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Are you considering enrolling in a Medicare Advantage plan in Oklahoma? You're in good company. In 2023, more than 31 million people are expected to get a private Medicare health plan. Some want lower costs. Some are looking for more benefits. Others need access to more healthcare providers and doctors.
2024 Medicare Advantage Plans for Oklahoma Beneficiaries
Be the first to know. Sign-up for 2024 Medicare Advantage plan notification HERE. The 2024 Medicare Part C information will be available in early October.
Our online tools can help you find the best Medicare Advantage plans available that meet your needs. Below is a summary of the Oklahoma market. This will allow you to get a clear idea of the top plan options available, the top-rated plan providers, and what you should expect to pay each month in premiums.
Table of Contents
- Medicare Advantage Plans are available to U.S. citizens and legal U.S. residents living in Oklahoma who are enrolled in Original Medicare.
- Insurance plans are offered by private health insurance companies and provide an alternative way to receive Medicare benefits in your Oklahoma County.
- Medicare Advantage Plans in Oklahoma are required to provide at least the same benefits as Original Medicare, but they may also provide additional benefits such as vision, dental, and hearing coverage.
- Plans may also offer prescription drug coverage, which is not available with Original Medicare. A stand-alone Medicare Part D plans available in Oklahoma can be added if the health plan does not include Part D.
- Medicare Advantage Plans in Oklahoma may have different cost-sharing requirements than Original Medicare, such as copayments, coinsurance, and deductibles. Be sure to compare plans, including prices, quality and affordable out-of-pocket costs, to determine the best Medicare insurance for your situation.
- Medicare Advantage Plans in Oklahoma may also have different provider networks than Original Medicare, so it is important to make sure that your preferred doctors and hospitals are in-network.
- Medicare Advantage insurance has specific open enrollment periods. Unlike Medicare Supplement plans, you cannot join, switch, or drop a plan outside of an enrollment period.
Call 1-855-728-0510 (TTY 711) for assistance. There's no obligation.
Who Has The Best Plans in Oklahoma?
Each year, the Centers for Medicare & Medicaid Services (CMS), reviews and rates Oklahoma's Medicare Advantage plans based on a 5-star scale. The information used to create a plan's star rating comes from member input and data reported by the plan.
Oklahoma has 5-star Medicare Advantage plans available in 2023. Not all states and locations do. This year, the highest rated Medicare plans available in Oklahoma come from:
MedicareWire recommends evaluating plans from these Oklahoma health insurance companies first. Why? Because more stars mean a better plan. For instance, members may get better care, customer service, and phone support from a 5-star plan than from a 4-star one.
IMPORTANT: Depending on where you live in Oklahoma, Medicare Advantage plans may have many valuable benefits (as compared to Original Medicare). But, before you choose, it's crucial that you understand the potential disadvantage of Medicare Advantage plans, as well as Medigap vs Advantage plans. Compare coverage and costs with care to find the plan best suited to your health and financial needs.
