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South Carolina Medicare

South Carolina Medicare Beneficiaries Resources | South Carolina Open Enrollment Period

Medicare enrollment in South Carolina Totals

Medicare beneficiaries living in the Palmetto State of South Carolina during 2009 were 820,947; 17.5% of the total population. As this compares with 16% of the population enrolled in Medicare for all of the United States.

West Virginia and Maine, the highest percentage states of beneficiaries; each are about 21 percent. Then the lowest percentage states are Alaska 9.5%, and Utah (10%). The raw numbers show that Alaska with 69,301 recipients is the lowest, then California has the most; it contains about one eight of the country’s population with 5 million then 13% of its population. Not counting the US Territories that contain mostly low enrollment totals for Medicare; Northern Mariana Islands Medicare only had 2,075 enrollees for 2015.

Aged VS. Disabled Breakdown

The balance, which is 23% are those who are on Medicare because of a disability. The highest percent of recipients receiving Medicare is in Kentucky with disabled recipients for 28%. This is followed by the state of Alabama, Mississippi, West Virginia then Arkansas. The smallest percent is 12% for Hawaii, which is followed by the state of New Jersey, then North & South Dakota which is 14%.

Medicare Spending – per recipient

Every year South Carolina Medicare pays around $9,631 per enrollee. Per enrollee spending growth in South Carolina has been about 7.4% from 1991-2009.

About 20 states will spend $10,000 and more for per Medicare recipient. However, Medicare will spend the most per beneficiary, In New Jersey $11,903, the least per enrollee is Montana $9,576. When it comes to per enrollee spending growth, leading the way is South Caroling and Nebraska at 7.4%. The least growth was for Pennsylvania with a little over 5 percent growth per enrollee.

Overall Medicare Spending

South Carolina ranks 23rd in Medicare total spending with $7.2 billion per year. Looking at the largest and smallest numbers of recipients; California had accounted for $50.6 billion of the overall spending for Medicare whereas Alaska spending was only $553 million. Total spending for Medicare in all the states including the District of Columbia was $471 billion for 2009.

South Carolina Medicare Advantage

Medicare Advantage offers private health benefit plans for Medicare beneficiaries instead of going through the Original Medicare or traditional Medicare which is the “federal government’s fee for service program.” These are plans for consumers who need options and desire additional benefits that exceed and go beyond what if offered by Original Medicare. These are not necessarily considered to be a wise option for some consumers that are concerned about government spending more on each enrollee who has a private plan than it would on Original Medicare. There are some “no premium” Advantage plans aside from the cost of Part B. But these plans use provider networks that can be more limited as opposed to Original Medicare with the total out of pocket cost sometimes being considerably higher for enrollees from what they would have with Original Medicare plus a Part D and Medigap plan.

In 2014; 22% of all Medicare recipients in South Carolina chose a Medicare Advantage plan.

(Stand-Alone) Medicare Prescription Drug Plans

In stand-alone prescription drug plans, South Carolina has 434,064. With 33 plans in the state with premiums that range from $13 – $128 each month. Around 45% of all Tennessee enrollees have a stand-alone Rx plan in comparison to the national average of 47 percent. At 52%; Florida has the highest percent.

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