Best Medicare Advantage Plans New Hampshire 2025

Are you looking for the best Medicare Advantage plans in New Hampshire for 2025?

Our thorough guide compares the top “best medicare advantage plans New Hampshire 2025” to help you identify the coverage that’s right for you, considering costs, ratings, and benefits. From zero premium options to comprehensive services, learn the key details to choose wisely and confidently.


Key Takeaways

  • New Hampshire offers a variety of Medicare Advantage plans in 2025, including high-rated plans from Humana and Martin’s Point Generations Advantage, different types of plans like HMOs and PPOs, and zero-dollar premium plans with Comprehensive Coverage Choices.


  • Enrollment in Medicare Advantage plans is contingent upon eligibility, which includes citizenship or legal residency, and sometimes specific medical conditions. Enrollment periods include Annual Open Enrollment, Initial Enrollment, and Special Enrollment Periods, allowing changes to be made to Medicare plans.


  • Choosing the right Medicare Advantage plan involves assessing individual healthcare needs, comparing costs, and considering additional benefits. Resources such as and CMS provide information and support to help New Hampshire residents make informed decisions on their Medicare options.

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Top Medicare Advantage Plans in New Hampshire 2025

In the Granite State, several top-rated Medicare Advantage plans are making waves in 2025. These include Humana, Martin’s Point Generations Advantage, and Anthem.


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Each of these providers offers a diverse range of plans, allowing you to choose the one that best fits your healthcare needs and budget. With options ranging from high-rated plans to zero-dollar premium plans and comprehensive coverage choices, you’re spoilt for choice.

But what do these categories signify? Let’s explore further.


High-Rated Plans

High-rated plans are often a strong indicator of quality. The Centers for Medicare & Medicaid Services (CMS) evaluate all Medicare Advantage plans based on various factors, including the quality of care, management of chronic conditions, and customer service.

In New Hampshire, Humana and Martin’s Point Generations Advantage have consistently received high CMS ratings due to their excellent performance.

Nonetheless, don’t solely rely on ratings when choosing a plan. While they are a helpful tool in gauging a plan’s overall performance, the best plan for you should align with your specific healthcare needs and budget. In essence, it’s about finding a balance between the plan’s quality, cost, and the coverage it offers.


Zero-Dollar Premium Options

The allure of paying nothing upfront is undeniably attractive. And in New Hampshire, zero-dollar premium Medicare Advantage plans are not a rarity. With a total of 43 Medicare Advantage Plans available in the state, you have a diverse range of zero-dollar premium options to choose from.

Anthem Medicare Advantage, for instance, offers a plan with $0 monthly premiums, $0 medical deductibles, and $0 prescription drug copays for in-network providers.

Other providers, like Martin’s Point (HMO-POS) and Aetna (Local PPO), also offer zero-dollar premium plans with varying maximum out-of-pocket amounts. Bear in mind, the availability and costs of plans can differ depending on your location within the state.


Comprehensive Coverage Choices

In addition to standard benefits, Medicare Advantage plans cover comprehensive Medicare Advantage coverage options, including Medicare Part benefits. These can include additional benefits like dental, vision, and hearing coverage, providing an all-in-one solution for your healthcare needs.


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Special Needs Plans (SNPs) are also available for individuals with specific diseases. These plans offer tailored benefits and care coordination, ensuring that you receive the care you need without breaking the bank.

When deciding on a plan, be sure to consider these extra services in relation to the costs to guarantee maximum value for your money.


Types of Medicare Advantage Plans in New Hampshire

Being aware of the types of Medicare Advantage plans offered in New Hampshire is vital for making a well-informed decision. The most common types are Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Private Fee-for-Service (PFFS) plans. Each of these plans offers unique features and network structures, with their own advantages and disadvantages.


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Whether you favor a more structured network or wider provider access, there’s a suitable plan for you.


