Medicare Advantage

2019 Mutual of Omaha Medicare Advantage and Medicare Supplement Plans (Medigap)

For more information on Medicare, please call the number below to speak with a healthcare specialist:

1-800-810-1437 TTY 711

About Mutual of Omaha (MOO)

Mutual Benefit Health & Accident Association, or Mutual of Omaha, opened its doors in 1909, and by the following year, the company was authorized to begin issuing policies in Nebraska. Initially, the company only offered health and accident insurance. As men left to serve in World War I, women flooded the workplace, which spurred the company into selling products to women. The company consolidated with Omaha Health & Accident Association in 1918. By the time World War II was underway in Europe, the company was licensed in all 48 states as well as two territories. It became Mutual of Omaha in 1950.

Today, Mutual of Omaha sells insurance products in all 50 states with a statutory surplus of $2 billion. The company has offices in 44 states and employs more than 5,000 people.

A.M. Best, which ranks companies based on overall financial strength and the ability to meet obligations to shareholders and policyholders, gives Mutual of Omaha an A+ Superior rating. This is the second highest of 16 ranked in the industry. Standard & Poor’s ranks the insurance company as AA- or Very Strong. This is the fourth highest rating out of 21.

Mutual of Omaha offers both Medicare Advantage plans, which are private plans sold by individual companies and regulated by the federal government, and Medicare supplement plans or what are also known as, Medigap.

Mutual of Omaha Medicare Advantage 2019

Mutual of Omaha started offering Medicare Advantage plans in 2018, so their coverage is limited to specific locations in the United States: the Cincinnati area in Ohio, and San Antonio in Texas. If you live in one of these areas, you might find Mutual of Omaha plans to be a good option depending on your needs. Both of the company’s plans include good benefits and some extras that make them competitive in the Advantage market, but they are HMOs, which limit you to specific networks. To give you an idea of pricing, we’ve compared two policies available in Cincinnati, Ohio (Hamilton County) below.

2019 Mutual of Omaha Medicare Advantage Plans Comparison

CareAdvantage Complete HMO

CareAdvantage Plus HMO

Monthly premium

$0

$29

Copay (primary)

$0

$5

Deductibles

$0 for medical

$0 for drug

$0 for medical

$0 for drug

Network

In-network coverage only

In-network coverage only

Rx coverage?

Yes

Yes

Rx cost

$2 copay for tier 1

$0 copay for tier 1

Special features

Preventive dental, routine vision and glasses; credit for over-the-counter items; Silver Sneakers fitness program and transportation benefits

Comprehensive dental, routine vision and glasses, hearing aids; credit for over-the-counter items; Silver Sneakers fitness program and transportation benefits

Out-of-pocket max

$4,500

$4,250

CMS Star Rating

N/A (too new)

N/A (too new)

Mutual of Omaha Medigap Plan Over For 2019

Mutual of Omaha may be new to the market for Medicare Advantage, but the company’s history with Medicare dates back to the very founding of the program itself. In 1966, the federal government chose Mutual of Omaha to administer Parts A and B of the newly-created Medicare program. Mutual of Omaha no longer administers the federal program, but the company continues to play an active role in the world of Medicare via Medigap plans, also known as Medicare supplements. These plans provide extra coverage if you have original Medicare. 

Mutual of Omaha offers Medigap options nationwide, but all of their Medigap plans aren’t available everywhere. Depending on where you live, you could find Plans A, C, D, F, G and N. Some areas have access to high-deductible Plan F, and residents of New York and Maine can buy Medigap Plan M from Mutual of Omaha.

Availability will vary based on your zip code. But note that benefits don’t vary based on where you live. That’s because Medigap plans are standardized at the federal level in every state except for Massachusetts, Wisconsin and Minnesota. Plan C looks the same no matter where you buy it or which company you buy it from. Pricing is the most significant difference, but company that is helping you enroll, that matters. Look for reputable companies with strong ratings and rankings as you shop for Medicare coverage in 2019. Or, use one of our forms, or our toll free number to connect with a reputable licensed medicare professional.

