Medicare Advantage Plans for Pierce County, Washington

  • 87 Total Plans
  • 162,600 Seniors Eligible for Medicare
  • 74,391 Seniors on Medicare Advantage (46%)
  • 4 plans with 3,294 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 44 plans with 51,205 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 34% of seniors can partially or fully cover OTC hearing aids from MDHearing (if their plan has MDHearing hearing aids)
OTC Supplemental Benefits Prescription Hearing Aid Coverage
Company Plan name Plan type OTC Supplement OTC Rolls Over? Annual OTC Supplement Coverage? Covered Amount Covers OTC Aids? Coinsurance? Copay? Prior Authorization? Need Referral? Washington Enrollees
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H5008-002-0 		HMOPOS $159 per Month No $0 Yes $2,000 Yes No Yes Yes No 8,349
UnitedHealthcare AARP Medicare Advantage Walgreens (HMO-POS)
H3805-032-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 5,563
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H1821-003-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 4,291
Humana HumanaChoice H5216-247 (PPO)
H5216-247-0 		Local PPO $60 per Quarter No $240 Yes No No Yes No No 3,889
Humana Humana Gold Plus H5619-100 (HMO)
H5619-100-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 3,441
UnitedHealthcare AARP Medicare Advantage Plan 3 (HMO-POS)
H3805-015-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 3,346
Kaiser Permanente Kaiser Permanente Medicare Advantage Vital (HMO)
H5050-013-0 		HMO $100 per Quarter No $400 Yes $4,000 No No No No No 3,237
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [AB] (HMO)
H5050-801-0 		HMO No $0 No 2,980
Aetna Medicare Aetna Medicare Value Plus Plan (HMO-POS)
H3748-003-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 2,803
UnitedHealthcare AARP Medicare Advantage Plan 1 (HMO-POS)
H3805-037-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 2,719
Humana Humana Gold Plus SNP-DE H5619-136 (HMO D-SNP)
H5619-136-4 		HMO $1,500 per Month No $0 Yes No No Yes No No 2,506
Molina Healthcare of Washington, Inc. Molina Medicare Complete Care (HMO D-SNP)
H5823-006-0 		HMO $0 per Month No $0 Yes Yes No No No No 1,999
Aetna Medicare Aetna Medicare Elite Plan (HMO-POS)
H3748-009-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 1,836
Kaiser Permanente Kaiser Permanente Medicare Advantage Essential (HMO)
H5050-009-0 		HMO No $0 Yes $4,000 No No No No No 1,827
Regence BlueShield Regence MedAdvantage + Rx Enhanced (PPO)
H5009-002-0 		Local PPO No $0 Yes No No Yes No No 1,649
UnitedHealthcare AARP Medicare Advantage Plan 2 (HMO-POS)
H3805-017-0 		HMOPOS No $0 Yes Yes No Yes Yes No 1,462
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage Peak + Rx (HMO)
H9302-011-0 		HMO $25 per Quarter No $100 Yes $2,000 No No No No No 1,266
Kaiser Permanente Kaiser Permanente Medicare Advantage Key (HMO)
H5050-022-0 		HMO $75 per Quarter No $300 Yes $4,000 No No No No No 1,187
Humana Humana Gold Plus H5619-061 (HMO)
H5619-061-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 1,184
Aetna Medicare Aetna Medicare Preferred Plan (PPO)
H5521-380-0 		Local PPO $75 per Quarter No $300 Yes $4,000 No No Yes No No 1,159
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage (HMO)
H7245-001-0 		HMO $50 per Quarter No $200 Yes $2,000 No No No No No 1,116
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage Classic (HMO)
H7245-002-0 		HMO $65 per Quarter No $260 Yes $2,000 No No No No No 1,059
