Best Medicare Advantage Plans in Indiana

If you are enrolling in Medicare Part AMedicare Part B, and Part D plans, you may be interested in a Medicare Advantage plan in Indiana that bundles all three parts under one plan.

When you sign up for a Medicare Advantage plan in Indiana in 2022, your enrollment in Original Medicare continues. Still, most of the benefits that fall under Part A and Part B will be administered by your Medicare Advantage plan, also known as Medicare Part C.

  • Medicare-approved private health insurance companies sell Medicare Advantage (MA) insurance plans.
  • A Medicare Advantage plan that includes prescription drug coverage is referred to as a Medicare Advantage Prescription Drug Plan (MAPD).
  • Due to the insurance company that issued the plan, you are responsible for staying current with your Part B premiums, separately from monthly ones.
  • To reap the most benefits from MA plans, you typically have to use a primary care physician and other healthcare providers from within the plan’s network.

Although some Medicare beneficiaries prefer not to be limited to network providers, Indiana Medicare Advantage plans are becoming increasingly popular.

One reason is that these health plans often cover extra benefits, including:

  • Vision
  • Dental
  • Hearing
  • Wellness programs
  • Transportation to and from health care providers
  • Over-the-counter drugs, wellness, and medical-related products

Best Medicare Advantage plan types in Indiana

There are several types of MA plans. The most common types and the features that apply to each are described below. In addition, our insurance agents can review coverage options with you and confirm provisions for the plan you select.

Best for lowest out-of-pocket: Medicare Advantage HMO Plan

Health Maintenance Organization (HMO plans):

  • Restricts coverage to health care services provided by network providers except for emergencies
  • Requires a referral to see a specialist, with few exceptions
  • Usually no premium

Best network freedom: Medicare Advantage PPO

Preferred Provider Organization (PPO plans):

  • More extensive network than HMO and allows the option of using out-of-network providers at a higher out-of-pocket cost
  • It does not require referrals
  • Charges monthly premiums ranging from $0 to $100

Best for low income or health conditions: Medicare Advantage D-SNP

Dual Eligible Special Needs Plan (D-SNP):

  • An SNP is a plan designed for people with specific health care needs or limited financial resources.
  • D-SNP is an SNP for dual eligibles – beneficiaries covered by Medicare and Medicaid – where benefits are coordinated between the two agencies to lower out-of-pocket costs (deductibles, copayments, and coinsurance).
  • Benefits are tailored to the recipient’s needs, which helps to reduce out-of-pocket costs further.

Medicare Advantage plans in Indiana are rising in popularity. This can be attributed to the convenience of having Part A, B, and D bundled under one insurance plan and additional coverage that extends beyond Original Medicare.

This is reflected in the 9.6% increase in MA enrollment across the county from 2021 to 2022. The growth rate in Indiana averaged 15%.

Number of enrollees in Medicare Advantage in Indiana: 350,408

Number of enrollees by type of Medicare Advantage plan:

  • Local HMO: 112,584
  • Local PPO: 194,984
  • Regional PPO: 40,552

Percentage of enrollees in Medicare Advantage in Indiana: 39%

Number of enrollees in Medicare Advantage nationwide: 19,838,319

Percentage of enrollees in Medicare Advantage nationwide: 42%

How much does Medicare Advantage cost in 2022?

The availability and cost of an MA plan vary from county to county. However, in 2022, the average monthly premium for an MAPD plan in Indiana is $20.88.

When can I enroll in a Medicare Advantage plan in Indiana?

Initial Enrollment Period

When you first become eligible to sign up for Original Medicare (Medicare Part A and Part B), you can enroll in Medicare Advantage. Eligibility is generally when you turn 65. You have seven months, from three months before your birthday to three months after.

Open Enrollment Period – aka Annual Election Period

  • October 15 through December 7
  • Can join, change or terminate the plan
  • January 1 coverage effective date

Medicare Advantage Open Enrollment Period

  • January 1 through March 31
  • Open to MA members only
  • Can switch to another MA plan or revert to Medicare coverage under Original Medicare
  • Can join Medicare Part D (prescription drug plans)

During this time, beneficiaries who get Medicare coverage from Original Medicare cannot:

  • Join an MA plan
  • Enroll in Part D
  • Change prescription drug plans

Special Enrollment Periods – Special Circumstances

This period applies to you if you have group health insurance through employment and delayed signing up for Part B. From the month following the end of jobs or coverage, whichever occurs first, you have eight months to sign up.

Employment may be:

  • Your employer
  • Your spouse’s employer
  • A family member’s employer, if you have a disability

5-star Special Enrollment Period

Medicare rates plans on a scale of one to five stars, with five representing excellent quality and performance. During this special enrollment period, you can change your current plan to one that has five stars if available in your service area.

  • December 8 through November 30
  • Change can occur only once during this time frame.

Special Enrollment Periods if you get “Extra Help.”

Extra Help is a program that helps beneficiaries who have restricted financial resources. Additional Help beneficiaries can join, change or drop Medicare Advantage or Part D once within each period:

  • January through March
  • April through June
  • July through September

When can I make changes to my Medicare Advantage plan?

Generally, you are locked into 12 months when you sign up for an MA plan. If you do need to make changes, the Medicare Advantage Open Enrollment Period (January 1 – March 31) is your primary opportunity to:

  • Switch to another MA plan
  • Go back to Medicare coverage under Original Medicare

If you have an MAPD, you can:

  • Change to another MA plan with or without prescription drug coverage
  • Join a Medicare drug plan if you drop your MAPD plan and go back to Medicare coverage under Original Medicare

Ready to Learn More?

Medicare can be very confusing; if you need Help with plan selection or getting more detailed information, please reach out to us for additional Help; we are here to guide you!

Indiana Medicare Resources

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What Is the Medicare Open Enrollment Period?
Medicare Advantage Plans
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Medicare Advantage Plans in Florida
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