Mutual of Omaha Medigap Plan A

Mutual of Omaha’s Plan A provides you with basic benefits, although it can fill gaps in your coverage, saving you money in copayments and coinsurance costs. A woman living in Vermont would spend just under $145 per month for the Mutual of Omaha Medigap Plan A. This plan covers:

  • Part A coinsurance and hospital costs (up to 365 days after Medicare hospital benefits end)
  • Part A hospice care coinsurance or copayment
  • Part B coinsurance or copayment
  • The first three pints of blood

In addition to Medicare Part A and coinsurance, the plan also covers an additional 365 days once your Medicare benefits end. It’s important to note that all federally standardized Medigap plans are required to provide, at minimum, coverage for these benefits.

Mutual of Omaha Medigap Plan B

Medigap Plan B includes the basic coverage afforded under Plan A along with one added feature: the Medicare Part A deductible. Our Vermont resident would pay just under $267 per month for a Medigap Plan B policy from Mutual of Omaha, which includes coverage for: 

  • Part A coinsurance and hospital costs (up to 365 days after Medicare hospital benefits end)
  • Part A hospice care coinsurance or copayment
  • Part A deductible
  • Part B coinsurance or copayment
  • The first three pints of blood

Mutual of Omaha Medigap Plan C

A woman in Vermont who chooses the Mutual of Omaha Medigap Plan C would pay just over $293 per month for the coverage. Medigap Plan C is a comprehensive option, covering a broader array of benefits than most Medigap plans. And while it has a higher price tag, it’s not a substantial bump over Plan B given the bevy of benefits. These include: 

  • Part A coinsurance and hospital costs (up to 365 days after Medicare hospital benefits end)
  • Part A hospice care coinsurance or copayment
  • Part A deductible
  • Skilled nursing facility coinsurance
  • Part B deductible
  • Part B coinsurance or copayment
  • The first three pints of blood
  • 80% of foreign travel medical expenses (up to the plan limit)

Note that if you become eligible for Medicare on or after January 1, 2020, federal law will prevent you from choosing Medigap Plan C. If you already have Plan C prior to 2020, you can keep the plan. But the federal government is eliminating two plans from the Medigap lineup in 2020, both of which cover the Medicare Part B deductible. After this date, no new policies for C and F will be sold by any company.

Mutual of Omaha Medigap Plan D

Mutual of Omaha also offers Medigap Plan D, which isn’t typical of many Medicare supplement insurers. This plan would cost our Vermonter almost $322 per month. It covers the same benefits as Plan N, but that plan requires copayments for some medical care. In other words, if you choose Plan D, your copays are covered by the policy, but at a higher monthly premium than Plan N. Coverage includes:

  • Part A coinsurance and hospital costs (up to 365 days after Medicare benefits stop)
  • Part A hospice care coinsurance or copayment
  • Part A deductible
  • Skilled nursing facility coinsurance
  • Part B coinsurance or copayment
  • The first three pints of blood
  • 80% of foreign travel medical expenses (up to the plan limit)

Mutual of Omaha Medigap Plan F

Medigap Plan F, like Plan C, has been a very popular plan among Medicare recipients. It’s the most comprehensive Medicare supplement plan you can buy. It also covers essentially all of your out-of-pocket costs, meaning aside from the premium for the plan itself, you won’t have much to spend out of pocket for your care. Our Vermont resident would pay about $307 per month for this plan, which provides a substantial amount of coverage:

  • Part A coinsurance and hospital costs (up to 365 days after Medicare hospital benefits end)
  • Part A hospice care coinsurance or copayment
  • Part A deductible
  • Skilled nursing facility coinsurance
  • Part B deductible
  • Part B coinsurance or copayment
  • Part B excess charges
  • The first three pints of blood
  • 80% of foreign travel medical expenses (up to the plan limit)

There’s also a high-deductible version of Plan F. This plan has a deductible of $2,300, which is set at the federal level. You must meet the deductible before the insurance starts paying benefits. The tradeoff is that the premium for this plan is significantly lower than the premium for regular Plan F. Our Vermonter would pay just $58 a month for high-deductible Plan F from Mutual of Omaha, saving nearly $250 a month over the regular version. 