UnitedHealthcare AARP Medicare Advantage Patriot (PPO)
H1821-004-0 		Local PPO $100 per Quarter No $400 Yes No No Yes Yes No 1,015
Aetna Medicare Aetna Medicare Prime Plan (HMO-POS)
H3748-008-0 		HMOPOS $45 per Quarter No $180 Yes $4,000 No No Yes No No 991
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 904
Humana Humana Honor (PPO)
H5216-301-4 		Local PPO $75 per Quarter No $300 Yes No No Yes No No 705
Aetna Medicare Aetna Medicare Platinum Plus Plan (HMO-POS)
H3748-004-0 		HMOPOS No $0 Yes $2,500 No No Yes No No 686
Regence BlueShield Regence BlueAdvantage HMO (HMO)
H1997-009-0 		HMO $40 per Quarter No $160 Yes No No Yes No No 600
Kaiser Permanente Kaiser Permanente Medicare Advantage Optimal (HMO)
H5050-004-0 		HMO No $0 Yes $4,000 No No No No No 560
Regence BlueShield Regence MedAdvantage + Rx Primary (PPO)
H5009-009-0 		Local PPO $15 per Quarter No $60 Yes No No Yes No No 528
Wellcare Wellcare No Premium (HMO)
H1353-005-0 		HMO $41 per Month Yes $0 Yes $2,000 No No Yes Yes No 515
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage Sound + Rx (HMO)
H9302-007-0 		HMO $50 per Quarter No $200 Yes $2,000 No No No No No 475
Aetna Medicare Aetna Medicare Select Plan (PPO)
H5521-128-0 		Local PPO No $0 Yes $2,500 No No Yes No No 459
Regence BlueShield Regence BlueAdvantage HMO Plus (HMO)
H1997-002-0 		HMO No $0 Yes No No Yes No No 380
Kaiser Permanente Kaiser Permanente Medicare Advantage Basic (HMO)
H5050-001-0 		HMO No $0 Yes $1,500 No No No No No 378
UnitedHealthcare UnitedHealthcare Nursing Home Plan (PPO I-SNP)
H0710-031-0 		Local PPO $350 per Quarter Yes $1,400 Yes $3,600 Yes No Yes Yes No 360
Regence BlueShield Regence MedAdvantage + Rx Classic (PPO)
H5009-008-0 		Local PPO No $0 Yes No No Yes No No 347
Wellpoint Amerivantage Dual Coordination (HMO D-SNP)
H1894-002-0 		HMO $0 per Month No $0 Yes $3,000 Yes No Yes Yes No 336
Aetna Medicare Aetna Medicare Choice Plan (PPO)
H5521-127-0 		Local PPO No $0 Yes $2,500 No No Yes No No 326
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 323
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 313
Aetna Medicare Aetna Medicare Value Plan (HMO-POS)
H3931-126-0 		HMOPOS No $0 Yes $4,000 No No Yes No No 294
UnitedHealthcare UnitedHealthcare Dual Complete Choice (PPO D-SNP)
H0271-044-0 		Local PPO $159 per Month No $0 Yes $1,100 Yes No Yes Yes No 292
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 284
Wellcare Wellcare Giveback (HMO)
H1353-006-0 		HMO No $0 Yes $1,000 No No Yes Yes No 284
Kaiser Permanente Kaiser Permanente Medicare Advantage Group [ABD] (HMO)
H5050-802-0 		HMO No $0 No 271
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 259
Wellpoint Amerivantage Classic (HMO)
H1894-001-0 		HMO $100 per Quarter Yes $400 Yes $500 No No Yes Yes No 225
UnitedHealthcare UnitedHealthcare Dual Complete Select (HMO-POS D-SNP)
H5008-015-0 		HMOPOS $64 per Month No $0 Yes $1,100 Yes No Yes Yes No 224
Aetna Medicare Aetna Medicare Eagle Plan (PPO)
H5521-330-0 		Local PPO $120 per Quarter No $480 Yes $2,500 No No Yes No No 221
UnitedHealthcare UnitedHealthcare Assisted Living Plan (PPO I-SNP)
H0710-030-0 		Local PPO $400 per Quarter Yes $1,600 Yes $2,000 Yes No Yes Yes No 203
Community Health Plan of WA Medicare Advantage Community Health Plan of WA Dual Plan (HMO D-SNP)
H5826-014-0 		HMO $100 per Month No $0 Yes $2,250 Yes No No No No 202
Molina Healthcare of Washington, Inc. Molina Medicare Complete Care Select (HMO D-SNP)