HMO Plans

HMO plans, such as Medicare Advantage HMO, are a popular choice for many Medicare Advantage beneficiaries, including those enrolled in a Hampshire Medicare Advantage plan. They typically require members to receive services from a network of local healthcare providers, offering coordinated care within the network.

In New Hampshire, this means you would need to use healthcare providers within the plan’s network for services.

While the structure of HMO plans can be a limitation to some, it can also be an advantage. These plans often have lower premiums, and the coordinated care within the network can lead to improved health outcomes. However, the limited flexibility could be a drawback as members often need a referral to see specialists.


PPO Plans

For those seeking greater flexibility, PPO plans might be the answer. These plans allow members to see providers outside the plan’s network, giving you more freedom to choose your healthcare providers. Consult with a licensed insurance agent to find the best plan for your needs.

However, this freedom comes with a trade-off. While you can choose out-of-network providers, it often comes at a higher cost. As part of the cost-sharing arrangement, PPO plans usually have lower costs for services within the network but higher costs for out-of-network services.


PFFS Plans

PFFS plans offer a different approach to healthcare coverage. These plans allow you to see any Medicare-approved provider that agrees to the plan’s terms and payment conditions. This means you aren’t confined to a specific network and have the flexibility to choose your providers.

Additionally, PFFS plans do not require you to choose a primary care physician or obtain referrals for specialist visits, making them an attractive option for those who value flexibility and control over their healthcare decisions.


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Enrollment Process and Eligibility Criteria

Once you’ve gained insight into the various Medicare Advantage plans in New Hampshire, the subsequent step is to acquaint yourself with the enrollment procedure and eligibility criteria.


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To enroll in a Medicare Advantage plan, you need to meet certain eligibility requirements. These include being a U.S. citizen or a permanent legal resident, and in some cases, having a specific medical condition such as end-stage renal disease or Lou Gehrig’s disease.


Enrollment Periods

Enrollment periods are specific timeframes when you can enroll in, switch, or drop Medicare Advantage plans. The Initial Enrollment Period in New Hampshire starts three months before you turn 65 and ends three months after your 65th birthday month.

If you miss the Initial Enrollment Period, don’t worry. You can still enroll in or make changes to your Medicare Advantage plan during the Annual Open Enrollment Period from October 15 to December 7.

Additionally, there are Special Enrollment Periods that allow you to make changes to your plan outside of the regular enrollment windows in response to specific life events, such as a change in residence or loss of employer coverage.


Eligibility Requirements

To be eligible for a Medicare Advantage plan in New Hampshire, you must be a U.S. citizen or a permanent legal resident. Additionally, certain medical conditions such as end-stage renal disease or Lou Gehrig’s disease can make you eligible for Medicare.

Comprehending these eligibility prerequisites is essential to ensure your successful enrollment in the plan of your preference. By meeting these criteria, you can enjoy the benefits of Medicare Advantage plans and secure your healthcare needs.


Prescription Drug Coverage in New Hampshire Medicare Advantage Plans

Prescription drug coverage is an essential element of Medicare Advantage plans. Most Medicare Advantage plans in New Hampshire, including HMO, PPO, and SNP plans, offer the plan’s prescription drug coverage.


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This can help beneficiaries save money on their medications. Some PFFS plans also offer this option.

When assessing prescription drug coverage, take into account the cost of coverage, the medications included, and the ease of accessing these drugs.


Comparing Plans

When contrasting prescription drug coverage in Medicare Advantage plans, ensure to verify if the plan’s formulary encompasses the medications you require. It’s also worth looking into generic alternatives, which can offer significant cost savings.

Additionally, consider comparing the benefits of these plans with Original Medicare coverage to make an informed decision.

In addition to the formulary, it’s important to understand the plan’s pricing tiers, which can influence the out-of-pocket costs for medications. Be aware of potential medication restrictions such as prior authorization or step therapy requirements, as these can impact your access to certain drugs.


