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The Best Medicare Advantage Plans in East Otis, Massachusetts 2025

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While there are 71 Medicare Advantage plans in Massachusetts, there are 17 plans available to you in East Otis, Massachusetts. East Otis is located in Berkshire County. Connie Health gathered the plan cost and coverage information that matters most to you. Continue reading to discover the Medicare Advantage plan right for your health & budget and when to enroll.

2025 Medicare Advantage Plan Facts for East Otis

Why Choose a Medicare Advantage Plan?

There are three primary reasons you may choose to enroll in a Medicare Advantage plan:

  1. Low or no-cost monthly premiums.

  2. Lower out-of-pocket costs.

  3. Additional benefits such as comprehensive dental, vision, hearing, and more.

Medicare Advantage value Connie Health

1. Low or no-cost monthly premiums

You can access to a Medicare Advantage plan as low as $0 monthly. If you don't qualify for a $0 premium plan, the average is $93.90 monthly. This premium is low, especially compared to a Medicare Supplement plan or your Part B premiums.

2. Lower out-of-pocket costs

Original Medicare doesn't cap their out-of-pocket costs, so you could end up with unexpectedly high medical bills. With Original Medicare Part B, you must pay the premium, deductible, and 20% coinsurance for Medicare-approved services and procedures. The 20% can add up.

3. Additional benefits not available with Original Medicare

Want routine dental coverage? Medicare Part A (hospital insurance) and Medicare Part B (medical insurance) don't offer comprehensive dental, vision, or hearing coverage. These services would be entirely out-of-pocket for you.

The good news? Medicare Advantage plans have low or no-cost premiums, an out-of-pocket maximum, offer additional benefits, and are regulated by the Centers for Medicare & Medicaid Services (CMS). With a Medicare Advantage plan, you could receive prescription drug coverage, routine dental, vision, hearing, transportation, reduced cost-sharing, a gym membership, and more.

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Medicare Advantage Companies in East Otis

4 insurance companies offer Medicare Advantage plans in East Otis.

Medicare Advantage Insurance Companies in East Otis
Fallon Health
Health New England Medicare Advantage Plans
UnitedHealthcare
Wellcare

Top 5 Medicare Advantage Insurance Companies in East Otis

These 5 Medicare Advantage insurance companies enroll the largest amount of Medicare beneficiaries in East Otis. They offer the most popular plans.

# Medicare Advantage Insurance Companies in East Otis
1 Health New England, Inc.
2 Commonwealth Care Alliance, Inc.
3 Sierra Health And Life Insurance Company, Inc.
4 Wellcare Health Plans Of Massachusetts, Inc.
5 Humana Insurance Company

2025 East Otis Medicare Advantage Plans

There are 17 Medicare Advantage plans to choose from in East Otis. Below are the many available options. Click on any of the links to review additional plan details.

Medicare Advantage Plan Name Plan Type Monthly Plan Premium Maximum Out-of-Pocket Rx Deductible Medicare Star Rating
Fallon Medicare Plus Green (HMO) Local HMO $78.00 $5,200.00 $175.00 4
Fallon Medicare Plus Blue (HMO) Local HMO $174.00 $3,400.00 $0.00 4
Fallon Medicare Plus Orange (HMO) Local HMO $0.00 $7,550.00 $200.00 4
Fallon Medicare Plus Saver No Rx (HMO) Local HMO $35.00 $6,700.00 - 4
Fallon Medicare Plus Super Saver (HMO) Local HMO $60.00 $7,550.00 $545.00 4
AARP Medicare Advantage from UHC NG-0001 (Regional PPO) Regional PPO $58.00 $7,550.00 $395.00 3.5
Health New England Medicare Compass (PPO) Local PPO $0.00 $6,700.00 $290.00 3
Health New England Medicare Compass Premier (PPO) Local PPO $99.00 $4,900.00 $250.00 3
Health New England Medicare Premium (HMO) Local HMO $168.00 $4,400.00 $250.00 3
Health New England Medicare Premium No Rx (HMO) Local HMO $79.00 $4,400.00 - 3
Health New England Medicare Plus (HMO) Local HMO $113.00 $4,900.00 $250.00 3
Health New England Medicare Basic No Rx (HMO) Local HMO $0.00 $4,900.00 - 3
Health New England Medicare Value (HMO) Local HMO $0.00 $6,700.00 $290.00 3
Wellcare No Premium Open (PPO) Local PPO $0.00 $6,500.00 $545.00 2.5
Wellcare Giveback Open (PPO) Local PPO $0.00 $7,550.00 $545.00 2.5
Wellcare Premium Enhanced Open (PPO) Local PPO $75.00 $4,700.00 $0.00 2.5

