County guide · Somerset County, ME · 2027 plan year
Original Medicare vs Medicare Advantage in Somerset County, ME
This guide lists 9 Medicare Advantage plans for 2027 in Somerset County, with the yearly cost of each one next to Original Medicare with Medigap. Special needs plans are not on this list.
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- Plans
- 9
- $0 premium
- 7 plans
- Lowest in-network limit
- $4,950
- Highest in-network limit
- $9,000
In Maine, you can count on Medigap Plan A later, but not other plans
You can buy any Medigap plan with no health questions in the 6 months that start when you are 65 or older and have Part B. After that, Maine makes each Medigap company sell you Plan A without health questions during one month each year. For other plans, a company can ask about your health and can say no.
One exception is the trial right. If you joined Medicare Advantage when you first got Medicare at 65, or you left a Medigap plan to try Medicare Advantage for the first time, you can switch back within 36 months. Then you can buy a Medigap plan with no health questions.
Read about Medigap rights on Medicare.govYearly cost of each plan
Totals include premiums, the Part B premium, copays, and drug costs for three levels of care. A light year is checkups and a few visits. A regular year has ongoing specialist care. A heavy year has frequent care and a 5-day hospital stay.
| Plan | Monthly premiums | Yearly limit on medical costs | Stars | Prior authorization | Light year | Regular year | Heavy year |
|---|---|---|---|---|---|---|---|
| Original Medicare with Medigap Plan Gand the lowest-cost drug plan | Part B $209.50 + Plan G + a drug plan from $5.30 | $292 Part B deductible, then Plan G pays | Not rated | Short list of services | We have no checked Medigap price for this county yet. Check Medigap prices on Medicare.gov | ||
| Anthem I MaineHealth Advantage Plus (HMO)HMO from AMH Health · Plan ID H9065-008 · Medicare.govIts page is set for Penobscot County, ME | $33 plan + Part B $209.50 | $6,800 in network | 3.5 of 5 | 23 services | $3,000 | $6,033 | $12,030 |
| HumanaChoice Giveback H5216-478 (PPO)PPO from Humana · Plan ID H5216-478 · Medicare.govIts page is set for Cumberland County, ME | $0 plan + Part B $209.50 (the plan pays back $48 of Part B) | $7,150 in network; $10,750 in and out of network | 4 of 5 | 24 services | $2,640 | $6,694 | $11,488 |
| HumanaChoice Giveback H5216-138 (PPO)PPO from Humana · Plan ID H5216-138 · Medicare.govIts page is set for Hartford County, CT | $0 plan + Part B $209.50 (the plan pays back $40 of Part B) | $7,150 in network; $10,750 in and out of network | 4 of 5 | 24 services | $2,736 | $6,790 | $11,584 |
| HumanaChoice Giveback H7617-046 (PPO)PPO from Humana · Plan ID H7617-046 · Medicare.govIts page is set for Hillsborough County, NH | $0 plan + Part B $209.50 (the plan pays back $40 of Part B) | $7,150 in network; $10,750 in and out of network | 4.5 of 5 | 24 services | $2,736 | $6,790 | $11,584 |
| Humana Gold Plus H5619-001 (HMO)HMO from Humana · Plan ID H5619-001 · Medicare.govIts page is set for Cumberland County, ME | $0 plan + Part B $209.50 | $7,150 in network | 4 of 5 | 24 services | $2,624 | $6,952 | $12,064 |
| Martin's Point Generations Advantage Essential (HMO)HMO from Martin's Point Generations Advantage · Plan ID H5591-020 · Medicare.govIts page is set for Hancock County, ME | $105 plan + Part B $209.50 | $9,000 in network | 3.5 of 5 | 20 services | $3,869 | $7,056 | $12,807 |
| AARP Medicare Advantage Patriot No Rx ME-MA01 (PPO)PPO from UnitedHealthcare · Plan ID H2001-021 · No drug coverage · Medicare.govIts page is set for Cumberland County, ME | $0 plan + Part B $209.50 (the plan pays back $140 of Part B) | $7,150 in network; $10,750 in and out of network | 4.5 of 5 | 24 services | $1,122 | $9,256 | $29,350 |
| Martin's Point Generations Advantage Alliance (HMO)HMO from Martin's Point Generations Advantage · Plan ID H5591-003 · No drug coverage · Medicare.govIts page is set for Cumberland County, ME | $0 plan + Part B $209.50 (the plan pays back $50 of Part B) | $5,000 in network | 3.5 of 5 | 20 services | $2,217 | $9,307 | $27,466 |
| Humana USAA Honor Giveback (PPO)PPO from Humana · Plan ID H5216-059 · No drug coverage · Medicare.govIts page is set for Hartford County, CT | $0 plan + Part B $209.50 (the plan pays back $123 of Part B) | $4,950 in network; $8,950 in and out of network | 4 of 5 | 24 services | $1,416 | $10,535 | $27,564 |
A plan with no drug coverage counts drugs at full price, unless its members can add a separate drug plan. A plan name with a link opens a page where you can change the care level, the Medigap plan, your age, and your drugs.
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Sources and method
Plan data comes from the CMS 2027 Plan Benefit Package and landscape files. The data is from 2026-10-10. Original Medicare amounts are the 2027 projections in the 2026 Medicare Trustees Report (Tables V.E1 and V.E2). CMS sets the final amounts in November. We do not have a Medigap price for Somerset County, ME. So the Original Medicare total needs your own Medigap quote. You can look up prices for ZIP 04945 on Medicare.gov. Totals use typical Medicare-allowed amounts for each service and typical drug prices.
- Medigap prices for ZIP 04945 on Medicare.gov
- CMS Plan Benefit Package files, 2027
- CMS 2027 landscape files (premiums and limits)
- CMS 2027 plan crosswalk
- CMS 2027 Star Ratings
- 2026 Medicare Trustees Report: projected 2027 Part A and Part B amounts (Tables V.E1 and V.E2)
- CMS 2026 Part A and Part B amounts
- Medicare.gov: Medigap guaranteed issue rights
These are estimates, not quotes, and they are for education only. Check every number with Medicare and with the plan before you choose. What you pay depends on your doctors and hospitals, your drugs and pharmacy, and the care you use. Plans can change their benefits, premiums, drug lists, and networks each year.
Pinnie is not an insurance agent or broker and does not sell Medicare plans. Pinnie is not connected with or endorsed by the U.S. government or the federal Medicare program. For all your options, visit Medicare.gov or call 1-800-MEDICARE (1-800-633-4227), TTY 1-877-486-2048.