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Medicare Plans in Colorado in 2022

As you near your Medicare enrollment age, it is important for you to understand your coverage options. This blog post will explore what Medicare plans are available in Colorado in 2022 and what they entail.

Being aware of your state-specific Medicare rights can help you to find the best plan options possible. That’s why it’s so important to have a good understanding of the nuances of Medicare in your state. Read on to learn more about your Medigap, Medicare Advantage, and Part D options in Colorado.

How To Apply for Medicare in Colorado

If you are a Colorado resident who is only interested in enrolling in Original Medicare, you can do so through your local Social Security office. You can sign up in-person, online, or over the phone as early as three months before your 65th birthday

However, if you want to enroll in a Medicare Advantage plan, Medicare Supplement Insurance, or Part D drug coverage, we recommend contacting a licensed insurance agent. They can walk you through the process and help you to find the right plan for you. 

Reach out to an experienced insurance agent here at Medicare Plans Direct today to have all of your Medicare-related questions answered.


Medicare Supplement Plans in Colorado

Which Medigap plans are available to you in Colorado will depend on a number of factors, such as which insurance company you enroll with and where you reside.

There were 220,236 Colorado residents enrolled in Medicare Supplement Insurance plans in 2019. This figure represented almost a quarter (24.4%) of all Medicare enrollees in the state that year.

The most popular Medigap plans in Colorado include Plans F, G, and N. These plans offer some of the most comprehensive coverage around.

However, beneficiaries who first became eligible for Medicare on or after January 1, 2020 will no longer be allowed to enroll in Plan F. Plans G and N are good alternatives.

Medigap Enrollment in Colorado

If you are interested in enrolling in Medigap insurance in Colorado, the best time to do so is during your Medigap Open Enrollment Period (OEP)

This occurs when you first become eligible for Medicare and enroll in Part B, and it lasts for 6 months. During this time, you can enroll in any Medigap plan offered in your area regardless of your health history

Unless you qualify for a guaranteed issue right, you may have to undergo medical underwriting if you want to sign up for a Medigap plan after your OEP finalizes. In this case, insurance companies reserve the right to deny you coverage and/or charge you higher rates.

Examples of guaranteed issue rights in Colorado include moving out of your Medicare Advantage plan’s coverage area, a change in retiree benefits, and losing your employer coverage. 

Some good news is that when you first enroll in a Medigap plan in Colorado, you have a 30 day “free-look” period that allows you to return your policy and get a full refund

However, you should be aware that Medigap insurers in Colorado can implement pre-existing condition waiting periods. This means that your insurance company can delay coverage for your condition for up to six months when you first enroll in your Medigap plan. Having prior creditable coverage can alleviate this coverage restriction and shorten your waiting period.

Medigap in Colorado for Disability Enrollees

Colorado beneficiaries under the age of 65 who qualify for Medicare because of a disability are guaranteed the right to enroll in any Medicare Supplement plan they would like. This is not mandated under federal Medigap regulations, but the state enacted a law in 2003 to offer this protection. However, insurance companies are permitted to charge these individuals higher premiums than they would charge enrollees aged 65 and older. 

People who qualify for Medicare before they turn 65 can sign up for Medigap insurance during the first six months that they are enrolled in Medicare Part B. These individuals will have another OEP during the six months following their 65th birthday. When this happens, they are allowed to sign up for any Medigap plan offered in their area without having to undergo medical underwriting.

Medigap Premiums in Colorado

As of 2020, there were 43 insurance companies that offered Medicare Supplement Insurance in Colorado. State law allows each one to decide how they set monthly premiums, and the majority of them offer attained-age rated policies

With attained-age rated policies, your monthly premium will likely increase as you get older, which is important to consider when choosing a Medigap plan. 

Other companies may choose to offer issue-age rated plans. In this case, premiums are determined by the age you were when you enrolled in the policy. 

Finally, one company offers plans with community-rated premiums in 2022. When it comes to these plans, premiums are typically the same for everyone in your area. 

Though Medigap plans’ benefits are federally standardized, premium rates can vary significantly between insurance companies. For that reason, we always recommend consulting with an experienced insurance agent before deciding on a Medicare Supplement policy to ensure that you are getting the best value plan for you. 

Medicare Advantage Plans in Colorado

Another coverage option for people looking for more benefits than those offered by Original Medicare is Medicare Advantage. Also known as Medicare Part C, these plans provide the coverage that you get under Original Medicare on top of additional benefits, which can include drug coverage, hearing coverage, vision coverage, dental coverage, and more. 

45.6% of Colorado Medicare beneficiaries were enrolled in a Medicare Advantage plan in 2021. There are 94 Medicare Advantage plans available in Colorado in 2022. This is up from 80 plans in 2021.

99% of Medicare beneficiaries in Colorado have access to at least one Medicare Advantage plan in 2022. However, which Medicare Advantage plans you have available to you depends on where exactly you reside, as plan availability varies from county to county

For example, Medicare enrollees who live in Douglas County can choose between 56 plans in 2022, while residents of smaller counties have significantly fewer options. There are only three plans available in Garfield and Routt.

When it comes to monthly premiums, what you pay for your Medicare Advantage plan depends on where you live, the plan that you choose, and more. In 2022, the average Part C monthly premium for Colorado Medicare beneficiaries is $14.11. Plus, 99% of Colorado Medicare enrollees have access to at least one plan with a $0 monthly premium. 

Deciding which is the right Medicare Advantage plan for you is best done with the help of an experienced insurance agent. Here at Medicare Plans Direct we help you make the best Medicare choices possible at no extra cost to you. Reach out today to receive free Medicare advice.

Medicare Part D in Colorado

Another thing for Colorado Medicare beneficiaries to keep in mind is their Part D prescription drug coverage options. In 2022, there are 20 stand-alone Medicare prescription drug plans available to Colorado Medicare enrollees. 

How much you will have to pay for your Part D premium depends on where you live and which insurance company you purchase your plan through. In 2022, the average Part D premium in Colorado is $51.70

You can also find drug plans with $0 deductibles, though insurance companies usually charge higher monthly premiums for these plans. In 2022, there are four $0 deductible plans available to Colorado residents, and the lowest-cost stand-alone prescription drug plan with a $0 deductible has a monthly premium of $68.90. 

It is typically a good idea to enroll in prescription drug coverage when you are first eligible if you foresee it being necessary in the future. If you don’t sign up for Medicare Part D when you first qualify and don’t have some other form of creditable drug coverage, you could face late enrollment penalty fees down the line.

Some Medicare Advantage plans may include prescription drug coverage, but if you are enrolled in Original Medicare and/or a Medigap policy, you will need a stand-alone drug plan to cover your prescription medication costs. 

As you can see, it is important to make well-informed decisions when choosing your Medicare coverage. Here at Medicare Plans Direct, we help seniors navigate their Medicare enrollment journeys. Reach out today for a free consultation with a licensed insurance agent.

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