Top 5 Medicare Advantage Plans with the Highest Star Ratings in East Otis

The Centers for Medicare and Medicaid Services (CMS) rates all Medicare Advantage plans on a scale of 1 to 5 stars. Plans with one star are considered “poor,” while those with five stars are considered “excellent.” Any plan that is four stars and higher is a “top-rated” plan. These are the plans with the highest star ratings in East Otis.

# Plan Name Plan Type Monthly Plan Premium Maximum Out-of-Pocket Rx Deductible Medicare Star Rating
1 Fallon Medicare Plus Green (HMO) Local HMO $78.00 $5,200.00 $175.00 4
2 Fallon Medicare Plus Blue (HMO) Local HMO $174.00 $3,400.00 $0.00 4
3 Fallon Medicare Plus Orange (HMO) Local HMO $0.00 $7,550.00 $200.00 4
4 Fallon Medicare Plus Saver No Rx (HMO) Local HMO $35.00 $6,700.00 - 4
5 Fallon Medicare Plus Super Saver (HMO) Local HMO $60.00 $7,550.00 $545.00 4

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Types of Medicare Advantage Plans Available in East Otis

You can choose from 3 Medicare Advantage plan types in East Otis. These include: Local PPO, Local HMO, Regional PPO. Which is the best plan for your health needs and budget? We'll walk you through the most popular plan types: Local PPO, Local HMO, Regional PPO. At the end of this section, you'll understand the difference between these popular plan types.

Medicare Advantage HMO Plans

You have 11 Medicare Advantage HMO plans to choose from in East Otis. An HMO, or Health Maintenance Organization, is a type of health plan that limits coverage to in-network care from doctors who work for or contract with the HMO. Typically, HMO plans won't cover out-of-network care except in an emergency.

Medicare Advantage PPO Plans

There are 6 Medicare Advantage PPO plans in East Otis. A PPO, or Preferred Provider Organization, is a type of health plan where you pay less to use doctors in the plan's network. Unlike an HMO, you can see doctors and specialists and use a hospital outside the network without a referral for an additional cost.

PPO plan comparison Connie Health

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Medicare Advantage Special Needs Plans (SNPs)

Special Needs Plans, or SNPs, are a type of Medicare Advantage plan. There are two types of Special Needs Plans that may be available to you: Chronic Special Needs Plans (C-SNP) and Dual Special Needs Plans (D-SNP).

Chronic Special Needs Plans (C-SNP) are limited to people with specific illnesses or characteristics. For example, you may qualify for a C-SNP if you have diabetes, End-Stage Renal Disease (ESRD), HIV/AIDS, dementia, chronic heart failure, or other qualifying illnesses. Medicare C-SNPs tailor benefits, provider choices, and drug formularies to meet the needs of the special needs groups they serve.


You may qualify for a Dual Special Needs Plan (D-SNP) if you are eligible for Medicare and Medicaid. With a D-SNP, the State of Massachusetts may cover your Medicare costs, depending on your eligibility.

Veteran Benefits & Medicare

If you or your spouse are veterans, you likely have VA benefits. However, the U.S. Department of Veteran Affairs encourages you to sign up for Medicare as soon as you are eligible. Here are three reasons you should speak to a local licensed agent about how VA benefits and Medicare work together:

When to Enroll in a Medicare Advantage Plan in East Otis

Knowing when to enroll or make plan changes can help you save money.