In this case, it would be less expensive to buy the high-deductible version of Plan F from Mutual of Omaha and cover that deductible yourself (you save $3,000 by choosing high-deductible F, and the deductible is just $2,300). That’s not always the case, though, so crunch the numbers carefully to make sure it’s worth the tradeoff. High-deductible F covers the exact same benefits as the regular version.

Do keep in mind that like Plan C, Medigap Plan F won’t be sold starting January 1, 2020. You can buy the plan up until then and keep it in place after, but there won’t be any new Plan F policies after that date.

Mutual of Omaha Medigap Plan G

If you like the benefits of Plans C and F but don’t want to risk picking a plan that might cost more as it becomes obsolete, consider Medigap Plan G. This plan covers everything that Plan F does except for the annual Medicare Part B deductible, which is $185 for 2019. Our woman in Vermont would pay just over $264 for Plan G from Mutual of Omaha, saving about $40 a month over Plan F (and making up for the fact that you’ll have to cover the Part B deductible yourself). This plan provides coverage for:

  • Part A coinsurance and hospital costs (up to 365 days after Medicare hospital benefits end)
  • Part A hospice care coinsurance or copayment
  • Part A deductible
  • Skilled nursing facility coinsurance
  • Part B coinsurance or copayment
  • Part B excess charges
  • The first three pints of blood
  • 80% of foreign travel medical expenses (up to the plan limit)

Mutual of Omaha Medigap Plan M

Medigap Plan M provides good coverage, but there is one difference you should note about this plan. Plan M only covers the Medicare Part A deductible at 50 percent, leaving you to cover the remainder on your own. You can have multiple benefit periods per calendar year, so keep this in mind when you’re comparing Medigap plans. On the positive side, Plan M from Mutual of Omaha would cost a Maine resident about $190 a month, which is lower than some other plan types. Mutual of Omaha only sells Plan M in New York and Maine. It covers:

  • Part A coinsurance and hospital costs (up to 365 days after Medicare hospital benefits end)
  • Part A hospice care coinsurance or copayment
  • 50% of the Part A deductible
  • Skilled nursing facility coinsurance
  • Part B coinsurance or copayment
  • The first three pints of blood
  • 80% of foreign travel medical expenses (up to the plan limit)

Mutual of Omaha Medigap Plan N

Medigap Plan N looks identical to Plan D with one significant exception: Plan N requires copays for some medical and emergency care. The upside to this is that Medigap Plan N costs less. In Vermont, our Medicare applicant would pay just under $137 per month for Plan N from Mutual of Omaha. Coverage includes: 

  • Part A coinsurance and hospital costs (up to 365 days after Medicare hospital benefits end)
  • Part A hospice care coinsurance or copayment
  • 50% of the Part A deductible
  • Skilled nursing facility coinsurance
  • Part B coinsurance or copayment
  • The first three pints of blood
  • 80% of foreign travel medical expenses (up to the plan limit)

Copays for Plan N aren’t high, but they can be taxing to your monthly budget if you see healthcare providers frequently. With this plan, you could pay up to $20 per office visit with your doctor, or up to $50 for trips to the emergency room that don’t lead to inpatient hospitalization.

If you’re trying to decide which Medigap or Medicare Advantage plan will work best for your needs, don’t go it alone. As Medicare professionals, we know the ins and outs of this sometimes overly complicated process. Contact us today for a personalized quote based on where you live and your needs. It’s the best way to make sure you see all the options available to you.

Need help? Speak with a human.

1-800-810-1437TTY 711
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