Medicare Advantage Plans for Madera County, California

  • 45 Total Plans
  • 25,706 Seniors Eligible for Medicare
  • 11,368 Seniors on Medicare Advantage (44%)
  • 4 plans with 799 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 23 plans with 8,045 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? California Enrollees
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Fresno (HMO)
H0524-038-0
HMO $60 per Quarter No $240 No 2,043
Kaiser Permanente Kaiser Permanente Senior Advantage Basic Fresno (HMO)
H0524-046-0
HMO $60 per Quarter No $240 No 1,999
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0
HMO No $0 No 1,286
Humana Humana Gold Plus H5619-013 (HMO)
H5619-013-0
HMO $50 per Quarter Yes $200 Yes No No Yes No No 884
Brand New Day Brand New Day Embrace Care Plan (HMO C-SNP)
H0838-039-2
HMO $45 per Quarter No $180 Yes No No Yes Yes No 507
Brand New Day Brand New Day Classic Care II Plan (HMO)
H0838-051-2
HMO $50 per Month No $0 Yes No No Yes Yes No 462
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0
Local PPO No $0 No 462
UnitedHealthcare UnitedHealthcare Dual Complete (HMO-POS D-SNP)
H1375-002-0
HMOPOS $160 per Month No $1,920 Yes $3,600 No No Yes Yes No 340
Anthem Blue Cross Anthem MediBlue Plus (HMO)
H0544-056-0
HMO $100 per Quarter Yes $400 Yes $1,500 Yes No Yes Yes No 301
Humana Humana Gold Plus SNP-DE H5619-038 (HMO D-SNP)
H5619-038-0
HMO $600 per Month No $0 Yes $1,000 Yes No Yes No No 289
UnitedHealthcare AARP Medicare Advantage Focus (HMO-POS)
H0543-223-0
HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 261
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0
HMO $100 per Quarter No $400 No 259
UnitedHealthcare AARP Medicare Advantage SecureHorizons (HMO-POS)
H0543-035-0
HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 205
Anthem Blue Cross Anthem MediBlue Dual Plus (HMO D-SNP)
H0544-087-0
HMO $200 per Quarter Yes $800 Yes $3,000 No No Yes Yes No 194
Wellcare by Health Net Wellcare No Premium Ruby (HMO)
H0562-079-0
HMO $101 per Quarter No $404 Yes $1,000 No No Yes Yes No 180
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0
Local PPO No $0 No 154
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-332-0
Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 142
Blue Shield of California Blue Shield Inspire (HMO)
H0504-047-0
HMO $65 per Quarter No $260 No 120
Brand New Day Brand New Day Embrace Choice Plan (HMO C-SNP)
H0838-040-2
HMO $50 per Month No $0 Yes No No Yes Yes No 117
Alignment Health Plan Alignment Health the ONE (HMO)
H3815-035-0
HMO $135 per Quarter No $540 Yes $1,000 No No No No No 115
Anthem Blue Cross Anthem MediBlue Dual Advantage (HMO D-SNP)
H0544-052-0
HMO $21 per Quarter Yes $84 Yes $3,000 No No Yes Yes No 114
Wellcare by Health Net Wellcare Dual Liberty Amber (HMO D-SNP)
H3561-001-0
HMO $75 per Month Yes $0 Yes $2,000 No No Yes Yes No 89
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0
HMO No $0 No 78
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0
HMO No $0 No 72
Brand New Day Brand New Day Dual Access Plan (HMO D-SNP)
H0838-024-0
HMO $33 per Month No $0 Yes No No Yes Yes No 70
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0
Local PPO No $0 No 60
Humana Humana Honor (HMO)
H5619-121-0
HMO No $0 Yes No No Yes No No 38
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0
HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 36
Humana Humana Gold Plus H5619-150 (HMO)
H5619-150-0
HMO No $0 Yes No No Yes No No 34
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0
Local PPO No $0 No 30
Wellcare by Health Net Wellcare Dual Liberty (HMO D-SNP)
H0562-121-0
HMO $220 per Quarter No $880 Yes $2,000 No No Yes Yes Yes 29
Humana Humana Gold Plus H5619-148 (HMO)
H5619-148-0
HMO $60 per Quarter Yes $240 Yes No No Yes No No 27
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0
Local PPO No $0 No 23
Brand New Day Brand New Day Valor Care Plan (HMO)
H0838-048-0
HMO No $0 Yes No No Yes Yes No 19
Alignment Health Plan Alignment Health Heart & Diabetes (HMO C-SNP)
H3815-010-0
HMO $200 per Quarter No $800 No 18
Anthem Blue Cross Life and Health Insurance Co. Anthem MediBlue ESRD Care (PPO C-SNP)
H8552-028-0
Local PPO $150 per Quarter Yes $600 No 15
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0
Local PPO No $0 No 15
Wellcare by Health Net Wellcare Assist (HMO)
H0562-127-0
HMO $100 per Quarter No $400 Yes $1,000 No No Yes Yes Yes 15
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0
Local PPO No $0 No 13
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H4829-003-0
Local PPO $40 per Quarter No $160 Yes No No Yes Yes No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0
HMO No $0 No 13
WelbeHealth WelbeHealth Sequoia PACE (PACE)
H2384-001-0
National PACE No $0 No 13
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0
Local PPO No $0 No 12
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H4829-018-0
Local PPO No $0 Yes No No Yes Yes No 12
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0
Local PPO No $0 No 11
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