Medicare Advantage Plans for Sonoma County, California

  • 53 Total Plans
  • 112,884 Seniors Eligible for Medicare
  • 59,697 Seniors on Medicare Advantage (53%)
  • 1 plans with 884 seniors have enough OTC benefit to fully cover MDHearing hearing aids
  • 18 plans with 36,008 seniors have OTC benefits that partially cover MDHearing hearing aids
  • 33% 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 Sr Advantage Basic Sac., Sonoma (HMO)
H0524-051-0 		HMO $60 per Quarter No $240 No 17,477
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Sac., Sonoma (HMO)
H0524-013-0 		HMO $60 per Quarter No $240 No 13,287
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-806-0 		HMO No $0 No 11,663
UnitedHealthcare AARP Medicare Advantage SecureHorizons Plan 1 (HMO-POS)
H0543-148-0 		HMOPOS No $0 Yes No No Yes Yes No 2,538
Kaiser Permanente Kaiser Permanente Sr Adv Medicare Medi-Cal (HMO D-SNP)
H0524-030-0 		HMO $100 per Quarter No $400 No 2,232
SCAN Health Plan SCAN Classic (HMO)
H5425-052-0 		HMO No $0 Yes No No Yes No No 2,229
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-816-0 		Local PPO No $0 No 1,663
UnitedHealthcare AARP Medicare Advantage Choice Plan 1 (PPO)
H4829-004-0 		Local PPO No $0 Yes No No Yes Yes No 929
Anthem Blue Cross Life and Health Insurance Co. Anthem MediBlue Dual Access (PPO D-SNP)
H8552-030-0 		Local PPO $80 per Quarter Yes $320 Yes $3,000 No No Yes Yes No 884
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 693
Alignment Health Plan Alignment Health Sutter Advantage (HMO)
H3815-023-0 		HMO $60 per Quarter No $240 No 693
Western Health Advantage Western Health Advantage MyCare (HMO)
H2782-002-0 		HMO $50 per Quarter No $200 Yes No No Yes No No 480
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 467
UnitedHealthcare UnitedHealthcare Medicare Advantage Assure (HMO)
H0543-183-0 		HMO $100 per Quarter No $400 Yes $2,500 Yes No Yes Yes No 457
Kaiser Permanente FEHB Part AB with D (HMO)
H0524-810-0 		HMO No $0 No 430
SCAN Health Plan SCAN Compass (HMO)
H5425-074-0 		HMO $50 per Quarter Yes $200 No 393
UnitedHealthcare AARP Medicare Advantage Focus (HMO-POS)
H0543-228-0 		HMOPOS No $0 Yes Yes No Yes Yes No 387
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-837-0 		Local PPO No $0 No 308
UnitedHealthcare AARP Medicare Advantage Choice Plan 2 (PPO)
H4829-016-0 		Local PPO No $0 Yes No No Yes Yes No 265
Aetna Medicare Aetna Medicare Plan (PPO)
H5521-801-0 		Local PPO No $0 No 222
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-817-0 		Local PPO No $0 No 211
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-802-0 		Local PPO No $0 No 206
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-847-0 		Local PPO No $0 No 173
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-802-0 		HMO No $0 No 152
Alignment Health Plan Alignment Health My Choice (PPO)
H4961-003-0 		Local PPO $60 per Quarter No $240 No 90
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (HMO)
H0543-805-0 		HMO No $0 No 70
Aetna Medicare Aetna Medicare Plan w/Rx (PPO)
H5521-802-0 		Local PPO No $0 No 68
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-807-0 		Local PPO No $0 No 63
SCAN Health Plan SCAN Balance (HMO C-SNP)
H5425-054-0 		HMO No $0 Yes No No Yes No No 61
Anthem Blue Cross and Blue Shield Anthem Medicare Preferred (PPO)
H4036-801-0 		Local PPO No $0 No 60
Humana Humana Medicare Employer (PPO)
H5216-805-0 		Local PPO No $0 No 55
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Marin San Mateo (HMO)
H0524-031-0 		HMO $60 per Quarter No $240 No 44
SCAN Health Plan SCAN Heart First (HMO C-SNP)
H5425-053-0 		HMO No $0 Yes No No Yes No No 42
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 39
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-801-0 		HMO No $0 No 34
Kaiser Permanente Kaiser Permanente Senior Advantage Alam., SF, Napa (HMO)
H0524-032-0 		HMO $60 per Quarter No $240 No 31
Kaiser Permanente Kaiser Permanente Senior Advantage (HMO)
H0524-808-0 		HMO No $0 No 31
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-836-0 		Local PPO No $0 No 28
Blue Shield of California Blue Shield Medicare (PPO)
H4937-801-0 		Local PPO No $0 No 27
Kaiser Permanente Senior Advantage Medicare Medi-Cal Los Angeles (HMO D-SNP)
H0524-070-0 		HMO $100 per Quarter No $400 No 23
Aetna Medicare Aetna Medicare Plan w/Rx $75 Buy-Down (PPO)
H5521-812-0 		Local PPO No $0 No 22
Western Health Advantage Western Health Advantage MyCare EGWP (HMO)
H2782-801-0 		HMO No $0 No 21
Blue Cross Blue Shield of Michigan Medicare Plus Blue PPO Employer CY (PPO)
H9572-802-0 		Local PPO No $0 No 19
Western Health Advantage Western Health Advantage MyCare Plus (HMO)
H2782-003-0 		HMO $100 per Quarter No $400 Yes No No Yes No No 19
Western Health Advantage Western Health Advantage MyCare EGWP MAPD Fiscal (HMO)
H2782-804-0 		HMO No $0 No 17
Wellcare by Health Net Health Net Seniority Plus Employer (HMO)
H0562-803-0 		HMO No $0 No 16
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Contra Costa (HMO)
H0524-033-0 		HMO $60 per Quarter No $240 No 15
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-840-0 		Local PPO No $0 No 13
HEALTH PLAN OF SAN MATEO CareAdvantage (HMO D-SNP)
H6019-001-0 		HMO $90 per Quarter No $360 No 12
Kaiser Permanente Kaiser Permanente Sr Adv Enhanced Santa Clara (HMO)
H0524-039-0 		HMO $60 per Quarter No $240 No 12
UnitedHealthcare UnitedHealthcare Group Medicare Advantage (PPO)
H2001-819-0 		Local PPO No $0 No 12
Blue Shield of California CCPOA Medical Plan Medicare (PPO)
H4937-805-0 		Local PPO No $0 No 11
Kaiser Permanente Kaiser Permanente Senior Advantage LA, Orange Co. (HMO)
H0524-003-0 		HMO $90 per Quarter No $360 No 11
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