Complete List of Oklahoma's 2023 Providers
Oklahoma has 11 providers that offer Medicare Advantage plans. They include:
- Aetna Medicare
- Blue Cross and Blue Shield of OK, TX
- Blue Cross and Blue Shield of Oklahoma
- Lasso Healthcare
Top Oklahoma Plans by CMS 5-Star Score in 2023
Here's a list of the best 2023 Medicare Advantage plans available in Oklahoma, according to the Centers for Medicare & Medicaid Services:
Top Medicare Advantage Plans in Oklahoma
|Provider||Plan ID||Plan Name||Premium||Limit||Stars|
|Cigna||H4513-073||Cigna Preferred Savings Medicare (HMO)||$0.00||$6,900||5.0|
|GlobalHealth||H3706-023||Generations Classic Plus (HMO)||$0.00||$3,900||4.5|
|GlobalHealth||H3706-001||Generations Classic Rewards (HMO)||$0.00||$3,900||4.5|
|Humana||H5216-231||HumanaChoice H5216-231 (PPO)||$0.00||$4,200||4.5|
|Humana||H5216-081||HumanaChoice H5216-081 (PPO)||$60.00||$6,700||4.5|
|Humana||H6622-033||Humana Gold Plus H6622-033 (HMO)||$0.00||$4,200||4.5|
|Humana||H5216-264||HumanaChoice H5216-264 (PPO)||$0.00||$7,550||4.5|
|Humana||H5216-323||HumanaChoice H5216-323 (PPO)||$0.00||$4,900||4.5|
|Humana||H6622-049||Humana Value Plus H6622-049 (HMO)||$26.10||$7,550||4.5|
|Humana||H6622-032||Humana Gold Plus H6622-032 (HMO)||$0.00||$4,200||4.5|
|Humana||H5216-337||HumanaChoice H5216-337 (PPO)||$0.00||$5,700||4.5|
|Humana||H5216-316||HumanaChoice H5216-316 (PPO)||$22.00||$4,400||4.5|
|Humana||H5216-083||HumanaChoice H5216-083 (PPO)||$68.00||$6,700||4.5|
|UnitedHealthcare||H3749-001||AARP Medicare Advantage Flex (HMO-POS)||$19.00||$3,900||4.5|
|UnitedHealthcare||H3749-018||AARP Medicare Advantage (HMO-POS)||$0.00||$5,900||4.5|
|UnitedHealthcare||H3749-020||AARP Medicare Advantage Navigate (HMO-POS)||$0.00||$5,500||4.5|
|UnitedHealthcare||H3749-017||AARP Medicare Advantage Flex Plus (HMO-POS)||$19.00||$3,900||4.5|
Interested in joining a plan from one of the top-rated providers? That has a lot to do with your Oklahoma County. Medicare Advantage plans are regional, and you can't join a plan that isn't in your area.
Best Plans in Oklahoma by County
Choose your Oklahoma County below to see the best (and the worst) 2023 plans.
For fast, friendly assistance call 1-855-728-0510 (TTY 711) .
How to Select The Best Plan
There are various reasons you might be considering a plan change, such as turning 65 or the Annual Enrollment Period. You might also be navigating a special enrollment event, such as moving into a new region. There are some important details to consider in all these situations.
1. Consider Your Expected Utilization
Do you believe that you will get the most out of your plan's benefits, including hospital inpatient care? If you do, evaluate plans with higher monthly premiums, low copayments, and low maximum out-of-pocket limits. Conversely, if your health is good and you rarely use services, look for plans with low premiums or a zero-dollar premium. These plans may have high out-of-pocket maximums and high deductibles, so weigh your risk carefully.
2. Evaluate Your Prescription Costs
For many seniors, prescription drugs are what drive up their healthcare costs the most. And, because most Medicare Advantage plans include Part D benefits for your regular prescriptions, you need to make sure the plan you choose covers your drugs at a price you can afford.
3. Understand Your Additional Coverage Needs
Original Medicare does not all health care costs. It covers your major medical and some preventive care services, but it does not cover dental, vision, hearing, or prescriptions. A growing number of Medicare Advantage plans cover many of the essential services that your Part A and Part B benefits do not.
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 Oklahoma shoppers, finding a plan that their doctors 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 Oklahoma, 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
Medicare Advantage plans are available to people ages 65 and older. They are also available to individuals with certain disabilities. When eligible, you can generally join one of these Medicare Advantage Plans:
- Health Maintenance Organization (HMO)
- Preferred Provider Organization (PPO)
- Private Fee-for-Service (PFFS)
- Medical Savings Account (MSA) Plan
You must live in the service area (i.e., County) of the plan you want to join. If you reside outside the plan's service area for part of the year, ask if the plan will cover you there. You must also have both Medicare Part A and Part B and be a U.S. citizen or a legal resident.
