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Mutual of Omaha Medicare

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5 | ★ ★ ★ ★ ★

About Mutual of Omaha Medicare

Mutual of Omaha Medigap Synopsis 

Review Summary: Mutual of Omaha offers a wide variety of Medicare supplement insurance. It also offers a prescription drug plan (Medicare Part D), a vision plan, and dental plan in addition to other discount programs to encourage healthy living. Mutual says that 98% of the Medicare claims it receives are paid within 12 hours.  

Recommended for: Mutual of Omaha Medicare supplement insurance is a good option for those who would rather pay monthly premiums that are consistent each month than unexpected expenses each month.  


Medicare Basics 

Medicare is medical insurance sponsored by the federal government that is available to those who are 65 or older. Medicare provides Part A, which covers hospital expenses, and Part B, which covers doctor visits. However, it does not cover all expenses. (Part A and Part B are also known as Original Medicare.) 

That’s where Medicare supplement insurance and Medicare Advantage plans come into play. Medicare supplement insurance, also called Medigap, and Medicare Advantage, also called Part C, are designed to supplement Medicare Parts A and B. Medicare patients do not need both Medicare supplement insurance and Medicare Advantage.  
They are both purchased through insurance companies. Medicare Advantage plans typically have low premiums, require copays, and come with network restrictions. Supplement insurance policies typically come with higher premiums, have lower costs when receiving care, and do not come with network restrictions. 

 

Pros and Cons of Mutual of Omaha Medicare

Pros

  • Wide variety of Medicare Supplement options

  • Fast claim process

  • Prescription, dental and vision plans available

  • Discount programs

  • Offers 12% household discount

  • Available in 49 states and the District of Columbia

  • In business 100+ years

Cons

  • Not available in Massachusetts

  • Does not offer Plan B, Plan K, or Plan M

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Mutual of Omaha Medicare Coverage Overview 

Mutual of Omaha offers Medicare supplement insurance plans, also known as Medigap, to help cover the remaining 20% of medical expenses that are not covered by Medicare.  

The expenses that the plans cover include:  

  • Copays 
  • Deductibles 
  • Coinsurance 

Mutual of Omaha Medicare medigap plans are for those who are enrolled in Medicare Part A and B. It allows Medicare patients to pay one predictable monthly payment for any additional expenses instead of having to pay out of pocket for large medical bills.  

Mutual of Omaha Medicare Supplement plans typically make it easier to receive care when traveling both nationally and internationally.  

Mutual of Omaha Medicare Supplement Insurance Plan Options 

Mutual of Omaha offers the following plans:  

  • Plan A. Plan A comes with basic benefits only, which includes coinsurance for hospitalization (Part A), doctor visits (Part B), hospice care, and the first three pints of blood. It does not include additional coverage for a skilled nursing facility, the Part A deductible, the Part B deductible, Part B excess charges, and coverage for foreign travel emergency care.  
  • Plan C: Plan C is considered an economical plan that covers the deductibles for both Part A and Part B, skilled nursing facility coinsurance, and foreign travel emergency visits. 
  • Plan D: Plan D is considered a mid-level plan that includes basic benefits, skilled nursing facility coinsurance, the Part A deductible, and coverage for foreign travel emergency visits. It does not cover the Part B deductible. 
  • Plan F: This plan covers the remaining expenses when Medicare only covers part of the total cost.  
  • High Deductible Plan F: This plan comes with the same benefits as Plan F after you pay the $2,000 per year deductible.  
  • Plan G: This plan is designed to be paired with Part B. Plan G will help cover doctor visits after the Part B Deductible is met. (In 2022, it was $233.) 
  • High Deductible Plan G: This plan includes the same coverage as Plan G once the $2,000 annual deductible is met.  
  • Plan N: Like Plan G, Plan N also kicks in once the Part B Deductible is met. Plan N benefits include paying a $20 copay for each doctor’s visit and $50 for each emergency room visit.  

Mutual of Omaha Medicare Supplement Plan Rates 

Medicare Supplement rates depend on a lot of variables including location, age, sex, and tobacco use. However, in some states, insurance providers are not permitted to use age to determine pricing.  

