Best Medicare Advantage Plans in Colorado for 2023
Find Plans in your area with your ZIP Code
If you are thinking about getting out of Original MedicareOriginal Medicare is private fee-for-service health insurance for people on Medicare. It has two parts. Part A is hospital coverage. Part B is medical coverage. and into a Medicare Advantage plan available in Colorado, you're not alone. Nearly half of the estimated 64 million people with Medicare will join a Medicare Advantage plan in 2023. Some join to get more benefits. Some join to save money. And some like a plan's providers.
MedicareWireMedicareWire is a Medicare insurance consulting agency. We founded MedicareWire after seeing and hearing how confusing and frustrating it is to find, understand, and choose a plan. Our services are free to the consumer. can help you find top-rated Medicare Advantage plans in your region of Colorado. The overview of Colorado's market below will give you a clear picture of your top options and who the best providers are. It also shows you how much you can expect to pay each month for a plan.
NOTE: Our analysis does not include Colorado's Medicare Advantage SNP Plans. We evaluate these plans separately. We also did not include plans without Part DMedicare Part D plans are an option Medicare beneficiaries can use to get prescription drug coverage. Part D plans provide cost-sharing on covered medications in four different phases: deductible, initial coverage, coverage gap, and catastrophic. Each... benefits, employer plans, or Medicare-Medicaid Plans (MMPs).
Call 1-855-728-0510 (TTY 711) for assistance. There's no obligation.
Who Has The Best Medicare Advantage Plans in Colorado?
Every year, the Centers for Medicare & Medicaid ServicesThe Centers for Medicare & Medicaid Services (CMS) is the U.S. Federal agency that runs the Medicare, Medicaid, and Children’s Health Insurance Programs. (CMS) rates all Medicare Advantage plansMedicare Advantage (MA), also known as Medicare Part C, are health plans from private insurance companies that are available to people eligible for Original Medicare (Medicare Part A and Medicare Part B). in Colorado based on a 5-star scale. Input for the ratings comes from information that each plan self-reports, as well as individual member complaints. (Read more about Medicare star ratings.)
Colorado has 5-star Medicare Advantage plans available in 2023. Not all states and locations do. This year, the highest rated Medicare plans available in Colorado come from:
- Kaiser Permanente
- UnitedHealthcare
We recommend evaluating the health plans from these Colorado providers ahead of all others. Here's why. Simply put, more stars generally mean members will get better results. Members might get better service and care from a 5-star than they would from a four-star plan.
CRUCIAL: Benefits are not the same throughout Colorado. That's why it is so important to fully understand the advantages and disadvantages of Medicare Advantage plans specifically for you and your personal situation.
Complete List of Colorado's 2023 Medicare Advantage Plan Providers
Approximately 10 health insurance providers offer Medicare Advantage plans in Colorado, including:
- Aetna Medicare
- Anthem Blue Cross and Blue Shield
- Cigna
- Clear Spring Health
- Denver Health Medical Plan
- Denver Health Medical Plan, Inc.
- Humana
- Kaiser Permanente
- Perennial Advantage
- UnitedHealthcare
Colorado's Top-Rated Medicare Advantage Plans in 2023
According to the Centers for Medicare & MedicaidMedicaid is a public health insurance program that provides health care coverage to low-income families and individuals in the United States. Services, here are the top 2023 Medicare Advantage Plans available in Colorado:
Top Medicare Advantage Plans in Colorado
| Provider | Plan ID | Plan Name | Premium | Limit | Stars |
|---|---|---|---|---|---|
| Kaiser Permanente | H0630-025 | Kaiser Permanente Senior Advantage Bronze DM (HMO-POS) | $0.00 | $4,900 | 5.0 |
| Kaiser Permanente | H0630-013 | Kaiser Permanente Senior Advantage Core DM (HMO) | $0.00 | $4,200 | 5.0 |
| Kaiser Permanente | H0630-016 | Kaiser Permanente Senior Advantage Gold (HMO-POS) | $186.00 | $3,000 | 5.0 |
| Kaiser Permanente | H0630-015 | Kaiser Permanente Senior Advantage Silver DM (HMO-POS) | $39.00 | $3,400 | 5.0 |
