advantage plans) takes place from October 15 to December 7 each year. This period is open to all eligible Medicare beneficiaries who wish to add, drop or change Medicare plans.
If you experience a qualifying circumstance, you may be granted a Special Enrollment Period (SEP) at any time throughout the year to allow you to enroll in a Medicare Advantage plan.
Such circumstances may include situations like moving outside of your plan’s service area or losing your Medicare Advantage plan coverage through no fault of your own. A licensed insurance agent can help you determine if you are eligible for a Special Enrollment Period and what actions you may be able to take during that time.
Medicare Advantage plans can come in a variety of types and can include different benefits, networks, costs and more.
Connect with a licensed insurance agent today for help determining your eligibility and finding the best Medicare Advantage plan for you in Maricopa County.
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1 MedicareAdvantage.com's internal analysis of CMS Medicare Advantage landscape source files, accessed May 2019. Data retrieved from www.cms.gov/Medicare/Prescription-Drug-Coverage/PrescriptionDrugCovGenIn.
2 Every year, Medicare evaluates plans based on a 5-star rating system.