Medicare Advantage Plans are an alternative to Original Medicare coverage. However, there is another option. You can keep your Original Medicare benefits and add one of the best Medicare Supplement plans in Oklahoma for additional coverage. And, there are Oklahoma Medicare Part D plans for coverage of prescription drugs.
Many experts feel Medicare Supplement insurance plans offer superior financial coverage and the most flexibility. Plus, benefits rarely change and you can get a policy outside of a Medicare enrollment period. However, plans may not be affordable for all Oklahoma seniors.
Due to the fact that Medicare Supplement plans cover more costs than Medicare Advantage Plans, their monthly premiums are generally higher. If you cannot afford Medicare's out-of-pocket costs, another alternative is a dual-eligible Medicare Special Needs Plan in Oklahoma. D-SNP plans help Oklahoma seniors who qualify for both Medicare and Medicaid. D-SNP plans offer quality care at very affordable prices.
Call 1-855-728-0510 (TTY 711) for assistance. There's no obligation.
Frequently Asked Questions
Still have questions? These common questions and answers might help.
What is the biggest disadvantage of Medicare Advantage?
Medicare Advantage plans can have some potential drawbacks. Many plans require members to use their provider network. Costs are also heavily influenced by how you use healthcare services. This makes it difficult to budget for healthcare expenses. Most plans require members to get referrals for specialists or authorization before they can receive healthcare services. Learn more about the pros and cons of Medicare Advantage plans.
How much does Medicare Advantage cost in Oklahoma?
The average cost of a Medicare Advantage plan in Oklahoma is $19.85. But that's just the monthly premium. If you have one or more chronic health conditions, a plan's out-of-pocket costs (e.g. deductibles and copays) are also a factor to consider. Plus, most Medicare Advantage plans include prescription drug benefits, which have their own out-of-pocket costs.
What do Medicare Advantage plans include?
All Medicare Advantage plans offered in Oklahoma must cover all of the Original Medicare benefits. But, private Medicare plans are not required to provide healthcare services similarly. For instance, Medicare Part A covers 80% of hospital stays, skilled nursing, home care, hospice care, and home health care. 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 Oklahoma 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 and reviews 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.
Our research does not include Oklahoma's Medicare Advantage SNP Plans. We evaluate these plans separately. We also did not include plans without Part D benefits for prescription drugs, employer plans, or Medicare-Medicaid Plans (MMPs). If you're not looking for a Medicare Advantage plan but want to cover out-of-pocket costs that Original Medicare plan doesn't cover, MedicareWire also ranked the best Medigap Plans in Oklahoma.
Medicare Advantage and Part D plans and benefits offered by the following carriers: Aetna Medicare, Anthem Blue Cross Blue Shield, Aspire Health Plan, Centene Corporation, Dean Health Plan, Devoted Health, GlobalHealth, Health Care Service Corporation, Cigna-HealthSpring, Humana, Molina Healthcare, Mutual of Omaha, Oscar Health Insurance, Premera Blue Cross, Medica Central Health Plan, SCAN Health Plan, Scott and White Health Plan now part of Baylor Scott & White Health, and UnitedHealthcare.
Citations & References
- CMS.gov, 2023 Medicare Part C Landscape Source Files, Last Accessed January 13, 2023
- CMS.gov, "5-STAR PLAN RATINGS", Last Accessed October 22, 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, 2022
- Medicare.gov, "How do Medicare Advantage Plans work?", Last Accessed October 13, 2022
- CMS.gov, Part C and D Performance Data, Last Accessed January 13, 2023
- CMS.gov, Monthly MA Enrollment by State/County/Contract, Last Accessed January 13, 2023
- CMS.gov, Biden-Harris Administration Announces Lower Premiums for Medicare Advantage and Prescription Drug Plans in 2023, Last Accessed September 29, 2022
- CMS.gov, Medicare Marketing Guidelines, Last Accessed February 2, 2023
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Our content follows the guidance provided by the Medicare Marketing Guidelines on CMS.gov. If you believe the information on this page is inaccurate, please contact us.