Preferred Pharmacies

The choice of pharmacy can significantly impact your out-of-pocket expenses. When considering Medicare Advantage plans with prescription drug coverage, it’s important to verify that your preferred or local pharmacies are included in the plan’s network.

Some Medicare Advantage plans even offer mail-order prescription services. This not only provides convenience but may also allow for savings on maintenance medications, sometimes offering a 90-day supply with each refill.

Tips for Choosing the Right Medicare Advantage Plan

Selecting the best Medicare Advantage plan calls for deliberate contemplation. It’s not just about picking the plan with the lowest premium or the highest rating. It’s about finding a Medicare plan that aligns with your personal healthcare needs, budget, and lifestyle among various Medicare plans.


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This encompasses evaluating your healthcare requirements, juxtaposing costs, and contemplating additional perks and provider networks.


Assessing Healthcare Needs

When opting for a Medicare Advantage plan, it’s vital to factor in your individual healthcare necessities. This includes factors like the frequency of doctor’s visits, the need for specialist care, and the management of chronic conditions.

Also, consider how your health might change over time. Choose a plan that offers coverage flexibility for future healthcare needs. Personalizing the plan selection to your own health conditions, preferred doctors, and anticipated healthcare needs is key to finding a suitable plan.


Comparing Costs

Cost is a major factor when choosing a Medicare Advantage plan. But it’s not just about the monthly premiums. You also need to consider out-of-pocket costs like deductibles and copayments. Some plans might have lower premiums but higher deductibles and out-of-pocket maximums, and vice versa.

Additional benefits like dental, vision, or wellness programs can enhance the value of Medicare Advantage plans. These benefits can offset some direct out-of-pocket expenses and should be considered when comparing costs.


New Hampshire Medicare Resources

To aid New Hampshire residents in maneuvering their Medicare Advantage alternatives, numerous resources are at their disposal.


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These include state and federal resources like and the CMS website, providing comprehensive information and assistance.


State and Federal Resources and the CMS website are valuable resources for anyone seeking information about Medicare Advantage plans in New Hampshire. These websites provide extensive resources, including plan juxtapositions and enrollment support.

With more than 305,150 New Hampshire residents enrolled in either Original Medicare or Medicare Advantage in 2020, these resources can be of great help to a significant number of beneficiaries who may require assistance in understanding their options and making informed decisions.


Choosing a Medicare Advantage plan is a significant decision that can impact your healthcare experience and finances. In New Hampshire, residents have a variety of choices, from high-rated plans to zero-dollar premium options and comprehensive coverage plans.

While the decision-making process may seem daunting, understanding your personal healthcare needs, comparing costs, and taking advantage of available resources can help you navigate your options and choose a plan that best suits your needs.

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Frequently Asked Questions


What is the most popular Medicare Advantage plan for 2025?

For most people, Humana offers the best Medicare Advantage plans in 2025 due to high ratings, good benefits, and no-monthly-cost plans. AARP/UnitedHealthcare and Kaiser Permanente are also popular choices for their plans and customer service.


What is the highest rated Medicare Advantage plan?

The highest rated Medicare Advantage plan for 2025 is Humana, based on its rankings for best overall plan company, member experience, and low-cost plan availability. UnitedHealthcare and Aetna also have top-rated plans in specific categories.


Why are people leaving Medicare Advantage plans?

People are leaving Medicare Advantage plans due to excessive prior authorization denials and slow payments from insurers. These factors have been commonly cited as reasons for the exodus.


Does New Hampshire have Medicare Advantage plans?

Yes, New Hampshire does have Medicare Advantage plans, with 32 to 38 plans available depending on the county, and 19 insurers offering Medigap plans in the state.


What types of Medicare Advantage plans are available in New Hampshire?

In New Hampshire, the most common types of Medicare Advantage plans available are Health Maintenance Organizations (HMOs), Preferred Provider Organizations (PPOs), and Private Fee-for-Service (PFFS) plans. These plans offer different levels of coverage and provider networks.

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