Are you enrolling in a Medicare Advantage plan for the first time, or are you interested in making a plan change? Skip to the section that applies to you - and mark the dates in your calendar.

Enroll for the First Time

If you're new to Medicare, the best time to enroll in a Medicare Advantage plan is during your Initial Enrollment Period. If you miss that, you can still enroll during the General Enrollment Period (January 1 - March 31) or Special Enrollment Period, but likely with penalties.

Make a Plan Change

The best time to change a plan is during the Medicare Annual Enrollment Period (October 15 - December 7). During this time, anyone enrolled in Medicare can review their plan options for the coming year and ensure that their plan choice meets their health and budget needs.

Annual Enrollment Period Connie Health

If you need to make a plan change because you moved to a new service area or lost coverage, among other reasons, you could qualify for a Special Enrollment Period.

Whether enrolling for the first time or making a plan change, a Medicare Advantage plan could fit your health and budget needs. Medicare in Massachusetts can be confusing; you, don't have to sift through your options alone. Call 1-888-813-89111-888-813-8911 to speak with an agent today and review your frequently asked questions below.

Where to Sign Up for Medicare Advantage in East Otis, Massachusetts

You could sign up for a Medicare Advantage plan in several ways. You could choose your plan through Medicare’s website, speak with someone from a local SHIP, enroll directly with an insurance company, or enroll with an insurance broker or agent. We know you have options, and we hope that you’ll contact a local licensed Connie Health agent to speak about your Medicare healthcare needs.

With Connie Health, you can compare Medicare Advantage plans online or by speaking with a licensed Connie Health agent in your community. A local licensed agent can discuss your Medicare Advantage plan options via phone, in person (a local place of your choosing), or via video chat, whichever you prefer. Call 1-888-813-89111-888-813-8911 to schedule an appointment or review your Medicare Advantage options online.

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Medicare Doctors Near Me in East Otis, Massachusetts

Struggling to find a trustworthy doctor who accepts your Medicare plan? It can be a daunting task but don't worry. With Connie Health, you can easily locate Medicare doctors near you.

No more endless phone calls or web searches. Our platform lets you enter your address and plan information (if you have it), and we'll do the rest. Let us help you eliminate the stress of finding a physician who accepts Medicare.

Frequently Asked Questions

Which doctors near me accept Medicare in East Otis?

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How many people are enrolled in a Medicare Advantage plan in East Otis?

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Who is eligible for Medicare Advantage plans in East Otis?

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Can I buy a Medicare Advantage plan in East Otis?

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What is the best time to enroll in a Medicare Advantage plan in East Otis?

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Can I enroll in a Medicare Advantage plan anytime?

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What is the best Medicare Advantage plan in East Otis?

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How much does a Medicare Advantage plan cost in East Otis?

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How much does Medicare cost in East Otis?

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What is the difference between a Medicare Advantage and Medicare Supplement?

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Can I switch Medicare Advantage plans in East Otis?

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Can I keep my Medicare Advantage plan if I move to a different city in Massachusetts?

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Is Humana Gold Plus a Medicare Advantage plan?

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Does Medicare Advantage cover dental in East Otis?

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How to choose a Medicare Advantage plan in East Otis?

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Is Humana Choice PPO a Medicare Advantage plan?

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Does Medicare Advantage cover hearing aids in East Otis?

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How to compare Medicare Advantage plans in East Otis?

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Is Medicare Part C the same as Medicare Advantage?

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What doctors near me accept Medicare in East Otis?

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How do I compare Medicare Advantage plans in East Otis, Massachusetts?

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Where can I get more information about Medicare Advantage plans in East Otis, Massachusetts?

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Medicare Advantage plans may be available in the following zip codes in the East Otis, Massachusetts. 01029

Sources:

“Explore your Medicare coverage options.” Medicare.gov.

“MA State/County Penetration.” CMS.gov.

“Monthly MA Enrollment by State/County/Contract.” CMS.gov.

“Prescription Drug Coverage - General Information.” CMS.gov.

“VA healthcare and other insurance.” U.S. Department of Veterans Affairs (VA.gov).

Last updated: January 10, 2025

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