A map shows that the ratio of average Medicare Advantage premiums to what workers pay for large employer coverage tends to be a lot higher in the Northwest and Great Plains states (Credit: Allison Bell/ALM)

Here’s a table that compares Medicare Advantage plan enrollees’ average annualized premiums payments with what workers in large group health plans are paying, on average, for their share of their group health premiums.

We calculated a “Medicare Advantage pricing power ratio” — what the average Medicare Advantage plan premiums are as a percentage of the average large-group plan premiums.

The employee cost figures come from the Medical Expenditure Panel Survey, which is conducted by the Agency for Healthcare Research and Quality at the U.S. Department of Human and Health Services. The “large group” cost figures here are the cost figures for employers with 1,000 or more employees, and for employees who have self-only coverage.

Alaska is missing because Alaska has no individual Medicare Advantage plans.

STATE

Annualized Total Part C and D Premium

Employees’ Share of Large Group Plan Premium

Medicare Advantage Pricing Power Ratio

  (For employers with 1,000 or more employees)  (Average 2020 Medicare Advantage premiums over 2018 large employer average)
Alabama $506 $1,451 34.86%
Arizona $420 $1,599 26.25%
Arkansas $352 $1,459 24.15%
California $325 $1,252 25.94%
Colorado $394 $1,333 29.52%
Connecticut $561 $1,551 36.18%
Delaware $410 $1,326 30.89%
District of Columbia $715 $1,783 40.11%
Florida $215 $1,473 14.57%
Georgia $305 $1,392 21.91%
Hawaii $786 $1,138 69.05%
Idaho $603 $1,250 48.24%
Illinois $772 $1,543 50.01%
Indiana $395 $1,295 30.48%
Iowa $268 $1,692 15.84%
Kansas $638 $1,356 47.08%
Kentucky $424 $1,832 23.17%
Louisiana $584 $1,503 38.84%
Maine $393 $1,507 26.05%
Maryland $962 $1,469 65.46%
Massachusetts $931 $1,771 52.58%
Michigan $957 $1,406 68.06%
Minnesota $1,205 $1,639 73.53%
Mississippi $494 $1,332 37.07%
Missouri $386 $1,417 27.23%
Montana $827 $1,127 73.42%
Nebraska $249 $1,366 18.26%
Nevada $241 $1,486 16.20%
New Hampshire $466 $1,519 30.68%
New Jersey $481 $1,357 35.44%
New Mexico $681 $1,734 39.26%
New York $677 $1,419 47.73%
North Carolina $395 $1,216 32.45%
North Dakota $650 $1,247 52.12%
Ohio $717 $1,708 41.97%
Oklahoma $453 $1,528 29.62%
Oregon $976 $1,400 69.74%
Pennsylvania $797 $1,314 60.64%
Rhode Island $804 $1,560 51.54%
South Carolina $249 $1,351 18.43%
South Dakota $642 $1,441 44.54%
Tennessee $484 $1,494 32.39%
Texas $534 $1,430 37.35%
Utah $347 $1,240 27.97%
Vermont $647 $1,374 47.12%
Virginia $442 $1,618 27.29%
Washington $737 $869 84.83%
West Virginia $633 $1,422 44.54%
Wisconsin $799 $1,552 51.48%
Wyoming $732 $1,183 61.88%
MINIMUM $215 $869 14.57%
MEDIAN $548 $1,421 37.2%
MAXIMUM $1,205 $1,832 84.8%
Source: The Centers for Medicare and Medicaid Services and the Agency for Healthcare Research and Quality MEPS Survey.

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Resources

Medicare Advantage plan premium data tables for 2020 are available here.

State-by-state employer plan cost data tables are available here.

— Read More Medicare Advantage Enrollees Slide Away: Defton ThinkAdvisor.

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