Medicare Plans in
Orange County, VT

15 Medicare Advantage Plans Found in Orange County. See Plans

Orange County, VT
Medicare Information

For Orange County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 15 private Medicare plans are available in Orange County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files and carrier-provided plan data supplied by SunFire, Inc., a private company that creates software solutions for agents and brokers to compare Medicare plans. For more information, visit www.sunfireinc.com.

For Orange County’s Medicare beneficiaries, private plans like Medicare Advantage plans offer an alternative to Original Medicare, and Part D plans (PDP) can work alongside your Original Medicare benefits.

Currently, 15 private Medicare plans are available in Orange County, and coverage is provided through Medicare-approved private companies, following rules set by Medicare.

MA plans, which are also referred to as Medicare Part C, may offer additional benefits that aren't available through Original Medicare.

Part D plans, also referred to as PDPs, cover retail prescription drugs.

Some Medicare Part C plans include coverage for prescription medications. Known as Medicare Advantage Prescription Drug plans, or MAPDs, these plans offer comprehensive coverage for seniors who want to minimize their out-of-pocket costs.

Learn more about some of the Medicare plans in Orange County, Vermont, including average costs, out-of-pocket expenses and what’s involved in obtaining prescription drug coverage.

The following is HelpAdvisor Editorial Team analysis of data from the 2024 MA Landscape Source Files as well as carrier-provided plan data supplied by SunFire Inc.

Average Cost of Medicare
Plans in Orange County

Average Cost of Medicare Advantage Plans in Orange County, Vermont
Average Monthly Premium $41.43
Average in-network out-of-pocket spending limit $6,353.00
Average drug deductible in 2024 (weighted) $395.00
Percentage of plans rated 4 stars or higher 46.7%
Average Cost of Medicare Advantage Plans in Orange County, Vermont
Average Monthly Premium
$41.43
Average in-network out-of-pocket spending limit
$6,353.00
Average drug deductible in 2021 (weighted)
$395.00
Percentage of plans rated 4 stars or higher
46.7%

Learn More About Medicare
Prescription Drug Plans

Orange County Medicare beneficiaries who are interested in a private Medicare policy may choose among the following types of plans, depending on their needs and circumstances:
Plan Type Description
HMO HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
PPO Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
PFFS Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
SNP Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.
Plan Type and Description
HMO enrollees typically receive services through in-network providers and must obtain referrals for visits to specialists. However, most plans permit out-of-network care in emergencies or out-of-area dialysis. HMO plans often include prescription drug coverage.
Members of PPO plans can typically go in or out of network for care, including hospitalization, although visits to non-network providers may cost considerably more. Referrals are usually not needed for visits to specialists, and many PPO plans include prescription drug coverage.
Private fee-for-service plans determine how much a doctor or facility will be paid for services, and members may seek care from any in or out-of-network provider that agrees to the plan's terms. Some PFFS plans include prescription drug coverage. Otherwise, members may seek coverage for medications through standalone Medicare drug plans, which are also known as Part D plans.
Special Needs Plans are designed for individuals with specific conditions or medical characteristics. Benefits such as providers and drug formularies are tailored to members' unique needs, and most care is provided by in-network physicians and facilities. SNPs are required to provide prescription drug coverage.

Some beneficiaries may be eligible for standalone prescription drug plans. Otherwise known as a PDP or Part D plan, a standalone prescription drug plan adds coverage for prescription medications to Original Medicare and some PFFS plans. It’s important to note that some MA plans, such as HMOs, may disenroll members who sign up for a separate drug plan.

Medicare Advantage Plans

Humana Inc.

Humana Inc. Medicare Plans in Orange County, VT

The following table includes cost information and other plan details for Humana Inc. private Medicare plans available in Vermont in 2024.

Scroll to the right to continue reading the chart
Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
HumanaChoice H5216-058 (PPO) H5216: 058 $0 $350 $5,200 Yes
4.5 out of 5
Humana USAA Honor (PPO) H5216: 059 $0 N/A $4,500 No
4.5 out of 5
HumanaChoice H5216-138 (PPO) H5216: 138 $0 $395 $4,995 Yes
4.5 out of 5
HumanaChoice H5216-057 (PPO) H5216: 057 $69 $0 $4,950 Yes
4.5 out of 5
UnitedHealthcare

UnitedHealthcare Medicare Plans in Orange County, VT

The following table includes cost information and other plan details for UnitedHealthcare private Medicare plans available in Vermont in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
AARP Medicare Advantage from UHC VT-0002 (HMO-POS) H1944: 032 $0 $0 $6,700 Yes
3.5 out of 5
AARP Medicare Advantage Patriot No Rx VN-MA01 (PPO) H8768: 048 $0 N/A $4,500 No
4 out of 5
AARP Medicare Advantage from UHC VT-0003 (PPO) H8768: 049 $0 $0 $6,900 Yes
4 out of 5
AARP Medicare Advantage from UHC VT-0001 (HMO-POS) H1944: 018 $28 $295 $6,300 Yes
3.5 out of 5
UHC Medicare Advantage VT-001A (PPO) H0271: 012 $44 $545 $8,850 Yes
4 out of 5
AARP Medicare Advantage from UHC NG-0001 (Regional PPO) R7444: 001 $58 $395 $7,550 Yes
3.5 out of 5
Wellcare Health Plans, Inc.

Wellcare Health Plans, Inc. Medicare Plans in Orange County, VT

The following table includes cost information and other plan details for Wellcare Health Plans, Inc. private Medicare plans available in Vermont in 2024.

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Plan Name Plan Code Monthly Premium Deductible Out of
Pocket Max
Prescription Drug Coverage Medicare
Star Rating
Wellcare No Premium (HMO) H1862: 001 $0 $0 $6,500 Yes
Not enough data available
Wellcare Giveback Open (PPO) H6594: 002 $0 $545 $7,550 Yes
3 out of 5
Wellcare No Premium Open (PPO) H6594: 001 $0 $0 $6,500 Yes
3 out of 5
Wellcare Assist Open (PPO) H6594: 004 $23 $420 $6,000 Yes
3 out of 5
Wellcare Plus Open (PPO) H6594: 003 $28 $215 $8,300 Yes
3 out of 5