Medicare, a health insurance program for the elderly and disabled individuals. Hundreds of private plans in West Virginia offer excellent coverage at an affordable price. Almost one-fourth of West Virginians are enrolled in a Medicare plan. Are you going to be one of them? Here is our complete guide to Medicare plans in West Virginia.
Medicare in West Virginia: Details
Medicare trends in West Virginia were reported by the CMS for the 2022 plan year as follows:
- West Virginia has a total of 443,210 Medicare beneficiaries.
- Monthly premiums for Medicare Advantage in West Virginia dropped from $30.81 in 2021 to $25.53 the following year.
- In 2022, Medicare beneficiaries in West Virginia will choose 46 different Medicare Advantage plans, up from 44 in 2021.
- Medicare recipients in West Virginia can shop for a Medicare Advantage plan, including some with zero monthly premiums.
- As of 2022, West Virginia residents can choose from 12 unique Medigap options.
Medicare Annual Open Enrollment Period in 2022
Every year, from 15 Oct to 7 Dec, people can enroll in, change, or drop their Original Medicare plan during Medicare’s annual open enrollment period. In the same way, you can change Medicare Advantage plans every year between 1 Jan and 31 Mar during the open enrollment period for Medicare Advantage.
Medicare Plans in West Virginia
The Medicare program is comprised of several distinct components. Next, we will discuss some of these plan choices. Let’s take a look at Medicare plans in West Virginia.
Original Medicare Plans in West Virginia
Even if they have reached retirement age and are enrolled in Medicare Part A, many beneficiaries do not need to enroll immediately in Medicare Part B. Also, many private employer health plans allow you to maintain coverage regardless of employment. The term for this is “qualified coverage.”
Medicare Part A will precede your private health insurance if you opt to keep this coverage yet require hospital care. It is estimated that at least 29,000 people eligible for Medicare in West Virginia are not registered in Medicare Part B.
Medicare Part A
Medicare Part B
Medicare Part D Plans in West Virginia
Original Medicare provides numerous benefits, but it does not cover prescription medications. To get help paying for your prescription drugs, you can choose a Medicare Advantage Plan or Part D plan, which includes drug coverage.
Medicare Part D plans are available in the Mountain State, and some have surprisingly affordable monthly premiums. Find out more about Medicare Part D drug plans in West Virginia.
- By 2022, all Medicare participants in the state of West Virginia will be able to join a Medicare prescription drug plan.
- In 2022, West Virginia residents can choose from 25 different Medicare Part D drug plans.
- The Part D Senior Savings Model, in which eight West Virginia Part D prescription drug plans participate, reduces the out-of-pocket cost of insulin by a significant amount.
- Monthly West Virginia Part D medication plan premiums start as low as $7.20 in 2022.
Medicare Advantage vs. Medicare Supplement Insurance
Let’s compare Medicare Advantage vs Medicare Supplement plans before you switch between the two or even within the same Medicare Supplement plan.
Medicare Advantage Plans in West Virginia 2022
Medicare Advantage offers similar coverage as Original Medicare but frequently with additional benefits and reduced cost sharing. Medicare Advantage or Part C plans are sold and managed by commercial insurers, whereas the federal government administers Original Medicare. But except for hospice care, which is covered by Medicare Part A, Medicare Advantage goes above and beyond standard Medicare by providing additional services such as vision, hearing, and dental care and fitness programs. Transportation to and from medical appointments, some OTC medications, and health and wellness tools may all be covered by Medicare Part C plans. Most Medicare Advantage plans include prescription medicines, so you don’t need another.
All Medicare Advantage plans must follow regulations imposed by CMS, but individual plans have more leeway in deciding deductibles and copayments and establishing rules for patient referrals and hospital choice. As of 2021, Medicare Advantage enrollment in West Virginia stood at 37.8% of the state’s overall Medicare beneficiary population. This is far less than the 42% rate in the United States. As of 2022, there will be 443,210 Medicare recipients in West Virginia.
There are ten Medicare Advantage plans available in the state of West Virginia, and many of these include supplemental coverage for prescription drugs. In West Virginia, you may choose from SNP, PPO, HMO, or PFFS (Private fee-for-service), depending on your healthcare needs, budget, Medicare eligibility, pharmacies, preferred doctors, and other coverage preferences.
