Medicare Advantage Plans for San Francisco County, California

  • 75 Total Plans
  • 153,098 Seniors Eligible for Medicare
  • 70,233 Seniors on Medicare Advantage (46%)
  • 1 plans with 2,065 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 42 plans with 41,370 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 28% 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 Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 No 15,161
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 11,663
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 7,041
Anthem Blue Cross Anthem MediBlue Select (HMO)
H0544-069-0 		HMO $35 per Quarter Yes $140 Yes $3,000 Yes No Yes Yes No 3,667
CCHP (Chinese Community Health Plan) CCHP Senior Select Program (HMO D-SNP)
H0571-005-0 		HMO $55 per Quarter No $220 Yes $1,000 No No No No No 3,284
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 2,911
Kaiser Permanente Kaiser Permanente Senior Advantage Basic SF (HMO)
H0524-060-0 		HMO $60 per Quarter No $240 No 2,865
Wellcare by Health Net Wellcare No Premium (HMO)
H0562-097-0 		HMO $82 per Quarter No $328 Yes $1,000 No No Yes Yes No 2,328
Anthem Blue Cross Anthem MediBlue Dual Plus (HMO D-SNP)
H0544-089-0 		HMO $125 per Quarter Yes $500 Yes $3,000 No No Yes Yes No 2,065
Wellcare by Health Net Wellcare Premium Ultra (HMO)
H0562-009-0 		HMO No $0 Yes $1,000 No No Yes Yes No 1,345
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 1,335
CCHP (Chinese Community Health Plan) CCHP Senior Program (HMO)
H0571-001-0 		HMO $40 per Month No $0 Yes No No Yes No No 1,248
Anthem Blue Cross Anthem MediBlue Dual Advantage (HMO D-SNP)
H0544-054-0 		HMO $20 per Quarter Yes $80 Yes $3,000 No No Yes Yes No 1,198
UnitedHealthcare UnitedHealthcare Canopy Health Medicare Advantage (HMO-POS)
H0543-191-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 1,075
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 1,001
On Lok PACE On Lok PACE (Dual Eligibles) (PACE)
H5403-001-0 		National PACE No $0 No 930
Aetna Medicare Aetna Medicare Select Plan (HMO)
H0523-070-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 848
SCAN Health Plan SCAN Classic (HMO)
H5425-019-0 		HMO No $0 Yes No No Yes No No 836
Aetna Medicare Aetna Medicare Plus Plan (HMO)
H4982-007-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 743
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 704
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 638
Alignment Health Plan Alignment Health My Choice CalPlus (HMO)
H3815-007-0 		HMO $60 per Quarter No $240 Yes $1,000 No No No No No 583
Aetna Medicare Aetna Medicare Elite Plan (PPO)
H5521-293-0 		Local PPO $75 per Quarter No $300 Yes $2,500 No No Yes No No 523
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 375
HEALTH PLAN OF SAN MATEO CareAdvantage (HMO D-SNP)
H6019-001-0 		HMO $90 per Quarter No $360 No 359
CCHP (Chinese Community Health Plan) CCHP Senior Value Program (HMO)
H0571-007-0 		HMO $30 per Month No $0 Yes No No Yes No No 357
Aetna Medicare Aetna Medicare Preferred Plan (HMO D-SNP)
H4982-008-0 		HMO $50 per Month No $0 Yes $5,000 No No Yes No No 341
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 334
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 279
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-804-0 		HMO No $0 No 275
Alignment Health Plan Alignment Health Sutter Advantage (HMO)
H3815-023-0 		HMO $60 per Quarter No $240 No 266
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0 		HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 250
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 235
Anthem Blue Cross Life and Health Insurance Co. Anthem MediBlue Access (PPO)
H8552-029-0 		Local PPO No $0 Yes $3,000 Yes No Yes Yes No 219
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 211
Imperial Health Plan of California, Inc. Imperial Traditional (HMO)
H5496-007-0 		HMO $75 per Quarter No $300 Yes $500 No No No Yes Yes 175
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 168
Anthem Blue Cross Partnership Plan Anthem MediBlue Prime (HMO)
H4161-004-0 		HMO $50 per Quarter Yes $200 Yes $1,500 Yes No Yes Yes No 160
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 145
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 124
Humana HumanaChoice H5525-055 (PPO)
H5525-055-0 		Local PPO $30 per Quarter Yes $120 Yes No No Yes No No 105
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 100
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H4829-016-0 		Local PPO No $0 Yes No No Yes Yes No 100
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 95
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 88
Wellcare by Health Net Wellcare Specialty No Premium (HMO C-SNP)
H0562-118-0 		HMO $56 per Quarter No $224 Yes $1,500 No No Yes Yes Yes 87
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 83
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)
H0524-031-0 		HMO $60 per Quarter No $240 No 78
North East Medical Services - Program of All-Inclusive Care for the Elderly (PACE) NEMS PACE (PACE)
H1622-001-0 		National PACE No $0 No 76
Imperial Health Plan of California, Inc. Imperial Dynamic Plan (HMO)
H5496-012-0 		HMO $120 per Quarter No $480 Yes $500 No No No Yes Yes 70
Alignment Health Plan Alignment Health CalPlusDuals (HMO D-SNP)
H3815-030-0 		HMO $240 per Quarter No $960 Yes $2,500 No No No No No 61
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H4829-004-0 		Local PPO No $0 Yes No No Yes Yes No 56
Alignment Health Plan Alignment Health Harmony (HMO)
H3815-031-0 		HMO $100 per Quarter No $400 Yes $500 No No No No No 54
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 51
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 50
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 48
Imperial Health Plan of California, Inc. Imperial Senior Value (HMO C-SNP)
H5496-005-0 		HMO $75 per Quarter No $300 Yes $500 No No No Yes Yes 40
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No $0 No 35
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 35
Alignment Health Plan Alignment Health Heart & Diabetes (HMO C-SNP)
H3815-010-0 		HMO $200 per Quarter No $800 No 33
Aetna Medicare Aetna Medicare Eagle Plan (HMO)
H4982-013-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 31
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 29
Aetna Medicare Aetna Medicare Eagle Plus Plan (PPO)
H5521-369-0 		Local PPO $105 per Quarter No $420 Yes $2,500 No No Yes No No 28
Imperial Health Plan of California, Inc. Imperial Dual Plan (HMO D-SNP)
H5496-011-0 		HMO $140 per Quarter No $560 Yes $2,500 No No No Yes Yes 27
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 26
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 26
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 20
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO)
H0524-033-0 		HMO $60 per Quarter No $240 No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 16
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-803-0 		HMO No $0 No 16
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $90 per Quarter No $360 No 14
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-857-0 		Local PPO No $0 No 14
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $60 per Quarter No $240 No 13
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 12
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