Medicare Advantage Plans for San Joaquin County, California

  • 75 Total Plans
  • 118,968 Seniors Eligible for Medicare
  • 60,406 Seniors on Medicare Advantage (51%)
  • 3 plans with 4,223 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 37 plans with 39,183 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 36% 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 Basic SnJoaq (HMO)
H0524-043-0 		HMO $60 per Quarter No $240 No 9,898
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced SnJoaq (HMO)
H0524-042-0 		HMO $60 per Quarter No $240 No 8,958
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 7,183
Wellcare Wellcare No Premium (HMO)
H5087-026-0 		HMO $168 per Quarter No $672 Yes $1,500 No No Yes Yes Yes 4,834
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 4,313
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 2,932
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 2,396
Humana Humana Community (HMO)
H7621-003-0 		HMO No $0 Yes No No Yes No No 1,876
Anthem Blue Cross Anthem MediBlue Plus (HMO)
H0544-095-0 		HMO $50 per Quarter Yes $200 No 1,527
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,448
Humana Humana Gold Plus H5619-026 (HMO)
H5619-026-0 		HMO No $0 Yes No No Yes No No 1,249
UnitedHealthcare AARP Medicare Advantage SecureHorizons (HMO-POS)
H0543-177-0 		HMOPOS No $0 Yes No No Yes Yes No 1,225
Anthem Blue Cross Anthem MediBlue Dual Advantage (HMO D-SNP)
H0544-100-0 		HMO $200 per Quarter Yes $800 Yes $3,000 No No Yes Yes No 1,209
Wellcare Wellcare Dual Liberty (HMO D-SNP)
H5087-027-0 		HMO $220 per Quarter No $880 Yes $2,000 No No Yes Yes Yes 1,033
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 1,021
Blue Shield of California Blue Shield Inspire (HMO)
H0504-047-0 		HMO $65 per Quarter No $260 No 777
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 753
Central Health Medicare Plan Central Health Premier Plan I (HMO)
H5649-020-2 		HMO $50 per Month No $0 Yes $3,000 No No No Yes Yes 687
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 548
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 423
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 416
UnitedHealthcare AARP Medicare Advantage SecureHorizons Focus (HMO-POS)
H0543-196-0 		HMOPOS $40 per Quarter No $160 Yes Yes No Yes Yes No 416
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0 		HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 408
WelbeHealth WelbeHealth Sierra PACE (PACE)
H8082-001-0 		National PACE No $0 No 328
Alignment Health Plan Alignment Health My Choice (PPO)
H4961-001-0 		Local PPO $60 per Quarter No $240 No 323
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 295
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 285
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 253
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 252
UnitedHealthcare AARP Medicare Advantage Choice (PPO)
H4829-008-0 		Local PPO No $0 Yes No No Yes Yes No 211
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 161
Alignment Health Plan Alignment Health Balance (PPO)
H4961-006-0 		Local PPO $65 per Quarter No $260 No 154
CCA Health California CCA Medicare Excel (HMO)
H1426-001-0 		HMO $120 per Quarter No $480 Yes $1,000 Yes No No Yes No 154
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 136
Central Health Medicare Plan Central Health Focus Plan (HMO C-SNP)
H5649-006-0 		HMO $46 per Month No $0 Yes $2,000 No No No Yes Yes 135
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H4829-017-0 		Local PPO No $0 Yes No No Yes Yes No 125
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0 		Local PPO No $0 No 120
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 113
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 107
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 94
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-804-0 		HMO No $0 No 84
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 82
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 80
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 77
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 76
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 71
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 67
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 60
Brand New Day Brand New Day Valor Care Plan (HMO)
H0838-048-0 		HMO No $0 Yes No No Yes Yes No 48
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 46
Central Health Medicare Plan Central Health Premier Plan II (HMO)
H5649-021-2 		HMO $50 per Month No $0 Yes $3,000 No No No Yes Yes 43
Alignment Health Plan Alignment Health Heart & Diabetes (HMO C-SNP)
H3815-010-0 		HMO $200 per Quarter No $800 No 40
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 No 37
Aetna Medicare Aetna Medicare Select Plan (HMO)
H0523-067-0 		HMO $105 per Quarter No $420 Yes $2,500 No No Yes No No 35
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 33
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 29
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No $0 No 29
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 29
Blue Shield of California Blue Shield Inspire (HMO D-SNP)
H5928-054-0 		HMO $200 per Quarter No $800 Yes $2,000 No No No No No 27
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 27
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-870-0 		Local PPO No $0 No 26
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 23
Kaiser Permanente Kaiser Permanente Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 No 20
UnitedHealthcare AARP Medicare Advantage Focus Plan 2 (HMO-POS)
H0543-234-0 		HMOPOS No $0 Yes Yes No Yes Yes No 19
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-862-0 		Local PPO No $0 No 18
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 17
Kaiser Permanente Kaiser Permanente Senior Advantage Enhanced Stanis (HMO)
H0524-040-0 		HMO $60 per Quarter No $240 No 17
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $60 per Quarter No $240 No 17
Alignment Health Plan Alignment Health AllCare Preferred (HMO)
H3815-011-0 		HMO $165 per Quarter No $660 Yes $1,000 No No No No No 16
Highmark Blue Cross Blue Shield or Highmark Blue Shield Freedom Blue PPO MAPD PA CALENDAR (PPO)
H3916-802-0 		Local PPO No $0 No 14
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 14
Santa Clara Family Health Plan DualConnect (HMO D-SNP)
H4045-001-0 		HMO $135 per Quarter No $540 No 13
UnitedHealthcare AARP Medicare Advantage Focus Plan 1 (HMO-POS)
H0543-231-0 		HMOPOS No $0 Yes Yes No Yes Yes No 13
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-869-0 		Local PPO No $0 No 12
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-803-0 		HMO No $0 No 11
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