Affordable Medicare Advantage Plans in West Virginia
People who sign up for Medicare in West Virginia can choose from many options. A little over 53.30 percent (235,751) of Medicare recipients in West Virginia are enrolled in the traditional program (Part A and Part B). About 46.70% (206,529) of West Virginia’s Medicare recipients choose to sign up for the increasingly popular Medicare Advantage plans provided by insurance carriers and private companies that Medicare approves.
- The average monthly premium in West Virginia is $61.33.
- The average annual drug deductible in West Virginia is $250.00
- Average Out-of-Pocket Spending Limit in West Virginia: $6,754.17
- The average number of stars for local plans in West Virginia is 3.9. (Out of 5)
Medicare Supplement Plans in West Virginia 2022
West Virginia Medicare Supplement plans fill the coverage gaps that Original Medicare left. You may have recently learned that Medicare Part B does not cover all of your medical costs; this “gap” is the difference between what Medicare paid and what you incurred. Medicare Supplement Insurance, or Medigap, is designed to help with some of the expenditures that Original Medicare does not. An individual in West Virginia enrolled in both Original Medicare and Medicare Part B is qualified to register in a Medicare Supplement plan.
What is the cost of a Medicare Supplement plan?
|Plan N:||Range: $105.00 to $210.00|
|Plan F:||Range: $150.00 to $325.00|
|Plan D:||Range: $145.00 to $300.00|
|Plan C:||Range: $145.00 to $345.00|
|Plan G:||Range: $115.00 to $290.00|
Medicare Supplement insurance in West Virginia has variable monthly premiums depending on the following:
- Insurance company
- Plan benefits
- Pricing method
A Medigap policy in West Virginia would cost a nonsmoking 65-year-old female an average of $177.64 per month.
Medicare Supplement Plan choices available in West Virginia
From a price-to-value standpoint, the following Medicare Supplement insurance plans stand out as the top three options currently available. When selecting a plan, it is important to weigh the premiums against the value of the plan’s contents.
Medicare Part F Supplemental Insurance
Plan F is the most comprehensive Medigap plan available and pays the full Part B deductible on your behalf. There is, however, a restricted supply.
After January 1, 2020, insurers won’t be able to sell Part B Medigap insurance to new Medicare members. Therefore, you can only enroll in this plan if your Medicare eligibility effective date is before January 1, 2020.
Medicare Part G Supplemental Insurance
Medicare Part G helps cover the following:
- Medicare Part A Coinsurance
- Medicare Part B deductibles and coinsurance
- First three pints of blood
- Copayments and insurance deductibles for hospice care, part A
- Coinsurance for nursing homes that offer skilled care
- Deductible for Medicare’s Part A
- Surcharges for Part B
- Emergency limited foreign travel
Medicare Part N Supplemental Insurance
Plan N provides about the same coverage as G but at a lower cost. Part B copayments and excess charges are not included, but the lower monthly premium is.
You are liable for copayments for:
- Office visit copayments of up to $20
- Up to $50 for each unadmitted visit to the emergency room.
Medicare: What Does It Cost in West Virginia?
- Original Medicare: Part A monthly premiums are $0 to $499. Medicare Part A’s annual hospital deductible is $1,556. The typical monthly premium for Medicare Part B is $170.10. Part B has a $233 deductible.
- In 2022, a Medicare Advantage Plan in West Virginia will cost, on average, $8.54 per day. The first payment for some plans is nothing.
- The cheapest Medicare Part D plan has a monthly payment of $7.70.
- If you’re a healthy, nonsmoking 65-year-old woman living in Charleston, South Carolina, you can get Medigap Plan G in the range of $163 to $215.
Medicare in West Virginia: By Numbers
|Original Medicare Beneficiaries||Average plan cost||West Virginia’s Annual spending per beneficiary||Spending per recipient compared to the national average|
|2,407,550||Part A: $0 to $499 per month*
Part B: $170.10 **
To sum up, Medicare enrollment among West Virginia residents exceeds 440,000. Throughout the state, numerous private insurance companies provide a variety of Medicare Advantage and Medigap policies. In West Virginia, the monthly premiums for Medicare Advantage plans in 2022 have fallen. For those in need of supplemental medical insurance in West Virginia, numerous Medigap plans are available.
Reach out Today at NewMedicare, and get your quotes now!