| Kaiser Permanente | H0630-017 | Kaiser Permanente Senior Advantage Core South (HMO) | $0.00 | $4,500 | 5.0 |
| Kaiser Permanente | H0630-023 | Kaiser Permanente Senior Advantage Enhanced (HMO-POS) | $45.00 | $3,800 | 5.0 |
| Kaiser Permanente | H0630-026 | Kaiser Permanente Senior Advantage Bronze North (HMO-POS) | $0.00 | $4,900 | 5.0 |
| Kaiser Permanente | H0630-020 | Kaiser Permanente Senior Advantage Core North (HMO) | $0.00 | $4,500 | 5.0 |
| Kaiser Permanente | H0630-021 | Kaiser Permanente Senior Advantage Silver North (HMO-POS) | $33.00 | $3,700 | 5.0 |
| UnitedHealthcare | H5652-006 | Erickson Advantage Freedom (HMO-POS) | $68.00 | $4,300 | 5.0 |
| UnitedHealthcare | H5652-008 | Erickson Advantage Liberty with Drugs (HMO-POS) | $0.00 | $7,550 | 5.0 |
| UnitedHealthcare | H5652-001 | Erickson Advantage Signature with Drugs (HMO-POS) | $197.00 | $2,600 | 5.0 |
| Humana | H5216-195 | Humana Value Plus H5216-195 (PPO) | $41.60 | $7,550 | 4.5 |
| Humana | H5216-078 | HumanaChoice H5216-078 (PPO) | $46.00 | $6,700 | 4.5 |
| Humana | H5216-137 | HumanaChoice H5216-137 (PPO) | $0.00 | $7,350 | 4.5 |
| Humana | H5216-223 | HumanaChoice H5216-223 (PPO) | $28.00 | $4,900 | 4.5 |
| Humana | H5216-261 | HumanaChoice H5216-261 (PPO) | $0.00 | $5,200 | 4.5 |
| Humana | H5216-333 | HumanaChoice H5216-333 (PPO) | $96.00 | $2,900 | 4.5 |
Interested in joining a plan from one of the top-rated providers? That has a lot to do with your Colorado County. Medicare Advantage plans are regional, and you can't join a plan that isn't in your area.
Best 2023 Medicare Advantage Plans by Colorado County
Choose your Colorado County below to see the best (and the worst) 2023 plans.
For fast, friendly assistance call 1-855-728-0510 (TTY 711) .
How to Find the Best Medicare Advantage Plan Available in Colorado
If you’re approaching the age of 65, navigating a special enrollment event, or looking to review your plan options ahead of the Annual Enrollment PeriodThe Annual Enrollment Period is when Medicare beneficiaries can join, drop or change Medicare Advantage and Medicare Part D prescription drug plans. AEP begins on 15 October and ends on 7 December., there are a number of details you need to consider when comparing your options.
1. Consider Your Expected Utilization
Utilization is what determines your overall cost. Healthy individuals use fewer healthcare services. These people can save money by evaluating plans with low monthly premiumsA premium is an amount that an insurance policyholder must pay for coverage. Premiums are typically paid on a monthly basis. In the federal Medicare program, there are four different types of premiums. . Be aware that these plans often have higher copaymentsA copayment, also known as a copay, is a set dollar amount you are required to pay for a medical service. and a higher maximum out-of-pocket limit.
The opposite is true if you have one or more health conditions and frequently use healthcare services. In this case, plans with higher monthly premiums, low copayments, and low maximum out-of-pocket limits will help you save money.
2. Evaluate Your Prescription Costs
Prescriptions are what many people blame for driving up their healthcare costs. Part D prescription benefits are included with most Medicare Advantage plans. It would be best if you made sure that the plan you choose covers your medication at a price you can afford.
3. Understand Your Additional Coverage Needs
Original Medicare only covers your major medical services, leaving you to pay for dental, vision, hearing, and other healthcare services, or get additional coverage. Fortunately, a growing number of Medicare Advantage plans cover many of the essential services not covered by your Part A and Part BMedicare Part B is medical coverage for people with Original Medicare benefits. It covers doctor visits, preventative care, tests, durable medical equipment, and supplies. Medicare Part B pays 80 percent of most medically necessary healthcare services. benefits.
4. Consider Your Healthcare Providers
Medicare Advantage plans use healthcare provider networks, and not all primary care doctors and specialists accept all plans. For many Colorado shoppers, finding a plan that their doctor(s) accept is exhausting. We can help!
Should I Choose an HMO or PPO plan?