H5823-010-0 		HMO $0 per Month No $0 Yes No No No No No 200
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 152
Molina Healthcare of Washington, Inc. Molina Medicare Choice Care (HMO)
H5823-011-0 		HMO $0 per Month No $0 Yes No No No Yes No 143
Humana Humana Value Plus H5619-134 (HMO)
H5619-134-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 140
Humana Humana Honor (PPO)
H5216-315-0 		Local PPO $25 per Quarter Yes $100 Yes No No Yes No No 134
PacificSource Medicare PacificSource Medicare MyCare Choice Rx 34 (HMO-POS)
H3864-034-0 		HMOPOS $75 per Quarter No $300 Yes No No Yes No No 123
Regence BlueShield Regence Valiance (PPO)
H5009-001-0 		Local PPO $40 per Quarter No $160 Yes No No Yes No No 118
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 106
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H1353-004-0 		HMO $90 per Month Yes $0 Yes $2,000 No No Yes Yes No 89
Wellcare Wellcare Patriot Giveback Open (PPO)
H5965-003-0 		Local PPO No $0 Yes $700 No No Yes Yes No 78
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 65
Regence BlueCross BlueShield of Oregon Regence MedAdvantage + Rx (PPO)
H3817-802-0 		Local PPO No $0 No 65
Wellcare Wellcare Dual Access Open (PPO D-SNP)
H5965-004-0 		Local PPO $70 per Month Yes $0 Yes $2,000 No No Yes Yes No 61
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 57
Regence BlueShield Regence MedAdvantage + Rx (PPO)
H5009-802-0 		Local PPO No $0 No 55
Providence Health System Providence ElderPlace - Seattle (PACE)
H5007-001-0 		National PACE No $0 No 54
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Plan 2 (HMO)
H5826-010-0 		HMO $0 per Month No $0 No 44
Pacific Northwest PACE Partners PNW PACE Partners- Dual Eligible (PACE)
H3284-001-0 		National PACE No $0 No 44
Wellcare Wellcare No Premium Open (PPO)
H5965-002-0 		Local PPO $114 per Quarter No $456 Yes $1,000 No No Yes Yes No 44
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 40
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 40
Premera Blue Cross Medicare Advantage Premera Blue Cross Medicare Advantage Alpine (HMO)
H9302-004-0 		HMO $50 per Quarter No $200 Yes $2,000 No No No No No 38
Humana Humana Gold Plus H5619-057 (HMO)
H5619-057-0 		HMO $25 per Quarter No $100 Yes No No Yes No No 36
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Plan 1 (HMO)
H5826-016-0 		HMO No $0 No 34
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H1821-002-0 		Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 30
Humana HumanaChoice H5216-048 (PPO)
H5216-048-0 		Local PPO $30 per Quarter No $120 Yes No No Yes No No 28
Wellcare Wellcare Assist (HMO)
H1353-007-0 		HMO $28 per Month Yes $0 Yes $1,500 No No Yes Yes No 28
Wellcare Wellcare Dual Access (HMO D-SNP)
H1353-002-0 		HMO $80 per Month Yes $0 Yes $2,000 No No Yes Yes No 25
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 22
Regence BlueCross BlueShield of Oregon Regence MedAdvantage (PPO)
H3817-801-0 		Local PPO No $0 No 14
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MA PA CALENDAR (PPO)
H3916-801-0 		Local PPO No $0 No 12
Community Health Plan of WA Medicare Advantage Community Health Plan of WA MA Plan 3 (HMO)
H5826-008-0 		HMO No $0 No 11
PacificSource Medicare PacificSource Medicare MyCare Choice 30 (HMO-POS)
H3864-030-0 		HMOPOS $200 per Quarter No $800 Yes No No Yes No No 11
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 11
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