For a reference point, here is a breakdown of costs for a female born in 1953 in Colorado:  

PlanCost Per Month
Plan A$147.59
Plan C$213.56
Plan D$177.96
Plan F$241.61
High Deductible Plan F$62.41 
Plan G$191.64 
High Deductible Plan G $51.15 
Plan N $120.27 

Mutual of Omaha currently offers a 12% household discount if you have lived with someone who is more than 60 years of age for the last 12 months, or you are married or have a domestic partnership. That means these costs will be lower if you qualify for the household discount. 

Medicare Prescription Drug Plan (Medicare Part D) 

Mutual of Omaha also offers Part D, which is the prescription drug plan. Part D can be added as a standalone plan to add to Part A and Part B or it can be added along with one of Mutual’s supplemental insurance plans. 

Mutual of Omaha offers two Part D Plans that are called Mutual of Omaha RX. Here’s an example of what you can expect, but please note that prices may vary depending on where you live:  

Part D PlansDetails
Essential Plan $20.50 per month 
$0 deductible for Tier 1 drugs 
$505 deductible for Tier 2-5 drugs 
Low-monthly premium 
Recommended for patients who don’t take a lot of prescription drugs or those who take low-cost drugs. 
Premier Plan$81.70 per month 
$0 deductible for Tier 1-2 drugs (Generic drugs) 
$505 deductible for Tier 3-5 drugs 
Mid-level monthly premium 
Additional savings for insulin 
Recommended for patients who consistently take generic prescription drugs. 
Plus Plan$104.60 per month 
$505 deductible for All Tiers 
High monthly premium 
Recommended for patients who consistently take name brand drugs. This plan allows those patients to reach their deductible faster when compared to the other plans for those primarily taking name brand drugs.  

Additional Benefits 

Mutual of Omaha also offers dental, vision, and hearing plans, which can be included in your plan as an add-on.  

The dental plan premiums range from $9 to about $50 per month. Patients can choose from two insurance plans and a savings plan. The savings plan also includes vision and hearing savings. (See details below.) 

Mutual of Omaha Medicare customers also receive discounts through the following programs:  

  • Mutually Well. Mutually Well is an affordable fitness program that gives its members access to more than 10,000 health clubs around the country without requiring an enrollment fee or contract. It also offers a free walking program, discounts on products and service that promote healthy living, and other benefits. (Note that this is not an insurance program.) 
  • Amplifon Hearing Health Care. Amplifon is a savings program for hearing tests, brand-name hearing aids, batteries, and other services.  
  • EyeMed Vision Care. EyeMed is a savings program for vision care including eye exams, eyewear, lenses, and other services.  

Where Plans are Offered 

Mutual of Omaha offers its Medicare plan in 49 states and the District of Columbia. The only state where it is not available is Massachusetts. 

How to Enroll in Medicare Supplement with Mutual of Omaha 

There are three ways to buy a Medicare Supplement plan with Mutual of Omaha: 

If you want a Medigap policy, plan to enroll during the 6-month Medigap Open Enrollment Period. This begins when you first turn 65 and you are enrolled in Medicare Part B. During that period, you have 6 months, that starts the first day of your birthday month, to enroll in a Medigap plan. And during this 6-month period, you can’t be denied for a pre-existing condition.  

After the 6-month period is over you may still be able to apply for a Medigap plan, but you risk being denied coverage.   

About Mutual of Omaha 

Mutual of Omaha opened its doors for the first time in 1909 under the name Mutual Benefit Health & Accident Association. It began selling health and accident insurance in 1910 in Nebraska. It slowly started adding more insurance products and expanding into more states. By 1939, Mutual Benefit was licensed in 48 states and two territories. It changed its name to Mutual of Omaha in 1950. Mutual of Omaha was selected by the federal government to administer Medicare Part A and Part B in 1966, when the program was first created.   

Last updated 12/7/22.


Address: 3300 Mutual of Omaha Plaza Omaha, Nebraska 68175

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