There are many plan options available when shopping for Medicare Advantage plans in Colorado, including HMO and PPO options. These are some of the differences you should consider before making a plan selection.
- With an HMO you may pay less out-of-pocket, but you will need to choose a primary physician to coordinate your care. Referrals for specialists are often required. Except in an emergency, you must remain within the provider network.
- With a PPO you are not required to get referrals for specialty care. You have the option to get health care outside of the plan's provider network. However, typically you will pay more and the out-of-pocket maximum for out-of-network care will be higher.
Need help choosing? Call 1-855-728-0510 (TTY 711) for plan assistance. There's no obligation.
Find Plans in your area with your ZIP Code
Frequently Asked Questions
Still have questions? These common questions and answers might help. Or, call 1-855-728-0510 (TTY 711) to speak with a licensed advisor.
What are the disadvantages of a Medicare Advantage plan?
Medicare Advantage plans have several potential disadvantages. For instance, most plans require their members to use their network of providers. Also, costs are also largely based on your use of healthcare services, making it more difficult to budget for healthcare costs. And, most plans make members get referrals to see a specialist or prior authorizationPrior authorization is a process used by health plans to control healthcare costs. Most HMO plans and some PPO plans require authorization before receiving certain treatments, medical services, or prescription drugs. to receive a service. Read about all five disadvantages of Medicare Advantage plans.
How much do Medicare Advantage plans cost in Colorado?
A Medicare Advantage plan in Colorado costs an average of $20.20. This is just the monthly premium. You should also consider the out-of-pocket expenses of a plan if you have any chronic conditions, which include a plan's copays and deductiblesA deductible is an amount a beneficiary must pay for their health care expenses before the health insurance policy begins to pay its share.. Prescription drug benefits are also included in most Medicare Advantage plans, but they have their own out-of-pocket costsOut-of-Pocket Costs for Medicare are the remaining costs that are not covered by the beneficiary's health insurance plan. These costs can come from the beneficiary's monthly premiums, deductibles, coinsurance, and copayments..
What is every Medicare Advantage plan required to include?
All Medicare Advantage plans offered in Colorado must cover all of the Original Medicare benefits. But, private Medicare plans are not required to provide healthcare services similarly. For instance, Medicare Part AMedicare Part A is hospital coverage for Medicare beneficiaries. It covers inpatient care in hospitals and skilled nursing facilities. It also covers limited home healthcare services and hospice care. covers 80% of hospital stays, skilled nursing, home care, hospiceHospice is a special way of caring for people who are terminally ill. Hospice care involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. care, and home health careHealth care services and supplies a doctor decides you may receive in your home under a plan of care established by your doctor. Medicare only covers home health care on a limited basis as ordered.... And Part B covers 80% of doctor visits, lab tests, and other outpatient services. However, Medicare Advantage plans are allowed to set their own copays and routinely charge more than 20%. That said, they do have an annual limit, whereas Original Medicare doesn't.
Methodology and Sources
Our analysis of the top-rated Medicare Advantage plans in Colorado excludes employer group plans, Medicare-Medicaid Plans (MMPs), Medicare Savings Account Plans (MSAs), Special Needs Plans (SNPs), and plans that do not include Part D benefits.
CMS rates health plans in several categories, including delivery of health care, member experience and customer service. When comparing plan ratings, we use state-specific data, not CMS' nationwide figures.
Medicare Advantage plan data is sourced from CMS public use files (see: Citations & References). When needed, we combined affiliated companies to calculate insurer averages.
Citations & References
- CMS.gov, 2023 Medicare Part C Landscape Source Files, Last Accessed October 15, 2022
- Medicare.gov, "5-star special enrollment period", Last Accessed October 20, 2022
- Medicare.gov, "Explore your Medicare coverage options", Last Accessed October 27, 2022
- KFF.org, "Medicare Advantage 2022 Spotlight: First Look", Last Accessed November 2, 2021
- Medicare.gov, "Things to know about Medicare Advantage Plans", Last Accessed October 12, 2022
- CMS.gov, Part C and D Performance Data, Last Accessed October 19, 2022
- CMS.gov, Monthly MA Enrollment by State/County/Contract, Last Accessed October 1, 2022
- CMS.gov, Biden-Harris Administration Announces Lower Premiums for Medicare Advantage and Prescription Drug Plans in 2023, Last Accessed September 29, 2022
This Medicare Advantage state information page was last updated on .