How to Find the Best Vermont Medicare Advantage Plans

In Vermont, the top Medicare Advantage plan has the benefits and coverages that fit your needs. MoneyGeek reviewed the top-rated plans in Vermont that have broad benefits and widespread availability. We found UnitedHealthcare Medicare Advantage Assure is the best PPO plan, and AARP Medicare Advantage Plan 3 is the leading HMO plan in Vermont.

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Last Updated: 6/15/2022
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MoneyGeek used the Centers for Medicare & Medicaid Services (CMS) five-star quality rating system to determine which plans are widely available in Vermont with high ratings. We ranked the best plans based on plan type, drug coverage and low maximum-out-of-pocket (MOOP) limits that help save money.

Keep in mind that MoneyGeek’s assessments are generalizations. The best way to find a plan that fits your needs is by comparing plans and making sure hospitals and providers in your area are considered in-network.

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Best Medicare Advantage Plans in Vermont

Best Medicare Advantage Plan in Vermont - Overall

Your needs determine the best Medicare Advantage plan for you. In Vermont, MoneyGeek found UnitedHealthcare Medicare Advantage Assure by UnitedHealthcare is the best choice if you want a preferred provider organization (PPO) plan with drug coverage, six common core benefits and a high star rating from the CMS.

A PPO is a very flexible health insurance plan. With it, you get access to a broader network of doctors, hospitals and treatment centers, and specialist visits do not require a referral. However, such benefits often come at a premium price, as PPO plans are generally more expensive.

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MoneyGeek Top Pick
UnitedHealthcare

MoneyGeek’s research reveals UnitedHealthcare Medicare Advantage Assure is the top option in Vermont for a PPO. With this plan, you can expect:

  • Monthly premium of around $25.40
  • Basic drug coverage with a deductible of $480
  • In-network annual max-out-of-pocket limit of $7,550
  • CMS overall star rating of 4 out of 5

You get the most common benefits with UnitedHealthcare Medicare Advantage Assure, such as vision, dental, hearing, fitness, worldwide emergency and telehealth. Additional benefits include transportation, over-the-counter drugs and emergency response device. The worldwide emergency benefit makes it an excellent choice for travelers. It also has a high rating from the CMS and offers Part D drug coverage.

Still, keep in mind that the best Medicare Advantage plan in Vermont for you depends on your medical needs and financial situation.

Best HMO Medicare Advantage Plan in Vermont

Various personal circumstances ultimately decide the best Vermont health maintenance organization (HMO) Medicare Advantage plan for you.

In Vermont, if you’re looking for an HMO plan with drug coverage, the six core benefits and a high star rating from the CMS, MoneyGeek recommends UnitedHealthcare’s AARP Medicare Advantage Plan 3 as the best choice.

An HMO is the most common and often cheapest type of health insurance plan. However, to guarantee coverage, you must stay within your provider’s network, except in an emergency. Also, to see a specialist, you need a referral.

Despite that, the lower premium of an HMO makes it a good choice if in-network providers are easily accessible to you.

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MoneyGeek Top Pick
AARP

MoneyGeek found that AARP Medicare Advantage Plan 3 could be the best option for a Medicare Advantage HMO in Vermont, but your needs ultimately determine which HMO plan is the best. AARP Medicare Advantage Plan 3 features:

  • No monthly premium
  • Enhanced drug coverage with no deductible
  • In-network max-out-of-pocket limit of $6,700 annually
  • CMS overall star rating of 4 out of 5

AARP Medicare Advantage Plan 3 provides vision, dental, hearing, fitness, worldwide emergency and telehealth benefits, plus an over-the-counter drugs benefit. It includes Part D drug coverage and is highly rated by the CMS.

Best Medicare Advantage Plan in Vermont Without Drug Coverage

You have more health insurance options in Vermont if you don’t need Part D drug coverage.

According to MoneyGeek’s research, AARP Medicare Advantage Plan 3 from UnitedHealthcare is the best Medicare Advantage plan in Vermont if you’re looking for the six core benefits and a high star rating from the CMS but don’t care about whether it includes drug coverage.

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MoneyGeek Top Pick
AARP

If you don’t need drug coverage, MoneyGeek found AARP Medicare Advantage Plan 3 may be the best option in Vermont. It has the following features:

  • No monthly premium
  • In-network max-out-of-pocket limit of $6,700 per year
  • CMS overall star rating of 4 out of 5

AARP Medicare Advantage Plan 3 has Part D drug coverage after all, but it’s still the best whether that’s important to you or not. It’s also highly rated by CMS and has the six common benefits of vision, dental, hearing, fitness, worldwide emergency and telehealth. It also includes an over-the-counter drugs benefit.

Best Medicare Advantage Plan in Vermont for Low Max Out-of-Pocket Costs

Several Medicare Advantage plans offer a low or no premium. But, you may end up paying thousands of dollars from out-of-pocket costs because of the out-of-pocket limit per year plans include. You can avoid this by finding a plan with a low maximum-out-of-pocket (MOOP) limit.

MoneyGeek found UVM Health Advantage Select from MVP Health Care is the best choice if you want a Medicare Advantage plan in Vermont with a low in-network MOOP limit, drug coverage, six core benefits and a high star rating from the CMS.

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MoneyGeek Top Pick
MVP Health Care

In Vermont, UVM Health Advantage Select is the best for a Medicare Advantage plan without considering the availability of drug coverage. MoneyGeek removed plans with high MOOP limits in this analysis. With UVM Health Advantage Select, you get:

  • Monthly premium of $0
  • In-network annual MOOP limit of $6,700
  • A CMS overall star rating of 4.5 out of 5

A plan with a low annual MOOP limit can protect you from paying a great deal if you have expensive medical needs in a given year. Once you reach your MOOP limit of $6,700, the insurance company pays the remainder of your in-network medical services costs for the year. Its MOOP for out-of-network coverage is also $6,700.

Medicare Advantage Plan in Vermont - Statistics

There are five healthcare organizations in Vermont offering Medicare Advantage plans. MoneyGeek gathered relevant statistics on Medicare Advantage in Vermont to help you determine whether plan components are rare or common.

1

Vermont Medicare Advantage plans are a mix of HMO, MSA and PPO, with 85.1% offering drug coverage

Medicare Advantage plans in Vermont are 64.7% preferred provider organization (PPO) plans, health maintenance organization (HMO) plans account for 30.7%, and medical savings account (MSA) is 4.5%. In Vermont, 85.1% of the plans have drug coverage.

2

50% of Medicare Advantage plans in Vermont have a $0 premium

In Vermont, 50% of Medicare Advantage plans in the market have a $0 premium. The plans that require a premium payment have an average cost of $55.90 per month.

3

Vision, dental and hearing benefits are common in Vermont, with most plans offering them

The most common benefits from Medicare Advantage plans in Vermont are vision, dental and hearing, with all plans in the market providing them. Transportation, over-the-counter drugs and emergency response device are the rarest benefits.

Methodology

MoneyGeek collected data from the Centers for Medicare & Medicaid Services 2022 MA Landscape Source Files released in October 2021. Plans in Vermont were filtered down to those that offer drug coverage (unless otherwise noted), offer six of the most common Medicare Advantage coverage benefits and are available to at least 50% of the population of Vermont based on county availability.

About the Author


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Mark Fitzpatrick is a senior content manager with MoneyGeek specializing in insurance. Mark has years of experience analyzing the insurance market and creating original research and content. He graduated from Boston College with a Bachelor of Arts and Johns Hopkins University with a Master of Arts.