Medicare Advantage 2019 Spotlight: First Look
Table A1. Availability of Medicare Advantage Plans and Insurers, by State, 2019 | ||||||
State | Total number of plans | Average number of plans available to beneficiaries | Average number of insurers offering plans | Share of beneficiaries with access to at least 1 plan | ||
All plans | HMOs | Local PPOs | ||||
Nationwide | 2,734 | 24 | 7 | 99% | 94% | 91% |
Alabama | 49 | 15 | 5 | 100% | 95% | 100% |
Alaska | 0 | 0 | N/A | 0% | 0% | 0% |
Arizona | 58 | 21 | 8 | 100% | 95% | 95% |
Arkansas | 40 | 18 | 6 | 100% | 98% | 84% |
California | 220 | 27 | 9 | 96% | 96% | 55% |
Colorado | 49 | 19 | 5 | 100% | 83% | 94% |
Connecticut | 28 | 24 | 6 | 100% | 100% | 100% |
Delaware | 10 | 10 | 4 | 100% | 100% | 100% |
DC | 7 | 7 | 3 | 100% | 100% | 100% |
Florida | 254 | 31 | 8 | 100% | 99% | 99% |
Georgia | 63 | 19 | 6 | 100% | 84% | 94% |
Hawaii | 20 | 11 | 5 | 100% | 100% | 100% |
Idaho | 44 | 16 | 4 | 92% | 90% | 91% |
Illinois | 101 | 27 | 8 | 100% | 98% | 93% |
Indiana | 89 | 19 | 6 | 100% | 100% | 100% |
Iowa | 42 | 11 | 4 | 100% | 92% | 96% |
Kansas | 50 | 14 | 4 | 100% | 62% | 77% |
Kentucky | 53 | 13 | 4 | 100% | 87% | 99% |
Louisiana | 51 | 16 | 6 | 100% | 100% | 100% |
Maine | 38 | 21 | 6 | 100% | 100% | 100% |
Maryland | 26 | 10 | 4 | 100% | 90% | 73% |
Massachusetts | 57 | 28 | 6 | 100% | 99% | 97% |
Michigan | 74 | 35 | 5 | 100% | 100% | 100% |
Minnesota | 69 | 26 | 6 | 100% | 100% | 99% |
Mississippi | 26 | 10 | 3 | 100% | 76% | 73% |
Missouri | 63 | 18 | 4 | 100% | 85% | 93% |
Montana | 14 | 5 | 3 | 100% | 79% | 85% |
Nebraska | 18 | 7 | 3 | 87% | 68% | 68% |
Nevada | 34 | 15 | 5 | 97% | 96% | 97% |
New Hampshire | 30 | 21 | 5 | 100% | 100% | 100% |
New Jersey | 49 | 20 | 6 | 100% | 100% | 100% |
New Mexico | 25 | 12 | 4 | 100% | 58% | 100% |
New York | 173 | 35 | 10 | 100% | 100% | 100% |
North Carolina | 69 | 15 | 5 | 100% | 94% | 95% |
North Dakota | 19 | 11 | 3 | 100% | 0% | 50% |
Ohio | 122 | 40 | 9 | 100% | 100% | 100% |
Oklahoma | 37 | 16 | 4 | 100% | 79% | 89% |
Oregon | 78 | 21 | 7 | 100% | 96% | 100% |
Pennsylvania | 160 | 40 | 8 | 100% | 100% | 100% |
Rhode Island | 14 | 14 | 3 | 100% | 100% | 100% |
South Carolina | 59 | 15 | 5 | 100% | 99% | 96% |
South Dakota | 23 | 14 | 4 | 100% | 27% | 80% |
Tennessee | 57 | 18 | 6 | 100% | 100% | 100% |
Texas | 137 | 24 | 8 | 100% | 92% | 94% |
Utah | 30 | 14 | 6 | 100% | 95% | 93% |
Vermont | 9 | 8 | 2 | 100% | 100% | 100% |
Virginia | 78 | 13 | 4 | 100% | 95% | 90% |
Washington | 106 | 23 | 6 | 91% | 90% | 84% |
West Virginia | 33 | 19 | 5 | 100% | 100% | 100% |
Wisconsin | 97 | 24 | 6 | 100% | 99% | 90% |
Wyoming | 5 | 2 | 1 | 100% | 3% | 3% |
Note: Excludes SNPs, employer-sponsored group plans, demonstrations, HCPPs, PACE plans, and plans for special populations. N/A indicates not applicable. Nationwide totals include Puerto Rico and other territories. Source: Kaiser Family Foundation analysis of CMS Landscape File, 2019. |
Table A2. Entrants and Exiting Insurers in Medicare Advantage Markets, by Plan Type and Plan Locations, 2019 | ||||||||
Company Name | Total Number of Plans Offered | Offering Plans for Individual Enrollment? | Offering Special Needs Plans (SNPs)? | States in Which Plans Are Offered | ||||
HMOs? | Local PPOs? | Other? | D-SNPs | C-SNPs | I-SNPs | |||
New Entrants | ||||||||
American Health Advantage | 2 | X | OK and TN | |||||
BayCare Health Plans | 2 | X | FL | |||||
Clear Spring Health | 9 | X | X | CO, IL, NC, and VA | ||||
Devoted Health | 10 | X | FL | |||||
Doctors HealthCare Plans, Inc. | 4 | X | X | X | FL | |||
Health Pointe of New York, LLC | 1 | X | NY | |||||
Integra Managed Care | 4 | X | NY | |||||
Lasso Healthcare | 3 | X (MSA) | AZ, AR, DE, HI, IL, IN, KS, MD, MS, MT, NC, ND, PA, SD, TX, UT, and WY | |||||
Longevity Health Plan | 2 | X | IL, NY | |||||
Mutual of Omaha | 4 | X | KY, OH, and TX | |||||
Nascentia Health Plus | 3 | X | X | NY | ||||
Solis Health Plans | 8 | X | X | FL | ||||
Valor Health Plan | 1 | X | OH | |||||
Vitality Health Plan of California | 3 | X | CA | |||||
Exiting Insurers | ||||||||
Catholic Health Initiatives | 4 | X | AR, KY, NE, and OH | |||||
FamilyCare Health | 2 | X | X | OR | ||||
Jewish Guild for the Blind | 1 | X | NY | |||||
MedStar Family Choice, Inc | 6 | X | X | X | DC and MD | |||
Premier Health Plan | 3 | X | X | OH | ||||
Note: D-SNPs are plans for people dually eligible for Medicare and Medicaid; C-SNPs are plans for people with certain chronic conditions; and I-SNPs are plans for people that require an institutional level of care. MSAs are Medicare Medical Savings Accounts. Catholic Health Initiatives includes subsidiaries RiverLink Health, HeartlandPlains Health, and QualChoice Advantage. Source: Kaiser Family Foundation analysis of CMS Landscape Files for 2018 and 2019. |