Medicare Advantage Plans in Sheridan County, KS:
Your Complete 2025 Guide
Discover 2 Medicare Advantage plans in Sheridan County for 2025. These plans combine your Medicare Part A and Part B benefits into one convenient plan, and may offer additional benefits such as dental, hearing and/or vision and/or fitness. There may not be a plan in your area that has all of these benefits in one plan.
Take a look at the options below, or contact a licensed insurance agent from HealthCompare at 833-748-3201 (TTY 711) Mon-Fri 5am-6pm, Sat 6am-5pm PST for personalized assistance.
Types of Medicare Advantage Plans in Sheridan County, KS
With 2 Medicare Advantage plans available in Sheridan County for 2025, you’ll have plenty of options to meet your needs. However, there are no 5-star plans available this year. Your choices include:
- Private Fee-for-Service (PFFS) Plans: These plans (2 available) let you see any Medicare-approved provider who accepts the plan’s terms. The average monthly premium for these plans is $41.00.
- Special Needs Plans (SNP): These are highly specialized Medicare Advantage plans for individuals with special healthcare needs. We organize these plans here: Medicare Special Needs Plans in Sheridan County, KS.
Private Fee-for-Service (PFFS) Medicare Advantage Plans
Private Fee-for-Service (PFFS) plans allow you to see any Medicare-approved provider who agrees to the plan’s payment terms. These plans offer greater flexibility in choosing healthcare providers, but be sure to confirm that your preferred doctors and hospitals accept the plan.
Medicare Advantage PFFS Plan Options
| Plan Name | Rating* | Premium/Mo | MOOP | Rx Ded. |
|---|---|---|---|---|
| UHC MedicareDirect Patriot No Rx PF-MA01 | $0 | $6,700 | N/A | |
| UHC MedicareDirect PF-0001 | $82 | $6,700 | $495 | |
| * Every year, the Centers for Medicare & Medicaid Services (CMS) evaluates plans based on a 5-star rating system. | ||||
- Provider Agreement: PFFS plans allow you to see any Medicare-approved provider, but only if the provider agrees to the plan’s payment terms. Always confirm that your preferred providers accept the plan before enrolling.
- Flexibility vs. Costs: While PFFS plans offer greater flexibility in choosing providers, they may come with higher out-of-pocket costs compared to other plan types. Make sure to compare costs carefully.
- No Network Requirements: PFFS plans don’t require you to stay within a network of providers, offering more freedom. However, this also means that fewer providers may accept the plan.
- Additional Benefits: Some PFFS plans include extra benefits such as dental, vision, and fitness programs. Consider which additional benefits are important to you when comparing plans.
How and When to Enroll in a Medicare Advantage Plan
Understanding the Medicare Advantage enrollment periods in Sheridan County is essential, whether you're new to Medicare or looking to change your current plan. Knowing when to enroll ensures that you get the coverage that’s right for you without missing important deadlines.
When to Enroll
- Initial Enrollment Period (IEP): Your first opportunity to enroll in Medicare begins three months before your 65th birthday and ends three months after. This is when you can choose your Medicare Advantage plan. Learn more
- Medicare Advantage Open Enrollment Period (MA OEP): Between January 1 and March 31, people who are currently enrolled in a Medicare Advantage plan can switch to a new one or return to Original Medicare if necessary. Learn more
- Annual Enrollment Period (AEP): From October 15 to December 7, you can review and adjust your Medicare coverage for the next year. Learn more
- Special Enrollment Periods (SEPs): You may qualify for a SEP due to life changes like relocation or losing other coverage, allowing you to make plan changes outside the typical enrollment periods. Learn more
How to Enroll
- Consult a Licensed Agent: Speak with a licensed health insurance agent from HealthCompare 1-833-748-3201 (TTY 711) (Mon-Fri 5am-6pm, Sat 6am-5pm PST) for personalized guidance..
- Contact the Plan Provider Directly: Visit the plan provider’s website or call their customer service team to start the enrollment process.
- Use Medicare.gov: Compare plans and enroll online through the official Medicare website at Medicare.gov.
Understanding Medicare Advantage: Frequently Asked Questions
What types of Medicare Advantage plans are available?
Medicare Advantage plans come in different types, including Health Maintenance Organization (HMO), Preferred Provider Organization (PPO), Private Fee-for-Service (PFFS), and Special Needs Plans (SNPs). Each plan type offers different levels of flexibility in choosing healthcare providers and services.
Do Medicare Advantage plans cover prescription drugs?
Many Medicare Advantage plans, known as Medicare Advantage Prescription Drug (MAPD) plans, include prescription drug coverage. These plans bundle Medicare Parts A, B, and D into one plan. However, not all Medicare Advantage plans include drug coverage, so it's important to check before enrolling.
Are there any additional costs with Medicare Advantage plans?
While Medicare Advantage plans often have lower premiums than Original Medicare, you may still have out-of-pocket costs such as copayments, coinsurance, and deductibles. The costs can vary depending on the specific plan and services you use.
Frequently Asked Questions About Medicare Advantage Enrollment
When can I enroll in a Medicare Advantage plan?
You can enroll in a Medicare Advantage plan during the Initial Enrollment Period (IEP), which starts three months before your 65th birthday and lasts three months after. You can also enroll during the Annual Enrollment Period (AEP) from October 15 to December 7, or during a Special Enrollment Period (SEP) if you qualify due to certain life events.
Can I change my Medicare Advantage plan after enrolling?
Yes, you can change your Medicare Advantage plan during the Annual Enrollment Period (AEP) or the Medicare Advantage Open Enrollment Period (MA OEP) if you are currently enrolled in a Medicare Advantage plan. Special Enrollment Periods (SEPs) may also allow plan changes if you qualify based on specific life events.
What happens if I miss the Annual Enrollment Period?
If you miss joining a plan during the Annual Enrollment Period (AEP), you may have to wait until the next AEP to join a Medicare Advantage plan. In some cases, Special Enrollment Periods (SEPs) may allow you to enroll or make changes outside the standard enrollment windows.
The MA and MAPD plans on this page are available to people on Medicare enrolled in both Medicare Part A and Part B living in Hoxie, and all other areas of Sheridan County, Kansas.
Plans Offered for Enrollment through Medicare.org
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross, Anthem Blue Cross and Blue Shield, Aspire Health Plan, Baylor Scott & White Health Plan, Capital Blue Cross, Cigna Healthcare, Dean Health Plan, Devoted Health, Florida Blue Medicare, Freedom Health, GlobalHealth, Health Care Service Corporation, Healthy Blue, HealthSun, Humana, Molina Healthcare, Mutual of Omaha, Medica Central Health Plan, Optimum HealthCare, Premera Blue Cross, SCAN Health Plan, Simply, UnitedHealthcare(R), Wellcare, WellPoint.